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Doctor insights on: Cirrhosis And Lactulose

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Dr. Adam Lewis
108 doctors shared insights

Lactulose (Definition)

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


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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

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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

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How long can lactulose work for a person with end-stage liver cirrhosis?

Depends: Every patient follows the same path in end stage liver disease, the issue is the timing. Eventually, the lactulose might not be enough to treat hepatic encephalopathy and other measures may need to be considered such as rifaximin. ...Read more

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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

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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

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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

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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

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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

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Dr. Julie Abbott
97 doctors shared insights

Chronulac (Definition)

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


Dr. Ralph Wharton
97 doctors shared insights

Cephulac (Definition)

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