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Asked for Male | 72 Years

How to manage liver cirrhosis with malignant transformation?

Patient's Query

My father was diagnosed with Liver Cirrhosis with Malignant Transformation with significant ascites and bilateral pleural effusion. Splenomegaly likely due to portal hypertension from the cirrhotic liver. Enlarged prostate likely BPH. And his doctor has not been able to do anything for us rather his abdominal pain keeps getting worse and his stomach swelled up. Pls doctors what advice can you provide for us. To help him with the pain and also manage the sickness.

Answered by Dr. Gaurav Gupta

Liver cirrhosis with malignant transformation, along with significant ascites and pleural effusion, indicates serious complications, even such as cancer. Splenomegaly due to portal hypertension adds to his discomfort. Please consult a hepatologist urgently; they can provide specialized care to manage his pain, reduce swelling, and address liver-related issues.

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Dr. Gaurav Gupta

Surgical Gastroenterology

Questions & Answers on "Hepatologyy" (104)

Hai i am male 49 years, from few months my platelets count reduced up to 27000. Gastro dr. do sonography and endoscopy, and find compensated cirrhosis of liver. i want to Know what is the long term effect and what kind of diet should i take. Thanks

Male | 48

If your doctor has suggested that you are suffering from compensated cirrhosis, this means the patient is in the early stage of cirrhosis. such patients need to be evaluated thoroughly for the cause of cirrhosis. Also these patients need to be under regular follow up with liver specialists to diagnose and treat complications when and where these complications arise. Also these patients need to be under strict liver-related diet control. Diet is generally modified and custom made for each and every patient. Hope this clears your doubt and reach out if you do have unresolved queries!

Answered on 23rd May '24

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Hi what does it mean if you have lost immunity to hip b ?

Female | 33

If you have lost immunity to hepatitis B, it means that your body is no longer protected against the hepatitis B virus. Immunity to HBV is typically acquired through vaccination or prior infection.

Answered on 23rd May '24

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Is treatment available for liver

Male | 65

send your reports initially

Answered on 10th July '24

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liver problem please can u guide me

Male | 18

If the liver is not functioning properly, the person may feel fatigued, become jaundiced, see yellow skin and eyes, and experience pain on the right side. Liver disease can be the result of virus attacks, overconsumption of alcohol, or obesity that leads to metabolic disorders. Take care of your liver and you will be forced to follow healthy eating habits, do regular workouts, and limit your alcohol consumption.

Answered on 18th July '24

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Gastritis with fatty liver

Male | 46

Gastritis and fatty liver are common medical condition.
Gastritis is an inflammation of the stomach wall.
Fatty liver is the accumulation of fat in the hepatic cells.
Stomach pain, nausea and vomiting can be caused by gastritis
Fatty liver may lead to fatigue, weakness and abdominal pain.
The three most common factors of gastritis are H. pylori infection, consumption of alcohol and NSAIDs.
Both diseases can be managed through lifestyle changes and medications.
Eat properly, do regular exercise and do not drink or smoke.

Answered on 23rd May '24

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My father has jaundice for 1 month. Bilirubin level 14. Few days ago father was given 5 blood.. But now hemoglobin levels is 6. Why the hemoglobin decreasing? What is the risk?

Male | 73

The decrease in hemoglobin could be due to continued blood loss, reduced red blood cell production, or hemolysis. Low hemoglobin levels can lead to fatigue, weakness, and other health risks. So consult his doctor soon for proper treatment.

Answered on 23rd May '24

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My fiancé was diagnosed with chronic hepatitis B last year. Though she has been treated. Now I’m scared to have sex with her. Please is it safe?

Female | 31

Hepatitis B is a virus that mainly affects the liver. Tiredness, jaundice (yellow skin), and stomach pain are some possible causes. Your fiancée has been treated and it is generally safe to have sex, but it is important to use protection such as condoms to minimize the risk of spreading the virus.

