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Portal Vein Thrombosis

Portal vein thrombosis (PVT) occurs when a clot blocks blood flow to the liver, causing pain, swelling, and complications. In Houston, Dr. Rishi Chadha at GastroDoxs provides advanced diagnostics, tailored treatments, and compassionate support to manage and resolve your PVT.

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Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

What Is Portal Vein Thrombosis?

Portal vein thrombosis (PVT) happens when a blood clot blocks the portal vein. This vein carries blood from your intestines to your liver. When it's blocked, blood flow slows or stops, which can raise pressure in nearby veins and cause liver damage.

Common Causes and Risk Factors

  • Liver scarring or cirrhosis
  • Belly infections such as pancreatitis
  • Cancers�especially of the liver or pancreas
  • Blood disorders that increase clotting tendency
  • Recent abdominal surgery or injury
  • Family history of blood clots

Signs and Symptoms

  • Sudden, severe belly pain
  • Abdominal swelling (ascites)
  • Visible enlarged veins in the stomach or esophagus
  • Nausea or diarrhea
  • Vomiting blood or passing black, tarry stools
  • Persistent tiredness or low energy
  • Mild fever

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.

Dr. Rishi Chadha
Treatment

Our Houston team offers a full range of care for portal vein thrombosis at GastroDoxs.

1. Lifestyle and Diet Changes

  • Eat low-salt foods to prevent fluid buildup
  • Choose fruits, vegetables, lean meats, and whole grains
  • Avoid alcohol to protect your liver
  • Try light movement or walking, as advised

2. Medications

  • Blood thinners (like warfarin or DOACs) to prevent new clots
  • Clot-dissolving medications (thrombolytics) in select cases
  • Supportive meds for pain, nausea, or swelling

3. Advanced or Minimally Invasive Procedures

  • TIPS (Transjugular Intrahepatic Portosystemic Shunt) to lower portal vein pressure
  • Thrombectomy to remove the clot through a small incision
  • Variceal banding or sclerotherapy to stop internal bleeding
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

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.

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