Causes of the problem
The “head of the jellyfish” appears as a result of the appearance of a barrier in the vein, as a result of which the blood begins to move along the “escape route. If you do not eliminate the cause of this phenomenon, the veins will begin to expand, which will soon be noticeable to the naked eye. However, pathology is dangerous not only by aesthetic imperfections, but also by real health problems. In this case, the greatest danger of the expansion of the veins in the abdomen is for women during pregnancy.
Portal hypertension is not a separate disease, but a syndrome that accompanies other pathologies associated with an increase in pressure in the portal vein. To find out the cause of this phenomenon, you need to go through a full examination, prescribed by a doctor. As possible prerequisites for portal hypertension, the following are distinguished:
- cirrhosis of the liver;
- congenital anomalies;
- umbilical sepsis;
- suppuration in the abdominal region;
- endophlebitis (hepatic vein thrombosis);
- pericarditis (inflammation of the pericardium);
- tumor and cystic neoplasms;
- tricuspid valve insufficiency;
- inflammation in the abdominal cavity;
- complications after surgery;
- hepatosis (metabolic disorders of the liver cells);
- amyloidosis (violation of protein metabolism);
- carbohydrate liver degeneration;
- helminth infection;
- sarcoidosis (increased levels of enzymes in the liver);
- cardiomyopathy (primary damage to the heart muscle);
- cancer or liver metastases.
The list of causes of portal hypertension is quite extensive, but the diagnosis is simplified by the fact that there are several types of this disease, each of which is associated with certain pathologies. There is intrahepatic, suprahepatic, subhepatic, or combined portal hypertension. Only a doctor can determine the type of pathology and determine the cause of its formation, since for a patient the symptoms in different cases will be the same.
Symptoms of the disease
The primary symptoms of the disease are directly related to the disease that caused the appearance of the “jellyfish head”. This may include the occurrence of pain, nausea, vomiting, shortness of breath, cough, discoloration of feces and urine, etc. There may also be a general deterioration of the condition: weakness, insomnia, loss of appetite, increase in body temperature, lethargy, dizziness, disturbed heart rhythm, and t dd
Gradually, symptoms typical of portal hypertension also appear, including:
- a sharp increase in the size of the spleen;
- varicose veins in the abdomen;
- accumulation of fluid in the abdominal cavity (ascites);
- digestive disorders;
- venous bleeding;
- lack of appetite;
- formation of spider veins.
In order to cure the disease more quickly and with less effort and money, you need to contact a gastroenterologist as soon as the first symptoms of the problem appeared. It is especially important to recognize portal hypertension during pregnancy, as in this case an individual approach by an obstetrician-gynecologist will be required.
Diagnosis of the disease begins with a general examination of the patient by the doctor, collecting data from the anamnesis and drawing up a picture of the pathology. After that, symptoms are investigated and if portal hypertension is suspected, general blood and urine tests, a biochemical examination of venous blood, a test for the presence of hepatitis, etc. are prescribed.
Along with laboratory tests, instrumental examination procedures can be assigned – ultrasound, X-rays of potentially occluded veins, splenoportography, etc.
After the doctor has determined that the symptoms observed in the patient indicate varicose veins due to portal hypertension, you can proceed to therapy. It should be comprehensive and include drugs and surgical procedures. Treatment with folk remedies is also possible, but only after consultation with the doctor and only as additional methods to alleviate the patient’s condition.
Often in the early stages of the development of the disease can only be managed with medical treatment, as the problem is not running. In later periods, conservative therapy is combined with medical procedures and operations to achieve the desired result. Particularly attentive to the doctor should be in the treatment of portal hypertension in women during pregnancy, as this disease can very seriously affect both her and the child.
The following groups of drugs may be prescribed for the implementation of therapy:
- Pituitary hormones. These funds contribute to the normalization of blood flow, as they affect the decrease in hepatic blood flow and a decrease in pressure in the portal vein.
- Nitrates Provide a decrease in blood flow in the liver due to the accumulation of blood in small vessels.
- Beta-blockers. Reduce blood flow to the liver by reducing the contractions of the heart.
- Synthetic analogues of somatostatin. Contribute to the narrowing of the arterioles in the perihepatic zone, which helps to reduce pressure.
- Diuretic drugs. Promote the removal of excess fluid and harmful substances naturally through urination.
- Synthetic analogues of lactose. Contribute to the intestinal cleansing of harmful substances that have accumulated in it due to the development of the disease.
- Antibiotics. They are prescribed on condition that the disease, which is the cause of varicose veins in the abdomen, is caused by pathogens. Antibiotics contribute to their destruction and prevent further development.
All these drugs have a serious effect on the human body and have an impressive list of contraindications. For this reason, it is impossible to prescribe these or other drugs alone, it can lead to irreparable consequences, especially in the treatment of varicose veins during pregnancy. Prescribing this or that remedy should only be done by a doctor after the patient has completed all tests and a medical history.
Even during pregnancy, some perceive the varicose veins in the abdomen as normal, but this is not the case. This phenomenon indicates the advanced stage of portal hypertension and is one of the indications for surgical intervention. In most cases, bypass surgery is performed, but in serious situations spleen removal or liver transplantation may be prescribed.
In relation to the dilated veins, specialized medical events can be carried out. These include suturing or bandaging of pathological areas, endoscopic sclerotherapy, endoscopic setting of numbing rings, and other operations.
Traditional therapy is still used in the treatment of many diseases, but in the case of portal hypertension, it can only complement the action of conservative and traditional medicine. Before using any prescription that affects the severity of symptoms, you should consult with your doctor, especially for women during pregnancy. There are several of the most common tools used for varicose veins in the abdomen.
First, a decoction of dandelion is used, for the preparation of which you need to pour a glass of boiling water with 1 tablespoon of powder prepared from the dried roots of this plant. The resulting mixture should be infused for 10-20 minutes and drink without diluting with water. It is necessary to apply means several times a day in a warm look.
Secondly, beet juice has a good effect, it needs to be taken 100 ml 2-3 times a day 30 minutes before eating food. Thirdly, you can make a herbal collection, consisting of nettle leaves, rose hips, inflorescences of chamomile and yarrow, mixed in a ratio of 2: 4: 2: 1. It is necessary to pour 2 tablespoons of the resulting mixture of 0.5 liters of hot boiled water and boil on low heat for 20 minutes. The resulting broth should be taken 2 tablespoons three times a day between meals.
Other folk remedies may also be used to eliminate specific symptoms.
Abdominal varicose during pregnancy
Women during pregnancy need to carefully monitor their own health, since any negative manifestations will affect not only her, but also the child. At the first signs of the appearance of varicose veins on the abdomen, you should consult a doctor. The danger is that in advanced cases, in which timely treatment was not carried out or incorrect therapy was used, artificial abortion may be prescribed to save the mother.
A pregnant woman with portal hypertension needs to be constantly monitored by a doctor and tested. Regular monitoring of the composition of the blood, the state of the liver and spleen.
In this case, the woman must be informed of all possible complications for herself and the child during pregnancy and childbirth.
If portal hypertension is not started and is treatable, childbirth can take place without complications. Moreover, due to the nature of the disease, not only obstetrician-gynecologists, but also surgeons and hematologists should be present at them. Varicose veins, which arose as a result of portal hypertension, is not an absolute indication for a Caesarean section, so in most cases a woman gives birth on her own.