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Last Tue, they banded two more vains in my throat.It is every 90 days now , I am going in for this. I am gettting a little scared of bleeding out. they have me on a bata blocker. my blood pressure is 116 /78 . Can a preson bleed from other parts, beside the throat.
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163305 tn?1333668571
I think you'll get more and better informed responses on the hep C side rather than the social side of the forum.
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1636196 tn?1337801300
thanks
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Avatar universal
Stage 4 means you have cirrhosis...
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1636196 tn?1337801300
Just got back from the doc's they said I'm stage 4 liver 2 centomer damage . Some one please explain what stage 4 is . thank you!!!!!!!!
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707563 tn?1626361905
Let's leave this to responses to the question, and not personal comments/insults, please.

Emily
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446474 tn?1446347682
Can a person bleed from other parts, beside the throat.
Yes. But the veins that usually burst in the esophagus, stomach, and the intestines.
A TIPS procedure should be performed if you have uncontrollable bleeding.
You should be taking enough beta blocker to reduce your pulse to about 60 beats per minute.

Your body blood pressure has nothing to do with portal hypertension which is a complication of advantage liver disease. This is a big up of pressure of blood trying to flow through a very scared liver.

From the AASLD
"Gastroesophageal varices are the most relevant portosystemic collaterals because their rupture results in variceal hemorrhage, the most common lethal complication of cirrhosis. Varices and variceal hemorrhage are the
complications of cirrhosis that result most directly from portal  hypertension. Patients with cirrhosis and gastroesophageal varices have an HVPG of at least 10-12 mm Hg.

Gastroesophageal varices are present in approximately 50% of patients with cirrhosis. Their presence correlates with the severity of liver disease.

Gastric varices are less prevalent than esophageal varices and are present in 5%-33% of patients with portal hypertension with a reported incidence of bleeding of about 25% in 2 years, with a higher bleeding incidence
for fundal varices. Risk factors for gastric variceal hemorrhage include the size of fundal varices, Child class (C,B,A), and endoscopic presence of variceal red spots (defined as localized reddish mucosal area or spots on the mucosal surface of a varix).

Cirrhotic patients with upper GI bleeding have a high risk of developing severe bacterial infections (spontaneous bacterial peritonitis and other infections) that are associated with early recurrence of variceal hemorrhage and a greater mortality. Therefore a short-term antibiotic prophylaxis should be considered standard practice in all patients with cirrhosis and acute variceal hemorrhage. The recommended antibiotic schedule is norfloxacin administered orally at a dose of 400 mg BID for 7 days.

Pharmacological therapy (somatostatin or its analogues octreotide and vapreotide; terlipressin) should be initiated as soon as variceal hemorrhage is suspected and continued for 3-5 days after diagnosis is
confirmed.
EGD, performed within 12 hours, should be used to make the diagnosis and to treat variceal hemorrhage, either with EVL or sclerotherapy,  
TIPS is indicated in patients in whom hemorrhage from esophageal varices cannot be controlled or in whom bleeding recurs despite combined pharmacological and endoscopic therapy.

Patients who survive an episode of acute variceal hemorrhage have a very high risk of rebleeding and death. The median rebleeding rate in untreated individuals is around 60% within 1-2 years of the index hemorrhage, with a
mortality of 33%.35,36 It is therefore essential that patients who have recovered from an episode of variceal hemorrhage and have had no evidence of hemorrhage for at least 24 hours be started on therapy to prevent recurrence prior to discharge from the hospital. Patients who required shunt surgery/TIPS to control the acute episode do not require further preventive measures. All these patients should be referred to a transplant center if they are otherwise a candidate (i.e., Child-Pugh score >7 or a MELD score>15).
Nonselective beta-blockers or sclerotherapy reduce rates of variceal rebleeding to around 42-43%."

Symptoms of bleeding varices include:

    Vomiting of blood
    Black, tarry, or bloody stool
    Low blood pressure
    Rapid heart rate
    Shock (in severe cases)

I trust you are being treated at a liver transplant center. They should be about to manage the bleeding while you wait for transplant. If bleeding becomes repetitive they will probably perform a TIPS procedure (a stent connects the hepatic vein with the portal vein) to reduce blood pressure.

Hector
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92903 tn?1309904711
" lets just call it anal probing and throat probing"

I hear tell they show that on the internet now. It's a new world.
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92903 tn?1309904711
ha-ha... I always ask them to look for a set of keys while they're up there. Was it FLguy who said his only worry was waking up to a bouquet of roses from the arse prober?

Good luck Interfurgen - I'd be worried too. Nothing but smooth tapered objects up the wahzoo for a while. OK buddy? Save the fun stuff for later.
Helpful - 0
1636196 tn?1337801300
that hole they said hey are your car keys
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Avatar universal
"I know I heard some one say, Hey!! I can see my house from here"

Makes you wonder what they will say when they stick the scope up your bung hole.......... You might hope its not something about seeing your brains...Hey?..:)
Helpful - 0
1636196 tn?1337801300
when the doc , does the upper G.I. they put this mouth holder opener in,Is it the same for the lower end.I also think I woke up dorning the whole event. I know I heard some one say, Hey!! I can see my house from here.It's sounds like i need to take my probring to the med forum.Ginger thanks for asking, oh yes! staying warm we been getting to 65/70 in the day 28 at night.By first posting here I got funnyer replys. I am a little worried about the bleeding.The first time it happen there was a lot of blood, lost 64 grams, where I got in trouble was on the way to the hospital. Like good hep-c brat I drove 1/2 out of the way too the bookkeeper fro pay roll. okay! they yell some but the guys had get there pay. IT was the hair cut that pis off the doc Hey I say to him if i was to die i want a real hair cut not one done for a dead guy, at least i could say how i wanted it. that caper, put me in the hospital for five days.
Helpful - 0
1420486 tn?1384793153
   Good morning to you ;-).  Yes you can bleed from more than one place than the throat.  You can bleed thru the (diplomacy) rectal area and I believe you can somehow bleed internally.  I'm sure your doctor is monitoring you with the two procedures (I forgot what there called) . So lets just call it anal probing and throat probing. By the way sorry your having such a hell of a time.
   Maybe someone else will answer your questions better, but you can always ask your doc or nurse these questions as well.
   Hope your having a nice winter and staying warm. Ginger
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92903 tn?1309904711
To anwer the question - you can have varicies of the bung hole. I think they have another name for it.
Helpful - 0
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