Portal Hypertension Quiz
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Itchy
Swelling in the area under my right ribs
Fatigued
Bloating
Swelling
Stomachache
Swelling face
Not seeing your symptoms? No worries!
What is Portal Hypertension?
A condition observed in advanced liver disease. Liver scarring compresses the blood vessels running through it and reduces their blood flood.
Typical Symptoms of Portal Hypertension
- Fluid retention in my abdomen
- Swelling or protrusion under ribs
- Feels a hard lump in upper right abdomen
- Itchy skin
- Swelling leaves a dent when pressed for at least 15 seconds
- Yellowish eyes or skin
- Swelling of the arms or hands
- Fainting
Diagnostic Questions for Portal Hypertension
Your doctor may ask these questions to check for this disease:
- Have you been diagnosed with ascites?
- Do you feel swelling or protrusion under your ribs?
- Do you feel a hard lump in your upper right abdomen?
- Do you have itchy skin?
- Does the swelling leave a dent when pressed for at least 15 seconds?
Treatment of Portal Hypertension
Treatment focuses on managing the complications of portal hypertension. To manage water retention, the doctor may prescribe medications and restrictions on diet and water intake. To reduce pressure in varices (expanded blood vessels), medications may be prescribed. To manage variceal bleeding (bleeding from varices), an endoscopy (a flexible tube inserted through the mouth) may be needed to inject solution or deploy tiny rubber bands to tye off esophageal varices. If bleeding or complications persists, other treatments include a procedure to divert blood away from high-pressure areas or finally, a liver transplant.
Reviewed By:
Samantha Nazareth, MD (Gastroenterology)
Board-certified gastroenterologist. Experience managing gastrointestinal conditions (GERD, IBS, ulcerative colitis, Crohn’s, celiac disease, NASH) within healthcare organizations (three ambulatory surgical centers, single-specialty practice, multi-specialty practice and solo practice).
Aiko Yoshioka, MD (Gastroenterology)
Dr. Yoshioka graduated from the Niigata University School of Medicine. He worked as a gastroenterologist at Saiseikai Niigata Hospital and Niigata University Medical & Dental Hospital before serving as the Deputy Chief of Gastroenterology at Tsubame Rosai Hospital and Nagaoka Red Cross Hospital. Dr. Yoshioka joined Saitama Saiseikai Kawaguchi General Hospital as Chief of Gastroenterology in April 2018.
Content updated on Feb 19, 2025
Following the Medical Content Editorial Policy
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People with similar symptoms also use Ubie's symptom checker to find possible causes
- Stomach is full of liquid
- Fluid in the abdomen
- Swelling under ribs right side
- Swelling in right abdomen below ribs
- The skin is itchy and has scratches
- Area under right rib cage hurts
- Skin itching that worsens at night
- Bloating under ribs
- Painless lump under right rib cage
- Itch is mild
- Tender spot under right rib cage
- Itching
- Painful lump on rib cage right side
- Scratching the skin
- Pressure under right rib cage
See full list
Symptoms Related to Portal Hypertension
Diseases Related to Portal Hypertension
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Iwakiri Y, Trebicka J (2021). Portal hypertension in cirrhosis: Pathophysiological mechanisms and therapy. JHEP reports : innovation in hepatology.
https://pubmed.ncbi.nlm.nih.gov/34337369/Turco L, Garcia-Tsao G (2019). Portal Hypertension: Pathogenesis and Diagnosis. Clinics in liver disease.
https://pubmed.ncbi.nlm.nih.gov/31563212/Kulkarni AV, Rabiee A, Mohanty A (2021). Management of Portal Hypertension. Journal of clinical and experimental hepatology.
https://pubmed.ncbi.nlm.nih.gov/35814519/