Top
40
Doctor insights on: Cirrhosis And Lactulose

Share
1

1
What is chronic liver parenchymal disease with cirrhosis; varices and ascites?

What is chronic liver parenchymal disease with cirrhosis; varices and ascites?

This sounds serious: To translate, you have liver cell damage and scarring (cirrhosis), which caused abnormally elevated portal vein pressures which caused venous distention in esophagus (varices). You also developed fluid in abdominal cavity, because of the high portal vein pressure. This imaging study is showing advanced stage of liver disease. You must get a specialist to treat you. ...Read more

Dr. William Singer
122 doctors shared insights

Lactulose (Definition)

Lactulose is a laxative which is a ...Read more


2

2
I HAVE CHRONIC HEP C AND ELEVATED LIVER AND KIDNEY ENZYMES IS THIS FATAL?

I HAVE CHRONIC HEP C AND ELEVATED LIVER AND KIDNEY ENZYMES IS THIS FATAL?

Impossible to tell: You will need to follow up with your GI DR closely and follow their instructions Impossible to give you any other response, without knowing you full medical history, labs-complete, and a physical exam ...Read more

3

3
How can liver cirrhosis and liver cancer be differenciated???

How can liver cirrhosis and liver cancer be differenciated???

Cirrhotic at risk: liver cancer usually happens in a cirrhotic liver. cirrhosis = scarring of the liver, cancer = uncontrolled cell growth. if you really have cirrhosis, you need to be screened for cancer regularly (can happen in 1-3% of cirrhotics per year) ...Read more

See 1 more doctor answer
4

4
Husband has liver fibrosis bridging cirrhosis but stopped drinking. takes lactulose and stopped drinking three months ago.will disesase get better?

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

5

5
Alcohol caused husbands liver fibrosis. ammonia levels are slightly elevated and he takes lactulose. does fibrosis cause this when it's not cirrhosis?

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

6

6
How can alcohol-induced liver cirrhosis form?

How can  alcohol-induced liver cirrhosis form?

See below: Alcohol is toxic to the liver fat accumulates in the liver when drinking occurs this progresses to alcoholic helpatis and then to cirrhosis cirrhosis leads to nodules shich have no resemblacne to normal lobules of the liver-and it is all because the liver detoxifies alcohol and this alcohol is itsef toxic to the llvier cells. ...Read more

8

8
With non-alcoholic fatty liver is milk thistle and vitamin e+ exercise effective and if so what dosage?

Unknown: as to whether they are effective. There are studies on both sides of this issue, and the majority of studies have not shown efficacy of either medication in preventing the progression or promoting the improvement of liver inflammation. This is particularly true with vitamin E, where all studies have shown lack of efficacy. A few studies of milk thistle have shown small improvements, but most not. ...Read more

10

10
Why the constipation considered risky for pateint with liver cirrhosis?

Why the constipation considered risky for pateint with liver cirrhosis?

Hepatic encephalopat: Hi, constipation promotes bacteria in gut to break down proteins and produce more toxins like Ammonia which could go to the brain and cause worsening level of consciousness, from sleepiness to coma. ...Read more

11

11
Are liver and pancreatic enzymes always elevated with liver and pancreatic cancer?

Are liver and pancreatic enzymes always elevated with liver and pancreatic cancer?

Short answer: No: Most often if a malignant mass presses on the ductal system of liver or panc. (see picture), it can cause abn. blood enzymes. If the mass is small and ducts drain, routine enzymes are usually normal. Gilbert Syndrome, a genetic abn. of up to 7% of folks, has the significance like your fingerprints, and is discussed nicely in: http://ghr.nlm.nih.gov/condition/gilbert-syndrome ...Read more

13

13
I need life expectancy for liver cirrhosis. He has hep c with an enlarged liver and fluid around it.

I need life expectancy for liver cirrhosis. He has hep c with an enlarged liver and fluid around it.

Difficult to say: With the approval of the latest round of hep C medicines, hep C has become a potentially treatable illness, sometimes even in the face of known cirrhosis. He needs to see a good hepatologist ASAP. In the meantime, no alcohol, tylenol, (acetaminophen) or shellfish. Good luck. ...Read more

15

15
Diagnosed with acute alcohol induced hepatitis and early cirrhosis denied a liver transplant bleeding and infection are risks. On dialysis--prognosis?

Diagnosed with acute alcohol induced hepatitis and early cirrhosis denied a liver transplant bleeding and infection are risks. On dialysis--prognosis?

Still drinking?: Acute liver injury due to alcohol use is unlikely to have a good outcome unless abstinence occurs. That is the only chance of surviving. The kidney injury may improve - insufficient info to respond. Top priority now is alcohol abuse treatment. - for long term prognosis. ...Read more

See 1 more doctor answer
16

16
I have stage 4 cirrhosis with some ascites and varices and my kidney function is in question. How could my kidney function be affected by cirrhosis?

Liver/kidney: you say you have ascites - the simplest explanation is the diuretics for the ascites affecting your kidney function (even though you have extra fluid in the belly, the kidneys perceive you as dehydrated). there are also direct affects on the kidney caused by liver function, known as hepatorenal syndrome, and a number of underlying liver conditions can also affect the kidneys (HCV in particular). ...Read more

See 2 more doctor answers
18

18
Are liver failure and cirrhosis the same?

Are liver failure and cirrhosis the same?

