Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

124 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Have hep c, HIV with anemia, fluid retention in legs, rash on palms and minor yellowing of eyes. What is the cause?

Answered by
Dr.
Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3614 Questions

default
Posted on Wed, 27 Nov 2013 in Digestion and Bowels
Question: if u have hep c and hiv w/ anemia, stomach and esophagus varises, fluid retention in the legs, rash on palms, another rash legs and arms, and minor yellowing far back and sides of the eyes as well as a mass in the lliver uncertain of what due to inability to biopsy due to low clotting factor. is this end stage and if sooo how long would I have roughly?
doctor
Answered by Dr. Shafi Ullah Khan 1 hour later
Brief Answer: Symptoms suggest End stage needs monitoring Detailed Answer: Hello there! End stage liver cirrhosis secondary to hepatitises has symptoms like decreased hepatic synthetic function (eg, coagulopathy), portal hypertension (eg, variceal bleeding), or decreased detoxification capabilities of the liver (eg, hepatic encephalopathy). Further complications like hepatocellular carcinoma is also expected. The symptoms you mentioned are coagulopathy(bleeding tendencies), erythematous palms,jaundice, variceal bleeding are in line with cirrhosis. The mass which you mentioned might be a Hepatocellular Carcinoma. Usually it takes 10 to 20 years for a hepatitis to make liver cirrhotic but time span can be short depending upon severity and involvement. Once cirrhosis develops its the surveillance monitoring which decides the life expectancy like surveillance of bleeding, Encephalopathy Raised intra cranial pressures etc which add to the fatality and morbidity of any end stage liver disease. Before going any further let me ask some questions to see how bad is it. - Has there been any change in mental status like changes in memory, concentration, intellectual function, coordination to rule out hepatic encephalopathy? - Do you experience fatigue, anorexia, weight loss, and muscle wasting. - Do you have any spider like patterns over skin (spider angiomas) or skin telangiectasias ("paper money skin), white nails, disappearance of lunulae, and finger clubbing (parrot beak nails) - How is your kidney status? urine out put in a day? urea creatinine levels? - Have you ever been scored under Child-Turcotte-Pugh Scoring System or MELD (Modified End stage Liver Disease)for Cirrhosis? if yes how much is your score? - Do you have smelly breath? -Have you tried all the pharmacological options like prednisone and azathioprine , interferon and other antiviral agents , phlebotomy , ursodeoxycholic acid , and trientine, vacinationand zinc etc -Do you ever use the medicines which worsen the cirrhosis like NSAIDs Isoniazid Valproic acid Erythromycin Amoxicillin/clavulanate Ketoconazole Chlorpromazine Ezetimibe? -Do you have a Regular exercise, including walking and even swimming, to prevent from slipping into a vicious cycle of inactivity and muscle wasting? -DO you take nutritional precautions enough calories with low protein intake to prevent encephalopathy? -Have you considered transplantation of liver or is there any contra indication like severe cardiovascular or pulmonary disease, active drug or alcohol abuse, malignancy outside the liver, sepsis, or psychosocial problems etc? Right now you need a very good care of your liver and discuss the options of liver transplantation and surveillance to monitor the complications. These things altogether with the Complication of hepatocellular carcinoma malignancy will decide the probable life expectancy which I suspect considering the conditions provided might not be more than a year. I wish you very good luck and take some very good care of your self as you need it. If you have any more queries please feel free to ask as i would love to answer, Otherwise kindly close the discussion and answer the question as per your experience. Regards Dr Khan
Above answer was peer-reviewed by : Dr. Prasad
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  
Drug/Medication ,   ,   ,   ,   ,   ,  
Medical Procedures
Medical Topics ,  

Recent questions on  Alcohol abuse

doctor1 MD

I have been diagnosed with Sleep Apneoa bit he CPAP treatment while improvngmy blood oxygen readings and decreasing the no, of times I stop breathing ahs not improved the morning hangovers or afternoon drowsiness. It has been suggested that my past history of glandular fever and M.E. may be the reason for this. opinions ?

doctor1 MD

This has never happened before this summer, but starting this summer when I get drunk I sleepwalk. It isn t an alcohol blackout for I know what those are and how they feel and I also have never slept walk before in my life. Why is this starting now and while I am drinking?

doctor1 MD

My partner and I have been together about 5 times, and he has orgasmed only on 2 of those occasions. Both times there was no semen. On 2 other occasions, while close to climaxing, he went soft. He states this has been normal for him. He had a history of drug and alcohol abuse, but has been clean/ sober for 3 years. do you have any suggestions.

doctor1 MD

Hi, My wife had a dermoyd cyst removed a few year ago and with it her left ovary. Every since then, she has had a really hard time during her period. Lately, she has experienced a rapid heart rate. She is 23 years old and 105lbs. Generally healthy but she is a smoker. She rarely drinks alcohol and doesn't do any drugs. Her water intake is good as is her diet. She doesn't feel any stress, although, our life is rather stressful. She is anemic and has low blood pressure and her heart rate averages around 100bpm during her period. Is this something we should worry about?

doctor1 MD

FAMILY DOCTOR PRESCRIBED GABAPENTIN 300MG 3 TIMES DAILY FOR NEUROPATHY IN MY FEET. I HAVE BEEN TAKING IT FOR 2 WEEKS. HIS DIAGNOSIS WAS NEUROPATHY BROUGHT ON BY ALCOHOL ABUSE FOR APPROX 1 1/2 YEARS. I AM RECOVERED AND SOBER FOR 2 MONTHS. I VISIT...

doctor1 MD

Dear Dr. XXXXXXX XXXXXXX We have spoken before about my diagnosis of Parkinson's which happened acutely this past summer. Now I am finally taking 300mg of Amantadine per day. (100mg q 8hr) and waiting for my spine to respond to this drug. My back...

doctor1 MD

My feet have started feeling hot and mild tingling from time to time, notice it most when sitting, also slight tingling in hands when sitting. no loss of sleep just started the first of this week.