propranolol for portal hypertension

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?

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?

I have read where peole with portal hypertension should not lift weights.Supposedly it increases the pressure and you already have varies, this could b/c dangerous situation. Talk to your Hepatologist or GI doc. and get a more definitive answer before lifting weights.

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 .

Propanolol is a beta blocker. It is sometimes used in the treatment of an advanced liver disorder (portal hypertension - varices) - BUT abusing it isnt a good thing, I know heart rhythm can be greatly retarded with its use - look online at its hepatoxicity, as I dont know...

The effects of different types of adrenoreceptor blocking agents on portal venous pressure were studied in patients with cirrhosis and portal hypertension. Oral atenolol (selective beta 1 blocker), propranolol (non-selective beta 1 and beta 2 blocker), and prazosin (alpha blocker) were compared in three groups of eight patients. Haemodynamic measurements were made before and after two or three and eight weeks of therapy.

Thanks for the response! It's good to be somewhat armed with some info before going in I think I am leaning towards the portolpulmonary hypertension as I do have portal hypertension, plus the hepatopulmonary syndrome's fix is a lung transplant so I'll just stick with the liver transplant :o) Maybe my hepa or cardiologist will refer me to UCSF which probably deals with this more often and is my transplant center. Are you with UCSF Hector or CPMC or ???

I'm 29 and was diagnosed 8 years ago with portal hypertension due to a chronic schistosoma infection (therefore had an enlarged spleen, ascites and jaundice at the time). Since then I've been taking a low (I believe) dosage of spironolactone, propranolol and furosemide to control my blood pressure and water retention. Me & my man really want to have a baby within the next few years, and we're concerned about the possible complications/risks arising from this: 1.

Hi. Thank you for writing. Note that a beta-blocker treatment will not stop or prevent varices. Varices are a complication of cirrhosis and can only be "cured" when a person no longer has cirrhosis. The good news is that varices and the portal hypertension can usually be controlled (reducing the blood flow and pressure) with use of a beta-blocker.

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

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.

So it depends on how much portal hypertension she has. If her portal hypertension were servere the center would be worried about internal bleeding of varices. Is she on a beta-blocker such as Propranolol or Nadolol. If they only want to see her yearly, she must have a relative early stage of cirrhosis and portal hypertension. It is generally only when a patient decompensates or has a MELD score over 20 that they can't be treated with current treatment therapy.

Are you taking any meds for the prevention of or for any current symptoms from your cirrhosis. Propranolol and nadolol for varices or lactulose for for any hepatic encephalopathy (forgetfulness and other mental symptoms) perhaps? I was on these and other meds for many years before my transplant. Keep doing what you are doing to take care of your liver and your health. Let's hope we will see more improvements in your cirrhosis as time progresses. Be well!

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.

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 am a health care professional myself and I'm so scared for his continued health. He doesn't even appear sick. The MD said the cirrhosis was caught early.

"....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.

s tremor, prevention of variceal bleeding caused by portal hypertension, akathisia induced by antipsychotics, acute MI (hear attack), portal hypertension, sclerodermal renal crisis, anxiety, and infantile capillary hemangioma. Notice how far down the "unlabeled" list this medication is for anxiety. This is a fairly potent heart medication and as I said, I question why it was prescribed to you for simple anxiety without cardiac involvement.

Propranolol for portal hypertension

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