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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Cirrhosis. Endoscopy Showed Small Varcies. Perscribed Lot Of Vitamin Supplements. Suggested Beta Blockers. Guide?

My father was diagnosed with Cirrhosis a year back. He had rupture in esophagal varcies and banding was done.
After few months we took endoscopy once again there is very small varcies and doctor said no need to worry now.
He said he is in child pugh stage A - Compensated, No ascites, No encephalopathy. He has perscribed lot of vitamin supplements. My father never consumes alcohol. The problem is he is not taking vitamin supplements. However he completly switched his life style. Eating healthy foods, fruits and 40 mins walking. His Haemoglobin went down to 5.5 when he had the rupture of varcies and now it recovered back to 12. He said he is feeling more healthy now. We are taking LFT ever 2 months . Docotor has suggested beta blockers to reduce portal hyper tension but whenever he takes the medicine he is having bleeding piles. We took necessary tests and confirmed that it's just piles and not the rectal varcies. After stop taking the medications and switching his life style 70% of the piles are cured .Please suggest whether change in life style would alone enough to manage Cirrhosis ?
Thu, 26 Sep 2013
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Internal Medicine Specialist 's  Response
Hi,
Thanks for using Healthcaremagic,
After going through all the details, your father is suffering from cirrhosis of liver with portal hypertension with esophageal varices.

He should continue his healthy lifestyle but as he has already developed disease he must be in supervision of Gastroenterologist or physician and take necessary vitamin supplements and drugs to keep pressure under control beta blocker do not cause bleeding piles but they will protect from bleeding.

There are other alternative medicines and surgical option o reduce portal pressure.
He should avoid constipation take enough water and fibres in diet and if necessary mild laxative may be helpful.If Piles are bleeding and require surgical intervention it must be done.
Hope this heps.
Take care.
Good Luck
Dr.Akhilesh Dubey M.D.
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Diagnosed With Cirrhosis. Endoscopy Showed Small Varcies. Perscribed Lot Of Vitamin Supplements. Suggested Beta Blockers. Guide?

Hi, Thanks for using Healthcaremagic, After going through all the details, your father is suffering from cirrhosis of liver with portal hypertension with esophageal varices. He should continue his healthy lifestyle but as he has already developed disease he must be in supervision of Gastroenterologist or physician and take necessary vitamin supplements and drugs to keep pressure under control beta blocker do not cause bleeding piles but they will protect from bleeding. There are other alternative medicines and surgical option o reduce portal pressure. He should avoid constipation take enough water and fibres in diet and if necessary mild laxative may be helpful.If Piles are bleeding and require surgical intervention it must be done. Hope this heps. Take care. Good Luck Dr.Akhilesh Dubey M.D.