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Portal Hypertension Cirrhosis

Know About Portal Hypertension

Increase in portal vein pressure above the normal level of 5-10 mm Hg or greater.

Portal hypertension is due to obstruction.

Causes can be divided into:

Prehepatic: portal vein thrombosis , congenital atresia , hypo plasia of umbilical vein,trauma, tumor.

Intrahepatic: liver cirrhosis hepatic fibrosis ( Wilson's disease, hemochromatosis, or congenital fibrosis)

post hepatic: obstruction occur at any level between liver and right heart, including hepatic vein thrombosis, inferior vena cava thrombosis, right side heart failure,Budd-Chiari syndrome.

Symptoms and signs:

Symptoms:

Blood in vomit

esophageal varices

Blood in stool

Dark stool

Abdominal swelling

Enlarged spleen

Pancytopenia

Gastrointestinal bleeding

Ascites

Pruritus

Abdominal pain and fever

Signs

Dilated veins in the anterior abdominal wall (umbilical epigastric vein shunts)

Caput medusa (tortuous collaterals around the umbilicus)

Rectal hemorrhoids

Ascites - Shifting dullness and fluid wave (if significant amount of ascitic fluid is present)

Paraumbilical hernia

Jaundice

Spider angiomas

Gynecomastia

Dupuytren contracture

Muscle wasting

Palmar erythema

Asterixis

Testicular atrophy

Splenomegaly

Bounding pulses

Warm, well-perfused extremities

Arterial hypotension

Complications

Variceal bleeding

Oesophageal, gastric, other

Congestive gastropathy

Hyperpleenism

Ascites

Renal failure

Hepatic encephalopathy

Diagnosis of Portal Hypertension

Liver function test (LFT)

Raised LFT indicates active liver damage.

Low albumin level indicates established cirrhosis.

Elevated prothrombin time indicates end stage liver disease with poor prognosis.

Endoscopy- Helps document esophago-gastric varices.

USG of liver and portal venous system helps diagnosis of PHT by demonstration of dilated collaterals around gastro-esophageal junction and dilated portal vein.

Liver biopsy- to differentiate early cirrhosis

Portovenography- percutaneous splenoportography (SPG) is commonly done for visualization of portal vein and its main tributaries.

Homeopathic management :

It is based on the symptoms and signs elicited.

1. Dolichos pruriens

Syndrome of portal hypertension of first degree. intensive, unbearable, "terrible" itch of skin , intensive pains in both hypochondriac regions dull pain under the angle of right scapula, constant yellow colour of the eyes, bitterness in the mouth , Stool constipated. cirrhosis of liver & hepatocellular insufficiency

2. Carduus Marianus

chief action is centered in the liver, and portal system, causing soreness, pain, jaundice. Has specific relation to the vascular system.Pain in region of liver especially Left lobe very sensitive. Fullness and soreness, with moist skin. Constipation; stools hard, difficult, knotty; alternates with diarrha. Hypermia of liver, with jaundice.

3. Magnesium Muriaticum

characteristic constipation. It has chronic liver affections like cirrhosis with tenderness and pain, extending to spine and epigastrium ad the pain is worse after food. Pressing pain in liver; worse lying on right side. Liver is enlarged with bloating of abdomen; yellow tongue.

4. Ptelea Trifoliata

aching and heaviness in the region of the liver is greatly aggravated by lying on the left side. Liver sore, swollen, sensitive to pressure. Indicated in end stages of cirrhosis.

5. Nux Vomica

The liver is swollen hard and sensitive to the touch and pressure of clothing is uncomfortable. The first remedy in cirrhosis of the liver. Colic may be present.

6. Lycopodium

The region of the liver is sensitive to the touch, and there is a feeling of tension in it, a feeling as if a cord were tied about the waist. Cirrhosis of liver. The pains are dull and aching .Fullness in the stomach after eating a small quantity.

