My husband has portal vein thrombosis with portal hypertension. Due to an increase in his propranolol to 80mg he has not had a bleeding episode in over 18 mo. He suffers from ascites and this past November he developed blood clots in each leg. His gastro specialist got him in with a hematologist who started him on lovinox injections once per day of 100 mg. His blood labs reflect that his liver is working well, although a biopsy reflects some stenosis. Should he be seen by a vascular expert?
Hello ! In view of history of portal vein thrombosis and deep vein thrombosis, and liver functions being normal, it seems that the patient has tendency of blood clot formation.(he was prescribed a blood thinner/anticoagulant in Lovenox)so cause for this has to be investigated. Complete blood count, serum homocysteine, thrombophilia profile tests has to be done. Consult a hematologist. If you have any query, you can ask.