Pancreatic and Spleen Disorders

Portal Hypertension

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Product Description

Portal hypertension is a serious medical condition marked by increased blood pressure in the portal venous system, which transports blood from the digestive organs to the liver. The condition is most commonly caused by cirrhosis of the liver, but it can also result from conditions such as thrombosis (blood clots) in the portal vein, liver diseases like hepatitis, or even parasitic infections such as schistosomiasis. Portal hypertension can lead to dangerous complications such as variceal bleeding, ascites (fluid accumulation in the abdomen), splenomegaly (enlarged spleen), and hepatic encephalopathy (brain dysfunction due to liver failure).

Treatment of Portal Hypertension: Dr. Praveen M P's Approach

Dr. Praveen M P, a specialist in hepatology and gastroenterology, employs a comprehensive and multi-faceted approach to treat portal hypertension, addressing both the underlying causes and the complications that arise.

Managing the Root Cause:

Cirrhosis and Chronic Liver Disease: Dr. Praveen emphasizes the importance of treating underlying liver conditions that lead to portal hypertension. For cirrhosis, medications like beta-blockers (such as propranolol) are used to reduce portal vein pressure and prevent variceal bleeding.

Hepatitis Treatment: In cases where hepatitis contributes to liver damage, Dr. Praveen recommends antiviral therapies to halt or slow the progression of the disease and prevent further liver damage.

Reducing Portal Pressure:

Non-selective Beta-blockers: These are frequently prescribed to lower the blood pressure in the portal system. By reducing the portal pressure, beta-blockers help prevent complications like variceal hemorrhage.

Nitrates: In certain cases, nitrates are combined with beta-blockers to achieve a better reduction in portal pressure.

Endoscopic Procedures:

If varices (dilated veins in the esophagus or stomach) develop, endoscopic band ligation or sclerotherapy can be employed to prevent bleeding by closing off these veins. These minimally invasive procedures are essential in preventing life-threatening variceal hemorrhage.

Transjugular Intrahepatic Portosystemic Shunt (TIPS):

For patients with severe portal hypertension who do not respond to medications or endoscopic treatment, Dr. Praveen recommends a procedure called TIPS. This involves creating a shunt between the portal vein and hepatic vein to relieve pressure and prevent complications like ascites and variceal bleeding.

Liver Transplantation:

In cases where cirrhosis or liver failure becomes irreversible, Dr. Praveen advises a liver transplant as the ultimate solution. This is especially necessary when complications of portal hypertension are unmanageable.

Lifestyle and Diet Modifications:

Dr. Praveen stresses the importance of lifestyle changes, such as maintaining a low-sodium diet to control ascites and avoiding alcohol to prevent further liver damage. These modifications can help manage symptoms and improve the patient's overall health.

Portal hypertension requires careful, individualized treatment, as early intervention can significantly reduce complications and improve quality of life. Dr. Praveen M P’s holistic approach aims to not only treat the symptoms but also manage the underlying liver condition to provide the best possible outcomes for patients. Regular monitoring and timely intervention are key to managing the condition effectively.

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Portal Hypertension

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Portal Hypertension

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