About the Author

Dr Guptha faculty for the icd10 coding training

Portal Hypertension I


Portal Hypertension: Diagnostic Imaging and Imaging-Guided Therapy (Medical Radiology / Diagnostic Imaging)


Portal Hypertension: Diagnostic Imaging and Imaging-Guided Therapy (Medical Radiology / Diagnostic Imaging)


$73.80


This book, written by internationally recognized experts in the field, provides a comprehensive coverage of the diagnosis and treatment of portal hypertension. Detailed consideration is given to the newest diagnostic techniques, such as color Doppler and magnetic resonance that are able to offer both morphological and functional information. Medical, endoscopic, surgical, and radiological treatmen...

The rôle of increased hepatic arterial flow in the portal hypertension of cirrhosis


The rôle of increased hepatic arterial flow in the portal hypertension of cirrhosis



...


Portal Hypertension: Pathophysiology and Treatment


Portal Hypertension: Pathophysiology and Treatment


$26.70


Major complications of chronic progressive liver diseases can be due to the development of portal hypertension, affecting millions of people worldwide each year. Marked progress made recently in the study of portal hypertension has made for a great expansion of knowledge which in turn has resulted in new and effective therapies. This publication is a review of the proceedings of a Symposium held a...



 Adult CCRN Exam Flashcard Study System


Adult CCRN Exam Flashcard Study System


$49.99


4+~~Mometrix Media LLC~~Mometrix Media LLC~~http://itunes.apple.com/app/adult-ccrn-exam-flashcard/id462958368?uo=5~~2011~~1.0~~4120272~~3955204~~~~http://www.mometrix.com/

 Hepatic Fibrosis


Hepatic Fibrosis


$29.4


This professional reference explains how traditional Chinese medicine and Western biomedicine can integrate to prevent and even reverse hepatic fibrosis. It begins with a general review of the disease, including its pathology and pathophysiology, then concentrates on pathogenesis, including cytology, the role of cytokines, and regeneration. It describes the etiology (including poison-induced and biliary hepatic fibrosis), pathological studies of hepatic fibrosis histological alteration, early hepatic cirrhosis, portal hypertension, diagnosis, and animal models. Two particularly interesting chapters include one of treatment, which explains both Western and Chinese methods as well as integrative approaches, and prevention techniques for viral hepatic fibrosis and that induced by chemical toxins, drugs and alcohol.

Portal Hypertension Cirrhosis

portal hypertension cirrhosis

Cirrhosis - Prevention and Treatment

Cirrhosis is characterized by progressive destruction of liver cells and scar tissue formation fibrous. The loss of liver cells interferes with the body's ability to process nutrients, hormones and drugs, and decreases the production of other proteins important substances produced in the liver. Finally, liver failure. The scar tissue interferes with blood flow throughout the gastrointestinal tract by the liver through the portal vein. increases the pressure in the portal vein (portal hypertension), enlarged spleen, and blood is shunted to the liver by enlarged veins, fragile (varicose veins) in the stomach and esophagus. toxic substances that form in the intestine and excreted normally through the liver without pass through the liver and transported to the brain, where they can interfere with their function (hepatic encephalopathy). People with cirrhosis may be asymptomatic until the damage - that is irreversible is very broad. Cirrhosis is more common in men than women, and some forms of which are associated with an increased risk of liver cancer.

Prevention

Do not consume more than two drinks per day. If you think you may have a drinking problem, seek help immediately. You will avoid alcohol completely to stop the progression of cirrhosis and a group of doctors or support can help achieve this goal. Eat a healthy balanced diet.

Treatment

The combination of conventional and alternative therapy is one of the safest ways for the prevention and treatment of cirrhosis.

