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The Importance of Proper Handling and Administration of Esophageal Varicose Medication

Esophageal varices are enlargements of blood vessels in the esophageal ducts that connect the throat to the stomach. If not treated immediately and varicose veins, this condition can be life threatening. Esophageal varices are often experienced by patients with liver disease or cirrhosis, because scarring inhibits blood flow in large blood vessels, so blood flow is diverted to smaller blood vessels. As a result, there can be life-threatening bleeding because the arteries that are overload become leaking or even burst. There are several treatments and medications for esophageal varices that can be used to stop bleeding and prevent it.

Symptoms of Esophageal Varices

If the bleeding is due to rupture of esophageal varices only slightly, then the symptoms appear only in the form of dark stool or black stripes. However, if the bleeding is quite a lot then the symptoms can be identified from black and sticky stools, bloody stools, abdominal pain, pale face, floating sensation, vomiting to vomiting blood. In addition, other symptoms can include very low blood pressure and very fast heart rates.

Management of heavy bleeding in esophageal varices

Quite a lot of acute bleeding due to esophageal varices must be stopped immediately to prevent shock and death. This condition is a medical emergency and needs immediate help. In the emergency department, patients with bleeding due to ruptured esophageal varices need the following treatment:
  • Nasogastric tube placement through the nose and carried out gastric flushing.
  • Installation of infusion to provide fluid
  • Blood transfusion if needed
After the patient's condition is stable, the doctor can insert an endoscope into the esophagus to check and stop the bleeding. The administration of blood clotting drugs and the installation of rubber bands or ligation (banding) on ​​blood vessels that experience bleeding, can be done in this procedure. The transjugular intrahepatic portosystemic shunt (TIPS) procedure can be performed if the bleeding recurs frequently. This procedure is done by placing a small tube between the blood vessels in the liver to reduce pressure and stop bleeding. If people with liver disease experience recurrent esophageal varices or if other treatment methods do not show the expected results, surgery can be considered, one of which is a liver transplant to get a healthy liver.

An Esophageal Varicose Drug That Can Be Used

Most people who experience esophageal varices can again experience bleeding. Binding (ligation) and blood pressure control drugs of beta blockers, such as propranolol or nadolol, can be recommended to help prevent recurrent bleeding. Can also use nitroglycerines for the same purpose. Meanwhile, to prevent the risk of sepsis or life-threatening blood infections, doctors can give antibiotics. Octreotide drugs, which are often given during endoscopic procedures, can also reduce blood flow from internal organs into portal blood vessels. This drug is usually given up to five days after bleeding occurs. With the proper handling and administration of esophageal varices drug, dangerous conditions can be overcome. Esophageal varices bleeding can be prevented by overcoming the underlying causes, such as treating liver disease early.

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