Portal Hypertension

Portal hypertension is a condition that marks an increase in the blood pressure within the portal vein, a central vein that carries blood from the digestive organs to the liver. This condition is often a result of chronic liver diseases such as cirrhosis, where scarring in the liver blocks normal blood flow. If not treated on time, it can lead to serious complications.

What Causes Portal Hypertension?

• Long-term alcohol consumption  
• Chronic hepatitis B or C infection  
• Fatty liver disease (often linked to overweight or diabetes)  
• Autoimmune liver conditions  
• Blood clots in the portal vein (known as portal vein thrombosis)

Symptoms of Portal Hypertension

1. While some people may not show symptoms early on, common signs include:
2. Swollen belly (ascites) due to fluid buildup  
3. Enlarged spleen (splenomegaly)  
4. Varices – enlarged veins in the esophagus or stomach that may rupture and bleed  
5. Bloody stools or vomiting blood 
6. Confusion or forgetfulness (due to hepatic encephalopathy)

If you experience any of these symptoms, you should consult a hepatologist or liver specialist for the proper diagnosis and care.

Diagnosis and Tests

To diagnose portal hypertension, a hepatologist may suggest:

• Ultrasound or Doppler imaging to check blood flow  
• Endoscopy to detect varices in the stomach or esophagus  
• CT or MRI scans for detailed liver imaging  
• Blood tests to check liver function  
• Liver biopsy in some cases to confirm the cause

Treatment Options

While there is no direct cure for portal hypertension, its complications can be managed effectively. Treatment is usually aimed at lowering portal pressure and preventing complications.

• Medications like beta-blockers to reduce pressure in the portal vein  
• Endoscopic therapy to control bleeding varices  
• Low-salt diet and diuretics for fluid retention  
• Liver transplant in advanced cases of liver failure  
• TIPS procedure (Transjugular Intrahepatic Portosystemic Shunt) – a specialised procedure that creates a new pathway for blood flow in the liver

These treatments are best handled by experienced liver specialists who tailor care based on each patient’s condition.

Why Choose Aster for Portal Hypertension Management?

At Aster Hospitals, we offer specialised care for complex liver conditions like portal hypertension. Our expert hepatologists and liver specialists are equipped with advanced diagnostic tools and treatment facilities to ensure accurate assessment and long-term management. Whether it’s preventing bleeding, managing ascites, or evaluating for a liver transplant, we follow a compassionate and personalised approach to care.

At Aster, your comfort, safety, and long-term liver health are our priorities. We support you from diagnosis to recovery.