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 Es...
surgucal anatomy of esophagus
2- • Congenital Anomalies O...
congenital anomalies of esophagus part-1
3- • Esophageal Stricture i...
congenital anomalies of esophagus part-2
4- • Acid Reflux in Hindi |...
GERD
5- • Esophagus Cancer in Hi...
carcinoma of esophagus
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[@mm5582]

Hello I have following diagnosis 1. severe gastritis with esophageal verices 2. Non cirrhosis Portal HTN 3. Small bowel crohn's diease Now day ,there is much back pain because of this can you please suggest me medicine to remove back pain ? I have tried Tab.Ultracet but there was not responding much So please help me to remove back pain as well as abdominal pain

[@mayanksrivastava5105]

Submucosal esophageal dilated veins with gastritis with GR IV lax hiatus , ampullary growth ... (please explain this )

[@learnwithdrshipra]

Mayank ji send ur reports to my instagram id…

[@Amitsingh-jt6kw]

Very informative ma'am.. I admire you.. My father has the same case of bleeding.. Dr. Had advised to do TIPSS . So can you tell me the risk factors involved in this procedure?🙏

[@learnwithdrshipra]

No risk

[@Amitsingh-jt6kw]

@@learnwithdrshipra thankyou mam 😊🙏

[@ubaidullah9415]

🎉🎉🎉🎉

[@ubaidullah9415]

❤❤❤❤❤

[@premtyagi5662]

Very Valuable information Thanks Dr.Sahab

[@Themedicalguru-gi2uc]

Very informative video Thank. s lot mam 😊🙏

[@mayurimayuri2563]

Mam good morning, really very cool and good understanding exactly matter to know the proper subject,tq so much mam

[@learnwithdrshipra]

Wlcm

[@sahrishabdullah5145]

it is one of the most informative video i have came across on this topics... thanks maam and kindly also do cover the clinicals of head n neck and pelvis perenium... your teaching style is very excellent

[@RadheHospital1999]

Nice information mam

[@azharshaikh6386]

Great way to explain Thanks mam for such a broad information

[@mahekhasan6392]

Thank you so much

[@darshanmishra1666]

Superb Lecture Mam🔥🔥

[@pramodsharma9365]

Very siple and outstanding method

[@Shubhangan]

क्या इमरजेंसी में ब्लीडिंग रोकने के लिए विटामिन k injection, tranexa tab , ya टर्लिप्रेसिंन inj लगवा सकतें है ।।

[@badluck6801]

GR | TO || oesphageal portal hypertensive gastropathy...my endoscopy report.. please help

[@learnwithdrshipra]

Send ur reports to my instagram id- Learn_with_dr_shipra

[@malikaphiyak-oq3gs]

Thank you maam

[@drrameshkumar8832]

Very informative post mam Thanku

[@sunitamohapatra653]

Mam patient who face increasing in varices and sometimes it decreases but after that again increasing. Please suggest how to maintain reduce varices at home . Please 🙏🏻

[@DrAnkitJangid]

Ji

[@dr.himanshu3659]

very useful for exams 😊

[@themunaza3633]

Thank you so much bahut informative video hai aj mere bahut kaam aYe thanks a lot 🙏🙏🙏🙏

[@MrMdAman103]

Thank gorgeous madam❤❤

[@learnwithdrshipra]

So nice of you

[@anjalirai9021]

Nice maim

[@AnjaliKumari-kk3qd]

Hello mam ji mujhe yah problem h... mujhe aapse baat karni h...

[@mangeshpatil5745]

Very well explained mam, a lot thank you mam mere papa ke report me Large Esophageal verices (grade 3) bataya hai Doctor ne ADV-EVL bataya hai help me urjant

[@learnwithdrshipra]

Send reports on instagram id

[@nikitanikita1102]

Apke papa ka treatment ho gya kya

[@sunitamohapatra653]

Hey, how is your father health till now . How many times evl done ?? Please answer

[@AnilPrajapati-lc1md]

Nice

[@buntymangle6031]

Bhot badiya ji

[@mohdshefar8135]

Very informative vedio Thx a lot mam

[@sbeatzhubli]

Nice info mam.. 💐

[@drsamiali5440]

Nice❤❤❤

[@alamgirhossain4945]

Mam I just would like to work with u and ur team. Plz

[@learnwithdrshipra]

Alamgir wht u do?

[@deepanjalisethy6141]

Agaru jani thile kichi kari pari thanti , mo husband nku mu harei sarili n madam

[@learnwithdrshipra]

Language issue mrs deepanjali… u can send ur query in hindi or english

[@sunitamohapatra653]

Sad to know this 😢. Madam apana keuthi treatment karau thile SCB Cuttack re ki ?

[@bhimrajjat1416]

Please madam,,,,आपका हॉस्पिटल का adderes बताये।में जयपुर से,,,,,,

[@learnwithdrshipra]

Ratlam

[@BhaktaBhusanDas]

Is liver cirrhosis the root cause of esophageal varices?

