How Dr. Rishi Chadha Diagnoses Portal Vein Thrombosis?
Step 1: Medical History
Dr. Chadha reviews your symptoms, past liver health, family history of clots and any recent surgeries or infections.
Step 2: Physical Exam
He examines your abdomen for pain, swelling (ascites) or tenderness and checks for enlarged veins around the navel.
Step 3: Imaging Tests
- Doppler Ultrasound � evaluates blood flow in the portal vein and pinpoints the clot.
- CT Scan � provides detailed cross-sectional images to measure clot size and liver condition.
- MRI � offers high-resolution views of the portal system and helps rule out other vascular issues.
Step 4: Blood Tests
These assess clotting factors (INR, platelet count), liver function (ALT, AST, bilirubin) and screen for underlying blood disorders or infections.
Frequently Asked Questions
What is the ICD-10 code for portal vein thrombosis?
It's I81, used for accurate records and billing.
What causes portal vein thrombosis?
Liver disease or cirrhosis, cancers (especially liver or pancreas), blood conditions that increase clotting, infections, or recent abdominal surgery or injury.
What are the signs of a clot in the portal vein?
Sudden abdominal pain, swelling (ascites), enlarged veins in the stomach or esophagus, nausea or diarrhea, vomiting blood or black stool, fatigue, and mild fever.
How is portal vein thrombosis diagnosed?
Through a medical history and physical exam, imaging tests (Doppler ultrasound, CT scan, or MRI), and blood tests to assess clotting and liver function.
Can treatment stop clots from coming back?
Yes. Long-term blood thinners and healthy lifestyle habits help reduce the risk of future clots.
What is the life expectancy with portal vein thrombosis?
Many people live well with treatment; outlook depends on overall liver health and underlying conditions.
Do I need to change my diet?
Yes. A low-salt, balanced diet with fruits, vegetables, lean proteins, and whole grains supports healing and liver health. Avoid alcohol.
Are blood thinners safe?
When monitored by Dr. Chadha, blood thinners (warfarin or DOACs) are effective and generally safe for preventing new clots.
Can a procedure help if medications don�t work?
Yes. Options like TIPS, thrombectomy, variceal banding, or sclerotherapy can lower pressure, remove clots, and prevent bleeding.
How do I book a visit with Dr. Chadha?
Call GastroDoxs in Houston to schedule your appointment for expert portal vein thrombosis care.