How can portal vein thrombosis be treated?

Question

Hello doctor,

I have been suffering from portal vein thrombosis for the past 20 days. I am going through the treatment and feel almost no problem now, all my 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.

Please guide.

Answer 1

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 a prothrombotic condition in your blood, which means due to some reason, like genetics, medication, or another disease. Your blood is hypercoagulable and tends to clot more 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 the thrombophilia workup to rule out a 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 three to six months, but if any report suggests a hypercoagulable state, you may need indefinite medication.

You also need to follow up with an ultrasound to see the response to the medication. You may also need to do an 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.

Please feel free to ask if you have any additional questions or concerns; I am here to help.

If you found this information helpful, I would greatly appreciate your feedback. Wishing you comfort and steady improvement ahead.

Thank you.