Aa
A
A
Close
1475202_tn?1388955435
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
Cancel
7 Answers
Page 1 of 1
1654058_tn?1407162666
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
Comment
Cancel
1654058_tn?1407162666
Comment
Comment
Submit Comment
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
Comment
Cancel
1475202_tn?1388955435
Comment
Comment
Submit Comment
1654058_tn?1407162666
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:)
Comment
Cancel
1654058_tn?1407162666
Comment
Comment
Submit Comment
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
Comment
Cancel
1475202_tn?1388955435
Comment
Comment
Submit Comment
1475202_tn?1388955435
Hi Karen,
I was just wondering how everything went, I hope you are doing well! :)

Randy
Comment
Cancel
1475202_tn?1388955435
Comment
Comment
Submit Comment
1654058_tn?1407162666
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 :)
Comment
Cancel
1654058_tn?1407162666
Comment
Comment
Submit Comment
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
Comment
Cancel
1475202_tn?1388955435
Comment
Comment
Submit Comment
Your Answer
1475202_tn?1388955435
Answer
Know how to answer? Tap here to leave your answer...
Answer
Ascites, HE and Varices
Submit Answer
A
A
Recent Activity
317787_tn?1428318779
Blank
Dee1956 0 chill factor ARGH, I am h... Comment
12 hrs ago
406584_tn?1399591666
Blank
10356 commented on dominosarah's status
Feb 05
406584_tn?1399591666
Blank
10356 commented on dominosarah's status
Feb 02
Blank
Weight Tracker
Track your weight over time
Start Tracking Now
Top Hepatitis Answerers
317787_tn?1428318779
Blank
DC
446474_tn?1446351282
Blank
San Francisco, CA
Avatar_universal
Blank
683231_tn?1438659664
Blank
Auburn, WA
6708370_tn?1450863629
Blank
San Francisco, CA
Avatar_universal
Blank
Cirrhosis of the Liver Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488_tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543_tn?1443740527
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top Hepatitis Answerers
317787_tn?1428318779
Blank
DC
446474_tn?1446351282
Blank
San Francisco, CA
Avatar_universal
Blank
683231_tn?1438659664
Blank
Auburn, WA
6708370_tn?1450863629
Blank
San Francisco, CA
Avatar_universal
Blank