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Shrunken liver due to alcohol, kidney failure. Given injection. Dialysis recommended. Treatment options?

hi My Father is 66 years old. He was used to drink liquor . Now his lever got shrunken. Also while testing his creatine level is 2.9. Now the doctors are telling that we are going to wait for a day. And they injected one medicine. If he got improved then no need to worry about anything. Otherwise we should take dialysis . Is it correct way? Please here we can not get the understandable information... Also What about my father condition, tell frankly...
Asked On : Thu, 6 Sep 2012
Answers:  1 Views:  62
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Nephrologist 's  Response
Dear Ram,

From your description it looks like he is suffering from hepatorenal syndrome(HRS), which a kidney failure secondary to severe liver disease. (Although there can be other causes for renal failure such as infection)
If it is HRS, then the kidneys are unlikely to recover till the liver improves or if a liver transplant happens.
Most likely he is receiving terlipressin injections, if he fails to respond to it, dialysis will be needed as supportive care. He may improve his kidney function if it is due to some other cause rather than the liver.
Answered: Thu, 6 Sep 2012
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