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Doctor insights on: What Are The Usual Effects Of Portal Vein Thrombosis

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What are the usual effects of portal vein thrombosis?

What are the usual effects of portal vein thrombosis?

Portal vein: Portal vein thrombosis is clotting in hepatic portal vein, which can lead to portal hypertension and reduction in the blood supply to the liver. Complications include splenomegaly, esophageal and gastric varices (which can bleed), portal hypertensive gastropathy and ascites. treatments include anticoagulants, shunts, bypass surgery, and transplants. ...Read more

Blood Clot (Definition)

A blood clot or thrombus is the final step of the coagulation cascade. It is a good thing when your body is trying to stop blood loss, however a blood clot can form in the veins after prolonged periods of immobility. This type of like ...Read more


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Portal vein thrombosis?

Portal vein thrombosis?

Clotting of vein: The portal vein carries blood from bowel to the liver. It also runs near the pancreas. Portal vein thrombosis can occur with inflammatory conditions or cancers. Patient may need blood thinners or other treatments. ...Read more

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What is a portal vein thrombosis like?

What is a portal vein thrombosis like?

Depends on cause: Patients can present emergently with sudden onset of right upper quadrant pain, nausea, and/or fever. However, most commonly the symptoms of the primary infectious and inflammatory condition that led to portal vein obstruction predominate. For example, pain related to pancreatitis. In the chronic phase, patients most often present with complications related to bleeding from enlarged veins in belly. ...Read more

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What doctors take care of portal vein thrombosis?

What doctors take care of portal vein thrombosis?

Vascular Surgeon: Portal vein thrombosis can occur due to several reasons. Gastroenterologists or liver surgeons may encounter it, but consultation with a vascular surgeon should be requested. ...Read more

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Suffering from portal vein thrombosis and cirrhosis of the liver?

Suffering from portal vein thrombosis and cirrhosis of the liver?

There may be help: Depending on how much of your portal vein is thrombosed and how bad your cirrhosis is, there is a chance that the vein can be reopened and a TIPS procedure be performed. An MRI is usually done to help evaluate the possibility. Have your doctor refer you to an Interventional Radiologist who performs these procedures. Check out www. Sirweb. Org for more info on TIPS and portal hypertension. ...Read more

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I have a 13 year old son with portal vein hypertension. Portal vein thrombosis. I need help. Please help my son. I am ready to do everything for him

I have a 13 year old son with portal vein hypertension. Portal vein thrombosis. I need help. Please help my son. I am ready to do everything for him

Very difficult: I recommend taking him to a specialized center or tertiary care center. There are many reasons why this condition happens and the treatments will be different. The initial treatment is to thin the blood. ...Read more

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My wife having portal vein thrombosis, she is taking warfarin 5 mg daily, but she has the severe abdopain pain. Pl.Give me guidence for relief of abdo.?

My wife having portal vein thrombosis, she is taking warfarin 5 mg daily, but she has the severe abdopain pain. Pl.Give me guidence for relief of abdo.?

Talk to her doctor: There are several things that can lead to abdominal pain with portal vein thrombosis. Some of them could be serious so I think it is best to have her evaluated by her doctor and follow his / her recommendations. ...Read more

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Will drinking alcohol bring back the pain from my portal vein thrombosis?

Will drinking alcohol bring back the pain from my portal vein thrombosis?

I am concerned: About ANYONE who would ask that question, and that concern is that you have either alcohol abuse or dependence. You are also on Flagyl, which has an antabuse-like reaction if alcohol is taken with it. You should be asking this question of your doctor, but I strongly suspect you know what that physician would say, and that is why you are asking online. Discuss your drinking with a counselor. ...Read more

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I have portal vein thrombosis as well as a clot in my right kidney and ovary. How uncommon is my condition? Can the clots be removed?

I have portal vein thrombosis as well as a clot in my right kidney and ovary. How uncommon is my condition? Can the clots be removed?

