Please can someone explain to me (in a really simple way), what Portal Hypertension is, what are the symptoms and why would I not be informed I have it (by Liver Consultant) when my Diabetic Consultant knows and, once again, nobody has considered it prudent to inform me. Dr Google does not explain this well at all???
Understanding Portal Hypertension - British Liver Trust
British Liver Trust
BLT website has a page about it at:- britishlivertrust.org.uk/in... If that isn't plain enough i'll post a simpler explanation after my dinner.
I can’t download it Katie. Sorry.
It's not a download, that's just a link to the British Liver Trust website. If you want to search for it yourself go to
From there go down the drop down menu - Information and Support
Under Liver Conditions you've got the A-Z of liver issues and Portal Hypertension page is under P.
Your liver has a vein called the portal vein that carries blood into the liver. This portal vein then carries on into the liver where it has lots of smaller branches of veins. These smaller branches carry the blood. Over time as parts of the liver become damaged (cirrhotic), these little branches cannot carry the blood into the dead/dying part of the liver. However, the blood coming into the liver is still the same amount.
It might help to think of it like this, The portal vein is a motorway carrying 50 cars a minute. Once these cars go into the liver, they divide along the "A" roads. Now each "A" road has, let's say, 10 cars each. Then roadworks appear and one "A" road closes. (Same as the liver becoming cirrhotic). These 10 cars have to go somewhere from the motorway, but the "A" roads are already carrying maximum number of cars. So we get a "tailback".
In the liver this "tailback" causes a builup of blood pressure (portal hypertension). Over time, more and more cars join the "tailback". We've all seen it and the queue gets longer.
In the body, the cars are the blood. The blood gets backed up.
Some people get bored with waiting in the car and try some alternative roads off the motorway. In the body, the blood goes into different veins. These other veins are in the throat (oesophagus) and the stomach.
Of course, these little roads weren't meant to carry this many cars and eventually they become damaged (if the tailbacks keep happening). In the body, the veins in the throat and stomach weren't meant to carry this much blood, they swell up and then eventually burst (variceal bleed).
When you have portal hypertension, then they check regularly to see how swollen these veins in the throat are. If they get too large (stage 3 on endoscopy), they tie them off (banding). It's like putting up a sign on the side roads "No entry".
Symptoms-look for blood in stools. Usually described as black and tarry. What they mean is really sticky (difficult to wipe clean) and black- self-explanatory. Not just slightly darker, obviously blackened (due to blood in the stool). Ther are other symptoms to look out for, but it is best to ask your Consultant, as I know you have a lot of other conditons that might impact on how you feel.
Sorry such a long post, but it needs a lot of explanation. Hope that helped.
Excellent explanation! Trust10 😃
That was such a good explanation thank you 😊
Thank you. That makes it very much better to understand. 🩸🩸🩸🩸🩸
Good to know- especially since you were the one who asked the question I do hope that things are getting better for you, since you seem to have had a lot of difficult times. Sending you best wishes
what a great way of explaining portal hypertension....we'll done. chris
The liver has a pretty diffuse blood supply and little or no nerve supply When it can’t filter toxins Thea kind of back up and if it affects the kidneys ban build up to cause varices in the GI tract and can’t
The varices then burst and if you are asleep the chances of survival are low
Mine happened when sitting on the loo
Luckily my wife was rained in CPR and my brother is GP
We are all now deaing with PTSD related to that night but seeing the football yesterday and what happened to Eriksen when push comes to shove emergency training kicks in
To have your doctor brother help to squeeze for units of blood into your body
Words can’t describe it
My PTSD is related to the time spent in an induced coma
A man of my intellect who can account for los days is diificult to understand
Not what you're looking for?
You may also like...
the problem (the portal hypertension) still has not been 'fixed' and his consultant keeps telling us
non-cirrhotic portal hypertension.
I just wondered if anyone on here has had portal vein and liver...
complaints of portal hypertension (enlarged spleen, ascites and some bleeding from my behind once...
Can someone explain to me what child Pugh A portal hypertension is?
I have some scarring of the...
I've since seen another consultant who is a specialist in portal hypertension and he says he has...