Q. How can portal vein thrombosis be treated?

Answered by
Dr. Viral Dineshchandra Vyas
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Sep 07, 2019

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.

Dr. Viral Dineshchandra Vyas

Medical Gastroenterology


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.

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