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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Cirrhosis Of Liver With Splenomegaly And Ascites, Swelling In Stomach And Legs. Solution?

i am suffering from cirrhosis of liver with splenomegaly and ascites ...can i get some solutions for this..??? i used to drink 1 liter of alcohol per day aprrox.....i am drinking form past 25 years... my legs n stomach have swelling and i also have pain in my stomach..... the size of my liver increased by 17.1...and i also have jaundice ... plz get me some solution for this doctor???
Sat, 23 Mar 2013
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Gastroenterologist 's  Response
Hello, nisha,
I am sorry that your drinking problem caused significant damage
to your liver. Yours is an advanced stage of liver disease with
cirrhosis and also what is called "Portal Hypertension" which is the
reason for build of fluid in the belly and also legs.
You need to have a complete blood examination including blood count,
coagulation studies, kidney and complete liver tests .
We have to make sure that you are not anemic from blood loss which
can happen with ruptured veins in the esophagus and stomach. This is
very serious. You can also go into a "Coma" (Hepatic Coma ) which could
be fatal.
I am sure by now , you have stopped drinking any alcohol.
You need to see a gastroenterologist who can perform the necessary tests
and put you on a treatment program. This would include dietary measures,
restricting proteins and salt intake. You may require "water pills " or diuretics
to make you lose fluid build up, you may need drug to prevent you from
going into coma (Encephalopathy) and medications to prevent bleeding from
the varices (Enlarged veins) by the use of some Beta Blocker drug. You may need
endoscopy to look for these veins and if there is active bleeding they may have
to place clips or do banding procedure to stop the bleeding. There are other
procedures that can be done to control fluid build up with the use of "Shunts" etc.
You really need to sit down with your doctor and discuss all these.
This is a serious problem and I urge you to take care as soon as possible.
I wish you the very best.
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General Surgeon Dr. Sohail Quazi 's  Response
Hello and welcome to HCM
Excessive chronic alcohol use can cause several different types of chronic liver disease, including alcoholic fatty liver, alcoholic hepatitis, and alcoholic cirrhosis.
Chronic alcohol use can produce fibrosis of the liver in the absence of accompanying inflammation and/or necrosis. When fibrosis reaches a certain degree, there is disruption of the normal liver architecture and replacement of liver cells by regenerative nodules leading to cirrhosis of liver.
Frequent findings include Jaundice,parotid gland enlargement, , muscle wasting, or the development of edema and ascites.
Abstinence is the cornerstone of therapy for patients with alcoholic liver disease. In addition, patients require good nutrition and long-term medical supervision to manage underlying complications that may develop.
Complications such as the development of ascites and edema, variceal hemorrhage,etc all require specific management and treatment.
So please stop taking Alcohol and consult a gastroenterologist for your ascites and jaundice and other complications so that progression of your disease can be stopped at the right time.
Wishing you good health.


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Suffering From Cirrhosis Of Liver With Splenomegaly And Ascites, Swelling In Stomach And Legs. Solution?

Hello, nisha, I am sorry that your drinking problem caused significant damage to your liver. Yours is an advanced stage of liver disease with cirrhosis and also what is called Portal Hypertension which is the reason for build of fluid in the belly and also legs. You need to have a complete blood examination including blood count, coagulation studies, kidney and complete liver tests . We have to make sure that you are not anemic from blood loss which can happen with ruptured veins in the esophagus and stomach. This is very serious. You can also go into a Coma (Hepatic Coma ) which could be fatal. I am sure by now , you have stopped drinking any alcohol. You need to see a gastroenterologist who can perform the necessary tests and put you on a treatment program. This would include dietary measures, restricting proteins and salt intake. You may require water pills or diuretics to make you lose fluid build up, you may need drug to prevent you from going into coma (Encephalopathy) and medications to prevent bleeding from the varices (Enlarged veins) by the use of some Beta Blocker drug. You may need endoscopy to look for these veins and if there is active bleeding they may have to place clips or do banding procedure to stop the bleeding. There are other procedures that can be done to control fluid build up with the use of Shunts etc. You really need to sit down with your doctor and discuss all these. This is a serious problem and I urge you to take care as soon as possible. I wish you the very best.