Esophageal Varices in Hindi(Cause, Symptoms, Diagnosis, Treatment)|| Dr. Shipra Mishra ||

Esophageal varices- Abnormal veins in the lower part of the tube running from the throat to the stomach. Varices are veins that are enlarged or swollen.  Develop- In People with serious liver disease. Normal blood flow to the liver is blocked by a clot or scar tissue in the liver. Blood flows begins to back up So increasing pressure within large vein (Portal vein) that carries blood to your liver Blood flows into smaller vessels (lowest part of esophagus) that aren’t designed to carry large volume of blood. These thin walled veins balloon with the added blood Develop esophageal varices Sometimes Vessels can leak blood or even rupture. Causes of esophageal varices include- Severe Liver Scarring (cirrhosis)- hepatitis, infection, Alcoholic liver disease, fatty liver disease Blood clots (thrombosis) – in portal vein, splenic vein A parasitic infection- damage liver, lungs, intestine. Tumor , Ca+ esophagus Risk Factors- People with advance liver disease develop esophageal varices, most won’t have bleeding. Varices bleed if- High Portal Pressure Large varices Red Marks on the varices during endoscopic examination Severe cirrhosis or liver failure Continued alcohol use Symptoms- Usually don’t show sign & symptoms unless they bleed. If bleed then- Blood in Vomiting (hematemesis) Lightheadedness Dysphagia Loss of consciousness( in severe case) Complications- Bleeding (most Serious) Shock Death Self management- Don’t drink Alcohol Healthy diet- plant based (whole grains , fruits, ) Avoid- Fatty & fried foods Reduce your risk of hepatitis Medications to reduce pressure in portal vein- Beta- blocker(Propranolol) Antibiotics – Quinolone or Ceftriaxone IV Fluids BT Treatment- In emergency- Stopping blood loss- Variceal Ligation or elastic Banding maintaining Plasma Volume correcting Cirrhosis- if needed liver transplantation Sclerotherapy TIPS (Trans jugular intrahepatic portosystemic shunt)- The shunt is an opening that is created between the portal vein and the hepatic vein, which carries blood from your liver to your heart.  #esophagealvarices #esophageal #esophagus Some important links- 1-   • Surgical Anatomy of Esophagus in Hindi (Oe...   surgucal anatomy of esophagus 2-    • Tracheoesophageal Fistula ( Congenital Ano...   congenital anomalies of esophagus part-1 3-    • Esophageal Stricture in hindi | esophageal...   congenital anomalies of esophagus part-2 4-    • Acid Reflux in Hindi | GERD in Hindi (Gast...   GERD 5-    • Esophagus Cancer in Hindi (Cause, Symptoms...   carcinoma of esophagus Copyright Disclaimer under section 107 of the Copyright Act of 1976, allowance is made for “fair use” for purposes such as criticism, comment, news reporting, teaching, scholarship, education and research. Fair use is a use permitted by copyright statute that might otherwise be infringing. Non-profit, educational or personal use tips the balance in favour of fair use. contact info :- Instagram- https://instagram.com/learn_with_dr_s... Facebook- https://www.facebook.com/profile.php?... telegram- https://t.me/learnwithdrshipra