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Doctor insights on: Decompensated Liver

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Can a decompensated liver from cirrhosis ever return to a compensated state? I've heard varying answers!

Can a decompensated liver from cirrhosis ever return to a compensated state? I've heard varying answers!

Yes.: Not uncommon to have varying answers. Cirrhosis is scar and does not improve. However, function may improve slightly and the addition of medications could turn a decompensated state into a compensated state. ...Read more

Dr. Oscar Novick
2 Doctors shared insights

Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more


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What is the life expectancy for patients with decompensated liver disease?

What is the life expectancy for patients with decompensated liver disease?

Not very good: Without knowing more details it is hard to say but the life expectancy without treatment is likely 6 months to a year. ...Read more

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Decompensated liver. ..what is my life span ive already had 6 varacies I suffer from a lot of water infections my legs have now started to swell?

Decompensated liver. ..what is my life span ive already had 6 varacies I suffer from a lot of water infections my legs have now started to swell?

Life expectancy: It is impossible to predict how long you are going to survive with this significant condition. Many people with varices secondary to portal hypertension from cirrhosis do not do very well and may not make it for another year, and yet some do. You can discuss this with your treating physician who will know more about your status. Good luck and best wishes. ...Read more

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Sorafenib decreased platelet count of my father at 72 who's diabetic, diagnosed with hcc & decompensated liver cirrhosis & now unable to take sorafenib?

Sorafenib decreased platelet count of my father at 72 who's diabetic, diagnosed with hcc & decompensated liver cirrhosis & now unable to take sorafenib?

My friend,: ..You paint a very bleak picture. Your dad is elderly and his bad cirrhosis makes it likely that any treatment for his hcc will cause more harm than good. I would respectfully suggest that you guys start focusing on confort measures rather than additional therapy. Of course, I do not know all the details so this is a conversation to have with his treating oncologist. Best to both. ...Read more

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Would a contrast CT scan with barium swallow pick up decompensated liver cirrhosis?

Would a contrast CT scan with barium swallow pick up decompensated liver cirrhosis?

It should: Oral contrast and intravenous contrast is needed to evaluate if there's compensation of the liver. Ultrasound also can show blood flow direction to further help in evaluating the liver ...Read more

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Decompensated adv liver disease with ascites, some confustion, fatigue, loss of apetite, drowsiness, sleepiness, breath is fowl, etc how long to live?

Decompensated adv liver disease with ascites, some confustion, fatigue, loss of apetite, drowsiness, sleepiness, breath is fowl, etc how long to live?

Hepatic encephalopat: It sounds like hepatic encephalopathy, it is difficult to predict with out having some labs. Survival and mortality is predicted by a a formula known as meld score. ...Read more

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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?

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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Do the selcept increase the livers anzyme?

Do the selcept increase the livers anzyme?

It can: You are asking about cellcept, (mycophenolate mofetil) or mycophenolate, correct? Elevation of the liver enzyme transaminases sgot/ast and sgpt/alt is fairly common. Your physician knows about this and can guide you on what to do. ...Read more

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My liver size is 14.4?

That's normal: Up to 15 cm on the right is perfectly fine, a taller person's liver may be several cm taller itself, and some folks have an odd-shaped liver with a much bigger span but that works fine. ...Read more

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What does the liver do?

What does the liver do?

Synthetic plant: Along with detoxifying, as dr. Proffitt said, the liver is a major site of protein synthesis for the body. It make albumin, the protein in your blood that maintains osmotic balance. It also makes many of the clotting factors that keep you from bleeding to death. That's why when you liver fails you bloat (due to loss of osmotic balance) and bleed (due to loss of clotting factors). ...Read more

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What is a gressy liver?

Fatty liver: Extra fat storage in the liver is a result of obesity. In the same way we store fat in the obvious parts of our body (arms, abdomen, legs, face) when we gain weight, we will store fat in our organs inside of us. ...Read more

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Can you feel your liver?

Can you feel your liver?