Very uncommon: Pv thrombosis is a very uncommon condition and is usually seen in a setting of hypercoagulablility, the over propensity of blood to clot, either due to medications or conditions. The clots are not removed surgically, but with anticoagulation (a type of medicine which you should be on) and your body's clot dissolving mechanisms will work together to dissolve the clots and keep more from forming. ...Read more

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Do low INR levels cause portal vein thrombosis pain to return in upper abdomen?

Do low INR levels cause portal vein thrombosis pain to return in upper abdomen?

No but,,: A low INR is not a direct cause if pain. It stands for International Normalized Ratio and is the ratio of the patients prothrombin time to a normal prothrombin time value raised to the power of the ISI (international Sensitivity Index) or a ratio of tissue factor to a reference tissue factor. However if it's low it can mean that the blood is clotting more and can lead to thrombosis in patients. ...Read more

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I have portal vein Thrombosis due to taking estrogen/testosterone. Since I no longer take these hormones, can PVT go away on its own?

I have portal vein Thrombosis due to taking estrogen/testosterone. Since I no longer take these hormones, can PVT go away on its own?

Portal Vein: Portal vein thrombosis won't go away on its own, but may recanalize on blood thinners. Best not to smoke with a history of PVT while on hormones. Often there is more than one associated clotting risk factor. Hematologist can direct anticoagulation duration. Vascular surgery input is advised. GI or vascular should follow you as varices (veins in esophagus) or ascites (belly fluid) can develop. ...Read more

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What causes sharp upper abdomen pain? History of portal vein thrombosis and inflamed bowel.

What causes sharp upper abdomen pain? History of portal vein thrombosis and inflamed bowel.

Pain: For most people such a pain would be gas in the gut. Given your history, it would be prudent to see your doctor and be checked out if this isn't a brief one-time episode. ...Read more

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Can I drink alcohol on Coumadin (warfarin) with portal vein thrombosis?

Can I drink alcohol on Coumadin (warfarin) with portal vein thrombosis?

Best to Avoid: Good hydration status and less alcohol (which is dehydrating) lead to more favorable outcome profiles in those with portal vein thrombosis. Alcohol may also raise your risk of bleeding in the setting of coumadin (warfarin). ...Read more

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What can you do while pregnant and suffering from portal vein thrombosis and cirrhosis of the liver?

What can you do while pregnant and suffering from portal vein thrombosis and cirrhosis of the liver?

Anticoagulation: Portal vein thrombosis and DVT in pregnancy is treated with a variation of Heparin called Lovenox which is injected just under the skin twice a day. Coumadin (warfarin) is fatal to the fetus and should never be given during pregnancy. A 3 to 6 month recommendation is given depending on the patient's other ongoing risk factors after delivery. ...Read more

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Hcc stage 4, portal vein thrombosis and vascular participation AFP 70 GGT 350, age 80, no treatment is done. No physical symptoms. Prognosis?

Hcc stage 4, portal vein thrombosis and vascular participation AFP 70 GGT 350, age 80, no treatment is done. No physical symptoms. Prognosis?

Many factors: PVT and and age alone does not indicate prognosis. Child's score, performance status and the BCLC scoring system can help determine this. A multi-disciplinary team should review. In a patient with good performance status and PVT, with good liver function. AlB above 3.0, Tbili less than 2.0, could be treated with Y-90 therasphere and or Sorafenib. ...Read more

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What are the most common symptoms associated with deep vein thrombosis?

What are the most common symptoms associated with deep vein thrombosis?

Leg swelling: Although leg swelling and usually unilateral is a common sign associated with DVT but it can happen even with out any swelling. Shortness of breath is very significant associated symptom which should never be ignored. Most common risk factors are recent long distance travel and recent surgery. ...Read more

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What is the common immediate life threatening situation in arterial thrombosis and deep vein thrombosis?

What is the common immediate life threatening situation in arterial thrombosis and deep vein thrombosis?

Several: Arterial gangrene and sepsis,
or stroke and paralysis
or in kidney- renal failure
or in heart heart attack

venous - pulmonary embolism, arrythmia,
post phlebitis ulcers and immobility and infection. ...Read more

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Hepc, cirohsis, report shows portal vein is mildly prominent and measures 12.5cm. No evidence of thrombosis. How bad is it?