[@learnwithdrshipra]

Yes

[@mzakir-du5xx]

Excellent

[@farheenfatima3343]

Thankyou so much for providing such detailed and clear video.. it helped me to learn a lot about my father's health and his exact condition. 👏👍

[@learnwithdrshipra]

☺️

[@sunitamohapatra653]

What happened to your dad . Varices?? How many grade varices?

[@jaanb5936]

Mam my father had easophegus varices.. 5 times did blood vomiting and after that endoscopy banding done with 3 rubber banding.. now I afraid does banding last forever or i have to do endoscopy after 3 months.. AlT , AST and Gamma gt level little high please help mam........?

[@learnwithdrshipra]

Send complete report to my instagram id

[@jaanb5936]

@@learnwithdrshipra sorry mam I don't have instagram please help here only or give your what's app number plz mam

[@janbazkhan2540]

Mam....mere brother ka....1 month se jaundice tha........avi endoscopy karwaya toh pata chala grade 4 varices hai unka......unka age 37 hai........ab mai kya karu....... kuch samajh nahi araha...bleeding avi tak nahi huwa...lekin doctor EVL karne ko keh rahe hai.....kuch suggest kare mam...plzzz

[@Shubhangan]

ब्लीडिंग के चांस होंगे क्योंकि नस कमजोर होने से ब्लीडिंग के चांस ज्यादा होते है बैंडिंग करवा लीजिए ।।गर्म और तली भुनी चीजे नही खाना है । भाई बहुत बेकार बीमारी है हम समझ सकते है मरीज के साथ साथ पूरा घर परिवार परेशान रहता है

[@dratiyasiddiqui5447]

Bahot achche samjhaya

[@vishalbhat0.22]

I love mam achha lga

[@AjitKumar-iy7ev]

Branchial asthma ka lecture video daliye Viral hepatitis ka bhi

[@punitakataria7011]

Mam use 🎤 voice is so low in quality otherwise your teaching way is fabulous 🤩

[@learnwithdrshipra]

Thankx Punita… but u check my new video that is improved in audio quality as well as video😊😊

[@punitakataria7011]

@@learnwithdrshipra sure mam 🤗🤗

[@rinkukhan3904]

Oesophagal varices grade 1 kia medicines se sahi hota hai mam please reply?

[@Mustafa-ji3cp]

Life cycle of liver cirrhosis patient

[@kumareshbiswas]

Mam....mere bhaia esophageal varices mai mara gaya 1 month phele......ae video dekhne ke bad...sab kuch malum huya......but doctor ne bola ....gab blood bandh korne kelia...clip ing ...karrahatha....tab......heart chok ho gaya....please...... Explain dr....mam..

[@sunitamohapatra653]

Bleeding 🩸 ho sakata hai ki wajah se bending Krane ke liye btaya hoga , bending me ek plastics ruber bandh diya jate Jo varices badhta hai .woh to ek matra treatment hai rokne ke liye . But app bol rahe Hain ki app ki bhai ki death ho gaya 😢 . Kiya apki bhai ka diabetes au low BP tha ??

[@szubihusain1384]

Mujhe grade 1 oesophigetis or hitus harnia batya h , gastroscopy me

[@learnwithdrshipra]

Ap apni reports mujhe meri instagram id pr send kre- learn_with_dr_shipra

[@AnjaliKumari-kk3qd]

Hello mam

[@MDREHAN-hg6dp]

Very nice video and you are fantastic teacher thank you itni achchhi videos ke liye

[@learnwithdrshipra]

Thank you MD Rehan ji

[@Kaursukhwinder3569]

Please provide pdf

[@pabitrataid9613]

Madam please kya medicine de na porega

[@harphoolkanwa8629]

मैम इसोफेगस ग्रेड 1,2,3 के बारे मे भी बताओ, खुन की उल्टी किस ग्रेड मे होती है

[@learnwithdrshipra]

Most won't have bleeding. Esophageal varices are more likely to bleed if you have: High portal vein pressure Large varices Red marks on the varices Severe cirrhosis or liver failure Continued alcohol use

[@PAWANKumar-nz5jq]

What is difference between TIPS and PARTO

[@learnwithdrshipra]

Easy language me explain kru to Tips- portal hypertension ko km krne kr liye use aati h Parto- gastric variceal bleeding ko treat krne me use aane vali procedure h non invasive hoti h

[@PAWANKumar-nz5jq]

@@learnwithdrshipra Hello Dr, My father recently went through with parto procedure since he had gastric bleeding. What is Scope/Risk of future bleeding?

[@learnwithdrshipra]

@@PAWANKumar-nz5jq parto is a safe n effective procedure…. Success rate above 90%

[@bhimrajjat1416]

Dr,madam adderess bataye,,,,,,

[@nishterjahantrisha4720]

Informative, thanks a lot.

