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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Portal Of Hypertension From Ultrasound Suggest?

I am a 68 year old, 5'9", 195 lbs male who just retired from the USAF after 26 years active and 21 years USAF civil service. Apparently there were ultra sound test performed in 2008 and 2011 and endoscopy performed in 2011 that indicated that I had cirrossis of the liver and portal of hypertension. I had an appointment with Dr. Mimari, a San Antonio General Surgeon to look at ultra sound film take last week and during that interview I ask him what the term "portal of hypertension" meant and the consequences of cirrossis as was indicated in the report accompanying the ultra sound film. He proceed to advise me of the dire consequences of both cirrossis of the liver and portal of hypertension. In response to his questions about what could have caused the cirrossis of the liver, I advised him that I was certain it was likely to be thru use of alcohol throughout my life. I also advised him that I had quit drinking alcohol of any kind after being adivised of by the "call nurse" of my gastroenterologist, Dr. Shaffer, that based on his endoscopic examination that I had "the beginnings of cirrossis of the liver". I asked the call nurse if Dr. Shaffer was going to set up an appointment to discussed the results of the endoscopic test and biopsey and she advised they would be calling me.

At this juncture, I am waiting for my new internal medicine MD Dr. Wisenthal who is the 1st physician I've had in past 10 years to actively explore and attempt to assist with my numerous medical problems. Based on Dr. Mimari's comments and internet research, I'm in near state of shock about the lack treatment or hope for my newly diagnosis medical conditions and wondered if you folks could assist me with how I should proceed with my medical needs. If further info is required please e-mail me at YYYY@YYYY or call 210-912-4471. Your support and assistance is sincerely solicited.



GEORGE R. FITZPATRICK

CMSGT, USAF, RETIRED
Thu, 9 Jun 2016
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General & Family Physician 's  Response
Hi thanks for contacting HCM....

According to history you are having cirrhosis with portal hypertension....
Yes excessive alcohol drinking over long time can lead this condition....
Sometime positive HBSag can affect liver over long time ..If suspected viral marker study done...

In cirrhosis as sinusoidal pressure high usually over time portal hypertension occurs...

You can have edema and ascites by this .
So take low salt diet...
For edema diuretic can taken....

It can also lead dangerous variceal rupture bleeding .So if you vomit blood , immediately consult surgeon for ligation.

For portal hypertension TIPSS like less invasive procedure or beta blocker can be taken...

Ultimate treatment for cirrhosis is liver transplantation.

Take green leafy veg , carrot , Indian gooseberry , avocados and fruits more.

Take care
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What Does Portal Of Hypertension From Ultrasound Suggest?

Hi thanks for contacting HCM.... According to history you are having cirrhosis with portal hypertension.... Yes excessive alcohol drinking over long time can lead this condition.... Sometime positive HBSag can affect liver over long time ..If suspected viral marker study done... In cirrhosis as sinusoidal pressure high usually over time portal hypertension occurs... You can have edema and ascites by this . So take low salt diet... For edema diuretic can taken.... It can also lead dangerous variceal rupture bleeding .So if you vomit blood , immediately consult surgeon for ligation. For portal hypertension TIPSS like less invasive procedure or beta blocker can be taken... Ultimate treatment for cirrhosis is liver transplantation. Take green leafy veg , carrot , Indian gooseberry , avocados and fruits more. Take care