YOUR LIVER SPECIALIST SHOULD BE ABLE TO EXPLAIN ALL .

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Images below

First signs on internal scan reports.

Usually an Ultrasound will mention on report or show on scan symptoms such as 

Recanalisation of the Paraumbilical vein,

 Acscites,

 Portosystemic Varices, 

Collaterals, 

Portal Vein width geater than 13 mm.

Portal Vein velocity below 15-20 cm/s

Splenomegaly (Enlarged Spleen) above 15 cm

I will show more on these scans in the Scan section, when I get to it. You can read it yourself, if you study this website. I have experienced many Liver Specialists who don't even know of the abovementioned list. 

I have experienced false reports on Slpeen sizes by dumbo Radiologists. Proof is coming. Don't worry. All will be revealed.

 I personally had asome of these symptoms  but they have all reversed and are currently gone. Am hoping this status remains. There is hope for some other Liver patients I hope, as well.

Unfortunatelty some Liver Specialists cannot or will not discuss Portal Hpertension.  Professor Darrell Crawford of Queensland Gastroenterology refused to discuss liver scans and reports re my own situation  on 9/2/24. What would Professor Darrell Crawford of Queensland Gastroenterology know about Portal Hypertension ?  

Professor Darrel Crawford told me in person that he can't read liver scans.  He then signed a written statement on 10/7/24 saying"I am not a radiologist". (See proof in this website) .What more proof do you need that Professor Darrell Crawford is a con by taking your money on the basis of prior agreeing to read liver reports then tells you in person and in writing he can't read liver scans and reports.

Portal hypertension is one of the most serious complications of advanced liver disease. Scar tissue in your liver (cirrhosis) compresses the blood vessels running through it and reduces their blood flow. This affects many other organs throughout your body. It can cause serious internal bleeding and other problems.

Portal hypertension is elevated blood pressure in your portal vein and the smaller veins that branch off from it — your portal venous system. The portal venous system drains blood from your stomach, intestines, pancreas and spleen into your liver through the portal vein. Your liver filters the blood and then sends it back to your heart and into general circulation in your body.

When something blocks or slows the blood flow through your portal vein, it causes increased pressure throughout your portal venous system. Your body attempts to compensate for this pressure by diverting the blood flow into other veins. The extra blood flow makes these veins expand and makes their walls stretch and weaken. They may leak fluids into your abdomen, and they can also break and bleed.

Who gets portal hypertension ?

In Western nations, portal hypertension is most commonly caused by cirrhosis of the liver. That’s when long-term liver disease causes scarring of your liver tissues. Scar tissue obstructs the flow of blood through the portal vein running through your liver. In other areas of the world, a parasite infection called schistosomiasis is the more common cause. Over 230 million people worldwide have this infection

.

The complications of portal hypertension can be life-threatening, especially internal bleeding. Not everyone will have these complications, but the risk increases as portal hypertension increases. The greater the pressure, the more enlarged your veins become and the more likely they are to rupture. Portal hypertension is the most common cause of hospitalization and death in people with cirrhosis.

You may not have any symptoms until complications develop.

 Up to 90% of people with cirrhosis already have portal hypertension before they have symptoms. Up to 40% already have large varices (enlarged veins). The first noticeable symptoms of portal hypertension are usually related to new, enlarged, leaky and bleeding veins, such as –

Blood in vomit

Blood in poop

Bloated stomach with rapid weight gain (from Ascites fluid)

Mental confusion or disorientation.

Ascites. When fluid from your enlarged veins leaks into your abdomen, it builds up inside your peritoneal cavity. This causes uncomfortable swelling in your abdomen and can affect your appetite and digestion. In severe cases, it may extend into your chest cavity and interfere with your breathing. It’s also a risk factor for infection in your peritoneal cavity (peritonitis).

Gastrointestinal Bleeding. 

Enlarged veins in your gastrointestinal tract may rupture and bleed. These are most commonly esophageal varices, which are closest to the surface and have the thinnest walls. Veins in your stomach lining can also become swollen (called portal hypertensive gastropathy) and can bleed in severe cases. Bleeding may lead to anemia.

What are the complications of Portal Hypertension ?

Hypersplenism.Reduced blood flow through your spleen causes it to swell with excess blood and to create new blood vessels to accommodate the blood flow. An enlarged spleen can become overactive, removing too many blood cells from circulation. This can lead to reduced blood clotting (low platelet count) and compromised immunity (low white blood cell count).

Low blood oxygen. In some people, portal hypertension causes blood vessels in their lungs to dilate. This interferes with their lungs’ ability to transfer oxygen to their blood. The result is hypoxemia (low blood oxygen levels). This is known as

Hepatopulmoary syndrome.

Kidney failure.Dilated blood vessels resulting from portal hypertension can cause other blood vessels in your body to narrow. If this happens in your kidneys, it can cause kidney failure by restricting your blood supply. This rare complication is known as hepatorenal syndrome.

Mild cognitive impairment. Your body adapts to portal hypertension by creating new blood vessels that bypass your liver. But when blood bypasses your liver, it doesn’t get filtered as it was supposed to. Toxins accumulate in your blood and eventually affect your mental function. You may have temporary bouts of confusion or disorientation, Hepatic Encepalopathy.

What are the cause of Portal Hypertension ?

Cirrhosis of the Liver. Most commonly viral Hepatitis C, Alcohol induced hepatitis,

and non-alcoholic Fatty Liver Disease.

Enlarged varices – both Portosystemic and Esophegal.

Enlarged Spleen

Collateral veins around the Portal Vein

Ascites

Signs of mild cognitive impairment

Low white and red blood cell counts.

Easy bleeding and bruising

Tests 

Ultrasound using Doppler (colour) imaging to show -

Hepatofugal (reverse) flow

Portal vein velocity below 16 cm/s (normal is 20-40 cm/s)

Portal vein width above 13mm

Blood tests showing low white and red cell counts, Haemoglobin and Platelets.

Upper Endoscopy to show if any Esophegal varices.

Treatment of 

Water pills to reduce Ascites such as Spirolactonone, Frusemide

Cut out alcohol

Medication including Beta Blockers

Medicines for Encephalopathy

TIPS shunt

Other Treatment.

Portal hypertension itself may or may not be reversible, depending on its cause. If there’s an infection or a blood clot that your healthcare provider can treat with medication, portal hypertension can improve and sometimes resolve over time. However, significant scar tissue, such as in the case of cirrhosis, usually won’t reverse and leads to persistent portal hypertension. Most treatment is aimed at managing the complications of portal hypertension. Your healthcare provider will address emergencies first, then move on to longer-term solutions.