What was the treatment of your portal hypertension?
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What is the treatment for portal hypertension?
Treatment for portal hypertension is often directed at preventing
complications. This includes treating the underlying cause and avoidance of alcohol.
Because of the risk of further liver damage, over-the-counter medications that
contain acetaminophen (Tylenol, Panadol,
etc.) should also be avoided.
Dietary restrictions include limiting salt to prevent further ascites fluid
accumulation. Protein restriction may also be indicated, since increased protein
load can overwhelm the liver's ability to synthesize it and may lead to hepatic
Medications such as beta blockers and nitroglycerin may be appropriate to
decrease pressure within the portal system. Lactulose may be prescribed as a
treatment for hepatic encephalopathy.
Endoscopy may be required to band or tie off varices in the esophagus to
prevent catastrophic and life threatening bleeding.
A TIPS procedure (transjugular intrahepatic portosystemic shunt) may be an
option to decrease the pressure within the portal system. An interventional
radiologist attempts to place a tube that connects the portal vein with the
hepatic vein. This may decrease the pressure within the liver and may also
reduce pressure within the veins of the stomach and esophagus, hopefully
decreasing the risk of bleeding.