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Doctor insights on: Portal Hypertension Symptoms

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What is portal hypertension?

What is portal hypertension?

Portal hypertension: This is an obstructive condition of the venous outflow from the liver, often associated with cirrhosis. It causes abdominal distension and fluid leak into the legs and abdomen. ...Read more

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Dr. Barbara Lavi
320 doctors shared insights

Hypertension (Definition)

A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more


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Are hypertension and portal hypertension the same thing?

Are hypertension and portal hypertension the same thing?

No: Hypertension is elevated systemic blood pressure, but portal hypertension is when the pressure of the portal vein is elevated. The portal vein is a big vessel that goes from the gastrointestinal tract to the liver, the pressure in this vein can become elevated in cirrhosis( hardening of the liver), in alcoholic liver disease, in hepatitis or from other causes of cirrhosis. ...Read more

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What kind of imaging can be used to look for portal hypertension?

Diagnosis of: portal hypertension can be diagnosed based on medical history, physical examination showing dilated veins, varices and presence of ascitis, Lab test, abdomen ultrasound and CT Scan can be used. In the presence of GI bleeding Endoscopy may help in diagnosis and treatment ...Read more

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What are the most common reasons people develop portal hypertension?

What are the most common reasons people develop portal hypertension?

Cirrhosis: Portal hypertension can be caused by cirrhosis, clots which can develop in the portal vein and the parasite, schistosomiasis. Sometimes medications can be used to reduce portal pressure. If you think you have portal hypertension, you should see a physician. ...Read more

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Can portal hypertension cause headache?

Portal hypertension: The portal pressure usually won't cause headache but the liver disease abnormalities associated with the problem could. ...Read more

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Is portal hypertension the only way a person can get esoph varices?

Is portal hypertension the only way a person can get esoph varices?

Fundamentally, yes: Hi. Good question, and there could be rare alternative explanations, but from a basic standpoint, yes, portal HTN is the cause of esophageal varices. ...Read more

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Is there a correlation between portal hypertension and high blood pressure?

Is there a correlation between portal hypertension and high blood pressure?

Yes: Portal HTN is in liver from cirrhosis and other liver abnormality systemic HTN is mostly hereditary and treatments ate different ...Read more

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How is Portal Hypertension diagnosed? is there specific Blood work for it? Does Nash causes Portal Hypertension?

Clarify ?: Portal hypertension is a function of the liver being diseased and poorly functioning, it's diagnosis requires ultrasound and nuclear scanning techniques to measure function, and a good clinical doctor that can detect liver disease before it gets bad ...Read more

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Does ascites occur in pre sinusoidal portal hypertension ?

Does ascites occur in pre sinusoidal portal hypertension ?

Mainly in dogs: This has been reported mainly in dogs and cats. In humans, pre sinusoidal portal hypertension leads primarily to fibrosis. I would defer to my Gastrointestinal colleagues for more clarification. ...Read more

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Is it possible that alagilles syndrome be mistook portal pulmonary hypertension?

Yes: I have not seen one but literature says that it can indeed cause portal hypertension due to the liver problem and blood return is impeded. The smaller pulmonary arteries can be deemed pulmonary hypertension unless left and right heart cath can be done to prove the pulmonary circulation is ok and only the larger artery involved, cath may be difficult due to the pressure and size of vessels. ...Read more

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Is it true that cirrhosis of the liver can lead to portal hypertension?

Is it true that cirrhosis of the liver can  lead to portal hypertension?

Portal htn: Yes. As the liver becomes fibrotic the blood from the portal vein sees greater resistance and pressure in the portal vein rises. ...Read more

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Do people ever get right sided heart failure with portal hypertension?

Do people ever get right sided heart failure with portal hypertension?

Pulmonary htn: At least 5% of people with portal hypertension, typically caused by cirrhosis, will develop pulmonary hypertension (high blood pressure in the lungs.) pulmonary hypertension can cause right heart failure. ...Read more

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What kind of blood tests confirm portal hypertension? What other tests? should I ask my doctor to conduct?

What kind of blood tests confirm portal hypertension? What other tests? should I ask my doctor to conduct?

Your doctor knows: There are no specific blood tests for portal hypertension. If you have liver disease and your spleen is enlarged that usually indicates portal hypertension. Imaging studies are usually more useful than blood tests. ...Read more

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Can an abdominal ultrasound rule out portal hypertension?

Can an abdominal ultrasound rule out portal hypertension?

It will be helpful: An ultrasound help determine shape size and distendibility of veins, arteries organs and see pathology. So it will be helpful in the diagnoses of the portal vein pathology if present. ...Read more

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I have heard the tipps procedure is good for about a year, is this right? Placed for portal vein hypertension with esld.

I have heard the tipps procedure is good for about a year,  is this right?  Placed for  portal  vein hypertension with esld.

Stenosis: The incidence of tips stenosis with uncovered stents is high and increases with time. The rate of stenosis at 6-12 months is about 75%. If stenosis occurs, dilation and insertion of additional stents can be performed. Coated stents reduce the incidence of stenosis. Your doctor will periodically monitor your tips for patency. ...Read more

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What is portal hypertension with enlargement of main portal vein with presence of perisplenic and perigastric variceals? How serious is this?

What is portal hypertension with enlargement of main portal vein with presence of perisplenic and perigastric variceals?   How serious is this?

Has risk: Portal hypertension is the elevation of porta pressure. May occur in liver cirrhosis. Varices are dilation of vessels making them susceptible to bleeding. Alcohol should be avoided and beta blockers may be helpful in reducing portal pressure. ...Read more

Dr. Tony Ho Dr. Ho
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How to control/reverse liver cirrhosis & portal hypertension? Is sr9238 compound effective in reversing fatty liver? If so, which drug contains it?

Dr. Tony Ho Dr. Ho
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How to control/reverse liver cirrhosis & portal hypertension?
Is sr9238 compound effective in reversing fatty liver? If so, which drug contains it?

Control underlying: Depends what the underlying cause is; for fatty liver disease/nash, control Insulin resistance; for alcoholic, stop alcohol, and for hepatitis virus, treat the virus. The compound is very new and exciting, but will take years of testing before it is available for clinical use. ...Read more

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Can a contrast CT pick up signs of portal hypertension? what about an ultrasound?

Can a contrast CT pick up signs of portal hypertension? what about an ultrasound?

Yes to both: Signs of portal hypertension are: splenomegaly, ascites, and esophageal varices-CT and US can see the first 2 but may miss the 3rd. ...Read more

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Im suffering from cirrhosis, portal hypertension and ascites/ can you tell me more about treatment for this?

Im suffering from cirrhosis, portal hypertension and ascites/ can you tell me more about treatment for this?

FEW OPTIONS: Your hepatologist (liver specialist) would be the best person to decide what would be the best treatment for you. Options include: b-blocker to decrease portal pressure, diuretics (lasix/aldactone) to control ascites and in certain cases tips (transjugular intrahepatic portosystemic shunt). Best recommendation is to avoid anything that may further damage the liver. ...Read more