Sorry to hear about your father-in-law's diagnosis. I am not sure what
the underlying cause of his cirrhosis
was. Here in Western world, mostly
alcohol is responsible for majority of cases. Other are caused by Hepatitis
Type-B or Type-C . We are seeing a lot more Hep_C here and fortunately
there is a lot of advance regarding early diagnosis and treatment and even
cure for this. Your father-in-law's blood work actually does not look very
serious. With a Bilirubin
level 2.8 mg/dl it is mildly elevated. His Hb, level,
white cell count are low but his platelet count
is still good.
If he does not have a very distended abdomen or markedly swollen legs,
then he probably does not have severe "Portal Hypertension" which
could cause enlarged veins in the esophagus
and stomach and lead to
massive bleeding and liver coma. From the blood picture it does not
appear to be that case. He still may be having slow blood loss if he has
esophgeal varices (Enlarged veins) from irritation.
He needs to have his stool checked for hidden blood and if he has black
stools, he needs endoscopy
to look inside the esophagus and stomach.
If he has any signs of active bleeding, he needs to be hospitalized and
may require blood transfusion
and treatment for those veins. This
is done by specialists. If your town does not have experts then New Delhi
a university hospital may be a good choice.
Hepamerz is L-Ornithine-1-Aspartate helpful to heal the liver.
I am not sure if Lactyhep syrup has lactulose
which is a laxative and helps
to get rid of ammonia build up in the blood that leads to liver coma.
If you father-in-law has any signs of altered mental status like feeling
sleepy after eating high protein foods, that may be an indication for
"Hepatic Encephalopathy" in different stages. Neomycin and Lactulose
and more recently Rifaximin are helpful in treatment.
You can discuss all of these with his doctor.
I wish him well.