Esophageal Varices & Variceal Hemorrhage Treatment and Managment(STEP WISE APPROACH)

[@MedNerdDrWaqasFazal]

IMPORTANT POINTS: Administer Terlipressin 2mg IV repeated every 4 to 6 hours. Some guidelines(i.e NICE guidelines) recommend avoiding use of PPI unless patient has known peptic ulcer disease. Administer Platlet Transfusions to patients who are actively bleeding and have platlet count less than 50,000. Give Vit K to patients if INR is prolonged. DON'T FORGET TO CLICK ON SUBSCRIBE BUTTON 😊 FOLLOW ME ON Instagram: instagram.com/docwaqasfazal/ Facebook: facebook.com/Drwaqasfazal

[@zohrafarooq5782]

Sir what about Transexamic acid???

[@Sgtnathenhale]

Very good revision Keeps me on my toes and highlights my errors

[@MedNerdDrWaqasFazal]

Thank you Kamal! ❤️

[@seemakhanna4209]

Very nice explaination!!!

[@haniehrastgou4784]

and dosage of octreotide is 50mirogram bolus then 50micro per hour ifusion

[@rakeshshaw2724]

Sir ur videos are very informative and easy to understand. Pls make a video on peptic ulcer,thank you .

[@MedNerdDrWaqasFazal]

Sure I will. thank you :)

[@saugatasantra6774]

Willing to know if a cirrohtic patient's haemoglobin is falling too quickly then can he go for endoscopic variceal ligation inorder to prevent the internal bleeding?? & can the patient have a stable haemoglobin rate after endoscopic variceal ligation?

[@anonymous-td2wy]

Do we do band ligation only when the pt is hemodynamically stabilized? I’m a new nurse sorry if its a silly question.

[@MedNerdDrWaqasFazal]

All the steps must be taken to stabilise the patient first after which you can go for endoscopy and band ligation. Band ligation can also be considered as a part of stabilisation of patient as to stop further bleeding.

[@anonymous-td2wy]

@@MedNerdDrWaqasFazal thank you

[@syedamaryambanogilani6996]

why i didnt find your channel at start of my final year!!!! .....best lectures.....

[@farhanabashir4524]

Came here from Armando hasadagun’s channel....your vedios and way of explaining things are simply amazing sir...you actually got a subscriber!

[@MedNerdDrWaqasFazal]

Thank you very much Farhana! I am really glad that you liked it. 🙂

[@TheWahabfazal53]

What an excellent way of teaching Medicine !

[@MedNerdDrWaqasFazal]

Thank you wahab! ❤️

[@BilalAhmed-rf1eo]

amazing sir g ❤

[@mehranlaghari118]

Aslam alekum sir Sir is R/L safe in CLD will it not cause raised lactate level And sir what about use of tranxemic acid in acute management of hemaptasis

[@dr.usmanawan3596]

This flow chart has made such lengthy topic so easy.

[@MedNerdDrWaqasFazal]

Thank you Dr usman 😊

[@mtmadv7872]

Wow ,,,, a difficult topic made so easy and conceptual.... thnx a lot sir

[@rosemariya5351]

Sir if propranolol causes vasoconstriction by blocking beta2 receptor, it should increase the pressure in the portal circulation right... So how is it going to relieve portal hypertension? As we have studied, vasoconstriction causes increased peripheral resistance and therefore blood pressure increases

[@xcvgamerxyy9685]

Sir I am hepatitis b liver cirrhosis patient with portal hypertension dilated portal vein and small esophagal varices with splenomegaly detected with high viral using tenofovir after 25 mg and carvediol 6.25 mg twice will it stop bleeding can I leave normal life with medications pls reply sir pls understand I am fear

[@studypro1582]

Sir, My mother has been detected with Esophagus variaces Grade-3. How serious is the disease doctor. Please respond🙏🙏

[@Ash-zx2eu]

How to protect airway sir ,everyone tells the same thing ,what exactly am I supposed to do to protect airway sir?

[@samik3184]

You're by far the best teacher I've come across, I wish I had someone in medical school to teach concepts in such an easy to understand manner. thank you, Dr Fazal!

[@emmanuelsemoso340]

Can broken blood vessels or varicose veins in the esophagus repair itself naturally?

[@anjum.mehmood3730]

Dr sb are their ways people could have known about these varicose before developing

[@tajnurparvin1308]

Sir,this problem is seen of father in law.How can we contact with you?

[@mayaryar123]

Don't waste ur time , there is no permanent treatment in medical for esophagus varies only homeopathic is best way to treat

[@AethicGlassworks]

Wow, clicked through cus I saw a comment of yours on medcram. Really dig this explanation, and I have no medical background whatsoever. So what's life like for people who've had to have TIPS performed on them? Do they lose all liver function or does it retain some of its functionality?

[@MedNerdDrWaqasFazal]

Thank you very much for such nice comments. I am glad you understood everything. Patients who get TIPS are the ones who have really bad cirrhotic liver that has already lost much of its function. One study trial shows that people undergoing TIPS procedure live upto 2 years on average & 5 years at max. Complication of ammonia toxicity and accumulation is treated by lactulose if not controlled, rifaximin is administered. TIPS is done to control variceal only when we have exhausted all other options.

[@AethicGlassworks]

@@MedNerdDrWaqasFazal dang, sounds like a brutal way to go. Thanks for the explanation again! Keep up the awesome work! These are very informative!

