Cirrhosis of the Liver Community
Ascites, HE and Varices
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Cirrhosis is the end result of chronic liver damage caused by chronic liver diseases. The purpose of the community is to share support and information with Cirrhosis of the Liver patients and their loved ones. Topics in the community include: causes, clinical trials, complications, family issues, living with Cirrhosis of the Liver, prognosis, research, surgery, treatments

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Ascites, HE and Varices

This is a great page explaining Ascites, HE and Varices.

http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/hepatology/complications-of-cirrhosis-ascites/

Randy
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1654058_tn?1376739127
Thanks for the link. I'm heading for another banding next week. I've been there - done that - but still need new info. Karen:)
http://www.ihelpc.com
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1475202_tn?1388955435
Your welcome Karen. You sound like me, read and then re-read. I hope your procedure goes well for you next week!

Randy
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1654058_tn?1376739127
Thanks Randy - I'm hoping varices improved since the last banding. I did a 3K in November and am almost positive that I blew it with my heart rate. Kinda scared...
Karen:)
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1475202_tn?1388955435
Hello Karen

That’s great to hear you are staying so active, it really helps us in so many ways! I'm not sure of your condition but varices are caused from restricted blood flow through the liver generally cause by a buildup of scar tissue (cirrhosis) so to see an improvement is not likely but avoiding any further advancement of liver disease or varices is terrific.

However reduction in portal hypertension is possible through the use of nonselective beta blockers, particularly propranolol and Nadolol. These medications reduce portal pressures both by decreasing cardiac output and by producing splanchnic vasoconstriction. Several studies have shown that nonselective beta blockers decrease the risk for first variceal hemorrhage by 40% to 50% when compared to patients taking placebo.
It's my understanding it's your resting heart rate that is of greater concern (55-60) and that strenuous activities such as weight lifting, sit-ups etc. should be avoided.

I did a lot of heavy lifting over the summer although I have grade three varices it wasn't until my last EGD that cherry spots have manifested. I guess despite my good intentions with the exercise I find that I may have done more harm than good so be careful especially since you are already going through the banding procedure. I think the hardest part of dealing with our varices is that we can go to our doctors for guidance but they really can't tell us what is too much. What’s too much for me might not be too much for you and vice versa. Frustrating!

Anyways I hope your procedure goes  very well, in fact so well they tell you there are no more varices! That would sure be a blessing. I hope you will stay in touch and let me know how things go, take care.

Randy
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1475202_tn?1388955435
Hi Karen,
I was just wondering how everything went, I hope you are doing well! :)

Randy
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1654058_tn?1376739127
Thanks! This one brought good news. Grade 2 and only needed to banded! I've had 5 since last May and this was by far the easiest. I had been on Nadolol 40 and during treatment just got overloaded on everything and bled out.
I've been at Nadolol 60 and now I can go back to 50 with no problems. It makes me a little groggy so I take it at night.
I was trying for 14 minute mile on my last 5K in November and got waaay overheated. Since then I have slowed it down. You're right about exercise or exertion. It's a case by case basis.
I hope you continue to do well with yours. How much Propanolol are you on?
Karen :)
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1475202_tn?1388955435
Hi Karen,

I'm glad to hear the good news! It is good that you're being more cautious. I am too though I miss the conditioning.  

I take 80mg of propranolol once daily but I have been taking blood pressure pills since before diagnosis. It's been over the past 6 months that I started taking a more appropriate beta blocker (propranolol). My doctors are adjusting my dosage to 40mg twice daily since my resting heart rate is around 60 (ideal range 55-60) but my blood pressure is still a little high so maybe this will be a little more effective.

I was just reading your profile and I really admire your joyous spirit and determination. I wish you the best!

Randy
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