Doctor insights on:
Cirrhosis Ascites Life Expectancy
What is average life-expectancy for a patient who has liver cirrhosis and has developed ascites for 2 weeks and seems to respond to Lasix and aldactone (spironolactone)? Thanks.
What Stage ?: Life expectancy depends on what stage is the disease , is it irreversible, what is meld score need inr, creatinine & bilurubin levels to access ( model for end stage liver disease ) presence of active hep b or c eso. Varices etc . Based on info appear to be stage iii or IV if untreated not much time left , need liver transplantation. Meld score to put on waiting list. ...Read more
Complicated: Patients with liver cirrhosis develop many complications since the presence of ascites means that there is portal hyperteinsion in the venous system draining the bowel with nutrients heading to the liver. Such patients can go into liver failure and coma or develop complications from portal hypertension such as esophageal varices. A shunt has to be performed to lessen or eliminate the problem. ...Read more
Does the presence of ascites in cirrhosis always indicate the patient is in a decompensated state?
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
In cirrhosis does the presence of ascites always indicate decompensation and is this considered a serious complication and stage of the disease?
It is concerning: Ascites- buildup of fluid in the abdominal cavity- can be a sign of serious decompensation in the liver function. This is usually seen in the later stages of liver failure. If this is seen you should let your doctor know right away. This is associated with decreased survival. However if the cause of the liver damage is found early-& treated this can delay progression. Cirrhosis can't be undone. ...Read moreSee 1 more doctor answer
Maybe: Depends on your overall health. Body protein levels and blood coagulation may be impaired. Immune system may be weakened. Can have increased risks of bleeding & infection & hernia repair failure. Ascites leak could develop & may be very difficult to try to deal with. Maximize all medical conditions first & surgery only if really necessary. ...Read moreSee 1 more doctor answer
Husband has alcoholic cirrhosis without ascites and drinks at least a pint a day. was in acute failure 6 months ago. can he live years or months?
I'm so sorry: If I told you there are special ultrasound tests to help determine prognosis such as, (http://synapse.koreamed.org/DOIx.php?id=10.3349/ymj.2016.57.1.138} it wouldn't help much really, would it? Please don't think about death. Try to salvage life, either yours or his or both. Get support from providers, clergy, friends, family, even bartenders-- it doesn't matter who. Thanks for reaching out. ...Read moreSee 1 more doctor answer
Husband has alcoholic cirrhosis, drinks half gallon in 24 hours. diagnosed two years ago. still no ascites. is this something that progresses slowly?
Cirrhosis (diffuse: scarring throughout the liver) rate of progression is very variable yet one way, not reversible by any current treatments & tends to correlate with not only Etoh consumption by also type & severity of viral hepatitis (typically low grade & not diagnosed). Ascites=late symptom from obstruction of portal blood flow through liver, after esophageal, umbilical & perianal venous varicosities=advanced. ...Read more
I am in decompensated cirrhosis with ascites present in liver area in the past. Yet my blood counts are within normal range. Is this possible?
Yes: Ascites can be a primary manifestation of liver disease despite what appear to be well preserved blood values. In some cases, we will consider a tipps procedure to control the ascites as long as you are not struggling with episodes of confusion. Make sure you are following a low sodium diet. ...Read moreSee 2 more doctor answers
Husband has cirrhosis but no ascites. stool the last week is on and off black and tar like. some are black and some are brown. whats the cause?
Bleeding in gut: Black, tarry stools or melena is a sign of bleeding in the GI tract. This can occur anywhere from the mouth to the anus, but in patients with cirrhosis, the stomach and esophagus are primary sources. See your physician right away for further workup that may include blood work and upper/lower endoscopy. ...Read more
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
Im suffering from cirrhosis, portal hypertension and ascites/ can you tell me more about treatment for this?
FEW OPTIONS: Your hepatologist (liver specialist) would be the best person to decide what would be the best treatment for you. Options include: b-blocker to decrease portal pressure, diuretics (lasix/aldactone) to control ascites and in certain cases tips (transjugular intrahepatic portosystemic shunt). Best recommendation is to avoid anything that may further damage the liver. ...Read more
What medicine can be given for patient with hyper thermia who has liver cirrhosis with gross ascites?Thanks.
I had a biopsy that proved I have cirrhosis. My GI said it was a slight case. Yet i've had ascites around my liver. With that how can it be slight?
Communication issue?: Any degree of inflammation in the liver can cause some ascites. You might have a small amount of ascites. Of course, to each patient, his condition is very serious. I'm sure your doctor is also very concerned about your liver but trying to convey that based on experience, he or she has seen much worse. Make sure to ask your doctor at your next visit in order to help improve communication. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
What type of surgeries can be performed for people with ascites do to cirrhosis, what factors go into deciding when to do the surgeries, and what is the prognosis afterwards? (can the person still be active, do contact sports ect.?)
Ascites: Besides medicines, there are various procedures that are possible for ascites. They range from a shunt which can be placed in the liver without surgery (TIPS) to shunt surgery itself. In addition, a successful liver transplant would cure Ascites. Once healed, some people would be able to engage in contact sports, within reason. Details of these procedures require more than 400 characters. ...Read moreSee 1 more doctor answer
Cirrhosis pt had 2 separate inguinal hernias repaired, now navel hernia can this also be repaired? Ascites present.
umbilical hernia: In a cirrhosis patient who has ascites, the liver disease is quite advanced. Therefore, any surgery can put the patient at significant risk. For an umbilical (navel) hernia, it should not be repaired in this type of patient unless it is an emergency. ...Read moreSee 1 more doctor answer
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