Hepc, cirohsis, report shows portal vein is mildly prominent and measures 12.5cm. No evidence of thrombosis. How bad is it?

Well,: It is not the best of signs. You have portal hypertension. I hope you are under the care of a GI doctor even better a liver specialist aka as a hepatologist.
Were you examined for signs of portal hypertension in your esophagus? If not, you should. Have you explored the possibility of a liver transplant. This is not my specialty so I am asking only from a theoretical point of view. ...Read more

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If both hepatic portal vein and hepatic arteries have thrombosis how long would it take for the liver to become necrotic?

If both hepatic portal vein and hepatic arteries have thrombosis how long would it take for the liver to become necrotic?

Liver ischemia: There are 2 blood supplies to the liver. The portal vein which supplies about 80% and the hepatic artery which supplies about 20%. If both are occluded the liver can become ischemic and die. This can happen right away. If one is occluded in one of the larger branches though blood can find other routs to get to the liver tissue. Also, the thrombus may recannalize and some blood may get through. ...Read more

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What is ovarian vein thrombosis?

What is ovarian vein thrombosis?

Ovarian veins.: A thrombus or thrombosis is a clot in a vein so an ovarian vein thrombosis is a clot in the ovarian vein which drains the ovary. On the left side the ovarian vein drains into the left renal (kidney) vein and on the right side the ovarian vein drains into the inferior vena cava. ...Read more

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Can renal vein thrombosis be cured?

RVT: It all depends upon the cause. If the cause is cancer then successful treatment of the cancer should "cure" the rvt. If the cause is a disease in the kidney (eg. Most notably a disease called mebranous glomerulopathy) then it is not likely that there will be a "cure" since this form of kidney disease has no known "cure". Anticoagulation can help to prevent worsening of the problem. ...Read more

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Whta are the symptoms of deep vein thrombosis?

Whta are the symptoms of deep vein thrombosis?

Variable: Sometimes there are no symptoms. Typical symptoms include leg swelling or pain in the legs, especially the calves. ...Read more

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What are the symptoms of deep vein thrombosis?

What are the symptoms of deep vein thrombosis?

Deep vein thrombosis: Commonly, deep vein thrombosis causes pain and swelling but sometimes they will only cause one or the other. Occasionally, they cause no symptoms. If a blood clot is small and in what we call calf veins, you might only get pain without swelling. If the clot is only blocking part of the vein, but not all of it, you also might get no swelling. ...Read more

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Please help! What are the signs of deep vein thrombosis?

Please help! What are the signs of deep vein thrombosis?

Pain and swelling: The most common symptom of DVT is pain and the most common physical finding is swelling. However, not everyone has these. If you have unexplained swelling with or without calf or thigh pain then a venous ultrasound would be indicated to look for a dvt. Sometimes even a ct scan or mrv is necessary. The bottom line is, if DVT is considered, then proper testing is required. ...Read more

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I'm starting to think I have deep vein thrombosis? Any advice?

I'm starting to think I have deep vein thrombosis? Any advice?

Pain and swelling: The most common symptom of DVT is pain and the most common physical finding is swelling. However, not everyone has these. If you have unexplained swelling with or without calf or thigh pain then a venous ultrasound would be indicated to look for a dvt. Sometimes even a ct scan or mrv is necessary. The bottom line is, if DVT is considered, then proper testing is required. ...Read more

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What should you do if you think you may have deep vein thrombosis?

What should you do if you think you may have deep vein thrombosis?

Why are you worried: See a physician right away. A venous ultrasound exam will be definitive. ...Read more

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What is deep vein thrombosis (dvt)?

Blood clot...: A deep vein thrombosis, or dvt, is a blood clot in a deep vein (rather than a superficial one). These usually occur in the lower extremities. The concern is that these blood clots can migrate through the bloodstream and end up in the lungs, causing a pulmonary embolism, which can be life-threatening. The treatment for a DVT is usually blood thinners. ...Read more

Dr. Ted King
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