HomeAnswersMedical Gastroenterologychronic liver diseaseI suffer from severe leg pain and sleep issues. Please help.

I suffer from CLD. How can I boost my low Hb, platelets, sleep issues, and leg pain?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At March 17, 2024
Reviewed AtMarch 22, 2024

Patient's Query

Hello doctor,

I am dealing with low hemoglobin and platelet counts due to chronic liver disease (CLD). I am experiencing sleep issues and severe leg pain (nerve-related). I want to improve these factors. My medical history includes 11 months of a low albumin count. Please help.

Thank you.

Answered by Dr. Ghulam Fareed

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

CLD (chronic liver disease) causes low hemoglobin and platelets. Hemoglobin can be increased to 9 to 10 gm/dl. Hemoglobin above this may raise portal pressure, increasing the risk of variceal bleeding in chronic liver disease. Low platelets in CLD are due to an enlarged spleen, usually not requiring replacement. Low albumin is again due to CLD. The liver is the main factory for albumin synthesis. For leg pain in CLD, I suggest taking B12 supplements and the tablet Baclofen 10 mg (pregelatinized starch, colloidal silicon dioxide, Magnesium stearate, microcrystalline cellulose, and Sodium starch glycolate) daily to improve pain and restlessness. A liver transplant is the ultimate treatment for CLD.

I hope this helps.

Please revert in case of further queries.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

Is controlled plasma therapy an option for me?

Thank you.

Answered by Dr. Ghulam Fareed

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

Your primary physician can consider it based on your history; however, it is not recommended in international guidelines.

I hope this helps.

Please revert in case of further queries.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ghulam Fareed
Dr. Ghulam Fareed

Medical Gastroenterology

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