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Suggest Treatment For Cirrhosis Of The Liver
Question: My best friend is unconscious (for 2 days now) in ICU. The Dr.s have concluded she is suffering from cirrhosis of the liver. Knowing her history of drug and alcohol abuse as well as having Hep c I would say they are correct. My questions is how lethal is this diagnosis. What are her options going forward? I am pretty sure the damage is extensive at this point in her life. i need to prepare her and myself for either a strategy for a longer and better life or it is time to get affairs in order. Thank you in advance for any and all information you can provide.
Brief Answer:
Child pugh scoring and prognosis
Detailed Answer:
Hello and Welcome
I appreciate your concern
The Child-Pugh scoring system consists of five clinical features to assess the prognosis and survival rates in patients with chronic liver disease and cirrhosis.
These include
Total bilirubin
Serum albumin
PT INR
Ascites
Hepatic encephalopathy
Based on these values , sets of patients are stratified into classes A, B and C with C having the worst prognosis. Each parameter with worsening function has a point to contribute.
One year survival in Child class C patients is 45 %. With Alcohol abuse history, one automatically would go down the ladder on the transplant list, too.
The above considerations/ facts should be taken into account before taking any decision related to your friend. You may discuss the prognosis with her treating physician and ask about her Child pugh score accordingly. This will give you a better idea.
Wishing you best of health
Thanks
Let me know if you have any query
Please consult your doctor before deciding on any further course of action.
For future follow up / correspondence you may ask me directly at the link given below
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107
Dr. M.S. Khalil
Child pugh scoring and prognosis
Detailed Answer:
Hello and Welcome
I appreciate your concern
The Child-Pugh scoring system consists of five clinical features to assess the prognosis and survival rates in patients with chronic liver disease and cirrhosis.
These include
Total bilirubin
Serum albumin
PT INR
Ascites
Hepatic encephalopathy
Based on these values , sets of patients are stratified into classes A, B and C with C having the worst prognosis. Each parameter with worsening function has a point to contribute.
One year survival in Child class C patients is 45 %. With Alcohol abuse history, one automatically would go down the ladder on the transplant list, too.
The above considerations/ facts should be taken into account before taking any decision related to your friend. You may discuss the prognosis with her treating physician and ask about her Child pugh score accordingly. This will give you a better idea.
Wishing you best of health
Thanks
Let me know if you have any query
Please consult your doctor before deciding on any further course of action.
For future follow up / correspondence you may ask me directly at the link given below
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107
Dr. M.S. Khalil
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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