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

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.

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.