Liver insufficiency: Cirrhosis is a chronic condition & means that there is fibrosis constricting the arteries. Veins and billiary ducts of the liver causing dysfunction. Cirrhosis is the end of the spectrum of hepatitis b or c and alcoholism. Cirrhosis may degenerate in cancer of the liver too. Liver failure may be caused acutely by toxicity from drugs, medications, venoms, lack of circulation to the liver, injuries. ...Read more

See 1 more doctor answer
20

20
Elevated liver enzyme with normal other liver function and normal ultrasound and negative hepatitis b and c virus ??

Elevated liver enzyme with normal other liver function and normal ultrasound and negative hepatitis b and c virus ??

2 thoughts:: A common cause of asymptomatic elevations in liver enzymes is fatty liver(Non alcoholic fatty liver disease: NAFLD). This is very common in obesity and is considered to be part of the metabolic syndrome. Ultrasound will be "normal" (i.e. falsely negative) in 17% of patients with NAFLD. A less common cause=choledocholithiasis(stones in common bile duct). Often missed on ultrasound. Can be asymptom ...Read more

See 1 more doctor answer
22

22
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

23

23
I have mild HE due to Cirrhosis. My Gastro started me on Lactulose. Is this a symptom of decompensation?

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

25

25
For what length of time can lactulose work for someone with end-stage liver cirrhosis?

For what length of time can lactulose work for someone with end-stage liver cirrhosis?

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

27

27
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

28

28
Hepc, cirohsis, heart fraction rate 40%, gall stones,MVR done in2006,last 2days constipation,taking lactulose 3times yestday, rifagut twice, no motion?

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

29

29
I have cirrhosis of the liver and need to know how or if e cigarette can hurt me?

I have cirrhosis of the liver and need to know how or if e cigarette can hurt me?

Yes, it can: Smoking increases the damage caused by injurious agents in liver disease. Several studies have shown association of increased liver damage with smoking in patients with alcoholic liver disease and viral hepatitis, as well as fatty liver disease. If you have cirrhosis, do yourself a favor and stop smoking. ...Read more

30

30
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!

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

31

31
Who gets cirrhosis?

Liver cirrhosis: Liver cirrhosis has many reasons. Most common in the us are alcohol abuse, and hepatitis c. Other causes could be due to wilson's disease, alfa veto protein deficiency etc. ...Read more

See 1 more doctor answer
32

32
What sort of disease is cirrhosis?

What sort of disease is cirrhosis?

Scarred Liver: Liver damage and scarring of the liver from a variety of causes results in what is called cirrhosis of the liver. Alcohol, viral hepatitis, autoimmune liver diseases, inheritedliver disease are some examples of causes of cirrhosis. ...Read more

See 1 more doctor answer
33

33
What is cirrhosis of the liver?

What is cirrhosis of the liver?

Scars in the liver: Chronic inflammation of liver cells can result in permanent scarring to develop in the liver. This is called cirrhosis. Common causes are excess alcohol intake, viral hepatitis infection, certain drugs and hereditary diseases. Blood tests to check liver function and ultrasound examination can help evaluate the overall health of the liver. ...Read more

34

34
What causes cirrhosis of the liver?

What causes cirrhosis of the liver?

Agree but also...: Other causes of cirrhosis can be metabolic, genetic, and autoimmune causes. ...Read more

See 1 more doctor answer
35

35
What leads to cirrhosis of the liver?

Many Things: Hepatitis c, fatty liver, and alcohol abuse are the most common causes. Other causes include blockage of the bile duct can cause biliary cirrhosis, inherited diseases such as: cystic fibrosis glycogen storage diseases, Alpha 1 antitrypsin deficiency, hemochromatosis, and wilson's disease. ...Read more

36

36
What are the reasons for a cirrhosis of the liver?

Several: In us there most common causes of cirrhosis are heavy alcohol use, hepatitis c and fatty liver disease. Hepatitis b is somewhat uncommon, because of universal vaccination, easy to treat and control the virus. It is more commonly seen in asian-american population. Fatty liver disease can occur because of obesity, uncontrolled diabetes, high blood pressure and cholesterol. ...Read more

See 3 more doctor answers
37

37
Is cirrhosis worse than fatty liver?

Is cirrhosis worse than fatty liver?

Quick response Yes: Cirrhosis is advanced liver inflammation with the multitude of complications that you see with it and none of them are great to experience. Fatty live disease on the other is mild liver enzyme elevation that you see due to the deposition of fat in the liver. Tend to see it in heavier set people. ...Read more

See 2 more doctor answers
38

38
How can fatty liver cause cirrhosis?

How can fatty liver cause cirrhosis?

Inflammation: Fat in the liver, leads to inflammation of the liver, which with time will lead to scarring of the liver. Fat in the liver causes the exact same damage as alcohol does to the liver. ...Read more

39

39
Is there a diet that helps liver cirrhosis?

Is there a diet that helps liver cirrhosis?

Diet-cirrhosis liver: Yes there is help. You must call your doctor because there are many causes of cirrhosis of the liver, and the diet recommendations can vary with the cause. Follow medical advice very carefully. ...Read more

See 1 more doctor answer
40

40
Can sleep problems be a sigh of cirrhosis?

Can sleep problems be  a sigh of cirrhosis?

Very few early signs: Sadly, many have no awareness until the liver is quite damaged and those symptoms incl appetite/weight loss - weakness and fatigue. But read this article and have an exam/lab tests if you are concerned. http://www.mdjunction.com/forums/cirrhosis-discussions/general-support/3207200-your-earliest-signs-symptoms-of-liver-disease Best! ...Read more

Dr. Milton Alvis, jr
107 doctors shared insights

Chronulac (Definition)

Chronulac is a laxative which is a ...Read more


Dr. Oscar Novick
107 doctors shared insights

Cephulac (Definition)

Cephulac is a laxative which is a ...Read more