Q. What causes fluid in abdomen with back pain and low BP in a hepatitis B patient?

Answered by
Dr. Ajeet Kumar Lohana
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on May 20, 2020 and last reviewed on: Jun 02, 2020

Hi doctor,

My father is suffering from hepatitis B and currently his medication is going on. Medicines are: Entaliv 0.5 mg, Reheptin, Pantodac L, Livoluk 15 a day, Ulyses 300, Norflox 400, Lasilactone once a day, Lket trice a day. Also, tapoing is doing. Condition- Fluid in abdomen, back pain, low BP (90/60). No improvement even after two months of treatment.

Dr. Ajeet Kumar Lohana

Medical Gastroenterology
#

Hello,

Welcome to icliniq.com.

I can understand you must be very upset about your father's health.

Form history and medication history, it seems he has liver cirrhosis. In other words it is called scarring of liver, shrunken liver, or chronic liver disease. Well the medications he is on, and recent history of tapping of abdominal water, suggest he has advanced disease which require a close follow up and listing such patient on liver transplantation. The liver transplantation is the only definite therapy for advanced liver scarring such as in your's father case. But it is required to assign liver transplantation not too early and neither too late. There are some scoring that should be performed before recommending liver transplant. The one such score require blood investigations, radiological test such as Contrast enhanced CT scan.

The reason why you do not see any improvement even after 2 months of treatment is that all treatment is just supportive and does not correct underlying problem within liver, except Entaliv which is used for suppression of hepatitis B infection. To correct underlying liver, it is liver transplantation which could help. The survival are good after liver transplantation such as on average 70% individuals survive at 5 years after successful transplant. I want you to share me the complete blood investigations and tests that have been done, as I can be able to stage his disease, and give you reasonable approach to the problem.


The Probable causes:

Chronic liver disease Hepatitis B related

Regarding follow up:

Follow up to provide more information and investigations


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