HomeAnswersMedical GastroenterologycirrhosisKindly guide us with the treatment for my mom's liver disease.

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

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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.

Answered by

Dr. Ankur Jindal

Medically reviewed by

iCliniq medical review team

Published At October 28, 2016
Reviewed AtJuly 21, 2023

Patient's Query

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.

Answered by Dr. Ankur Jindal

Hi,

Welcome to icliniq.com.

  • Your mom's profile suggests very advanced stage of liver disease (attachment removed to protect patient identity).
  • 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

Patient's Query

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.

Answered by Dr. Ankur Jindal

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

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

Dr. Ankur Jindal
Dr. Ankur Jindal

Medical Gastroenterology

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