[@learnwithdrshipra]

Thank you Nishter

[@satyendrachauhan147]

Give PDF please

[@mahendrakumarsongara1758]

Hi Can u send this ppt slides 🤟🤟

[@learnwithdrshipra]

Yes

[@mahendrakumarsongara1758]

@@learnwithdrshipra aap kis medium k through send kronge

[@mahendrakumarsongara1758]

Whatsapp

[@learnwithdrshipra]

Telegram

[@rohitmisal3482]

Thank you so much Mam. Very clear about portal hypertension. I have Portal Vain Thrombosis from 2015. ..I have done so 4 times EVL banding. ..last EVL done before 2 years then I never check and did endoscopy. What can I do now ?

[@learnwithdrshipra]

Alcohol history?

[@sunitamohapatra653]

After evl , is varices go away ?? Is any futher problem arises?

[@gangaparsadsharma2167]

Mam mere papa KO yhi bimari hai un he bleeding ho jati hai kya use permanent thik KIA ja skta hai ...

[@learnwithdrshipra]

Yes

[@learnwithdrshipra]

Depend on grade

[@AnjaliKumari-kk3qd]

​@@learnwithdrshiprahello

[@yashgundecha8231]

Role of terlipressin n octreotide in esophageal varices?

[@learnwithdrshipra]

Reduce portal vein pressure

[@szubihusain1384]

Mam mujhe kuch khane ke bad ,ya phir morning me uthne ke bad , chocolates ya dry fruits khane ke baad Gale se fresh blood nikalta h to Kya yeh esophageal varices hai.

[@learnwithdrshipra]

Apne koi test krvaye h

[@szubihusain1384]

Yes x Ray and CT scan Kiya hai use me sab normal hai .

[@learnwithdrshipra]

Send ur reports- instagram id- learn_with_dr_shipra

[@multaniworld2330]

mere dady ki varicies banding huee. banding k baad unko urine aana band ho giya aur banding k 13 din baad unki death ho gayi. me unki banding krwa k pachta raha hoon. koi b banding krane se pehle 1000 baar soch le!

[@karobibaruah9101]

Kaha karbaya tha

[@roshanenterprises007]

@@karobibaruah9101 capitol hospital jalandhar punjab

[@karobibaruah9101]

@@roshanenterprises007 mere papa ko v karne ke liya bol Raha hain dctr nahi karwaya 5 month ho geya

[@roshanenterprises007]

@@karobibaruah9101mere dady ko heart, gallblader, liver, kidney me bhi problem thi. us wajah se unko complication ho gayi. aap dekh lo agr apke papa ko koi other serious issue nhi hai to aap krwa lo!

[@karobibaruah9101]

​@@roshanenterprises007 avi kuch problem nahi hain ..bukhar aa jata hain mahina bhar me..Orr himoglobin Kam ho jata hai..dar lagta hain banding karwane ke bad kuch problem na ho jaye

[@himanshiyadav2354]

Ma'am kitne elastic band ki jarurt hoti hai... Number

[@learnwithdrshipra]

himanshi its depends on bleeding points.

[@himanshiyadav2354]

Ok ma'am... If it is 4 stage then

[@himanshiyadav2354]

@@learnwithdrshipra ye bands kuch effect toh nhi karte hai..in future me health ke point of view

[@dratiyasiddiqui5447]

Thanks mam my mother is suffering this disease with cyst of liver

[@yummy___yummy]

So informative

[@learnwithdrshipra]

Thankyou manoj

[@yummy___yummy]

@@learnwithdrshipra my mom is suffering from autoimmune hepatitis.. She is on treatment..

[@learnwithdrshipra]

Send her reports to my instagram id- learn_with_dr_shipra

[@yummy___yummy]

@@learnwithdrshipra ok

[@mahendersingh5936]

Hello doctor ji meri report bhi dekh kar batyon impression gerd grade //,lex les ka kya matlab

[@learnwithdrshipra]

Send ur reports to my instagram id Learn_with_dr_shipra

[@premkumarsahu90]

Mujhe hai ye bimari grad -2 me

[@AnjaliKumari-kk3qd]

Hello

[@dilipverma8994]

बहुत अच्छे है। लेकिन कही कही ऐसा लग रहा जैसे वीडियो में इंफॉर्मेशन थोड़ी सी कम है । जैसे यहां बुक में। इन्वेस्टिगेशन ब्लड टेस्ट ,लीवर फंक्शन टेस्ट, मैनेजमेंट में। Inj Vita k के बारे में बुक में मेंशन है। वेसोप्रेसिन के बारे में बुक में मेंशन है। आपका वीडियो देखने के बाद भी बुक देखनी पड़ रही है।

[@learnwithdrshipra]

Book to pdni hi chahiye 10 min ke video me itna hi explain kr pate h detail study ke liye online classes alg se leti hu