Doctor insights on:
Really serious: There is a mortality rate of 30-50% with the first episode of upper GI bleeding from esophageal varices. Two thirds of these patients die within 1 year. Most patients with varices have cirrhosis, 40% dying from associated medical problems. About a quarter to a third of cirrhosis patients bleed at least once from varices. Many therapeutic and preventative options exist--get to a GI doctor asap. ...Read more
Fatty liver: Fatty liver can possibly be graded at the time of biopsy but if it was an ultrasound based diagnosis, grade is not normally assigned. Grade ii out of IV is close to medium steatosis (fat inclusions in the cells). It's not badly extensive as it would be in grade iv, but it may get there if not treated. ...Read more
There are treatments: The vast majority of neuroendocrine carcinomas in the liver originate in another site. Since the liver disease is the most common contributor to survival, we will often use liver directed therapies to control the liver component of the disease. There is an imaging techinque (ga68) used in europe that is available in certain centers in the us that can help evaluate the ds and response to trtment. ...Read moreSee 1 more doctor answer
Chronic gastritis: The objective findings you describe suggest chronic gastritis. There are many possible causes of this, including hyperacidity, infection with h. Pylori, loss of stomach acid production, or even underlying cancer.. It would be a good idea to try to find out what is causing this and doing something to correct it if possible, . ...Read more
Esophagitis: Esophagitis is unusual in a person in their 30s, but can happen. Omeprazole definitely indicated, at least for 8 weeks, probably longer. Important also is how and what you eat. Smaller meals, chew thoroughly, minimal spice, no alcohol, don't overeat. Eat slowly. Don't eat for 1 hour before bed time. For 2 weeks you might benefit from twice a day omeprazole -- ask doc. Mylanta every 2 hrs ...Read more
Which grade compression stockings are advisable for post operative sclerotherapy? grade II or grade III(30 - 40mmHG)?
Hepc, liver cirohsis, mvr done 2006, hepatic encephalopathy grade 2, esophagus varices minor.Suddenly low blood pressure 85/58, pulse 65.Pl advice?
No: The varices are another route of blood return to your heart due to liver scarring or blockage of the blood that should enter the liver from the GI tract. There is no good way to correct that save for liver transplantation. The problem with varices is bleeding and there are procedures done to deal with the bleeding and to minimize the risk. ...Read more
Esophagitis: Yes, this is curable. Esophagitis is unusual in a person in their 30s, but can happen. Omeprazole definitely indicated, at least for 8 weeks, and probably longer. Important also is how and what you eat. Smaller meals, chew thoroughly, minimal spice, no alcohol, don't overeat. Eat slowly. Don't eat for 1 hour before bed time. For 2 weeks you might benefit from twice a day omeprazole -- ask. ...Read more
Small esophageal varices mild esophagitis at gej portal hypertension..If surgery cannot b done what is the treatment?
Portal hypertension: This is most commonly due to cirrhosis of the liver and must be dealt with by a hepatologist, gastroenterologist or general surgeon familiar with the area of practice. Knowing the etiology of this would also be helpful. The esohagitis at the gej may be due to reflux. ...Read more
Hard to say: There are situations when a pathologist reviews the specimen again and finds higher grade "angrier" looking cells in the specimen - leading to an upgrade. There are also situations when a liposarcoma recurs and the new tumor has "de-differentiated" or evolved into an angrier tumor. This can happen with time with certain aggressive liposarcomas. ...Read moreSee 1 more doctor answer
Still controversial: Current thinking is that if in early stages, it may be ok to just follow since it is so slow growing. May not cause a problem for years. If more advanced, currently chemotherapy combined with immune therapy (usually a monoclonal antibody called rituximab) is used. Most patients can achieve remission but the disease is currently not considered curable. ...Read moreSee 3 more doctor answers
- Talk to a doctor live online for free
- Scrotal varices
- Esophageal varices
- Signs and symptoms of esophageal varices
- Ask a doctor a question free online
- Esophageal varices cirrhosis
- Esophageal varices banding complications
- Treatment for esophageal varices
- Esophageal varices and alcoholism
- Venas varices