Hopefully not: Most individuals cannot feel their liver. It can be difficult for physicians to feel the liver unless it is enlarged. Normally on exam we may feel the distal edge, however, it is sometimes easier to percuss the size. In thin patients it can be easier. If someone has liver disease the liver edge can be found as low as the iliac crest or hip. Hope this helps, good luck. ...Read more

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We can change the liver?

We can change the liver?

Huh?: Too vague a question. Do you mean change for better or worse, or switch it for another-transplant? ...Read more

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What is liver shrinkage?

Likely Cirrhosis: I suspect you mean that the liver has become smaller. A liver which has cirrhosis will become smaller and shrunken. This is a bad sign of advanced disease. ...Read more

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Where is your liver?

Where is your liver?

Right upper belly: The liver is in the right upper belly, actually protected by the lower ribs of the right side of the rib cage. ...Read more

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What is homogenous liver?

Normal: This is a radiological term meaning that it looks similar throughout the whole substance, without any unusual spots or areas. Pat yourself on the back and keep doing what you are. If there are other problem at
least the liver is probably not the cause. ...Read more

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How to cleanse your liver?

How to cleanse your liver?

Avoid meds/booze!: To improve liver functioning, stop alcohol and any recreational drug abuse. Avoid a lot of supplements and over the counter meds. Take meds only as prescribed. There is no way to detoxify using any supplement that promises to "clean your liver." Ads that say their diet or supplement will do so are all a bunch of malarkey. ...Read more

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How much for a new liver.?

Very expensive: Liver transplant surgery and meds to prevent rejection are very expensive. However, most insurances will cover that cost if they deem it appropriate. ...Read more

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How large can a liver get?

17 lb: This is the biggest I've seen -- alcoholic hepatitis. I believe this was a suicide-by-alcohol. Livers containing large amounts of metastatic cancer may be similarly oversized. ...Read more

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What is a wraparound liver?

Wrap around liver: This is a normal variant where the left lobe of the liver is enlongated and wraps around the spleen. ...Read more

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What exactly is lily-liver?

Coward: Being lily livered a colloquial expresion for being coward, "lacking blood in the liver". ...Read more

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What is good for the liver?

What is good for the liver?

Body respect: The liver is a cleaner for toxins, creates essential proteins, has a large part in digestion, and stores glycogen for energy. These are just a few of its vital functions. It is important to avoid fatty foods, excessive alcohol, street drugs, infections such as hepatitis A/B/C/D/E, and unhealthy diets. Drinking water and even coffee in moderation can help. Proper nutrition is essential. ...Read more

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Where is the liver located?

Where is the liver located?

Liver: The liver is located in the right upper quadrant of the abdomen, immediately below the right lung/diaphragm. It is beneath the lower margin of the rib cage. ...Read more

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How fo I do a liver cleanse?

How fo I do a liver cleanse?

Here's a safer way: I'M ALL FOR IT IF by "cleanse" you mean adopting a healthy lifestyle with routine exercise, cutting out tobacco, reducing alcohol & sugary drinks, minimizing highly processed foods & fats, & adding in lean proteins, whole fruits, vegetables, & nuts. DON'T DO IT IF instead you mean taking some fad diet, enema, colonic, or purgative to lose weight or supposedly rid your body of unspecified "toxins." ...Read more

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Does liver rite really work?

Does liver rite really work?

I doubt it: It is a pricey mix of simple nutrients and (according to some sources and not others) milk thistle (which has failed many but not all controlled studies for various liver problems -- it does seem to interact with the drug-detoxifying systems in the liver). If you want to take good care of your liver, avoid alcohol and stay lean and physically fit. ...Read more

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Will a lacerated liver heal?

Yes: In fact, it's fairly common to find old scars from previous lacerations, known and unknown. ...Read more

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Do liver cleanse pills work?

Do liver cleanse pills work?

