Symptoms of esophageal varices?

Update Date: 2025-10-26 Source: Network

summary

Esophageal varices have a special significance for Chinese people, because China is the first epidemic country of hepatitis B, many patients eventually entered the cirrhosis stage of liver failure. Due to the high pressure of portal vein system, one of the main blood supply sources of liver, its function is abnormal. The venous blood that should have flowed into the system and returned to the heart can not flow into the system. If it silts up in the lumen, the vein will be abnormally expanded and can not be retracted to normal (the venous wall has no elasticity, more blood will expand and lose the normal diameter, which is one of the main differences between it and the artery. It's the so-called varices. Now let's talk about the symptoms of esophageal varices.

Symptoms of esophageal varices?

The prominent symptom of esophageal variceal bleeding is hematemesis, often a sudden attack, the blood color is fresh, gushing out, and even spray. Therefore, in acute upper gastrointestinal bleeding, such as patients with sudden shock, clinical often seen in esophageal variceal bleeding caused by portal hypertension. If the patient has a history of hepatitis, schistosomiasis or chronic alcoholism, physical examination shows spider nevus, abdominal varicose, splenomegaly or even ascites, and liver function test is abnormal, it often indicates cirrhosis and portal hypertension.

Esophageal varices can be caused by obstruction of venous return in any position. The latter is an important complication of portal hypertension, because there is collateral circulation between the portal vein and superior vena cava in portal hypertension. The specific collateral circulation route is as follows: portal vein - gastric coronary vein - esophageal venous plexus - azygous vein - superior vena cava.

matters needing attention

Eat more high fiber, low-fat diet and strengthen vitamin C, vitamin E supplement. Special attention should be paid to diet control to avoid obesity. The varicose veins of lower limbs should be reduced as far as possible; Esophageal varices should avoid greasy, high sugar diet, do not drink, do not smoke, do not eat spicy food.