propranolol for esophageal varices

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 was dxd in 2012 with cirrhosis after the previous gastro found 2 grade 2 non bldg varices. I am on 100 mgs propranolol am and 100 mgs propranolol pm. Now I have a new gastro who has mentioned scheduling an egd and suggested if have varices, he would like to band them. My last EGD was done in 2012. I have rheum arth along with sjogrens which does a number on my throat anyway along with the other overlapping r/a issues. I have not had anything that would indicate a bleed.

For a "nice" extensive treatment" of varices size, color, mortality, tec. whose pics some may find offensive. Maybe this will help make people treat before progressing to cirrhosis! ;-) (Not to be viewed while eating!). Follow this link... http://sadieo.ucsf.edu/course/things/pre-2005/Jensen.pdf "Endoscopic Screening for Varices in Cirrhosis: Findings, Implications, and Outcomes DENNIS M.

t get up more than about 105. I have esophageal varices so keeping my heart rate lower is much safer as he also states. I thought that working out would kick my butt and make me feel worse but it turns out that I feel much worse when I don't. If you are going to do it, check with your Dr first!!! and start slowly. I also do yoga which is much less stressful and does wonders for your mind/body and prayer and meditation as well. Check with your medical team before starting anything!

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.

I believe the answer to this may depend on the causative factors leading up to the 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.

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

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

In our practice, primary prophylaxis for bleeding has often been reserved for high-risk patients who have small varices and for all patients with large varices. The primary pharmacologic strategy for preventing variceal hemorrhage is use of nonselective beta blockers, particularly propranolol and nadolol. These medications reduce portal pressures both by decreasing cardiac output and by producing splanchnic vasoconstriction.

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

Thanks for the link. I'm heading for another banding next week. I've been there - done that - but still need new info. Karen:) http://www.ihelpc.

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).

sometimes I can have 8 loose bms at one time. he would not do anything to the varices for risk of infection. He said I may be able to find someone who could but he wouldnt do it. can anyone who has been thru this let me know what they have done and what has helped. I have no hepatic encephalopathy or ascites. just this darn bleeding after many bms. I always make sure my vitals are normal and that I am not dizzy or nauseous. seeing so much blood is scary. I am on propranolol.

Propranolol for esophageal varices

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