[@BilalAhmed-rf1eo]

Sir g love U From Sindh Pakistan ❤

[@KeshabaBehera-i7s]

Thank u

[@drasadmasood572]

Sir kindly made another video on this topic. we also want to know that how many days b blockers may be continued. Also terlipressin. How many days we continue antibiotics and which antibiotics are we should continue

[@MedNerdDrWaqasFazal]

Sure I will upload another video in more detail. 😊

[@kayraydv0504]

What to do when bleeding is not stopping then how to do endscopy

[@DrBikram]

Sir Almost done ✅..i have seen most ...only few remain...if possible please do hematology part.

[@docdays2010]

Outstanding lecture 👌🇮🇳

[@abhayabehera2685]

Sir My mother is suffer hypertension...

[@samarmemon9546]

Amazing teacher but very fast

[@maazali7724]

Can we go for transplant at this stage?

[@gopalmaity63]

I am not a medical student. But my mother's esophageal varices surgery has done. So I came here to know well. Does she need to take lactulose syrup on a daily basis?

[@medicoinrus2088]

Beautifully explain management 🌟

[@mediziner4283]

thankyou so much sir

[@debigdogk9563]

Well done doc. Your are one of the best. This is an excellent teaching. Thank you.❤❤❤❤❤❤❤

[@MedNerdDrWaqasFazal]

So kind of you. I read all of your comments. I am very happy that you found my videos helpful. Keep supporting 😊

[@Chorizo1]

This was very impressive and easy to follow.

[@thaniorumanithaninmaatram3079]

It's true only

[@simonnginyamoi4967]

Wonderful presentation, for how long will the patient with TIPS receive Lactulose?

[@gracewaithaka9382]

Excellent explanation! Thank you.

[@DR_HARIS_KHAN]

Mash Allah ❤️

[@katyclayton]

This happened to me 1month ago. I lost over 2 litres of blood. However I am a 28 year old with a healthy liver and minimal alcohol consumption. Still waiting to learn what the route cause is.

[@subbaramasubbarama3360]

Hi dctr fr my father also liver cirrosis he s a non alcholic an fr this treatment is there r nt pls tell me dctr tld me in endosocopic report thr s large eshopegus varices with rcs

[@sukalyanpanja1558]

Sir am 1st saw your ecg video....then i follow only your channel in medicine

[@furqanulhaq1782]

explained very well sir, great job

[@MedNerdDrWaqasFazal]

Thank you furqan ❤️

[@chandrakantyadav514]

AFTRR doing all these procedures how will be the prognosis 0f patient

[@rameshkumawat63]

Excellent💯👍 describe sir ji

[@MedNerdDrWaqasFazal]

Thank you Ramesh Kumawat :)

[@celebebuzzstalker2938]

very good explanation ...help me to understand it...thanks man

[@MedNerdDrWaqasFazal]

Thank you. I am glad it helped you. 😊

[@DodeDa-m7x]

Amazing 🤩

[@jiolife9358]

Thank you sir!

[@camrank3334]

Explained very well 💯

[@marianauroz9845]

excellent concept!

[@abdullah6863]

🎉

[@drarjungupta2458]

Very nicely described...

[@anonymous-td2wy]

Beautiful lecture 💗💗

[@srinivasaraosirasapalli5104]

Excellent sir

[@AbhikAbhi09]

The Way of explaining❤really loved it!!!

[@MedNerdDrWaqasFazal]

Thank you Abhijit. 😊

[@samarmemon9546]

No full stop . Highly difficult to take notes

[@zohrafarooq5782]

What about Transexamic acid in acute Mx???

[@thaniorumanithaninmaatram3079]

Very nice

[@ranjithgonzalez653]

Great sir, your videos are amazing and to the point

[@neerusain56]

Excellent

[@drqasimafridi3652]

Explained well💓

[@MedNerdDrWaqasFazal]

Thank you Dr Qasim!

[@nur_mohamud]

Excellent and consice concept, thank you sir.

[@shadabanwar3293]

Awesome 👍

[@asadmasood6692]

Great sir

[@mahnoorfatima8499]

Best channel to learn management of diseases so far👏

[@happyvalleyroses8145]

Too good!!

[@warisahmed3043]

You made it so simple and easy

[@MedNerdDrWaqasFazal]

Thank you waris!

[@zohrafarooq5782]

What is the dose of octreotide and total duration??

[@shayanazizkhattak5776]

Good explanation!

[@MedNerdDrWaqasFazal]

Thank you Shayan! 😊

[@susmithamarella1514]

Nice explanation..thank you ❤

[@subhashgrover3087]

Sir you are excellent teacher

[@MedNerdDrWaqasFazal]

Thank you 😊

[@fahadfarooq1391]

Plz make videos on respiratory system.

[@alshelwi2010]

Nice

[@haniehrastgou4784]

Perfect,thank you

[@anjum.mehmood3730]

Simple yet excellent ❤

[@PAWANKumar-nz5jq]

Sir what is PARTO?

[@cristinasanny8504]

A big waoo..🙌 Itna awsm video maine aaj tak nahi dekha..practial explanation part was very good.. Yeh topc kabi smjh nahi aata tha.. Par ab aagya.. Thanks!!!

[@MedNerdDrWaqasFazal]

Thank you very much Varshu Pandey... I am glad you found it helpful 🙂