Q. Why does hematemesis occur during portal hypertension?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Hematemesis is the vomiting of blood and is one of the most common symptoms that a person experiences with portal hypertension. Portal hypertension is an increase in pressure within the portal venous system, which is part of your liver’s circulation.

In portal hypertension, this increased pressure can cause a buildup of fluid in vessels located around the stomach, esophagus and intestines. This increases waster accumulation inside these organs resulting in inflammation and tissue damage.  The long-term consequences include enlargement as well as engorgement (pooling) of blood vessels present in these organs leading to bleeding - hematemesis being one such manifestation.

The development of hemorrhoids and varices are also commonly noticed along with hematemesis due to portal hypertension as they are caused by vascular congestion secondary to increased intrahepatic pressures leading to rupture or bleeding from those sites respectively. Endoscopic therapy may be required for several weeks if patients experience recurrent episodes so that mucosal lesions on mucosa walls can be cauterized (destroyed) using coagulation techniques like band ligation or sclerotherapy hence preventing further recurrence of bleeding episodes from those sites which reduces hematemesis incidences as well.

Portal hypertension causes severe complications due serious medical conditions including hepatocellular carcinoma (liver cancer), gastroesophageal variceal bleedings etc., hence it's recommended that you visit a physician immediately after noticing any symptom suggesting presence/progression/complications related to this condition for proper diagnosis & treatment plan; otherwise an untimely death may ensue!

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Q. Hello Doctor, from past 3 weeks I have too much dandruff problem and it cause hair loss will you suggest any best solution for this?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Dealing with excessive dandruff leading to hair loss can be frustrating, but there are effective ways to address this issue. Here's what you can do:

1. Switch to a Gentle Shampoo: Opt for shampoos specifically designed for dandruff, containing ingredients like ketoconazole, zinc pyrithione, coal tar, or selenium sulfide. Use these shampoos regularly to reduce dandruff buildup.

2. Scalp Massage: Gently massage your scalp while shampooing to help remove flakes and improve blood circulation, which can promote healthier hair growth.

3. Avoid Hot Water: Wash your hair with lukewarm water instead of hot water, as hot water can dry out your scalp and worsen dandruff.

4. Balanced Diet: Ensure you're eating a balanced diet rich in vitamins and minerals essential for healthy hair and scalp, such as omega-3 fatty acids, zinc, and B vitamins.

5. Manage Stress: Stress can exacerbate dandruff problems. Practice stress-relief techniques like meditation, yoga, or regular exercise to help manage stress levels.

6. Apple Cider Vinegar Rinse: Consider using diluted apple cider vinegar as a rinse after shampooing. It can help restore the scalp's pH balance and reduce dandruff.

7. Consult a Dermatologist: If the issue persists despite trying home remedies or over-the-counter solutions, seek advice from a dermatologist. They can provide a personalized treatment plan tailored to your specific scalp condition.

Remember, consistency is key when dealing with dandruff. Give these remedies some time to work, as immediate results might not always occur. It's essential to find what works best for your scalp, so don't get discouraged if you don't see immediate improvements.

Taking care of your scalp health not only addresses dandruff but also aids in reducing hair loss associated with this issue. Feel free to incorporate these tips into your routine and observe how your scalp responds. If the problem persists or worsens, seeking professional guidance is always recommended.

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