Doctor insights on:
Cirrhosis And Lactulose
Diagnosed with cirrhosis in 2009 taking lactulose & Lasix (furosemide) what is my prognosis without liver transplant?
Husband has liver fibrosis bridging cirrhosis but stopped drinking. takes lactulose and stopped drinking three months ago.will disesase get better?
Hoping so!: I'm going to assume that alcohol is the sole cause, and that he's been checked for hemochromatosis, Wilson's, and hepatitis B and C. If he does choose to stop drinking, having a loving and forgiving wife will be the most wonderful support he can have. Cirrhosis does regress some on achieving sobriety. Hopefully his mind is still basically okay. Wishing you both the best. ...Read more
I have mild HE due to Cirrhosis. My Gastro started me on Lactulose. Is this a symptom of decompensation?
Likely yes: I gather you mean hepatic encephalopathy, which comes from inability of liver to detoxify certain compounds coming from the intestine, many of which are made by normal bacteria. Key is keeping the gut flushing, sometimes w antibiotics, and not worsened by blood or red meats that form ammonia. Be sure you see GI specialist. Happy to consult further if questions. Be careful of tylenol (acetaminophen) intake. ...Read more
Variable: Lactulose is used to treat hepatic encephalopathy (confusion) from cirrhosis. When it stops working the liver doctor might be able to add other medications or investigate why it might not be working as well (such as stomach bleeding or dietary changes). How long it works depends on each individual patient and it may work until the very end for some patients. ...Read more
Alcohol caused husbands liver fibrosis. ammonia levels are slightly elevated and he takes lactulose. does fibrosis cause this when it's not cirrhosis?
Increased ammonia: By the time someone with alcoholic liver disease develops hepatic encephalopathy, cirrhosis of the liver is usually present. If the elevation is only slight and he is asymptomatic, it is possible to have fibrosis without cirrhosis, but he is certainly on his way to it. It is very important not to drink anymore alcohol at all. He also should not drive. He should follow up closely with his doctor. ...Read more
Hepc, cirohsis, heart fraction rate 40%, gall stones,MVR done in2006,last 2days constipation,taking lactulose 3times yestday, rifagut twice, no motion?
Need in-person care: Your issues, especially cirrhosis is too complicated to be addressed in this forum. It would be prudent to see your doctor for an in-person evaluation and care. ...Read more
In cirrhosis if you have experienced decompensation e.G. Ascites..Can you go from decompensated back to a compensated stage? I'm confused on this pt!
Uncommon but possibl: Cirrhosis is scarring of the liver due to persistent injury. The causes of cirrhosis are multiple, including alcohol, obesity, viral hepatitis, autoimmune diseases. Decompensation means that there are significant complications, such as ascites, jaundice, confusion, kidney failure and cancer. In rare cases where the cause is removed, the liver can recover. I recommend you to see a hepatologist. ...Read more