Many thanks for the query.
I have gone through your mail in detail and could grasp the slaient points regarding your mother's illness.
I understand that she has decompensated cryptogenic cirrhosis
. Her tense ascites
is troubling her and prevents her from lying on the bed comfortably and requires periodic removal of the fluid in the abdomen.
TIPS is a good and acceptable procedure for intractable ascites and gives good comfort to the patient. this procedure should ideally be done in a center experienced in TIPS. There will be increased urination but there will not be any loss of protein through the urine. Hypoproteinemia
( low protein in the blood) is essentially due to decreased production of proetin by the diseased liver. TIPS is not a life thretening procedure but can cause hepatic encephalopathy(altered sensorium / irrelevant actions and talk etc..) over a period of time and occassionally this TIPS stent
can get blocked. You need to check with your hepatologist whether she is a candidate for an early liver transplantation
. If so you can wait for a while before TIPS.