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Liver cirrhosis and failure

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Old 01-27-2013, 03:04 PM   #1
Join Date: Jan 2013
Posts: 2
amyleaw HB User
Liver cirrhosis and failure

My father has had Hep C since I was a child. a few years ago they told him they had the end stages ( I think it was 4th stage liver cirrhosis) he has tried different treatments. How ever over the past week he has been having some stomach issues. I am very terrified and he refuses to go to a dr. his stomach has bee bloating, he seems confused and forget's thing's a lot. He say's he is trying to just eat little things so he does not upset his stomach more. He is constantly falling asleep. He has gained at least 15 pounds in about a week and a half. He has been trying to eat better. Can someone tell me if he should be concerned? i don't want to freak out but I am the kind of person who would rather be prepared and know what the possibilities are. Could this be his liver giving out? Can someone tell me what they think and what I should watch for and expect? Is there a point when he NEEDS to go to the dr? I don't want to nag him or or force him to the ER if it's not something 100% necessary. He is a stubborn man. i am just really confused and worried that i have my self in a huge mess mentally worrying that this is it for him when it may not be needed. any help is greatly appreciated.

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Old 01-28-2013, 08:07 PM   #2
Join Date: Aug 2011
Location: California
Posts: 390
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Re: Liver cirrhosis and failure

Hi amyleaw, I'm not a doctor, but the swelling and weight gain may be "ascites" and the mental confusion and sleeping could be "hepatic encephalopathy" or H.E. Both of these are complications of advanced liver disease, but they can both be treated VERY EASILY with a diuretic and salt restriction for the fluid build-up and a drug called "Lactulose" for the H.E.

Better to avoid the emergency room unless he suddenly becomes worse, but he really should see his doctor for a prescription for the diuretic and lactulose. If he suddenly does become worse (can't wake up, delirium), you will need to call 911 or get him to the ER pronto. Hepatic coma is very serious.

If he absolutely refuses to get to his doctor, a low salt diet will help with the fluid/swelling and a low protein (no red meat) diet may help reduce his H.E. It's important he drinks enough fluid to avoid constipation as this can make H.E. much worse, but without the diuretic, excess fluid can aggravate the fluid retention problems.

It's truly unfortunate he is resisting starting on these meds. A very low dose of each of these cheap generics would probably fix him right up.

See what you can do about getting him to see or at least call his doctor to ask for a prescription.

Best of Luck to you!

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