
Cirrhosis Support Group
Cirrhosis is a consequence of chronic liver disease, most commonly caused by alcoholism and hepatitis C. Ascites is the most common complication of cirrhosis and is associated with a poor quality of life, increased risk of infections, and a poor long term outcome. Liver damage from cirrhosis cannot be reversed, but treatment can stop or delay further progression and...

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I will start at the beginning. In Oct. of 09 I had my first endoscopy. I was told that I had portal hypertension. I started taking Nadolol. (Cirrhosis was confirmed by a bioposy in Jan. 2010). In April of 2010 I had my first esophageal bleed. I had several large varices at that time. My doctor seemed very surprised that they had developed that quickly. I had three more banding sessions over the next few months. In Aug. of 2010 I had my last one and all varices were gone. This past Fri. I had a scheduled endoscopy (just a check up) and they discovered I had new small varices in my esophagus and had developed gastric varices. I am concerned about the development of the new varices, especially since I now have gastric varices. I know the gastic varcies are dangerous and usually can't be banded, but there is a procedure where they can shoot some type of glue into them. I can't take a higher does of the Nadolol because my B/P is already low and my pluse rate runs about 57. They have tried a highter dose but it causes too many side effects. My GI doctor did not do this endoscopy because he is on vacation, his partner did it. I don't have a appt. with my doctor until the end of April. Is it normal for varices to keep developing? Although I have discovered there is no "normal" for this disease. After the fist bleed in April of last year my doctor had discussed doing a TIPS procedure if the varices continued to be a problem. But after the banding all all seemed well he felt comfortable not doing it. I guess I just need some input from you guys and your experiences with this complication.
Thank-you,
God Bless
Thank-you,
God Bless
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Try searching previous discussions with the topic varices or TIPS procedure. I know a few people here have had success with the TIPS and Miyra on Craig's website is leading a group on TIPS.
A possible good sign? is that they don't need to see you until the end of April. Small varices should not be life threatening but I AM NOT a doctor.
You could always leave a message about a few key concerns and have his nurse get back to you.
Good luck!
I have the gastric varices. Some pretty big ones according to the doctor. Fortunately I haven't had a bleed yet. I also have some small esophagus ones.
I know how concerned and scared you are. Of all of the things with this disease....varicies and a bleed out scares me the most.
You could always call your doctor and discuss the gastric varices and your concerns about them before you have your appt. in April.
That's what I would do. He'll be able to answer any questions you have correctly and what can be done or not done.
I have high blood pressure and the portal hypertension. I'm on BP
meds but they only worked for a short time. Be thankful about the low BP. I know it can be a concern too, but at least it's not adding extra strain on your varices.
Take care of yourself hon. Many hugs,
Josi