  • Stop drinking altogether. Although cirrhosis is not induced by alcohol, the liver can still be damaged by alcohol.
  • Avoid toxins or drugs that cause liver damage.
  • If swelling of the legs, ankles, or abdomen is present, eating a low salt diet to reduce the retention water. (Diuretics may be prescribed for that purpose.)
  • Antibiotics may be prescribed if the excess fluid retained in the abdomen was infected.
  • Cholestyramine may be prescribed to relieve severe itching by binding bile salts in the small intestine.
  • antihypertensive beta-blockers as may be prescribed to reduce the pressure in the portal vein and reduce the risk of bleeding from esophageal varices.
  • The endoscopic procedures for closing esophageal varices can be justified.
  • Restriction of dietary protein can improve or prevent neurological disorders (liver encephallopathy).
  • Laxatives (lactulose, for example) can be used to accelerate the pace of toxins in the intestine.
  • In this case the progression of cirrhosis, transplantation liver may be recommended
  • Alfalfa plants and contributes to improving the health of the digestive tract and is a good source of vitamin K. helps prevent bleeding as a result of vitamin K, which is common with cirrhosis. It can be taken in tablet or liquid.
  • Aloe Vera helps to cleanse and heal the digestive tract. Drink ¼ cup juice of Aloe Vera every morning and evening. George Aloe Vera Juice from Warren Laboratories is a good product.
  • Burdock root, dandelion, red clover and assistance in repairing the liver by cleansing the bloodstream.
  • Silymarin (milk thistle extract) has been shown in studies scientists to repair and regenerate the liver. Take 200 milligrams of silymarin three times a day. Liv-R-actin nature is also more good source of milk thistle.
  • All prevention and earlier treatment is incomplete without it. The best alternative cirrhosis - Prevention and treatment as part of "a minutes to cure all diseases "we all know that this therapy has become important to many people. The demand is so simple: Research shows that if you deprive a cell of 35% of its necessary levels of oxygen for 48 hours, the cell becomes acid and cancer. Most people do not realize is that lack of oxygen not only is the underlying cause of cancer, but also for most diseases. When the body is supplied with large amounts of oxygen, no cancer cells, viruses, harmful bacteria, toxins, pathogens and pathogens can survive because they can survive in an environment highly oxygenated. We must bear in mind that oxygen is the main ingredient your cells need when it comes to cell regeneration and this is very important treatment of cirrhosis of the liver at the cellular level.

For more information on cirrhosis - prevention and treatment, more items on the causes, symptoms and diagnosis of cirrhosis and study in depth and one-minute cure for all diseases. Just follow the link and see video presentation of 5 minutes for the final evaluation:

http://curewithinoneminute.com

About the Author

john daniel rivera is an advocate for natural health and healing, and has been in the field of health for quite a few years. He is interested in illuminating individuals and helping others return to a better quality of health. If you would like to learn more about his approach, please feel free to visit http://www.curewithinoneminute.com

Gastric Antral Vascular Ectasia


Portal Hypertension: Diagnostic Imaging and Imaging-Guided Therapy (Medical Radiology / Diagnostic Imaging)


Portal Hypertension: Diagnostic Imaging and Imaging-Guided Therapy (Medical Radiology / Diagnostic Imaging)


$73.80


This book, written by internationally recognized experts in the field, provides a comprehensive coverage of the diagnosis and treatment of portal hypertension. Detailed consideration is given to the newest diagnostic techniques, such as color Doppler and magnetic resonance that are able to offer both morphological and functional information. Medical, endoscopic, surgical, and radiological treatmen...

The rôle of increased hepatic arterial flow in the portal hypertension of cirrhosis


The rôle of increased hepatic arterial flow in the portal hypertension of cirrhosis



...


Portal Hypertension: Pathophysiology and Treatment


Portal Hypertension: Pathophysiology and Treatment


$26.70


Major complications of chronic progressive liver diseases can be due to the development of portal hypertension, affecting millions of people worldwide each year. Marked progress made recently in the study of portal hypertension has made for a great expansion of knowledge which in turn has resulted in new and effective therapies. This publication is a review of the proceedings of a Symposium held a...



