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Portal Hypertension

Our competent experts offer GastroDoxs to their clients extensive portal hypertension assessments and treatment strategies, and propose to provide caring care to patients within our community, which is conveniently situated in Katy and we devote ourselves to enhancing the well-being of the liver and alleviating symptoms to people within our community.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri
Symptoms

What is Portal Hypertension?

Portal hypertension is a condition in which the blood pressure in that vein (where the blood flows during visiting of your intestines to your liver) and called portal rises to an extreme. This increased pressure is mostly attributed to scarring of the liver (cirrhosis) which hinders the flow of normal blood. When the blood is unable to flow easily through the liver the pressure accumulates and capable of causing severe complications.

Common Symptoms

Portal hypertension might not result in any apparent effects in early stages. With increase of pressure, you will also feel:

  • Ascites (accumulation of fluid into the abdomen)
  • Enlarged spleen (splenomegaly)
  • Bleedable distended veins (varices) of the stomach or esophagus
  • Dark or tarry stools from internal bleeding
  • Drowsiness, malfunction or muddiness caused by liver failure

Causes

Pressure in the portal vein may be increased by a number of factors:

  • Cirrhosis of the liver (often from chronic hepatitis or long-term alcohol use)
  • Non-cirrhotic portal hypertension (because of scarring or infection of the veins)
  • Blood clots in the portal vein (portal vein thrombosis)
  • Portal vein compression by tumors or Beverly worm
Treatment

Treatment Options for Portal Hypertension in Katy

Therapy involves life modifying and medical attention:

  • Beta blockers:Non-selective beta blockers (as propranol or nadol) decrease the portal pressure and decreases the chances of variceal bleeding.
  • Endoscopic therapy: The bleeding of swollen veins in the esophagus or stomach is treated or prevented by variceal ligation or sclerotherapy.
  • Low-salt diet and diuretics: The intake of sodium should be decreased as well as the use of diuretics, such as spironolactone and furosemide to control ascites (fluid in the belly).
  • Shunt procedures (TIPSS): A transjugular intra hepatic portosystemic shunt is an opening of the liver which redirects blood flow around the liver and vertebral portal pressure.
  • Paracentesis:Tense ascites In the presence of tense ascites, periodical draining with fluids is useful when diet and diuretic are no longer sufficient.
  • Monitoring and lab tests: Regular blood work (liver enzymes, clotting factors) and imaging (ultrasound, CT) allow early detection of complications.
  • Treatment of the underlying cause: Treatment of hepatitis, alcoholism or management of blood clots in the portal vein are done to decelerate the disease.

Why Choose GastroDoxs?

We are GastroDoxs in Katy, and we are dedicated to the fully cave portal hypertension and liver diseases. Our team of specialists provides high-level diagnostics, individual treatment, and understanding assistance at each stage. Are you prepared to manage your health? Appointment directly on the path to liver health can be achieved by a call once in a day or calling on-line or booking on-line.

1.5K

Patients Treated

We've successfully treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What problems can portal hypertension cause?

Portal hypertension may cause severe complications including excess in the abdomen (ascites), enlargement of the spleen (splenomegaly), bleeding of the surrounding veins within the esophagus or stomach (variceal hemorrhage) and alterations in brain functioning (hepatic encephalopathy).

How is portal hypertension diagnosed?

Diagnosis may include blood tests that determine liver functioning, x-ray tests such as ultrasound or CT scan to define the flow of blood and the framework of the organ, and at times endoscopy to examine for swollen veins (varices) in the esophagus or stomach.

Can portal hypertension be reversed?

Progressive intrahepatic scarring in the liver might be non-reversible but portal pressure can be decreased by early identification of the causative agent-e.g. by taming hepatitis or stopping alcohol consumption and thereby ameliorating the symptoms.

How does portal hypertension cause ascites?

High pressure in portal areas pushes the fluid out of blood vessels and into the abdominal area. Loss of protein synthesis by a diseased liver also decreases oncotic pressure which is also a factor that causes fluid accumulation.

Is portal hypertension always caused by cirrhosis?

No. Though cirrhosis is predominant, portal pressure can increase without scarring of the liver due to other conditions - there are blood clots in the portal vein, infections, or tumors - probably alone which are termed non-cirrhotic portal hypertension.

What signs of portal hypertension should I watch for?

Watch out to abdominal enlargement or pains, leg swellings, dark coloured or bloody faeces, vomiting blood, excessive fatigue, or mental impairment-they may be the signs of complications, which require immediate consultation.

What does cirrhosis do to the portal vein?

Cirrhosis replaces healthy liver tissue with scar tissue, which obstructs blood flow through the liver. This resistance raises pressure in the portal vein, leading to portal hypertension.

Where can I get treatment for portal hypertension in Katy?

GastroDoxs in Katy provides comprehensive care for portal hypertension, offering diagnosis, medical management, endoscopic treatment of varices, dietary counseling, and advanced procedures when needed.

Do you treat bleeding varices at GastroDoxs?

To make an appointment, you can simply call our Katy office and book in or you can use our online booking system, which is accessible in the GastroDoxs online. We have also same day booking on availability.

How do I book a visit at GastroDoxs?

You can schedule an appointment by calling our Katy office directly or by using our online booking system on the GastroDoxs website. We also offer same-day appointments based on availability.

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