carvedilol for portal hypertension

thank you everyone for your comments, my major concern at this point is my platelets cause they are not at a normal range and have not been for awhile. My platelets run in a 2 digit right now they are 47 so they are pretty low. My blood pressure is never high either, the blood pressure meds that I take at the moment are to help with my kidneys. I am going to call the doctor and get a better explanation .

So you are already taking 10mg of propranolol for your portal hypertension caused by your portal vein thrombosis (PVT). Propranolol is the most commonly used drug for portal vein obstruction. Combined with endoscopic banding treatment they are the standard first line of treatment. Do you know why she don't just increase the dosage? Now she wants to add another beta blocker in addition to propranolol? Has your doc talked to you about anticoagulation therapy?

But if you have liver disease that leads to cirrhosis, the chance of developing portal hypertension is high. A symptom of portal hypertension is ascites (an accumulation of fluid in the abdomen). When there is "huge" distension that condition can cause a rupture and a serious event. You should see a doctor to rule out any serious liver disorder, and determine the underlying cause of your chest and abdomen distention.

As i have read a fair bit on the scary complications of Cirrhosis I am rather concerned about the possibility of Portal Hypertension. My doc says that this is unlikely with normal spleen size. Does anyone know if it is possible to have Portal Hypertension and Varices if spleen is a normal size or is this unlikely?

how bad is portal hypertension,and how long does it take to become a very nasty problem

I have recently been prescribed Amlodipine-Benaz 5/10 MG capsules for treatment of hypertension. However, my resting pulse rate has consistently been in the 90's and increasing into the 100's at time, so I have been prescribed Carvedilol to help control the heart rate. My question is, doesn't Carvedilol control hypertension as well...Why should I be taking carvedilol in addition to amliodipine?

My 79 year old mother, who lives in another state, is on medication for hypertension. She takes Carvedilol, Diovan, Dilitiazem, and Clonidine. Her doctor even talked about putting her on a fifth medicine. I'm not a doctor, but it doesn't make sense to me for anyone to have that many different prescriptions for one problem.

You would think my liver has greatly improved. I do exactly as my doctor says. However, due to portal hypertension my varices are bad and my spleen is twice the normal size. I also hear the ammonia can come from portal hypertension (p.h.) causing my blood to bypass my liver. So is it normal for a patient to have cirrhosis with a well functioning liver in some ways, but still be affected with this blood flow problem? I have hopes that my liver is getting better.

With portal hypertension, blood is unable to get through the liver and get back to the heart. The portal vein dilates, flow reversal occurs as blood finds another route. Recanalization of the ligamentum venosum can occur leading to varices near the umbilicus and esophageal varices can develop which can lead to vomiting blood.

Lisinopril is an ACE inhibitor and the mechanism of the agent is to dilate vessels to reduce hypertension. Metoprolol is in a group of drugs called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins). Metoprolol is used to treat angina and hypertension for high blood pressure. It is also used to treat or prevent heart attack. My regimen is Lisinopril and coreg (beta blocker).

"....my dr wrote in my file "fatty liver infiltration with biliary venous portal hypertension and splenomegaly" what does this mean??" Fatty liver infiltration is just what it says. You have a fatty liver which is probably the most common liver disease. In its mild form it isn't a cause for alarm but it can become more advanced and can lead to fibrosis and even cirrhosis - scaring of the liver. That does pose a serious health risk.

If you had a liver transplant, you would no longer have portal hypertension. And as long as the portal hypertension is the only cause for the pulmonary hypertension, then you would theoretically be cured.

It is a condition that is the result of the cirrhosis and portal hypertension and not a condition of the spleen itself. There is no treatment for an enlarge spleen resulting from cirrhosis. Only when the cirrhosis is reversed can the enlargement of the spleen be resolved. Only by resolving the cause of your cirrhosis, hep B and its damaging effects on your liver, will the cirrhosis and its complications improve. Do you have a low platelet count? Under 150,000?

It is all so confusing since some sites say it is cirrhosis if u have portal hypertension (on nadolol for that). While biopsy doesnt indicate full cirrhosis yet. Furthermore, we had a fibroscan which showed results between 2-3 (not cirrhosis but moderate to sever scarring) - yet gasrto doc said fibroscan is really good at determining no cirrhosis or good at determing full blown cirrhosis but anything in between is "subjective". Go figure! Have an mri scheduled in a few weeks.

The preferred, albeit indirect, method for assessing portal pressure is the wedged hepatic venous pressure (WHVP) measurement, which is obtained by placing a catheter in the hepatic vein and wedging it into a small branch or, better still, by inﬂating a balloon and occluding a larger branch of the hepatic vein. This is rarely done as the exact pressure is not needed and what is important is to stop the resulting complications such as life-threatening variceal bleeds. Also .

Once your liver has become fibrotic enough to cause portal hypertension, then your collateral vessels will be affected (if linked to the portal venous system). But these are mostly internal as in: gastric varices, esophageal varices or other upper and lower GI collaterals. Your outer surface stomach region may show some strange vein issues due to the recanalisation of the paraumbilical vein, but these are quite pronounced (scary looking too, called "caput medusae").

In compensated hepatitis C–related cirrhotic patients, the proposed model…could replace hepatic venous pressure gradient for predicting portal-hypertension-related clinical decompensation," senior author Davide Festi, MD, from the University of Bologna in Italy, told delegates here at the International Liver Congress 2013. Dr.

Portal hypertension is not a death sentence. It's a diagnosis - and you don't really have even that yet. You said 'think he said portal hypertension', so you don't really have a true idea of what's going on. In most cases the effects of portal hypertension can be managed through diet, lifestyle changes, medications, endoscopic therapy, surgery, or radiology.

Am I to expect the payback of a hard week at work equals liver pain? I do not yet know the symptoms to be on guard for the portal hypertension. . . My endoscopy this past Feb did not indicate the need for banding yet. Does anybody have experience with this? Good buddy is kicking it up in Mexico, so I'm asking the group. Thank you for any advice or info on how to live with this issue.

Without going into too much detail, here is my situation. 66-yo male, treated for hypertension for 25 years (well controlled). Weight is good (6'0; 180), as are most of the standard test numbers (cholesterol (LDL is 88 HDL is 39 (!), triglycerides 77, etc). Several years ago after experimenting with a variety of hypertension drugs my pcp suggested I visit a cardiologist. He put me through the ringer - stress, echo, cardiac cath.

Carvedilol for portal hypertension

Common Questions and Answers about Carvedilol for portal hypertension

coreg