Esophageal and gastric varices moderate to severe with RC sign

To explain simply, the blood has to pass through the liver, but the liver is cirrhosis, the path through it becomes smaller, the blood can't pass, and it accumulates in the blood vessels in front of the liver, and after a long time, the blood vessels become thicker because of the pressure, so the "esophageal and gastric varices", the most feared complication is variceal rupture, gastrointestinal bleeding, which can be life-threatening, **There are many methods, you can operate, do dissection or shunt, the latter effect is good, the operation is difficult, you can endoscopic injection of sclerosing agent, etc., but liver cirrhosis cannot be reversed, So the final effect is still not ideal, often solve one, and other blood vessels emerge, the reason you know from ** think about it. Be careful not to eat coarse and hard food, quit smoking and drinking, control blood pressure, and seek medical attention as soon as possible if you feel unwell.

1.If you have a history of hepatitis (e.g., previous hepatitis and positive hepatitis B index), it is cirrhosis caused by hepatitis, and schistosomiasis can also cause cirrhosis. Of course, now your hypersplenism is not very serious, but splenectomy is a matter of time.

2.If there are very severe varices (such as severe esophageal varices with red signs), splenectomy and pericardia vascular devascularization are requiredSince your spleen is not very large now, laparoscopic splenectomy may be considered.

Cirrhosis of the esophageal and gastric variceal bleeding is a common and serious clinical symptom with a high mortality rate. Common clinical manifestations are:

1) Hematemesis: When esophageal and gastric varices rupture, about half of the patients can see hematemesis, mostly bright red blood or dark red blood. The amount of bleeding is large, the coming force is fierce, and it can be in the form of a jet, up to 1000ml at a time.

Hemomemesis may be preceded by epigastric fullness, worsening nausea, and hiccups.

2) Melena: Some patients only have black stool without hematemesis, the color of melena depends on the length of time the blood stays in the intestine, such as the amount of bleeding is large and fast, the feces are often purple-red when discharged, and the bleeding can be judged according to the change of stool color and frequency.

3) Heart palpitations and fast heart rate: due to the loss of a large amount of blood, the blood volume is seriously insufficient, and the heart rate accelerates due to the compensatory acceleration of contraction, and the bleeding can be judged according to the changes in blood pressure and pulse in the early stage.

4) Dizziness, darkness or syncope: caused by hypovolemia, blood pressure drop or even shock, and insufficient blood supply to the brain.

5) **Gray and clammy cold: After bleeding, in order to ensure the blood supply of the heart, brain and kidney, the body has **vasoconstriction and insufficient blood perfusion and appears gray and clammy and cold.

6) Drop in blood pressure: In the early stage of bleeding, due to the compensatory contraction of blood vessels in other parts of the body, the blood is concentrated in the heart and large blood vessels, at this time the blood pressure is normal or slightly low, as the bleeding continues, the body can not compensate, and the blood pressure drops, and even shock.

7) Hemoglobin decline: In the early stage of bleeding (within 10 hours), due to the compensatory contraction of blood vessels and spleen, there may be no significant change in hematocrit and hemoglobin, and the hemoglobin level in the later stage can reflect the degree of blood loss.

If you have cirrhosis caused by hepatitis B, you should have ascites now, right? Albumin is relatively low, the portal vein is thickened, and it is easy to cause gastric varices, and then it is easy to have esophageal vein bleeding after eating hard food, which is more dangerous. Moreover, patients with liver cirrhosis generally do not have good blood clotting, so there are indications for surgery.

The portal shunt is to establish a collateral circulation to divert part of the blood to other places to avoid excessive tension in the esophageal veins of the gastric fundus.

Trouble, thanks!

Objectively speaking, this disease is very difficult to treat. The choice of TCM is correct, but the risk of bleeding must be paid enough attention to the patient. Once there is gastrointestinal bleeding, it is quite dangerous and can be directly life-threatening.

Even if it can be saved, it is very expensive and the damage to the patient's body is quite serious.

Gastroscopy is recommended, banding is performed as prescribed by the doctor, and regular check-ups are recommended. Frequent re-examination (no more than half a year) should be carried out to prevent bleeding. This can not only ensure the life safety and physical condition of the patient, but also save the high cost of hospitalization and rescue.

In the case of ensuring that there is no bleeding, seek Chinese health insurance liver**. Be sure to go to a regular hospital, choose a specialty, specialist, and don't believe in advertisements and home remedies.

It is not possible to determine which type of disease the disease belongs to, and it is necessary to obtain detailed information about the patient's symptoms for dialectical prescription.

Don't be discouraged, I don't know what happened to your father now. My condition is much more serious than your father's, and I am also favored by Chinese medicine. There is a saying that Western medicine makes people die clearly, and Chinese medicine makes people live in a confused way. I'm here in Gansu, I don't know if you're **.

The friend above makes a lot of sense.

Traditional Chinese medicine pays attention to seeing patients and people, so it is necessary to go to the doctor, look at the smell on the spot, and look at the pulse of the tongue coating in order to distinguish the syndrome and treat the medicine accurately. Don't believe in home remedies.