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Diagnosed with liver cirrhosis. Have low blood platelet count. What do you advise?

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Gastroenterologist
Practicing since : 1996
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Hi , My name is XXXXXX . I am a student I live in California. My dad lives in India. 16 months ago he got very hight fever and admitted into local hospital, there they found out that blood platelet count was only 60,000 . after a month his fever was gone but not a big change in the platelets count. he went to a different hospital there also they gave some medicine and sent hime home. finally one day he went to gastroenterology research institute there they did some tests and told him that he has liver disease. after a while HEPASCAN and my dad is saying that 75% out of 250 is the result of the test and he has cirrhosis and still his abdomen is swollen ..and he went to different hospital . They just changed some different company tablets in the prescription. Can you please explain me what steps i need to take. now he is taking pills every day . is his condition is very serious.
Posted Mon, 29 Apr 2013 in Digestion and Bowels
 
 
Answered by Dr. Ratnakar Kini 3 hours later
Hi,
Thanks for posting your query.
I am Dr.Ratnakar Kini and I am pleased to answer your query.

I would like to know what all tests were done?


Regards,
Dr.Ratnakar Kini
Above answer was peer-reviewed by
 
Follow-up: Diagnosed with liver cirrhosis. Have low blood platelet count. What do you advise? 7 hours later
Thanks for replying. I ll ask him and let you know by tonight.
he had digestion problem and Stomach bloating problem since long time . But 2 years ago because of the high fever he was admitted in a local hospital . blood platelets counts went down to 60,000. there they couldn't find out the problem. After a while a doctor in Gastroenterlogy research institute found out and they did blood test. My dad is telling me that in bilirubin levels, gamma was hight . and abdomen scan was done . Finally they did HEPA SCAN . my dad is saying test result is 75% of 250 or 230 something . I ll try to get the reports and upload it later .
he is taking ursodeoxycholic acid 300mg tablets . And about the HEPA TEST he is telling that 75% of 230 liver cells has cirrhosis
 
 
Answered by Dr. Ratnakar Kini 2 days later
Hi,
Cirrhosis is condition in which the liver is damaged and shrunken.
There are many causes of cirrhosis like chronic alcohol intake , Chronic Hepatitis B and C infection.
Increased Gamma GT could be due to alcohol intake ( if he is consuming alcohol).
Kindly get tests done for hepatitis B and C.

An upper GI endoscopy may be done to look for complications of cirrhosis like varices.

Consult a gastroenterologist for the tests.

I hope that answers your question.
If you have no more questions, kindly rate this service.

Regards,
Dr. Ratnakar Kini
Above answer was peer-reviewed by
 
Follow-up: Diagnosed with liver cirrhosis. Have low blood platelet count. What do you advise? 6 minutes later
He stopped taking alcohol since he got sick . he used to take more alcohol when he was in 20's after that he used to drink occasionally. Doctor dint tell him the cause of liver cirrhosis. regarding Gamma level he told me it is related to bilirubin . What is the heap test result 75% out of 230 means.
after stated taking pills he became normal for few days and again his abdomen is swollen now. Doctor advised him to take those pills and come back once swollen abdomen become normal. He is taking more of liquids as food. and he is taking food without salt , chili powder . what steps do he need to take to make is abdomen normal ? will these pills(Ursodeoxycholic acid) help him as Doctor told him ?
he cosulted three gastroenterlogy specialists , everybody has advised him to take pills.
is liver transplantation is necessary ? In case of liver transplantation , how much its gonna cost approximately ? and which hospital is the best for that ? do we have to wait long time to find liver needed to be transplanted with ?
 
 
Answered by Dr. Ratnakar Kini 28 hours later
Hi,
I dont know what he meant by 75% of 230.
If it is cirrhosis, UDCA may not be helpful.
As mentioned earlier, blood tests for hepatitis B and C should be done.

The swollen abdomen could be due to collection of fluid. Salt restriction and diuretics ( pills that cause increased urination) would help to reduce the distension.

Liver transplantation is the only definitive treatment. But a transplant is not readily available. You can consult doctors from Global Hospitals about liver transplant as they have got very good liver transplant surgeons.


I hope that answers your question.
If you have no more questions, kindly rate this service.

Regards,
Dr. Ratnakar Kini



Above answer was peer-reviewed by
 
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