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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do You Suggest For Biopsy Reflecting Stenosis?

My husband has portal vein thrombosis with portal hypertension. Due to an increase in his propranolol to 80mg he has not had a bleeding episode in over 18 mo. He suffers from ascites and this past November he developed blood clots in each leg. His gastro specialist got him in with a hematologist who started him on lovinox injections once per day of 100 mg. His blood labs reflect that his liver is working well, although a biopsy reflects some stenosis. Should he be seen by a vascular expert?
Tue, 21 Nov 2017
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Internal Medicine Specialist 's  Response
hello !
In view of history of portal vein thrombosis and deep vein thrombosis, and liver functions being normal, it seems that the patient has tendency of blood clot formation.(he was prescribed a blood thinner/anticoagulant inj lovinox)
so cause for this has to be investigated.complete blood count, serum homocysteine ,thrombophilia profile tests has to be done.consult a haematologist.
if you have any query ,you can ask .
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What Do You Suggest For Biopsy Reflecting Stenosis?

hello ! In view of history of portal vein thrombosis and deep vein thrombosis, and liver functions being normal, it seems that the patient has tendency of blood clot formation.(he was prescribed a blood thinner/anticoagulant inj lovinox) so cause for this has to be investigated.complete blood count, serum homocysteine ,thrombophilia profile tests has to be done.consult a haematologist. if you have any query ,you can ask .