A patient presents with haematemesis from oesophageal varices. Which drug is started early to lower portal pressure?
Answer and explanation
Correct answer: C. Octreotide
- Step 1: Splanchnic vasoconstrictors lower portal inflow.
- Step 2: Endoscopic band ligation follows within 12 hours.
Answer
Octreotide.
Why not the others: 'Omeprazole alone' treats ulcers but not variceal pressure; 'Aspirin' would worsen bleeding; 'Warfarin as a loading dose' would worsen bleeding.
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