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Approach To Portal Hypertension
Portal hypertension is a clinical syndrome defined by a hepatic vein pressure gradient (HVPG) greater than 5 mm Hg, and is associated with encephalopathy, ascites, splenomegaly, and gastrointestinal varices. In individuals with cirrhosis, portal hypertension is the primary cause of serious complications and death. Noncirrhotic portal hypertension (NCPH), a disease where portal hypertension develops even in the absence of cirrhosis, is another possibility. The objective is to identify and describe the severity of portal hypertension in both NCPH and cirrhotic portal hypertension. However, knowledge of the underlying pathophysiological and etiological characteristics is crucial for understanding portal hypertension diagnosis and treatment.
About the Speaker

Dr. Rajat Bansal
Consultant Gastroenterologist and Therapeutic Endoscopist at Indraprastha Apollo Hospital, New Delhi.
Dr. Rajat Bansal is a Consultant Gastroenterologist and Therapeutic Endoscopist at Indraprastha Apollo Hospital, New Delhi.
Upcoming Case Discussions
Alpha Lipoic Acid: Pharmacokinetics & Applications
Alpha-lipoic acid (ALA) is a naturally occurring antioxidant involved in mitochondrial energy metabolism. It is rapidly absorbed in the gastrointestinal tract and distributed throughout the body, with high concentrations in the liver and kidneys. ALA is both water- and fat-soluble, allowing it to neutralize free radicals in various environments. It undergoes extensive hepatic metabolism and is excreted primarily via the urine. ALA has therapeutic applications in managing conditions like diabetes, neurodegenerative diseases, and as a supplement for its antioxidant benefits.
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.
Severe Obesity in a Young Adult: Correct Approach
Severe obesity in young adults requires a comprehensive, multidisciplinary approach that addresses both the physical and psychological aspects of the condition. The first step is a thorough medical evaluation, including assessments of underlying causes, comorbidities, and the impact of obesity on overall health. A combination of evidence-based interventions such as lifestyle changes (diet and exercise), behavioral therapy, and, in some cases, pharmacotherapy or bariatric surgery may be necessary for effective management. It's crucial for healthcare providers to offer ongoing support, emphasizing a non-judgmental, patient-centered approach to ensure long-term success and improved quality of life.
A Comprehensive Look at Ayurveda’s Role in Sleep Health
Ayurveda offers a holistic approach to sleep health by balancing the body's doshas—Vata, Pitta, and Kapha. It emphasizes a consistent sleep routine, herbal remedies like Ashwagandha and Brahmi, and dietary adjustments to promote restful sleep. Stress management through meditation, yoga, and oil massages helps calm the nervous system. Ayurvedic principles suggest avoiding stimulants and heavy meals before bedtime for optimal rest. By addressing root causes like digestion, stress, and lifestyle habits, Ayurveda enhances sleep quality naturally.
Clinician’s Approach to Bronchiectasis
A clinician's approach to bronchiectasis begins with a thorough patient history and physical examination to identify symptoms such as chronic cough, sputum production, and recurrent respiratory infections. Diagnostic imaging, particularly high-resolution CT scans, is essential for confirming the presence and extent of bronchial damage. Treatment typically involves addressing the underlying cause (e.g., infections, autoimmune diseases), managing symptoms with bronchodilators, airway clearance techniques, and antibiotics, as needed. Long-term management may also include pulmonary rehabilitation, immunizations, and close monitoring to prevent exacerbations and preserve lung function.