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Real members of myPBCteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A myPBCteam Subscriber asked a question 💭
April 29
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Primary Biliary Cholangitis Radiology: 4 Things To Know Read Article...
A myPBCteam Member

I had a colonoscopy and was told I had rectal varices and portal hypertension, was put on beta blocker but they cause me to have depression so was taken off them, not given anything else. Waiting for and endoscopy as had vomited ‘black coffee grounds’ twelve weeks ago. Gallstones I have had for a long time are also now causing bother

July 18
myPBCteam

If you have PBC, your doctor will likely keep a close eye on you for signs of portal hypertension, particularly if your PBC is at an advanced stage. If symptoms show up, several tests can help make the diagnosis.

Here's what your provider might use:

- Physical exam — A hands-on check for signs like an enlarged liver or Show Full Answer

If you have PBC, your doctor will likely keep a close eye on you for signs of portal hypertension, particularly if your PBC is at an advanced stage. If symptoms show up, several tests can help make the diagnosis.

Here's what your provider might use:

- Physical exam — A hands-on check for signs like an enlarged liver or spleen
- Blood tests — To check liver and kidney function; a low platelet count is one of the most common early signs
- Imaging tests — Ultrasound or CT scans to see how blood is flowing through the liver and portal vein, and to spot things like cirrhosis, enlarged spleen, varices, or fluid buildup
- Endoscopy — A flexible tube with a tiny camera is used to look inside your upper digestive tract for enlarged veins and any bleeding If the diagnosis is still unclear after all of the above, a more invasive option exists — a small catheter is inserted into a vein in your neck to directly measure the pressure in your portal vein.

Don't wait to speak with your doctor if you notice any new or unusual symptoms. Early detection really does make a difference!

April 29

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