Doctor,
My husband who is 37 years of age was suffering from gross Ascites as detected in the USG on 12th April 2013. The impression was: coarse echotexture with increase echogenecity of liver – due to chronic liver disease; Dilated portal vein to rule out portal hypertention, Thickened gall bladder wall-due to ascites; Splenomegaly; Gross Ascites.
He is under medication now with salt restricted diet, large intake of fruits & vegetable. The current medications are Aldactone 100mg-1tab per day, Levolexin tab -1 tab twice daily , Betonin syrup 2 spoon twice daily & Liv 52 DS 1 tab twice daily.
On 4th May 13 he underwent the following test with the following result.
Upper G.I. Endoscopy for esophageal varices : Result: OESOPHAGUS:-grade IIX5 esophageal varices seen. Mucosa is smooth & pink with no ulcer or erosion. No structure, polyp, or tumor seen. Gastro-esophageal junction is located at 37 cm from incisor teeth. No evidence of hiatus hernia. STOMACH:-fundus body & antrum examined. Portal congestive gastropathy noted in fundus. No food residue, foreign body or blood seen. Fold thickness is normal in fundus & body. There is no suggestion of gastric varix. Stomach shows no polyp or tumor. Pylorus is central & shows no edema or scarring. DUODENUM:- first D1 & second D2 examined. No blood in the lumen. There is no suggestion of ulcers, erosions, diverticulum or duodenal scarring. No nodularity , tumor or polyp seen. Mucosal folds in D2 are normal at endoscopy. IMPRESSION: esophageal varices Portal Congestive Gastropathy.
Liver Function Test: Result: TOTAL BILIRUBIN -1.86, DIRECT BILIRUBIN-0.79, INDIRECT BILIRUBIN-1.07, TOTAL PROTEIN-8.2, ALBUMIN-4.2, GLOBULIN-4.0, A/G RATION-1.0, SGOT (AST)-79, SGPT (ALT)-59, ALKALINE PHOSPHATASE-245, SGGT-307.
ANTI HCV ELISA – Not detected
HBs Ag (ELISA) – Reactive
Now, the Doctor advised him to remain on the same medication as mentioned above & to undergo LFT after 3 weeks.
Please advice is it a permanent liver damage? How much is his liver affected? What is the recovery time. Please help me.