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
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
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
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
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
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 more
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?
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 more
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
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 more
Cirrhosis pt had 2 separate inguinal hernias repaired, now navel hernia can this also be repaired? Ascites present.
Does ascites fluid leak into the groin area after a hernia repair if you have cirrhosis with ascites.
Is it contraindicated to use aldactone (spironolactone) when ascites is caused by cancer vrs. cirrhosis, heart problems etc.?
I have cirrhosis of the liver along with ascites and esophageal varicies, can you tell me why I am being prescribed prednisone?
My guess is alcohol: The best evidence that steroids can reduce the level of inflammation in hepatitis and cirrhosis is with alcohol-induced cirrhosis. You are probably also on a beta blocker (like propanolol or inderal) to reduce the chance of bleeding from the varices. Prednisone can only help you if you stop drinking, if you have, stay quit and get support, if you haven't your life depends on quitting-get help. ...Read more
I have cirrhosis. Is it possible to have ascites that doesn't show from physical exam. My navel leaks. No appetite. Belly aches. Could this be ascites?
Possibly dangerous!: If navel leaks, possibly cirrhosis but more common causes. One of the more common ones is a urachal sinus (an abnormal persistence of the duct from your bladder to your umbilical cord which was there to take urine away when you were in the womb). If your navel leaked before you got cirrhosis, that is a good possibility. In any case, the leak can be very dangerous so get a doc to see it asap! ...Read more
Muscle aches and some shooting pain in left hip down to calf , cirrhosis wit ascites present what could be causing this ?
It is the most commo:
Patients with cirrhosis and ascites usually have a marked reduction in systemic vascular resistance (svr) and in mean arterial pressure (MAP) plus an increase in cardiac output.
The development of portal hypertension (pht) is the first step toward fluid retention in the setting of cirrhosis. Patients with cirrhosis but without pht do not develop ascites or edema.
The development of ascites is the. ...Read more
I have cirrhosis. Recently a CT scan showed ascites in liver area. Lately ultrasound showed none. Will asxites definitely reoccur?
Have cirrhosis,& drink alcohol. how high is bilirubin if eyes are yellow the last few days. feel fine otherwise,no ascites.acute failure?
Cirrhosis: You should abstain from alcohol completely to avoid worsening of cirrhosis. For jaundice to occur the bilirubin has to be at least 4. The presence of jaundice in a patient with cirrhosis is a poor sign as is ascites. You must take your condition very seriously. I trust you're under the care of a gastroenterologist or hepatologist. ...Read more
Husband has mild cirrhosis, no ascites or portal hypertension. said for the last week has had black poop. wont go to the doctor. what should i do?
Respect this: There is nothing you can do to force another person to seek or accept health care. This may be trivial or may be very serious. If he becomes gravely ill, call an ambulance and in the absence of an advance directive refusing care, his life can probably be saved. But do not nag. Your relationship is much more important than being right, even about this. Best wishes. ...Read more
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