carvedilol for esophageal varices

How to slowly decrease dosage of carvedilol used to stop/prevent more esophageal varices? I took 6.25 tablet twice a day for 10 days and heart bpm was really low at 39. My uppuer cheekbones swollen (eyes appear sunken), so I then reduced dosage to 5 mg twice a day for 8 days BUT HEART RATE is STILL 39 bpm. Yesterday I again reduced dosage to 3.125 mg twice a day. They want my heart rate to be around 60 bpm as the goal. QUESTION: 1.

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.

How quickly can someone with hep-c go from no varices to varices? Are varices an indicator as to the stage of cirrhosis?

I have esophageal varices and have had 2 bleeds - first March 2007, second October 2007. They banded 2 bleeders after the second bleed and started me on Inderal and Prilosec. No problems since and no sign of bleeding. Does anyone have experience with esoph varices or know anyone with them? I'm wondering about the likelihood I will have another bleed...

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

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.

I have had cirrhosis since at least 2007 and I have had esophageal varices for a number of years. I take a beta-blocker to manage my varices and have endoscopies on a regular bases to monitor the condition of my varices. I also have GERD occasionally so I understand the nature of that disease which is related to stomach acid issues. That doesn't mean you don't have both illness. GERD is a common GI disease.

Hay, thanks for prayers and thoughts. Gosh I'm emo today. IDK if it's anesthesia or flashbacks from my bleedout. Good Good news tho. I'm at level 2 on the grading system for varices AND they only had to band 2. That means 60 mg. of Nadolol is working. I'm so relieved. All of you with advanced cirrhosis please take care of portal hypertension with RX and get your endos. Banding can prevent a major bleed. Keep the faith baby and we're all gonna share in the gravy.

Esophageal varices, by the way, are associated with having insulin resistance.

EGD is done to check for esophageal varices or gastropathy both of which are related to advanced hepatitis C and cirrhosis. I am glad that you don't have any of these findings. Normal result of any test is always welcome. In general, hepatitis C doesn't affect esophagus, stomach, or intestines. It is a silent disease-until later stages.

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.

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).

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.

(Singal, 2010) Patients with cirrhosis should receive routine surveillance endoscopy for detection of esophageal varices if not previously done and these should be treated or followed up as indicated. (Garcia-Tsao, 2007) Patients in whom an SVR is achieved but who have another potential cause of liver disease (eg, excessive alcohol use, metabolic syndrome with or without proven fatty liver disease, or iron overload) remain at risk for progression of fibrosis.

Did you know that many Hep C patients never have themselves checked for Esophageal Verices? I'm one who never thought about it, and I have two Hep C friends who didn't either. The Hepatologist Dr. Gish suggested I get checked for them, and sure enough, there they are. The danger here is that the verices can rupture without you knowing it, even while you sleep, and you could bleed to death. This is meant to scare you into asking your doctor to check you out. It is done with an Endoscopy.

When varices are classiﬁed in 3 sizes—small, medium, or large—as occurs in most centers by a semiquantitative morphological assessment (with small varices generally deﬁned as minimally elevated veins above the esophageal mucosal surface, medium varices deﬁned as tortuous veins occupying less than one-third of the esophageal lumen, and large varices deﬁned as those occupying more than one-third of the esophageal lumen), recommendations for mediumsized varices are the same as for large varices, b

I found myself in the recovery room and the nurse said the dr wants me to have a complete Abdominal Ultrasound. He said they found a small hiatal hernia, heartburn, esophageal varices (stage 2) without bleed and gastritis without hemorrhaging. also normal duodenum was random biopsies. Now I am having to go to get a complete ultrasound and rule out cirrhosis. I drank years and years ago but I haven't drank socially in 12 yrs or more. But am on meds for rheum arth.

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!

Total protein was normal at 8.1 s/b 6.4 - 8.2 albumin was normal 3.6 s/b 3.4 - 5.0 bun/creat 9 pt normal 10.8 inr 1.0 normal all other tests are normal, potassium, chloride, co2,anion gap, glucose, bun, creatinine blood, calcium,total protein and albumin. will post more results as they come. Thank you.

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.

Carvedilol for esophageal varices

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