HomeAnswersMedical Gastroenterologyportal vein thrombosisWhat is the treatment for portal vein thrombosis?

How can portal vein thrombosis be treated?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Divya Banu M

Published At September 7, 2019
Reviewed AtAugust 4, 2023

Patient's Query

Hello doctor,

I am suffering from portal vein thrombosis from the past 20 days. I am going through the treatment and feel almost no problem now, my all blood tests are normal and KFT is also normal. Only ultrasound report shows this disease, may I know what is the level of this disease and how long I have to take the medicine.

Hello,

Welcome to icliniq.com.

I have read your query. As you mentioned, your ultrasound suggested portal vein thrombosis. See, there are several reasons for this condition, but at this age, it may be due to prothrombotic condition in your blood that means due to some reasons like genetic, medication or another disease. Your blood is hypercoagulable and tends to make more clot in internal vessels like the portal vein. Other reasons can be any abdominal infection. As you mentioned blood tests are normal I believe your doctor has done all thrombophilia work up to rule out hypercoagulable state in the blood. You may need to take anticoagulant medication to make the blood thin. If all workup in a blood test is negative you may need to take that medicine for 3 to 6 months till, if any report suggests hypercoagulable state you may need indefinite medication.You also need to follow up ultrasound to see the response of medication. You may also need to do upper GI endoscopy to rule out any dilated veins in the esophagus and stomach secondary to portal vein thrombosis and that dilated vein can bleed, so if it is present, the doctor can give you specific treatment.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vyas Viral Dineshchandra
Dr. Vyas Viral Dineshchandra

Medical Gastroenterology

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