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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Stage 4 Liver Disease

My husband has been diagnosed with stage 4 liver desease. He has not touched alcohol ij over 20 yrs. He contracted hep c while in the army from a blood transfusion. He had a liver tumor removed 3 months ago it was small and localizd.since then he has been in the hospit for acites and gi bleed. No active bleeding in the throat stomach or colonhowever they did band off a grade 3 varices column. Where do we go from here






Thu, 16 Jun 2016
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General & Family Physician 's  Response
Hi
I understand your concern.
When ascites develop, disease becomes decompensated. Treatment includes symptomatic treatment and some dietary management. Avoid constipation to reduce effects of liver disease in brain. For this syrup lactulose can be used. Avoid protein rich diet. Although albumin decreases with liver failure but high protein content can cause upper GI bleed. Avoid salt intake to avoid ascites. Certain drugs to reduce ascites are used too like tablet spironolactone
Hope my answer helps.
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Suggest Treatment For Stage 4 Liver Disease

Hi I understand your concern. When ascites develop, disease becomes decompensated. Treatment includes symptomatic treatment and some dietary management. Avoid constipation to reduce effects of liver disease in brain. For this syrup lactulose can be used. Avoid protein rich diet. Although albumin decreases with liver failure but high protein content can cause upper GI bleed. Avoid salt intake to avoid ascites. Certain drugs to reduce ascites are used too like tablet spironolactone Hope my answer helps.