 Hepatic Fibrosis


Hepatic Fibrosis


$14.66


This professional reference explains how traditional Chinese medicine and Western biomedicine can integrate to prevent and even reverse hepatic fibrosis. It begins with a general review of the disease, including its pathology and pathophysiology, then concentrates on pathogenesis, including cytology, the role of cytokines, and regeneration. It describes the etiology (including poison-induced and biliary hepatic fibrosis), pathological studies of hepatic fibrosis histological alteration, early hepatic cirrhosis, portal hypertension, diagnosis, and animal models. Two particularly interesting chapters include one of treatment, which explains both Western and Chinese methods as well as integrative approaches, and prevention techniques for viral hepatic fibrosis and that induced by chemical toxins, drugs and alcohol.

Portal Hypertension Pathophysiology


Portal Hypertension: Clinical and Physiological Aspects


Portal Hypertension: Clinical and Physiological Aspects


$336.00


This reference work describes both the basic aspects and clinical features of portal hypertension, an abnormal physiological state that can lead to serious complications with fatal consequences. The authors examine the physiology of portal hypertension, its histological basis and various causes. The changes in portal haemodynamics and the methods for investigating such changes are thoroughly discu...

Portal Hypertension: Pathophysiology and Treatment


Portal Hypertension: Pathophysiology and Treatment


$26.70


Major complications of chronic progressive liver diseases can be due to the development of portal hypertension, affecting millions of people worldwide each year. Marked progress made recently in the study of portal hypertension has made for a great expansion of knowledge which in turn has resulted in new and effective therapies. This publication is a review of the proceedings of a Symposium held a...



 Hepatic Fibrosis


Hepatic Fibrosis


$14.66


This professional reference explains how traditional Chinese medicine and Western biomedicine can integrate to prevent and even reverse hepatic fibrosis. It begins with a general review of the disease, including its pathology and pathophysiology, then concentrates on pathogenesis, including cytology, the role of cytokines, and regeneration. It describes the etiology (including poison-induced and biliary hepatic fibrosis), pathological studies of hepatic fibrosis histological alteration, early hepatic cirrhosis, portal hypertension, diagnosis, and animal models. Two particularly interesting chapters include one of treatment, which explains both Western and Chinese methods as well as integrative approaches, and prevention techniques for viral hepatic fibrosis and that induced by chemical toxins, drugs and alcohol.

Portal Hypertension Pathophysiology


Portal Hypertension: Clinical and Physiological Aspects


Portal Hypertension: Clinical and Physiological Aspects


$336.00


This reference work describes both the basic aspects and clinical features of portal hypertension, an abnormal physiological state that can lead to serious complications with fatal consequences. The authors examine the physiology of portal hypertension, its histological basis and various causes. The changes in portal haemodynamics and the methods for investigating such changes are thoroughly discu...

Portal Hypertension: Pathophysiology and Treatment


Portal Hypertension: Pathophysiology and Treatment


$26.70


Major complications of chronic progressive liver diseases can be due to the development of portal hypertension, affecting millions of people worldwide each year. Marked progress made recently in the study of portal hypertension has made for a great expansion of knowledge which in turn has resulted in new and effective therapies. This publication is a review of the proceedings of a Symposium held a...



 Hepatic Fibrosis


Hepatic Fibrosis


$14.66


This professional reference explains how traditional Chinese medicine and Western biomedicine can integrate to prevent and even reverse hepatic fibrosis. It begins with a general review of the disease, including its pathology and pathophysiology, then concentrates on pathogenesis, including cytology, the role of cytokines, and regeneration. It describes the etiology (including poison-induced and biliary hepatic fibrosis), pathological studies of hepatic fibrosis histological alteration, early hepatic cirrhosis, portal hypertension, diagnosis, and animal models. Two particularly interesting chapters include one of treatment, which explains both Western and Chinese methods as well as integrative approaches, and prevention techniques for viral hepatic fibrosis and that induced by chemical toxins, drugs and alcohol.


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