Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
181 Doctors are Online

I am alcoholic decompensated cirrhosis. Gaining and losing weight due to ascites. How to get rid of this?

User rating for this question
Very Good
Answered by

Gastroenterologist, Surgical
Practicing since : 1984
Answered : 920 Questions
Question
Hi. I am a 38-year old female with alcoholic decompensated cirrhosis. No I don't drink anymore. I've had many infections - SBP, strep, VRE - you name it. I've had 5 endoscopies and they had to band my varices three times but now the blood vessels are all closed off so the bleeding has stopped. I am sick of gaining and losing weight due to ascites. I can't even wear the same size clothes when I get all puffy and fat. Is there anything else I can do to reduce this complication besides low salt diet, lasix and aldactone, and fluid restriction? They drained me once at the hospital but all the fluid came right back in a day or two. I literally go from 115 to 140 lbs - I can't stand it! Can I get liposuction to get rid of the excess fat around my belly so the swelling in my belly will be smaller?
Posted Sat, 4 Aug 2012 in Smoking and Alcohol Addiction
 
 
Answered by Dr. Ajit Naniksingh Kukreja 1 hour later
Hi

Thanks for posting your query

It is very sad learning about your condition

Unfortunately cirrhosis in your case is not reversible

All treatment that you are taking is the best remedy for management of ascites

Go for tapping only if there is discomfort

No - liposuction is not advisable rather contraindicated , it can cause bad bleeding

The ultimate remeedy is Liver Transplant

Hope this helps
Do write back if you have doubts
Wishing you a healthy life ahead
Above answer was peer-reviewed by
 
Follow-up: I am alcoholic decompensated cirrhosis. Gaining and losing weight due to ascites. How to get rid of this? 6 hours later
Thank you.
I'm feeling OK most times, except for occasional GI problems and getting extremely tired. My MELD score has dropped since I was first diagnosed in January 2012 from 14 to 8 from my most recent blood test. However I still get very sick from infections that turn into sepsis and I'm stuck in ICU for at least a week. Am I in more danger from the infections than the actual disease?

Thank you XXXXXX
 
 
Answered by Dr. Ajit Naniksingh Kukreja 15 hours later
Hi XXXXXX

Actually both the infections and the actual disease go hand in hand as far as the risks are concerned

MELD is a scoring system used for assessing the severity of Chronic liver disease

Unfortunately as per the reference values anything below 9 has a potential risk

I would suggest you follow the instructions of your healthcare provider very strictly and do not hesitate to write back in case of need

Today being Sunday was away from my desk but I saw the mail on my android and took some time to respond from my smart phone itself, so please let go the typos if there are any

In case you feel like talking to me, any hour of the day call back on 0000, I will ask the XXXXXXX people to allow you to communicate directly

Hope this helps
Wishing you a very healthy life ahead
Above answer was peer-reviewed by
 
Follow-up: I am alcoholic decompensated cirrhosis. Gaining and losing weight due to ascites. How to get rid of this? 1 hour later
Thank you very much.
 
 
Answered by Dr. Ajit Naniksingh Kukreja 16 hours later
You Are Welcome Anytime
Get Well Soon
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Drug/Medication
Medical Procedures
Medical Topics

The user accepted the expert's answer

Ask an Addiction Med Specialist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor