Can antiviral therapy reduce portal hypertension

It is possible to reduce portal hypertension caused by cirrhosis due to viral hepatitis, but not by other causes. Cirrhosis due to viral hepatitis causes portal hypertension in two ways, one is the extensive connective tissue proliferation in the liver and occlusion of hepatic blood vessels, which makes the portal circulation blocked, and the other is the compression of sublobular veins by the pseudoleaflet, which makes the blood outflow blocked and leads to portal hypertension. Therefore, antiviral therapy is a treatment for the primary disease and may reduce portal hypertension. For the manifestations caused by portal hypertension, such as ascites, sodium and water intake should be restricted, appropriate diuresis, TIPS or release of peritoneal fluid infusion of clear protein, etc.; there is also a series of complications such as rupture and bleeding of fundic esophageal varices, spontaneous peritonitis, etc., the same symptomatic treatment is taken. If you find yourself with abdominal wall varicose veins and suspect that you have portal hypertension, you must go to a regular hospital and rationalize the treatment according to the doctor’s guidance.