Q. Kindly guide us with the treatment for my mom's liver disease.

Answered by
Dr. Ankur Jindal
and medically reviewed by iCliniq medical review team.
Published on Oct 28, 2016 and last reviewed on: Oct 09, 2018

Hi doctor,

My mom is 70 years old. She has chronic liver disease, cirrhosis, portal hypertension and ascites. Her creatinine is 3. She also has type 2 diabetes. We were informed by her doctor that her liver is not producing albumin and her bilirubin level is very high. Please guide us.

Dr. Ankur Jindal

Medical Gastroenterology
#

Hi,

Welcome to icliniq.com.

  • Your mom's profile suggests very advanced stage of liver disease (attachment removed to protect patient identity).
  • She has advanced cirrhosis of liver, which is complicated by the formation of portal hypertension and fluid abdomen. The presence of kidney injury adds to the poor prognosis.
  • Liver is a source of albumin and is an important excretor of toxins like bilirubin. So, more advanced liver cirrhosis patients generally have low albumin and high bilirubin.
  • She needs admission at a dedicated liver care unit. If she starts responding early with medications for mainly kidney injury, then the outcome may be better.

For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Thank you doctor,

I would like to know about the treatment by which she can gain or come out of the situation of inactiveness. Currently, she is not responding to our words. She is just lying on the bed without speaking anything.

Dr. Ankur Jindal

Medical Gastroenterology
#

Hi,

Welcome back to icliniq.com.

  • This state of inactiveness and unresponsiveness are may be a part of liver cirrhosis related hepatic encephalopathy. Please ensure that she pass motion two to three times a day.
  • I suggest the following treatment for her. Please consult her specialist doctor, discuss with him or her and take the medicine with consent.
  1. Syrup Lactihep (Lactitol monohydrate) 30 mL thrice a day.
  2. Tablet Rifaximin 550 mg twice a day.
  3. Hepa Merz sachet (L-ornithine L-aspartate) thrice times a day.
  4. Capsule Zevit (contains Folic acid and vitamin supplements) once a day 
  • Get her tested for serum electrolytes and ammonia. Also, rule out any infection and visit a hepatologist.

For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

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