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Suggest Treatment For Muscle Atrophy Caused By Advanced Liver Disease
Question: Over the last year and half I have been losing muscle mass, especially in the trunk, as a result of possible advanced liver disease. My buttocks has thinned out so much that a donut pillow is required for sitting more than a hour. The feet are thin and boney and friends and family are starting to notice muscle atrophy. It hurts to walk without padded shoes or sandals. Quality of life has been compromised and depression is taking over a once vibrant life. Exercise and diet has helped with blood control and pressure, but not with muscle retention. Please read previous questions/answers to gain a better perspective of my plight. What can I do to prevent further atrophy?
Brief Answer:
needs workup
Detailed Answer:
Welcome at HCM
I am Dr Saad Sultan and will be answering your query. I have gone through your history and previous questions and completely understand your health concerns.
Do you have any other systemic disease like kidney problems ?
As far as muscle mass loss is concerned , only fatty liver disease doesn't cause it. I don't think it is due to liver problem until and unless there is is significant liver function compromise.
Diabetes on the other hand do result in loss of muscle mass.
There is need to investigate you for loss of muscle mass. If I am your Attending physician I will get your FBC, ESR , liver function tests, renal function tests, CPK And thyroid function tests.
Stay calm and meet your physician. Try to consume regular nutritional Food particularly meat.do regular exercise
May you get well soon
Regards
Dr Saad Sultan
needs workup
Detailed Answer:
Welcome at HCM
I am Dr Saad Sultan and will be answering your query. I have gone through your history and previous questions and completely understand your health concerns.
Do you have any other systemic disease like kidney problems ?
As far as muscle mass loss is concerned , only fatty liver disease doesn't cause it. I don't think it is due to liver problem until and unless there is is significant liver function compromise.
Diabetes on the other hand do result in loss of muscle mass.
There is need to investigate you for loss of muscle mass. If I am your Attending physician I will get your FBC, ESR , liver function tests, renal function tests, CPK And thyroid function tests.
Stay calm and meet your physician. Try to consume regular nutritional Food particularly meat.do regular exercise
May you get well soon
Regards
Dr Saad Sultan
Above answer was peer-reviewed by :
Dr. Raju A.T
I also have tiny red spots all over my chest and back. Is this an indication of low platelets due to decreased liver function?
Brief Answer:
need clinical examination coupled with investigations
Detailed Answer:
Welcome at HCM
I really appreciate your follow up.
Low platelet count predisposes one to bleeding. Small bleed below the skin appear as red spots called petechae. In your case if there is history of bleeding from nose or in stools , then we can think of it otherwise not.
Get your FBC and liver function tests. Ultrasound scan of abdomen for liver texture and spleen size are very important. Coarse liver texture with enlarged spleen do result in low platelets.
Meet your physician so that it can be clinically correlated.
Hope it helps
Regards
Dr Saad Sultan
need clinical examination coupled with investigations
Detailed Answer:
Welcome at HCM
I really appreciate your follow up.
Low platelet count predisposes one to bleeding. Small bleed below the skin appear as red spots called petechae. In your case if there is history of bleeding from nose or in stools , then we can think of it otherwise not.
Get your FBC and liver function tests. Ultrasound scan of abdomen for liver texture and spleen size are very important. Coarse liver texture with enlarged spleen do result in low platelets.
Meet your physician so that it can be clinically correlated.
Hope it helps
Regards
Dr Saad Sultan
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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