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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest A Safe Level Of Blood Pressure In The Event Of A Lever Disease

Is blood pressure of 104/51, heart rate of 95 in 42 year old male with end stage liver disease a bad sign. He had a bilirubin level of 43.9 and INR of 2.7 with his last labs 3 weeks ago. He is very sleepy and weak, and his skin coloring is yellow-gray. He is on pentoxyfilline, lasix, spironolactone and prednisolone.
Tue, 5 Apr 2016
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General & Family Physician 's  Response
Hi thanks for asking question..
Noted here main concern is your end stage liver disease.
He also feeling sleepy .So hepatic encephalopathy should be investigated by estimating blood ammonia level.
If present lactulose with rifaximine like antibiotic needed....

You should consult surgeon for treatment option like liver transplantation...
Bilirubin level is very high.
So avoid alcohol and take low fat diet.

Prognosis here seems not to be good...
Surgeon consultation strongly needed.

Hope your concern solved.
Take care
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Suggest A Safe Level Of Blood Pressure In The Event Of A Lever Disease

Hi thanks for asking question.. Noted here main concern is your end stage liver disease. He also feeling sleepy .So hepatic encephalopathy should be investigated by estimating blood ammonia level. If present lactulose with rifaximine like antibiotic needed.... You should consult surgeon for treatment option like liver transplantation... Bilirubin level is very high. So avoid alcohol and take low fat diet. Prognosis here seems not to be good... Surgeon consultation strongly needed. Hope your concern solved. Take care