propranolol and esophageal varices

Portal Hypertension) When this blood seeks another route to the heart the next veins are those that line the Stomach and Esophagus. When these veins become enlarged and swollen they are called Varices, and are very susceptible to rupture. The TIPS or DIPS procedure bypasses these veins alleviating Pressure in the Liver and the Varices.

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.

Hepatologist suggested my doctor put me on something to control Esophageal Varices, which after a test, were discovered in me. The severity is said to be medium. I've don’t some reading with contradicting beliefs from various doctors and clinical trials. However, all doctors seem to agree that a beta blocker like Atenolol is necessary for a long term use. Just want to know if any of you are on this treatment at 25mg per day.

However, current CT and MRI procedures have become equally sensitive and specific in the detection of esophageal varices and other abnormalities of the portal venous system. Although the surrounding anatomy cannot be evaluated as they can be with CT or MRI, angiography is advantageous because its use may be therapeutic as well as diagnostic. Angiography may be performed if CT or MRI findings are inconclusive.

Varices associated with hepatitis c are seen in cirrhotic patients. I suppose that it's possible for someone with advanced fibrosis to have varices but I suspect it is not at all typical in non-cirrhotic patients. I have read that platelet count and spleen size can be predictors of varices but I don't know the parameters. Also portal pressure might give you a clue if you want to try and get that measured.

Esophageal varices are abnormal, enlarged veins in the lower part of the esophagus — the tube that connects the throat and stomach. Esophageal varices occur most often in people with serious liver diseases. Esophageal varices develop when normal blood flow to your liver is slowed. The blood then backs up into nearby smaller blood vessels, such as those in your esophagus, causing the vessels to swell. Sometimes, esophageal varices can rupture, causing life-threatening bleeding.

Bleeding esophageal varicies are a medical emergency. If you see red blood in your stool that is probably from hemorrhoids. My doctor described varicies as looking like varicose veins in your esophagus. So enlarged, distended, swollen looking veins. After I was banded my doctor initially checked me at 6 months for the first year but now I am checked annually Esophageal varicies don't have warning symptoms. I got this from the Mayo Clinic web site http://www.mayoclinic.

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.

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 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.

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...

It is generally recommended that patients with cirrhosis undergo elective endoscopic screening for varices at the time of diagnosis and periodically thereafter if no or small varices are detected. If screening EGD reveals appreciable esophageal varices, a size classification should be assigned. Different size classification systems have been used over the years; however, a recent consensus meeting proposed that varices be categorized in only two grades, small and large.

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.

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.

My wife had 2 bleedings (2007 and 2009) due to cirrhosis of the liver. In Feb this yesr her Platel count was 85 and last week it was 87. Her other troubles are, that her right ankle is swollen in the evening ( water) and from her foot up to the knee she has burning pain. She said it feels like it's on fire and she also has abdominal pain that comes and goes. What concerns should she/we have or what can be done about her condition?

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

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.

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.

While the development of esophageal varices indicates worsening cirrhosis and an increased risk of dying in the next 12 months, stage 2 cirrhosis is still considered compensated cirrhosis. There remains the potential for at least partial reversal of liver damage if the underlying cause of cirrhosis is eliminated or cured. Stage 3 Cirrhosis Stage 3 cirrhosis is marked by the development of ascites, with or without the presence of varices.

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.

Propranolol and esophageal varices

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