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Liver cirrhosis signs and symptoms - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   I looking for first my earlier chat history
User :   actually this chat is continuation of earlier chat..
Doctor :   Ok carry on
User :   have you seen my earlier chat
Doctor :   I am going through it
Doctor :   Please proceed with the query
User :   After recent follow up with doctor..accomapnied by gastroscopy of application of bends..
User :   we gone though some tests...
Doctor :   ok
User :   Is there any way i send you all the reports..
User :   i am having them in my hand...
Doctor :   Ok
User :   i want to understand the details of report..
Doctor :   So you want only us to interpret the reports?
User :   No..

Doctor :   You can send a scanned copies to our email ID YYYY@YYYY
User :   also want to know prescription to avoid any further damege..
Doctor :   Ok
Doctor :   No problem I can assist you
Doctor :   Please send the scanned copies to the above email ID
User :   I have just send you two reports..

Doctor :   Ok, Actually it takes some time to receive the reports as the mail server is bit slow
Doctor :   and we take some time to interpret them
User :   ok..

Doctor :   So will you be able to come after some time
Doctor :   so that there is quick exchange of information
User :   let me you bad parameters...
Doctor :   and we can more clear about what we are speaking about
Doctor :   let me you bad parameters... ??
User :   Will it not work..if i tell you bad parameters in report...
Doctor :   What does it mean?
Doctor :   Ok you mean to say the bad parametres
Doctor :   on the chat
Doctor :   Ok carry on
User :   yeah
User :   his hemocrat is 31.0
User :   Mean corsupular volume is 63.0
User :   Mean corsupualr Hgb is 19.6
User :   Mean corsupualr Hemoglobin concentration is 31.0

User :   Red cell distribution width is 17.1
User :   hemoglobin is 9.6
User :   Doctor please tell me, What all these parameters refers to..
User :   and what measures we can take to improve them...
User :   thanks in advance..
Doctor :   These are the parametres that usually are present in Liver cirrhosis patient
User :   thats correct..

User :   my father is liver cirrhosis patient..if you see the previous chat history..
Doctor :   Do not be bother by the lab parametres
User :   you can get all the knowlege about his past conditions..
Doctor :   The lab tests are usually done to confirm the condition at the cellular level
User :   But at least we need to take of somethings..
Doctor :   How is your father doing right now
Doctor :   His weight, appetite
Doctor :   his stools, Urine
User :   he is well...
Doctor :   etc
User :   everything is fine..recently he had black stool..then he was operated with duendoscopy..
User :   now his stool is ok..
User :   because internal bleeding is stopped now..
Doctor :   Ok
User :   but all these parameters..are not improving from past 1 year almost..
User :   because he is going though regular tests after every 2 months..
Doctor :   There might be undetected loss of blood which makes him anemic
User :   yeah right..

User :   ohh you mean to say even now..
User :   ?
Doctor :   yes

User :   Also in his Liver Function protein is 8.3, glubin is 4.4, alblumen 0.9
User : there any way to stop it ?
Doctor :   Amit I understand your concern but you have to know few things here
User :   yes doctor..please prroceed..
Doctor :   A liver cirrhosis cannot be reversed
User :   yeah right...
Doctor :   With liver cirrhosis , the complications come into picture
Doctor :   like Bleeding in the gut, sweeling in the abdomen called ascites
Doctor :   More episodes of failure
Doctor :   of liver
Doctor :   Peritonitis etc
Doctor :   Since your father has got the complication of GI bleeding
Doctor :   for which banding of varices were done
User :   As of now only one sympton we know..where we need to take urgent action...i.e. black stool....
User :   is there any other sympton also..which we need to watch..
Doctor :   Yes
Doctor :   Black stool, blood vomitus
User :   anything else..
Doctor :   are the two things to be watched out for
User :   ?
Doctor :   to see if the GI bleed is still present
User :   what about other complications..
User :   of liver cirrhosis..
User :   what are their symptons..
Doctor :   Yes, they are
Doctor :   Swelling of abdomen, fluid filled abdomen
Doctor :   swelling of legs
Doctor :   skin changes on the abdomen
Doctor :   Jaundice, Uncontrolled bleeding
Doctor :   from any injured site
User :   skin changes..means change of color..from normal to something else..

Doctor :   Precautions with Hepatitis Vaccinations
Doctor :   Not that any red spots appearing
Doctor :   Urine problem in less quantity
Doctor :   etc should be watched out for
Doctor :   to see if any other complications are setting in
Doctor :   The other complications are thus: Doctor :   Ascites
Doctor :   Spontaneous Bacterial Peritonitis
Doctor :   Hepatic Encephalopathy
User :   doctor has asked us to drink less than 1.5 ltr of water per its natural to expect less urine amount..
User :   What is Spontaneous Bacterial Peritonitis
Doctor :   Gastrointestinal Bleeding
Doctor :   Ok
Doctor :   It occurs in patient with ascites ( fluid in the abdomen)
Doctor :   where the fluid gets infected
User :   Is there any particular symptons to watch out for..
Doctor :   The above mentioned are the symptoms to be watched out for
User :   ok...
User :   and what is hepatic encephalopathy..

