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Doctor insights on: Cirrhosis Ascites Life Expectancy

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Dr. Addagada Rao
Board Certified, General Surgery
51 years in practice
25M people helped
1

1
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? Thanks.

Dr. Addagada Rao
Board Certified, General Surgery
51 years in practice
25M people helped
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? 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

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Dr. Bret Boyle
Board Certified
23 years in practice
264K people helped
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Dr. Bret Boyle
Board Certified
23 years in practice
264K people helped
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Dr. Robert Rahimi
195 doctors shared insights

Ascites (Definition)

Ascites is also known as Abnormal fluid buildup in abdomen, Fluid in the abdomen. Ascites is a symptom in which a person has fluid (watery liquid) in his tummy, but the fluid is outside of the organs. Ascites fluid can surround the stomach, intestines, and bladder, but ascites fluid is ...Read more


Dr. Myron Arlen
Board Certified, Surgical Oncology
59 years in practice
2M people helped
2

2
Can you tell me about life of patients with ascites and liver cirrhosis of grade iv?

Dr. Myron Arlen
Board Certified, Surgical Oncology
59 years in practice
2M people helped
Can you tell me about life of patients with ascites and liver cirrhosis of grade iv?

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

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Dr. Bret Boyle
Board Certified
23 years in practice
264K people helped
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Dr. Bret Boyle
Board Certified
23 years in practice
264K people helped
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Dr. TraChella Johnson Foy
Board Certified, Family Medicine
15 years in practice
1M people helped
3

3
In cirrhosis does the presence of ascites always indicate decompensation and is this considered a serious complication and stage of the disease?

Dr. TraChella Johnson Foy
Board Certified, Family Medicine
15 years in practice
1M people helped
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 more

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Dr. Donald Alves
Board Certified, Emergency Medicine
19 years in practice
18M people helped
4

4
Does the presence of ascites in cirrhosis always indicate the patient is in a decompensated state?

Dr. Donald Alves
Board Certified, Emergency Medicine
19 years in practice
18M people helped

Not exactly: It indicates the severity of disease process, but can be created at variable rate (/volume) depending on compliance w/meds and diet (salt excess a big one). True decompensation usually w/ascites and jaundice (yellow appearance to skin / sclera). ...Read more

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Dr. Bret Boyle
Board Certified
23 years in practice
264K people helped
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Dr. Mark Hoepfner
Board Certified, General Surgery
34 years in practice
17M people helped
5

5
Is recovery after inguinal repair worse for cirrhosis with mild ascites?

Dr. Mark Hoepfner
Board Certified, General Surgery
34 years in practice
17M people helped
Is recovery after inguinal repair worse for cirrhosis with mild ascites?

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 more

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Dr. Mary Maluccio
Board Certified, Surgical Oncology
22 years in practice
307K people helped
6

6
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?

Dr. Mary Maluccio
Board Certified, Surgical Oncology
22 years in practice
307K people helped
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 more

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Dr. Paul Garrett
Board Certified, Radiology
35 years in practice
16K people helped
7

7
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?

Dr. Paul Garrett
Board Certified, Radiology
35 years in practice
16K people helped
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 more

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Dr. Per Freitag
Board Certified, Orthopedic Surgery
552K people helped
8

8
What happens if anyone have an experience with cirrhosis, ascites please give me some advice about treatment. thank you.?

Dr. Per Freitag
Board Certified, Orthopedic Surgery
552K people helped

Stop drinking: The most effective treatment would be to stress the liver less, The liver has great regenerative potentials. ...Read more

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Dr. Shaad Abdullah
Board Certified, Hematology and Oncology
12 years in practice
92K people helped
9

9
No cirrhosis, no cancer, no clots, temps of 100f and ascites; what could be the cause?

Dr. Shaad Abdullah
Board Certified, Hematology and Oncology
12 years in practice
92K people helped
No cirrhosis, no cancer, no clots, temps of 100f and ascites; what could be the cause?

Needs an exam: Should see a gastroenterologist immediately. Causes can be worked up by a detailed workup without any further delay and liver compromise. Might need a liver biopsy if warranted by your physician. ...Read more

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Dr. Robert Uyeda
Board Certified, General Surgery
40 years in practice
5M people helped
10

10
What is chronic liver parenchymal disease with cirrhosis; varices and ascites?

Dr. Robert Uyeda
Board Certified, General Surgery
40 years in practice
5M people helped

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

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Dr. Jay Yepuri
160 doctors shared insights

Abnormal Fluid Buildup In Abdomen (Definition)

Abnormal fluid buildup in abdomen refers to Ascites, a medical condition in which a person has excess fluid in the abdomen (in the peritoneal space). Abdominal fluid buildup occurs in conditions such as liver failure, kidney ...Read more


Dr. Jay Yepuri
158 doctors shared insights

Fluid In The Abdomen (Definition)

Fluid in the abdomen is a clinical finding in which the abdomen may be enlarged and contains fluid. This can occur due to liver, ...Read more


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Dr. Bret Boyle
Board Certified,
23 years in practice
264K people helped
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