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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is There Chances Of Survial While Having Bleeding In Esopahgus And Liver Bleeding, Ammonia In Blood, Diabetes And Ascites Fluid?

Hi doctor. My daughter s father 59 and he is in the hospital. He has hep C for over 30 years and now he has esophagus and liver bleeding and 200 level of ammonia in his blood, diabetes and ascites fluid. The doctors placed a shunt in his liver to stop the bleeding and a ballon in his esophagus. He is sedated for 6 days. The doctors tried to keep him awake, but he became very agitated, so they put him back to sleep. Would you, please, tell me if there is any chance at all for him to survive. My daughter is on denial. I m concern about my daughter. She has many emotional problems. If her father dies, she will go insane; literally.
Fri, 19 Feb 2016
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General & Family Physician,  's  Response
hello,

based on what you said, the patient is probably suffering from chronic liver disease (liver cirrhosis) with esophageal variceal bleeding alog with ascites. Such patients require urgent banding of esophagus and shunting.
Such patients based on my experience in wards do not last very long i am afraid. Shunting may lead to decreased blood supply to brain and cause another complication called hepatic encephalopathy.
That said life is in hands of GOD and you should support your daughter during such time.
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Is There Chances Of Survial While Having Bleeding In Esopahgus And Liver Bleeding, Ammonia In Blood, Diabetes And Ascites Fluid?

hello, based on what you said, the patient is probably suffering from chronic liver disease (liver cirrhosis) with esophageal variceal bleeding alog with ascites. Such patients require urgent banding of esophagus and shunting. Such patients based on my experience in wards do not last very long i am afraid. Shunting may lead to decreased blood supply to brain and cause another complication called hepatic encephalopathy. That said life is in hands of GOD and you should support your daughter during such time.