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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Chronic Liver Disease, Cirrhosis, Esophageal Varices. Treatment?

My Husband, 48 years old is suffering from chronic liver disease , Diagnosis: Cirrhosis - Child B ( CTP 9/15), Baveno Stage 1v Portal hypertension- recurrent UGI bleed. Grade iix3 columns esophageal varices , fundal varices Post endotherapy status -EVL bands applied and glue injected. Decompensated ascites , no hepatic encephalopathy Diabetes mellitus . Now he is suffering from sleeplessness in the night. Now under diet control and taking following medicines : Lactulose, Ciplar 40mg, sucral Please guide us, I am under great tension. Regards,
Wed, 23 Jan 2013
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Endocrinologist,  's  Response
Hi

Cirrhosis with decompensated ascites and esophageal varices is not a good sign. You are already in an advanced stage of chronic liver disease. Patient with chronic liver disease sometimes tend to have an altered sleep pattern. You must continue lactulose as prescribed and I would also add another medication are Rifaximin to your existing meds. Discuss this option with your doctor.

A piece of personal advice, start thinking about liver transplant, dont go around looking of quick fixes and herbal solutions because they dont work and make the liver condition worse. Liver transplant is the only solution at really works, trust me. I am not trying to scare you but I just want to give a reality check on the prognosis.

Regards
Dr. Om Lakhani, MD
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Suffering From Chronic Liver Disease, Cirrhosis, Esophageal Varices. Treatment?

Hi Cirrhosis with decompensated ascites and esophageal varices is not a good sign. You are already in an advanced stage of chronic liver disease. Patient with chronic liver disease sometimes tend to have an altered sleep pattern. You must continue lactulose as prescribed and I would also add another medication are Rifaximin to your existing meds. Discuss this option with your doctor. A piece of personal advice, start thinking about liver transplant, dont go around looking of quick fixes and herbal solutions because they dont work and make the liver condition worse. Liver transplant is the only solution at really works, trust me. I am not trying to scare you but I just want to give a reality check on the prognosis. Regards Dr. Om Lakhani, MD