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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Am I Prone To Repeated Episodes Of Bloody Vomit Due To NCP Hypertension And What Precautions Need To Be Taken?

I am 62, weight 70 kg., ht. 5 -9 . I had an episode of NCP Hypertension, 2 blood vomits, hospitalized, blood transfusion, had gone for lever biopsy and then after regular Endoscopies. Am on beta-blocker (Ciplar LA-40). Repeated scopies have not shown any variances. The question - Am I prone to repeated episodes, what precautions I should take ? Pl. enlighten me.
Thu, 12 Nov 2015
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General & Family Physician,  's  Response
If your doctor is sure about the diagnosis of Non Cirrhotic portal hypertension as the cause of the blood vomit, then you do have a risk of future similar episodes. However the risk of bloody vomit can be reduced with regular intake of beta blockers such as ciplar.

I assume you are not a regular alcoholic, cause even alcohol can cause erosion of stomach and result in bleeding in vomitus and worsen it further.

What did the Liver biopsy report come as?

As such non cirrhotic portal hypertension as a condition has an excellent prognosis compared to liver cirrhosis, as the liver damage is minimal in the former. So continue taking ciplar and you are protected to a great extent from future episodes.
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Am I Prone To Repeated Episodes Of Bloody Vomit Due To NCP Hypertension And What Precautions Need To Be Taken?

If your doctor is sure about the diagnosis of Non Cirrhotic portal hypertension as the cause of the blood vomit, then you do have a risk of future similar episodes. However the risk of bloody vomit can be reduced with regular intake of beta blockers such as ciplar. I assume you are not a regular alcoholic, cause even alcohol can cause erosion of stomach and result in bleeding in vomitus and worsen it further. What did the Liver biopsy report come as? As such non cirrhotic portal hypertension as a condition has an excellent prognosis compared to liver cirrhosis, as the liver damage is minimal in the former. So continue taking ciplar and you are protected to a great extent from future episodes.