Portal Vein Thrombosis and Abdomen Pain

2022-10-24 03:30:52
Father has history of Hypertension, mild CKD (creatinine of 2 mg/dl). He was diagoned with PVT and was admitted in Apollo for 20 days where they monitored him and controlled his diet. He had severe pain in the entire abdomen and bloating while taking food, so doctors gave rest to intestine saying it is bowel ischemia. Started with liquid diet, semi solid diet, however every 7 days the pain returned. He also vomitted bile (dark green), but no blood vomit or no bloody stool still. Doctors say it is because of poor blood supply to intestines, it is not able to digest food properly. He also tested JAK2, MPN positive and have started HYDREA medicine. Medicines going on - Anticoagulants, HYDREA, BP. Doctors say medical management is the best way and we have to wait for thrombosis to clear. He has lost lot of weight and abdomen pain continues even with medicines on. Please advise if treatment is right.
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Answers (4)

The line of treatment advised appears ok. He has a procoagulant condition as JAK is positive. Will require lifelong anticoagulation to prevent progression/new thrombosis. If bowel ischemia persists/progresses, may require surgery also. Seek hematologist/medical oncogist opinion too.

Answered2022-10-24 03:47:42

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Need to assess the blockage in all vasculature and treat accordingly. May connect with me

Answered2022-10-31 05:53:54

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Hi Medical management is the best thing for your father. .I totally agree with Dr Sourav

Answered2022-10-27 13:39:54

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Consult near by surgeon for physical examination and management..

Answered2022-10-24 03:39:48

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