#ascites

Portal Hypertension: Complications, Symptoms, Causes & Treatment

If you want to study portal hypertension, portal hypertension’s complications, portal hypertension’s causes, portal hypertension’s symptoms, and portal hypertension’s treatment, head over to the given link, https://diseases8804.blogspot.com/2021/09/study-in-detail-about-portal.html

In this article, every complication of portal hypertension will be discussed in detail. https://diseases8804.blogspot.com/2021/09/study-in-detail-about-portal.html

the rule is that a hepatobiliary dysfunction leads to a hepatobiliary clinical sign.

Combined all in WaBBBeNN

1- Water (Wa):

Polyuria PU/ Polydipsia which are multi-factorial:

psychogenic

hypercortisolism

renal concentrating defects.

2- Bilirubin (1st B): A cholestatic disease causes bilirubinuria and icterus that may appear also by a hemolytic disease. Then by severe cholestasis leads to acholic grey feces.

3- Blood (2nd B): Coagulopathy occurs due to the inability to synthesize clotting factors following severe hepatic failure or common obstruction. Subclinical clotting disorders may convert into clinical apparent ones just after hepatic biopsy, surgery or gastroduodenal ulcer.

4- Belly (Be): Ascites

Severe chronic hepatic disease causes hypoalbuminemia, portal hypertension, sodium and water retention.

Also rupture of bile duct leads to bile peritonitis as well as fluid accumulation.

5- Nervous (N): Hepatic encephalopathy occurs as a result of bacterial action on some substrate in colon that forms some potential encephalopatic toxins like ammonia, GABA and mercaptans ..etc, then by low detoxification of diseased liver or portosystemic shunt, metabolic encephalopathy rises leading to wax and wane nervous signs that may ended by coma.

6- Non-specific signs (the last N):

Vomiting and small bowel diarrhea which is less frequent than vomiting.

Hematmesis as a result of ulceration.

My mom is the strongest person I know. This is a daily occurrence, sometimes multiple times a day. Usually when she tries to take all of her pills. She doesn’t get up until 2p or 3p and she stays up until 4a or 5a. Her lips are cracking, she’s developing a split in her tongue, the ascites is making her balloon 3 sizes one day and back down 2 the next. The edema keeps her off her feet. The encephalopathy keeps all of us on our toes. She’s bruises at a touch and cries at the drop of a hat.

She still finds time to try to take care of everyone. She still starts the laundry and folds it sometimes. She still does dishes. She cooks something every few days/weeks. She laughs and jokes and calls family. My mom is fearsome, faithful, frail, and powerful.

Okay, so having lymphedema sucks, but your stockings don’t have to! Check this site out!

Early Signs of Ascites – Symptoms You Shouldn’t Ignore

Chronic Liver Disease Specialist – Dr. Nitin Behl

Accurate diagnosis and comprehensive management of chronic liver diseases, cirrhosis, and liver failure. Services:

Cirrhosis management

Portal hypertension care

Ascites treatment