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Suggest Treatment For Cirrhosis Of The Liver

Posted on Fri, 17 Feb 2017

Question: A 48 yrs male patient admitted for Cirrhosis of Liver with Portal Hypertension with Splenomegaly with Gross Ascitis.
- History of alcohol 5-6 years and Stopped 2 years ago.
- All investigation reports uploaded.
Kindly suggest for exact cause of current illness in view of alcohol history.

Answered by Dr. Dr.P.Ratnakar Kini (1 hour later)

Brief Answer:
Need more information

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

The HBsAg report is not there in the attached documents.
Please upload it so that I am better able to help you.

Regards,
Dr.R.K

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr.P.Ratnakar Kini (4 days later)

Dear Sir,

As HBsAg not done/advised by doctor. HCV done which is -ve.

Kindly suggest on available documents.

Answered by Dr. Dr.P.Ratnakar Kini (29 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Chronic alcoholism is one of the common causes of Cirrhosis with portal hypertension.

Hepatitis B and Hepatitis C infections are significant causes.

This particular individual used to drink alcohol.
HCV was negative.
HBsAg status not known.

So chronic alcoholism could be the likely cause. I cannot comment whether HBV could have caused it as the HBsAg status is not known.

Longer the duration of alcohol intake greater is the risk of development of cirrhosis.
This individual has drank alcohol for 5-6 years only. Though this is not a very long period, it could still affect liver.

Regards,
Dr.R.K.

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Above answer was peer-reviewed by : Dr. Remy Koshy