No: They are a scam and simply make money for unscrupulous practitioners. At least they are safer than the crazy schemes in which you eat/drink something awful that can land you in intensive care. Your liver cleans itself and doesn't need help. If you really care about your liver, drink alcohol only on special occasions if at all, and get back into a fitness-focused lifestyle. ...Read more

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What is a high riding liver?

What is a high riding liver?

Not a diagnosis: You should ask whoever told you someone had this, or whoever ordered the study if it was seen there, what it means to them. ...Read more

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How can the liver regenerate?

How can the liver regenerate?

Nicely if you let it: The liver's ability to self-heal is amazing. If a person who's been poisoned and lost 99% of the liver cells can be brought through the acute episode, the liver cells will have replaced themselves and the organ returned to near-normal in a few weeks. Don't get over-confident -- if the architecture is damaged (cirrhosis), the regeneration is useless. ...Read more

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What does the liver feel like?

What does the liver feel like?

Its firm...: ...but to better illustrate, envision it as a meaty organ predominantly under the ribs on the right side of the abdomen, reddish-brown in color, & rubbery to the touch. ...Read more

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What foods are good for liver?

Mediteranian diet: Avoid high carb, high fructose corn syrup and excess calorie. ...Read more

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How to take care of the liver?

50 ways to love your: Limit alcohol use.
Avoid risky sex/drug/tattoo/piercing & others' blood.
Get hepatitis vaccines.
Only use rx & nonrx drugs if needed in recommended dose.
Don't mix medications, alcohol & herbals w/out asking your doctor.
Only use aerosols in ventilated rooms or wear a mask.
Avoid skin contact with insecticides, etc.
Eat mostly fruits/veggies & limit high-fat foods & maintain healthy weight (bmi). ...Read more

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What is a lesion on the liver?

What is a lesion on the liver?

Several possiblities: Ranging from benign, to a lesion that needs monitoring (repeat imaging in 3 to 6 months), to lesions that need biopsy for diagnosis and treatment. Okay to discuss with the doc who obtained the imaging. Many liver lesions are picked up "incidentally" when imaging is obtained for other reasons. However, even if you are without symptoms, okay to ask your doc. ...Read more

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How is a liver biop performed?

Interventional Rads: Usually a liver biopsy is performed by an interventional radiologist. They use an ultrasound machine to image your liver, clean off the skin with beta dine and numb the surface of your skin up with a local anesthetic. They may give you a very mild sedative and then they pass needle through your skin and access the liver tissue ...Read more

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What does liver do to medicine?

Metabolize it!: Most medications are significantly metabolized by the liver: some to inactive compounds, and in some cases, the medication is inactive and turned into the active form of the drug. And in some cases, ;little is done to the drug, and it is excreted fecally or in urine. ...Read more

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How can I improve liver health?

How can I improve liver health?

Be liver-smart...: Get hepatitis a & b vaccine, avoid IV drug abuse & risky sex, don't use liver cleansers, be skeptical of supplements. Also, minimize tylenol (acetaminophen) & analgesic use, curtail alcohol intake, control weight as well as diabetes & high cholesterol, make smart diet choices (don't pick mushrooms from the field). If liver abnormal now, periodically check liver tests & imaging for trends. See your doctor if? 's. ...Read more

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What does the liver do exactly?

What does the liver do exactly?

Detoxifies: The simplistic answer is that it detoxifies blood that is returning to the heart & lungs. ...Read more

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How do you clean out your liver?

You don't: Forgive my frankness. The internet is full of claims that people need to "detoxify" their livers for whatever reason. People who feel unwell (often due to undiagnosed physical disease or emotional / situational distress) are told the problem is "chemicals" or whatever and are given weird protocols and horrible things to ingest that can end them in the hospital. Ignore this nonsense. ...Read more

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Can you survive without a liver?

No.: The liver is a power house. Other functions include: it stores carbs, helps regulate blood sugar, amino acids, carbohydrates, and fats; metabolizes many drugs and hormones; produces blood clotting factors and plasma proteins; and makes bile for the digestion of fat. However, you can live with part of your liver removed; the organ will eventually regenerate and recover full function. ...Read more