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
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
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