Doctor insights on:
Why Cant I Eat Grapefruit After Liver Transplant
Why can't you eat or drink grapefruit when taking antirejection medication after a liver transplant?
Lowers Drug Levels: Grapefruit causes special enzymes in the liver to become more active. These enzymes can cause accelerated breakdown of some of the medicines used to prevent rejection. If the drug levels drop unexpectedly, you could have a rejection episode and risk losing your transplant. ...Read more
In medicine: a transfer from one body or body part to another of an organ (liver, heart, lung, kidney, pancreas bowel) or tissue (hand, face, hair). The immune system fights foreign invaders (like infections) so it will reject transplants from other people (allotransplants) because they look like infections. So transplants usually require drugs to ...Read more
HELP! I cant seem to achieve a complete vowel movement. Only watery stools pass. I have CUC & had a Liver Transplant 8 yrs. Ago. Myralax helps?
Constipation: Sounds like overflow diarrhea. Constipation is common and source of many abdominal symptoms. A bowel regimen to achieve 2 soft bowel movements daily (water, juices up to 1.5 liters daily, fiber tablets, laxatives, stool softeners, probiotics) and walking are non-prescription tools you use to reach goal. If you have fever, vomiting, localized pain lasting over 40 minutes get evaluated. ...Read more
Multiple steps: First you get evaluated by a transplant center. Then you can have a living donor transplant or a deceased donor transplant. Living donors can be scheduled but for a deceased donor you must wait your turn for a matching donor. Your old liver is removed and the donor liver, either a full liver from a deceased donor or a partial liver from a living donor is attached to your blood vessels and... ...Read more
Varies: Liver transplant life expectancy depends on the type of liver disease someone has prior to transplant. Such as, for hepatitis C 5 years life expectancy is around 70%. For other type of liver diseases it is more. Best life expectancy is seen with someone with primary biiliary cirrhosis. ...Read more
Yes: It is important to always take an adequate supply of medications with you. You should not travel to 3rd world countries or be exposed to poor sanitary conditions as your anti-rejections medications make you susceptable to infection. ...Read more
Replace sick liver: The concept of transplantation of any organ is quite simple - replace the failing organ with a normally functioning organ. In the case of liver transplantation, you simply remove the diseased liver and replace it with a healthy liver from an organ donor. The new liver takes the place of the diseased liver (orthotopic) and starts functioning as soon as blood flow is restored. Sewn into place. ...Read more
By MELD score: Priority for organ allocation to patients on liver transplant waiting list is determined by meld (model for end-stage liver disease) score, which is obtained by entering 3 of the patients' lab values (creatinine, bilirubin, and prothrombin time) into a formula. The higher the meld score the patient has, the "higher" the patients is on the list. Length of time on wait list doesn't count. ...Read more
Usually in cirrhosis: When the patient has severe cirrhosis and liver function is being lost if a compatible liver is available the end results are not bad considering need for immune suppression. When hep b and c induce malignant growths in the liver, it is best to with microwave ablation of tumor. If liver transplant done there is a possibility of recurrence from immunosuppressiont. ...Read more
Liver transplant: There is no exact model to predict survival rates; however, there is a 58% chance of surviving 15 years. Failure of the new liver occurs in 10% to 15% of all cases. These percentages are contributed to by many complications such as early graft failure due to preexisting disease of the donated organ. Others include technical flaws during surgery. Hope my answer is of help. ...Read more
Lots of people: There are lots of great resources. On the web, I would try http://www. Transplantliving. Org/. Ask your primary care physician where the nearest transplant center is in your area. Then, make an appointment with a hepatologist. This is a liver specialist that helps determine whether you are a good candidate for a liver transplant. ...Read more
When liver fails: When the degree of liver dysfunction does not permit the removal of toxins in the blood or the formation of proteins needed for normal survival like clotting proteins; the liver may need to be replaced. A failing liver can affect many vital functions including altering of mental status. ...Read more
Big subject: A liver transplant is a huge lifestyle change for the patient and his family. It is usually a welcome change because the prior liver disease is awful, but it still will require attention to many little details and medications and frequent visits to the doctor forever more... ...Read more
Usually excellent: Liver transplantation should only be performed for those expected to survive at least 3 years, one of the us government's key outcome measures for transplant programs. Two categories of liver disease are generally linked to a worse prognosis because they can recur (come back) - cancer and hepatitis. Other patients should do well provided they take their medications and follow good health habits. ...Read more
Need a better one: We only replace a liver when there isn't any choice. This happens because 1)there aren't enough healthy cells in the liver to continue sustaining life (tylenol (acetaminophen) overdose, poison mushroom, hepatitis c), 2)there is blockage of blood flow within the abdomen (cirrhosis) from alcohol, or hepatitis or backed up bile (biliary atresia, pbc), or (3) removal of a tumor requires removing the whole liver. ...Read more
Be the sickest.: Emergent livers are allocated to those with an expected life span of <7 d such as those with acute liver toxicity. Urgent donation is available for those very ill patients on life support. A patial liver from a live donor can be used in an urgent or emergent situation though this is controversial. ...Read more
Lots of steps: There are lots of steps that are summarized very nicely on this website: http://www. Transplantliving. Org/before-the-transplant/getting-on-the-list/. Basically, you have to have a thorough evaluation to make sure you are a suitable candidate. This involves visits with multiple doctors and often several procedures or tests. Often, if you have other health conditions, these are treated beforehand. ...Read more
If you had a liver transplant and part of the treatment post operatively was the drug cyclosporine, then
Cyclosporine (csa)-related gynecomastia 6 and 10 months after transplantation is common.
Switch to tacrolimus, it does not cause the reduced testosterone, increased prolactinand lh hormone associated with cyclosporine.
This will result in resolution of your gynecomastia. ...Read more
Very well: After successful liver transplantaion, will have near normal life style, will be active, most of the time will go back to work, and have to take immunosupressive medications for rest of the life, avoiding getting infections. ...Read more
Will be cured: From the disease, that required liver transplant. Liver is the main (only) source of blood proteins, detoxifies and eliminates certain chemicals, has vital roll in bilirubin ; bile salt metabolism etc. Only organ one can donate, part of it, and save a life, thousands are on waiting list ...Read more
Varies: It is difficult to give an "average" wait time, because the wait time is dependent on how sick the person is. At this time, there are not enough livers for the number of people needing them. A score (meld score) is commonly used to determine who is most severely ill, and most in need of an urgent transplant. One person's wait time may be much different than another's, based on how sick he/she is. ...Read more
Lots of factors: There is a wide spectrum of patients needing liver transplants. Some are gravely ill, and will pass on if they do not get their transplant within 24-48 hours. Other patients have much less severe conditions and can live productive lives for years while waiting on the transplant list. Ask your doctor what your "meld score" is to give you a better estimate. ...Read more
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
A liver transplant is a surgical procedure that has both a donor and a recipient. The donor has part (if living) or the entire liver removed, and this is transplanted to the recipient. Liver transplantation is a life saving procedure and is performed when the recipient's liver is failing, or has developed a localized cancer that cannot be removed ...Read more
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