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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes End-stage Cirrhosis?

My brother was told he had end stage of cirrhosis but he doesn t have all the symptoms listed such as swelling of stomach and feet. Does this mean he doesn t have final stage of cirrhosis? He is very thin, has loss of muscle tone, and bruises easily. Mentally, he seems very alert.
Fri, 22 Mar 2019
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General & Family Physician 's  Response
Hi,

There is a scoring system, called the Child-Pugh classification/scoring system that stages persons with liver disease and cirrhosis. It is based on the factors: ascites (fluid in the abdomen), hepatic encephalopathy (liver related mental changes), bleeding times when the blood is checked in the lab, albumin (type of protein) and bilirubin levels. All of these are assessed. His exact diagnosis/stage may need to be discussed with his doctor, if its not clear.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Michelle Gibson James,
General & Family Physician
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What Causes End-stage Cirrhosis?

Hi, There is a scoring system, called the Child-Pugh classification/scoring system that stages persons with liver disease and cirrhosis. It is based on the factors: ascites (fluid in the abdomen), hepatic encephalopathy (liver related mental changes), bleeding times when the blood is checked in the lab, albumin (type of protein) and bilirubin levels. All of these are assessed. His exact diagnosis/stage may need to be discussed with his doctor, if its not clear. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Michelle Gibson James, General & Family Physician