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Non alcoholic liver cirrhosis, liver transplant - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
User :   Hi... i wanted to know more about Liver Cirrhosis
Doctor :   Do you have any specific questions about it?
Doctor :   Liver cirrhosis is non reversible fibrotic change in liver because of
Doctor :   insults to the liver
Doctor :   Ok
User :   my relative has been detected with liver cirrhosis
User :   though its crypotoganic
Doctor :   Was the liver biopsy done?
Doctor :   That clinches the diagnosis
User :   we havent been able to detect the cause
User :   so wat precautions should be taken
User :   for it not increase
User :   no
Doctor :   Yeah after primary blood tests
User :   we have just detected it some time back
User :   liver biopsy is suggestable?
User :   how to know on what stage is the cirrohosis
Doctor :   That depends on the cause
User :   and wat should be the precations taken so that it doensnt go from stage 2 to stage3
Doctor :   We have to know the cause
Doctor :   that is why the liver biopsy and other blood tests
User :   how long does it take from stage 2 to stage 3?
Doctor :   Ok
User :   we havent been able to detect the cause
User :   we have done all that
Doctor :   Now you should prevent further injury to liver
User :   doctors we have shown say its crypotogenic
Doctor :   by not exposing to certain agents that damage liver
User :   patient is non drinker ... so thats not the cause
Doctor :   1) Free from infection, like maintaining utmost personal hygiene
Doctor :   2) Do not use medicines which are over the counter
User :   how can that be done
Doctor :   Everytime you should get a prescription from doctor only
Doctor :   Like Paracetmol
User :   ok
Doctor :   3) Some herbs also cause liver toxicity so be aware of them, let your doctor know about them
User :   over the counter medicines?
User :   ok
Doctor :   Any herbal medicines
User :   wat kind of herbs/
User :   /
User :   ok
Doctor :   Your doctor can also prescribe liver protective medicines
Doctor :   Did he yet?
User :   so i want to know more about what can be eaten and wat should be avoided in daily health routine
User :   no he hanst yet
User :   can u suggest wat all medicines
User :   i will ask doctor accordingly
Doctor :   A balanced diet with plenty of fruits, vegetables, animal protein with a fat - carbohydrate - protein ratio of 30% - 50% - 20%
Doctor :   So you can get the diet plan designed with the help of a dietitian
Doctor :   based on your food fads
User :   is there any book specially for liver cirrohosis where i can good info
User :   ok
Doctor :   Plenty of fluids
User :   ok
Doctor :   No alcohol
Doctor :   Pack the diet with antioxidants
User :   patient is also gaining weight right now
Doctor :   There are some medicines like LIV 52
User :   and had arithrisis also
User :   ok
Doctor :   Ok
Doctor :   That is sufficient for now
User :   ya she takes that
User :   double dose
User :   so when wats the cure of these
User :   is liver transplant the only solution?
User :   ok
Doctor :   The ultimate solution is liver transplant
Doctor :   Yes
Doctor :   I think a Hepatologist / Gastroenterologist would be in a better position to comment than me
User :   so when do we know is the like alarm situation that we should start thinking about trasplant
Doctor :   There are certain criteria
Doctor :   for that
Doctor :   Based on the bleeding time, bilirubin, serum protein
User :   ok
Doctor :   It is called Child's criteria, the topic is beyond the scope of our discussion here
User :   criteria like whast
Doctor :   YOu got to follow up with the doctor regularly and he will test with blood
Doctor :   Liver transplant is emerged better in India
Doctor :   There are very good centres
Doctor :   in all cities
User :   ok.. can u tell me in india... which place is good for liver transplant
User :   in ahmedabad?
User :   and can u guide the process of getting donor
Doctor :   Organ Transplantation is a law now
Doctor :   So you got to take government permission
Doctor :   Only relatives can donate
User :   ok
User :   i was just going thru the site
User :   tahnks for the info
User :   thanks
User :   i will go thru the info
User :   thanks for solving my queries
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