Doctor :   Prevention of infection, control of ascites, effective endoscopic management of gastrointestinal bleeding, treatment of viral hepatitis, and surveillance for liver cancer are all important goals that the doctor takes care of.
User :   ok..

Doctor :   Because of the defective waste management
Doctor :   of the failing liver
Doctor :   the wastes might get into brain and cause some symptoms like
Doctor :   disorientation, vomiting, headache
Doctor :   etc
User :   thats nice explanations..thanks..
User :   also doctor can you plz let me know what all these parameters means in his Liver Function protein is 8.3, glubin is 4.4, alblumen 0.9, alkaline phosphate 184

Doctor :   Ultimately the definitive treatment you might have know
Doctor :   by now is Liver Transplant
User :   yeah..i know..

User :   but that we want to avoid...
Doctor :   The LFT needs to be evaluated once in 2 to 3 months
User :   thats why we want to take all possible care..
Doctor :   They show how is the function of liver
Doctor :   at that particular time
Doctor :   Is it deteriorating or improving
User :   no idea.. i need to analye..
Doctor :   I was saying about the Liver function tests
Doctor :   I am not asking you?
Doctor :   now
User :   ohh..
User :   i am getting mean to need to worry..if these parameters are deteriorating...
Doctor :   yes
Doctor :   Just go through this information

User :   thanks you doctor..
Doctor :   You can know all that
Doctor :   with diagrams
Doctor :   WWW.WWWW.WW
User :   i will mantain a excel sheet for this...
Doctor :   Yes

Doctor :   Please fill the feedback form.
User :   this is good link...
Doctor :   I think I have to say about the diet
Doctor :   also
User :   i have one more query..
User :   yeah please go ahead.
Doctor :   WWW.WWWW.WW
Doctor :   This is an Indian diet
User :   ohh.. this one also seems to be good link..
Doctor :   Dr.A.S.SONI is good Liver transplant surgeon
User :   I have one more query that regarrding me..recently i have my blood tests..
User :   Yeah we are already consulting him...
User :   Is this Dr A.S. Soin..
User :   right...
Doctor :   Ok carry on with
Doctor :   yoru query
Doctor :   Can we bit precise as I have an appointment at 8.30 PM
User :   Some of the parameters in my tests LDL(98), Albumin(3.6) were bad..
User :   what care i need to take..
User :   ok..i won't waste your more time..
Doctor :   LDL is very good
Doctor :   Do not worry about it
User :   what about albumin..
Doctor :   Albumin is also fair enough
Doctor :   Why did you presume that they are bad
User :   because these are out of normal range..
Doctor :   In fact LDL is perfect
Doctor :   it should be less than 100
User :   LDL(130-159)
Doctor :   and you have that
User :   )
Doctor :   No the optimum level is 130 to 159
Doctor :   but it best to be under 100
User :   ok...
Doctor :   So simple thing you should learn here
Doctor :   You should not interpret your own report without a doctor
Doctor :   :)
Doctor :   It might worry you
User :   :)
Doctor :   ok?
User :   still good to be aware regarding furtyurre..
Doctor :   I am here always to help you
Doctor :   Whenever you have queries
Doctor :   login and chat with our doctors
Doctor :   You can sleep happily as ever
Doctor :   Did you follow?
User :   thanks you..
User :   also just one stupid question...
User :   Elisa for HIV shows negative ..while as per report it should be Non-reactive ..
User :   :P
User :   I think negative is correct one...
User :   bu just wanted to make sure..
Doctor :   just leave it as it is
Doctor :   as far it is negative
User :   you mean negative is alright..
Doctor :   Yes you are in fact right
User :   :)
Doctor :   in saying non reactie
User :   please continue..
User :   Please continue...
Doctor :   are you there?
User :   yeah
Doctor :   as it is HIV negative so nothing to worry
User :   thanks..also Also in urine test protine was NIL, and Sugar was also NIL..Is this alright..
Doctor :   yes it is good
User :   also Red Blood cells was NIL..
Doctor :   good
User :   I hope this also alright..
User :   thanks..
User :   Is there anything i need to do to rectify my albumin level..
User :  
or is it perfectly healthy at this stage..
User :   i mean a value of 3.6...
Doctor :   it is good enough
User :   thanks..
User :   I am done with my query..
User :   thanks for bearing with me..
Doctor :   Is there any thing else I can help you with?
User :   if you know any liver cirrhosis expert nearby Agra..
User :   it would be great help..
Doctor :   I will need to search
User :   otherwise nothing else to ask..
Doctor :   No name in mind
User :   hmm..
User :   Can you plz get back to me if something comes in your mind
Doctor :   sure
User :   I wiill be highly oblizied to you..
User :   thanks you very much..
Doctor :   i will try to search for a good gastroenterologist
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   sure..
User :   i have refered 3 friend..
User :   :)
User :   already.
Doctor :   thank you once again
Doctor :   Bye
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