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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Done Endoscopy Due To Alcoholism. Done LFT Test. Taking Livfit, Udiliv, Sorbiline, Aldactone. Suggestions?

Due to the alcohal doctor diagonos on UGI endoscopy on 17/08/2012 me ALD,CLD,PHT WITH ASCITES after that I stop alcohal but due to the some time! use in btw 1100ml acitic fluid was done report on that time my latest LFT report is
Total bilirubin 4.1
Direct bilirubin 2.6
Indirect 1.5
SGOT(AST) 185.3
SGPT(ALT) 153.4
Total protein 7.6
Albumin 4.2
Globulin 2.5
A.G. ratio 1.64
Alkaline phosp 153.4
B urea 21.4
Creatinine 0.8

My age is 46yrs ,othr functions are nrml presently taking livfit and udiliv and sorbiline syprp and aldactone 50mg all both time plz suggest..
Mon, 26 Aug 2013
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Gastroenterologist 's  Response
Hi,
Thanks for posting your query.
I am Dr.Ratnakar Kini and I am pleased to assist you.
You are affected by a condition called decompensated chronic liver disease due to alcoholism. It is a condition in which the liver is damaged and the liver tissue is replaced by scar tissue. Though in your case it is due to alcoholism, tests for Hepatitis B and C should be done as these are the other common causes.

This condition can lead to complications like blood vomiting, black stools, fluid collection in the abdomen called ascites ( which you already have developed), leg swelling, altered sleep pattern due to involvement of the brain, kidney failure and infection of the fluid collected inside your abdomen. Hence you need to be under constant follow up with gastroenterologist/hepatologist.

Few tests need to done which include the following -
1. HBsAg
2. Anti HCV
3. Ascitic fluid analysis
4. PT/INR
5. Upper GI endoscopy

You need to quit drinking alcohol as quitting alcohol may sometimes reverse this condition to some extent as some studies say (though need not be always and most often remains irreversible), But quitting alcohol will help prevent further damage.
You need to take salt restricted diet.
You need to take medications that increases urination ( called diuretics).You are already taking it ( aldactone)
You may also need medications to reduce pressure in the blood vessel of liver.
Have a regular follow up with your doctor.

I hope that answers your question.
Regards,
Dr.Ratnakar Kini
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Done Endoscopy Due To Alcoholism. Done LFT Test. Taking Livfit, Udiliv, Sorbiline, Aldactone. Suggestions?

Hi, Thanks for posting your query. I am Dr.Ratnakar Kini and I am pleased to assist you. You are affected by a condition called decompensated chronic liver disease due to alcoholism. It is a condition in which the liver is damaged and the liver tissue is replaced by scar tissue. Though in your case it is due to alcoholism, tests for Hepatitis B and C should be done as these are the other common causes. This condition can lead to complications like blood vomiting, black stools, fluid collection in the abdomen called ascites ( which you already have developed), leg swelling, altered sleep pattern due to involvement of the brain, kidney failure and infection of the fluid collected inside your abdomen. Hence you need to be under constant follow up with gastroenterologist/hepatologist. Few tests need to done which include the following - 1. HBsAg 2. Anti HCV 3. Ascitic fluid analysis 4. PT/INR 5. Upper GI endoscopy You need to quit drinking alcohol as quitting alcohol may sometimes reverse this condition to some extent as some studies say (though need not be always and most often remains irreversible), But quitting alcohol will help prevent further damage. You need to take salt restricted diet. You need to take medications that increases urination ( called diuretics).You are already taking it ( aldactone) You may also need medications to reduce pressure in the blood vessel of liver. Have a regular follow up with your doctor. I hope that answers your question. Regards, Dr.Ratnakar Kini