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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Stage 4 Liver Failure, Expected To Bleed Out Anytime. What Does That Mean And The Corrective Treatment?

Help please What can be done for my sister, Kim. She was diagnosed with stage 4 liver failure . She is at Mease countryside Hospital in FL and I live in Arkansas. We were told she could bleed out anytime. what is that? I know she s in really bad shape but surely there s something that can be done please! She is a charity case down there b/c she lost her job & insurance, she was serverely depressed b/c of a chain of events in her and our lives. We didn t know how bad till recently. What can be done and can she be moved to Arkansas to live with me and I take care of her? Please help I can t lose my sissy Blessings, Naia from NW Ark PS I don t have any extra money to get my answer. sorry
Wed, 27 Jun 2012
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Oncologist 's  Response
Bleeding can be because of two main causes.
1. Portal hypertension leading to varies (swelling of veins in the food pipe). Once these get injured bleeding occurs, for this endoscopy by gastroenterologist is needed to legate these vessels. This is common in liver Cirrhosis.
2. Because of liver damage coagulatin factors get diminished and patient bleeds. For this vit. K is needed.
Over al you have to visit a hepatologist to get the cause of liver failure treated. Once liver failure is under control there will be no chances of bleeding.
If you can manage Hepatologists care at your place you can take your sister with you.
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Oncologist Dr. dr. Jawahar Ticku's  Response
Bleeding can be because of two main causes.
1. Portal hypertension leading to varies (swelling of veins in the food pipe). Once these get injured bleeding occurs, for this endoscopy by gastroenterologist is needed to legate these vessels. This is common in liver Cirrhosis.
2. Because of liver damage coagulatin factors get diminished and patient bleeds. For this vit. K is needed.
Over al you have to visit a hepatologist to get the cause of liver failure treated. Once liver failure is under control there will be no chances of bleeding.
If you can manage Hepatologists care at your place you can take your sister with you.
I find this answer helpful

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Stage 4 Liver Failure, Expected To Bleed Out Anytime. What Does That Mean And The Corrective Treatment?

Bleeding can be because of two main causes. 1. Portal hypertension leading to varies (swelling of veins in the food pipe). Once these get injured bleeding occurs, for this endoscopy by gastroenterologist is needed to legate these vessels. This is common in liver Cirrhosis. 2. Because of liver damage coagulatin factors get diminished and patient bleeds. For this vit. K is needed. Over al you have to visit a hepatologist to get the cause of liver failure treated. Once liver failure is under control there will be no chances of bleeding. If you can manage Hepatologists care at your place you can take your sister with you.