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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Abdominal Wall And Gastric Ulcer,internal Bleeding And Cirrhosis

62 yr old man diagnosed with abdominal wall ulcer, gastric ulcer,internal bleeding, and cirrhosis of the liver having symptom changes including brown milky extremely strong foul smelling urine. also absolutely no appetite or desire for fluids, accompanied by dry mouth with sticky white substance. slurred speech, decrease in energy, difficulty with breathing even with spariva, ventolin, and advair, and sleep apnea machine. physically looks drained, constantly falling asleep. would you recommend immediate reassessment by a physician?
Thu, 21 Feb 2019
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General Surgeon 's  Response
Hello,

As per my surgical experience, the issue of liver cirrhosis with these much symptoms need palliative care to control symptoms as much as possible unless a liver transplant is considered as a curative approach.

Apart from basic medications in terms of diuretic, liver protective agents, certain beta blockers as propranolol and other supportive care, it is recommended to
- consume a salt-free diet
- maintain hydration and urine output with water intake as per the consultant guideline
- restrict protein intake in the routine
- avoid spices, non-veg, dairy fat as well
- control of BP, blood sugar, creatinine and regular liver function test assessment
- PPI on regular basis for an ulcer.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Medication For Abdominal Wall And Gastric Ulcer,internal Bleeding And Cirrhosis

Hello, As per my surgical experience, the issue of liver cirrhosis with these much symptoms need palliative care to control symptoms as much as possible unless a liver transplant is considered as a curative approach. Apart from basic medications in terms of diuretic, liver protective agents, certain beta blockers as propranolol and other supportive care, it is recommended to - consume a salt-free diet - maintain hydration and urine output with water intake as per the consultant guideline - restrict protein intake in the routine - avoid spices, non-veg, dairy fat as well - control of BP, blood sugar, creatinine and regular liver function test assessment - PPI on regular basis for an ulcer. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon