just wondering

[Liver007123]

just wondering If Cirrhosis secondary to NASH with portal hypertension is de compensated or compensated I understand that varices and Ascites are normally present with de compensated but does having the portal hypertension make a difference ?

[AyrshireK]

Portal hypertension occurs due to cirrhosis and is often present in both compensated and decompensated cirrhosis - basically blood can't flow through the scarred liver and starts to back up in the portal vein. When blood tries to redirect itself into smaller blood vessels which can't cope with the increased volume is when varices and other p/h complications occur. Varices can be present in the compenstated stage of cirrhosis too.

Stage 1 cirrhosis No Varices, No Ascites (compensated)

Stage 2 cirrhosis - Varices, No Ascites (compensated)

Stage 3 cirrhosis - Ascites, +/- Varices (decompensated)

Stage 4 cirrhosis - Bleeding from varices, +/- Ascites (decompensated)

Katie

[Liver007123 in reply to AyrshireK]

many thanks again for you message you are such a kind and considerate person and have given me a lot of your time and I really appreciate that

[AyrshireK in reply to Liver007123]

Glad to be able to help

[TBSW]

I had portal hypertension and varices with compensated cirrhosis, due to Nash. However after 3 years I developed heptatic enchalopathy, so I became decompensated and required a transplant.

[Liver007123 in reply to TBSW]

Iam sorry to hear that I hope the transplant went well for you