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How Common Is Constipation And Decreased Urine Output?

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Posted on Wed, 15 Apr 2015
Question: Yes - how common is constipation and decreased urine output with liver failure due to alochol

Confusion is better but this is day 6 of constipation and low urine output. My email is YYYY@YYYY


How serious is ammonia level Of 75

Also - I have reduced my vodka to 250-300ML not 400.
doctor
Answered by Dr. Prakash H Muddegowda (3 hours later)
Brief Answer:
Possibly dehydration with low fiber diet.

Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query, my opinion is as follows:

1. Decreased urine output due to renal failure secondary to alcohol induced cirrhosis occurs in 40% of cases. Its a condition called as hepatorenal syndrome.

2. I am not sure, at present, it is hepatorenal syndrome, as liver failure is not advanced enough. But could be early stages. Hepatorenal syndrome, once diagnosed is life threatening and progressive.

3. At present inadequate hydration, low protein and fiber in diet could be responsible for decreased urine output and constipation.

4. Ammonia levels of 75 is elevated. Difficult to correlate it with confusion as ammonia levels alone are not the factors in diagnosis of hepatic encephalopathy.

5. Vodka needs to be completely stopped, as alcohol induced damage, if ongoing will lead to further liver damage. Liver transplantation would be the only choice, if further damage occurs.

6. Need to get counseling, psychotherapy and avoid alcohol or any hepatotoxic ingestion. Hospital stay, would help in getting professional help.

Hope it helps.
Any further queries, here to help again.

Dr. Prakash HM
Note: In case of any other concern or query related to prevention, evaluation, diagnosis, treatment, or the recovery of persons with the any type of addiction or substance use, follow up with our Addiction Medicine Specialist. Click here to book a consultation now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Prakash H Muddegowda

Geriatrics Specialist

Practicing since :2004

Answered : 2138 Questions

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How Common Is Constipation And Decreased Urine Output?

Brief Answer: Possibly dehydration with low fiber diet. Detailed Answer: Hi, Thanks for asking. I am Dr. Prakash HM and I will be answering your query. Based on your query, my opinion is as follows: 1. Decreased urine output due to renal failure secondary to alcohol induced cirrhosis occurs in 40% of cases. Its a condition called as hepatorenal syndrome. 2. I am not sure, at present, it is hepatorenal syndrome, as liver failure is not advanced enough. But could be early stages. Hepatorenal syndrome, once diagnosed is life threatening and progressive. 3. At present inadequate hydration, low protein and fiber in diet could be responsible for decreased urine output and constipation. 4. Ammonia levels of 75 is elevated. Difficult to correlate it with confusion as ammonia levels alone are not the factors in diagnosis of hepatic encephalopathy. 5. Vodka needs to be completely stopped, as alcohol induced damage, if ongoing will lead to further liver damage. Liver transplantation would be the only choice, if further damage occurs. 6. Need to get counseling, psychotherapy and avoid alcohol or any hepatotoxic ingestion. Hospital stay, would help in getting professional help. Hope it helps. Any further queries, here to help again. Dr. Prakash HM