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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Alcoholic Cirrhosis

My husband is 53 with non alcoholic cirrhosis due to chronic Hep B. He is taking multiple medications. 2 of which are spironolactone and nadolol. He takes 1 of these in the morning and 1 at night. He woke up in the middle of the night last night very dizzy and vomiting. I have checked his blood pressure multiple times thru out the day and it has come in, anywhere between 90/61 to 108/70. His last read was 104/62 with a 44 bpm. I spoke with his liver specialist today and he has told me to discontinue the use of the Nadolol although it is being used to try to slow the progression of his varices, and said that it may be taking his blood pressure too low. I can t get him to go to the hospital because every time he tries to move he gets very dizzy and sick. If there something else that I need to be worried about?
Thu, 14 Apr 2016
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General & Family Physician 's  Response
Hi dear thanks for contacting healthcare magic...

Noted you have cirrhosis ....
You might have portal hypertension also.
So taking spironolecton and nadolol for it...
Now you have controlled blood pressure so nadelol can be omitted gradually as per doctor advise...
Take low salt diet....
Dizziness might be because of drug effect.
Spironolectone will control your blood pressure as well as ascites.

Hope your concern solved.

Take care...

Dr.Parth Goswami
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Suggest Treatment For Alcoholic Cirrhosis

Hi dear thanks for contacting healthcare magic... Noted you have cirrhosis .... You might have portal hypertension also. So taking spironolecton and nadolol for it... Now you have controlled blood pressure so nadelol can be omitted gradually as per doctor advise... Take low salt diet.... Dizziness might be because of drug effect. Spironolectone will control your blood pressure as well as ascites. Hope your concern solved. Take care... Dr.Parth Goswami