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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Liver Cirrhosis

My mother in law was told she had 30 days to live with cirrhosis. Two months later her amonia levels are normal and she has not had a paracentisis since then. Mentally she has declined- not wanting to take medication and thinks she has to pee all the time. Her communication has declined, she cries all the time and hits her nurses.
Wed, 7 Oct 2015
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Gastroenterologist 's  Response
hi,
Whatever symptoms you have described ,it looks like she is in encephalopathy ,for which she might be hospitalized for further management and check her blood parameters like renal function and electrolytes which are usually deranged and there are chances of getting infection too.
If there is any abnormality better to correct to regain her conscious levels.
And about pee ,that will be because of diuretics which your doctor might have prescribed.
So starting with encephalopathy measures like adding duphalac syp 30 ml twice or thrice a day so that she should pass stools atleast 2 to 3 times per day if not consider to give her duphalac enema .
Tab RIFAGUT 550 MG twice a day for atleast 15 days should be given as this is a intestinal antibiotic with no side effects.
Avoid NSAIDS.
Proper nutrition specially protein content is necessary as in cirrhosis there will be low protein.
AVoid pantop injection as its not recommended in cirrhotics.
Avoid oily band spicy food
Hope this information helps you
Thank you
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Suggest Treatment For Liver Cirrhosis

hi, Whatever symptoms you have described ,it looks like she is in encephalopathy ,for which she might be hospitalized for further management and check her blood parameters like renal function and electrolytes which are usually deranged and there are chances of getting infection too. If there is any abnormality better to correct to regain her conscious levels. And about pee ,that will be because of diuretics which your doctor might have prescribed. So starting with encephalopathy measures like adding duphalac syp 30 ml twice or thrice a day so that she should pass stools atleast 2 to 3 times per day if not consider to give her duphalac enema . Tab RIFAGUT 550 MG twice a day for atleast 15 days should be given as this is a intestinal antibiotic with no side effects. Avoid NSAIDS. Proper nutrition specially protein content is necessary as in cirrhosis there will be low protein. AVoid pantop injection as its not recommended in cirrhotics. Avoid oily band spicy food Hope this information helps you Thank you