Q. Is stage 2 liver fibrosis a reversible condition?

Answered by
Dr. Jagdish Singh
and medically reviewed by Dr.Nithila A
Published on Jun 10, 2019

Hello doctor,

The patient is 65 years old. Doctors have concluded liver fibrosis stage 2. In fibro scan, the lymphocytes are 95 %, amylase is 20 U/L, monocytes and macrophages is 5 %. The fluid is hazy in appearance. Can liver fibrosis be reversed?

Dr. Jagdish Singh

Medical Gastroenterology
#

Hello,

Welcome to icliniq.com.

Interpretation of reports.

  1. It is F4 fibrosis, not F2.
  2. Ascites.
  3. No SBP (spontaneous bacterial peritonitis).
  4. Portal Hypertension.
  5. Chronic liver disease.

With this advanced fibrosis, it could not be reversed back.


Was this answer helpful?

 | 

Thank you doctor,

Kindly guide regarding the therapeutic procedures. Our doctor has recommended for directive and albumin injection. My father is not consuming alcohol for the last nine years. We have no idea regarding the reason for the development of ascites suddenly.

He was admitted in the hospital for five days as he was having hiccups continuously there they have inserted many bottles of fluids, glucose, etc., and after a day there was the development of ascites. He has lost much weight, but now he has gained the same due to swelling. Also, help us by guiding how to get relief from intense itching?

Dr. Jagdish Singh

Medical Gastroenterology
#

Hello,

Welcome back to icliniq.com.

As I previously mentioned, it is advanced cirrhosis and now present with ascites. Management includes,

1. Low salt (2 gm), high protein diet.

2. Diuretics.

3. IV Albumin.

4. Removal of fluid through the needle.


Was this answer helpful?

 | 

Thank you doctor,

Kindly guide regarding the diet to follow, what he can eat or drink for high protein?

Dr. Jagdish Singh

Medical Gastroenterology
#

Hello,

Welcome back to icliniq.com.

For protein, he can take egg white, paneer, dal, and soybean.

Can add protein powders like

1. Hepatic resources

2. Livsource

Take a salt intake of 2 gm per day.


Was this answer helpful?

 | 

Thank you doctor,

What is the life expectancy if we follow strict low salt diet and diuretics, albumin and water removal. And should we go for shunt placement or liver transplant?

Dr. Jagdish Singh

Medical Gastroenterology
#

Hello,

Welcome back to icliniq.com.

Because the patient is already 65 years old, a liver transplant is probably not possible. With medical treatment, he can live for two to three years if things went smoothly. Some patient can spend up to five to six years.


Was this answer helpful?

 | 

Thank you doctor,

TIPS or shunt will do a favor for him? Kindly provide a solution for intense itching as he is unable to sleep due to that?

Dr. Jagdish Singh

Medical Gastroenterology
#

Hello,

Welcome back to icliniq.com.

TIPS (transjugular, intrahepatic, portosystemic shunt) will be advised once ascites become resistance to medical treatment. Kindly consult your doctor, and take the treatment with consent.

Tablet Udiliv (Ursodeoxycholic acid) 450 mg twice daily.

Tablet Atarax (Hydroxyzine) 10 mg at bedtime.

Coconut oil can also be used.


Was this answer helpful?

 | 

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


What are the tests to undertake in case of mild fatty liver?

Query: Hello doctor, My wife is under Ayurveda medicine for a hip labrum tear. She had an ultrasound done as a part of some checkup. The finding is mild fatty liver. I am planning for additional blood tests. Could you please recommend the needed tests. She is nonalcoholic. Also, let me know if this is som...  Read Full »

Does a cirrhosis patient require medicines to increase platelet count and Hb?

Query: Hello doctor, I am a liver cirrhosis patient. My platelet count is 72,000 and hemoglobin is 10. Everything else including protein and albumin are normal. The doctor is giving Ricovir 300, Pantosec 40, Udliv 150, Vitamin A to Z daily and Lasilactone 50 mg on alternate days. But, he is not giving any...  Read Full »

Popular

Popular

Ask your health query to a doctor online?

Ask a Medical Gastroenterologist Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.

Fee:  

 


Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.