Carvedilol esophageal varices
Common Questions and Answers about Carvedilol esophageal varices
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The fact that there were "no varices" found is a good thing for you. Having esophageal varices is often an indication that your liver has decompensated. My husband had these varices and his doctor banded them to help prevent rupture and bleeding. He also had to take a prescription medicine called Nadalol.
Definition provided by Mayo Clinic website:
Esophageal varices are abnormal, enlarged veins in the lower part of the esophagus — the tube that connects the throat and stomach.
On Halloween this year, he was admitted to his transplant hospital with bleeding esophageal varices. They were grade 1-2 found on endoscopy after his diagnosis. He had the banding done and is now on meds to decrease portal pressure. His MD said hes not appropriate for the transplant list. Prior to this episode he was diagnosed with compensated mild cirrhosis. His child - Pugh score places him in class a. Since the bleeding, I have been reading that technically he has decompensated cirrhosis.
I believe the answer to this may depend on the causative factors leading up to the varices.
t have to drink to get these. There can be other causes. Esophageal varices develop when normal blood flow to the liver is blocked. The blood then backs up into smaller, more fragile blood vessels in the esophagus, and sometimes in the stomach or rectum, causing the vessels to swell. So if there's any form of scar tissue, blood flow problems (clotting issues, etc), and some diseases, varices develop. The GI doc will be able to determine what's going on probably with some more testing.
If you had a bleeding esophagus, that "could" mean you have esophageal varices. If you do have esophageal varices then you definitely need to be seen by a hepatologist who is affiliated with a large medical center/transplant center.
I say "could" be esophageal varices because potentially the esophagus could bleed from other causes, but people with advanced liver disease can get esophageal varices and espohageal bleeding. Your liver biopsy will tell you your stage.
This increased pressure in the portal vein causes the development of large, swollen veins (varices) within the esophagus and stomach. The varices are fragile and can rupture easily, resulting in a large amount of blood loss.
The most common cause of portal hypertension is cirrhosis of the liver. Cirrhosis is scarring which accompanies the healing of liver injury caused by hepatitis, alcohol, or other less common causes of liver damage.
It can also be due to increased blood loss as seen in bleeding in your gastrointestinal tract, either due to esophageal varices, polyps, females it can be due to very heavy periods.
Apart from iron replacement, the treatment of anemia includes treating the cause. Hence, you need to consult a doctor, preferably a hematologist to find the cause. Take care!
t want to give me one because I had bleeding esophageal varices when I was in the hospital) but I was told I was in 4th stage. I've never been jaundiced, have ascites issues when I eat poorly but have always been able to manage it with my healthy diet now. When I questioned my doctor about a transplant, he said I wasn't sick enough. So am I really 4th stage? Obviously I have varices but they only started bleeding when I was smoking.
I have lots more questions, like i,m a father of three boys they are verey young
when i was daignosed in may 5 07 hepc and fatty liver now still have hepc and
now hepc as caused cirrosis of the liver esophageal varices and others is i thought this was a slow moveing disease
What Are the Symptoms of Bleeding Esophageal Varices?
Symptoms Icon
Esophageal varices are unlikely to cause symptoms unless they have ruptured. When this happens, you may experience:
hematemesis (blood in your vomit)
stomach pain
lightheadedness
melena (black stools)
bloody stools (only in severe cases)
shock (only in severe cases, due to blood loss)
Call 911 or go to the nearest emergency room immediately if you experience any of the above symptoms.
As Hector stated a wale mark or cherry-red spot is an endoscopic sign suggestive of recent hemorrhage, or propensity to bleed, seen in individuals with esophageal varices. This preventative testing can play an essential role in saving your life. The procedure has always been completely painless and really only takes about 15 minutes.
Following that I will have a Ct Scan to monitor for HCC (liver cancer).
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