Answered on 20th Aug '24

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Answered on 23rd May '24

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Sar main ek kidney transplant patient hun mere liver mein ggt bada hua hai और लिवर फैटी भी है फर्स्ट स्टेज

Male | 38

You have a transplante­d kidney, and your liver has higher GGT. This is an e­nzyme that indicates liver issue­s. Additionally, you have early-stage fatty live­r, where exce­ss fat accumulates in liver cells. Fatigue­, abdominal discomfort, and jaundice are possible symptoms. Maintaining a nutritious die­t and regular exercise­ can be beneficial. Howe­ver, consulting your healthcare te­am is crucial

Answered on 23rd May '24

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I am having a high bilirubin 1.62, and this is the 2nd time. Last year at this same time I had it. And due to this I can't eat properly, and I feel vomiting as soon as I take a sip of water after eating. It's already been 15 days. It's making my appetite low, I feel low. I eat very less now, and in that too It's feel like my stomach is tight and blown up. Pls help me?

Male | 19.5

Based on the complaints and elevated bilirubin levels you seem to be suffering from a type of liver disorder, a condition wherein excess accumulation of bilirubin (a brown yellow coloured compound formed in breaking down of red blood cells) occurs. With loss of appetite, vomiting, stomach tightness and bloating; fever, extreme fatigue and abdominal pain can also be seen in liver diseases.

• There are multiple causes for development of liver dysfunction such as infection, autoimmune liver diseases like cholangitis, Wilson’s disease, cancer, alcoholic liver (due to alcohol abuse) and non-alcoholic (due to excessive consumption of fats) and drug induced.

• When using a medicine that is known to have the potential to cause liver damage, your doctor may recommend you to have blood tests done on a routine basis after starting the medication so that any signs of liver damage may be recognised before symptoms develop.

• Common medications that can cause damage to the liver include Paracetamol, Statins – drugs for lowering cholesterol levels and certain herbs.

• Other liver function parameters such as AST(aspartate aminotransferase), ALT(alanine transaminase), ALP(alkaline phosphatase) and GGT(gamma-glutamyl transpeptidase) bilirubin are required to be evaluated and additional to this for determining the exact cause of dysfunction especially to confirm presence of jaundice; urinalysis, CT (for distinguishing between biliary obstruction and liver disease including cancer) and liver biopsy (for ruling out concern about possible liver cancer) needs to performed.

• The treatment is based on the underlying cause and damage levels and can range from dietary changes, medications such as antibiotics, sedatives, etc to liver transplants.

• Consult hepatologist near you for further assessment and treatment.

Answered on 23rd May '24

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Hello Doctor, I did liver function test. I want to share the result with your for your professional advice.

Other | 27

please send your report initially

Answered on 5th July '24

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My grandpas liver is 75 percent damaged how can it be cured

Male | 75

Consult with a professional specializing in liver disorders. Treatment options will depend on the underlying cause and severity of the damage. Lifestyle changes, medications, or even a liver transplant may be considered. Prompt medical attention and following professional guidance are crucial in managing the condition effectively.

Answered on 23rd May '24

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I'm 30 years Male & suffer from Liver disease (Fatty Liver G-1) I have lose my wait 6 kg from 66( height 5'.5") How can i recover from this disease?

Male | 30

• Fatty liver disease is a condition caused by fat buildup in the liver (i.e., when fat percentage exceeds 5 - 10% of your liver's weight), which can be caused by alcohol intake and/or a high fat diet. Individuals who are obese/overweight, have poor glycemic control/insulin resistance, have metabolic syndrome, and are taking specific drugs such as amiodarone, diltiazem, tamoxifen, or steroids are at risk of developing fatty liver.

• In some situations, it is thought to be symptomless, but in others, it can cause substantial liver damage. The good news is that it is frequently avoidable or reversible with lifestyle modifications.

• It progresses through 3 stages which include Steatohepatitis (swelling and damage of liver tissue), Fibrosis (scar tissue formation where your liver is damaged) and Cirrhosis (extensive scar tissue replacement with healthy tissue). Cirrhosis can lead to liver failure or cancer.

• Laboratory investigations consists of Liver functions tests such as AST, ALT, ALP and GGT; Total Albumin and Bilirubin, CBC, Test for viral infection, Fasting Blood Glucose, HbA1c and Lipid profile.

• Imaging procedures such as Ultrasound, CT /MRI, Elastography (for measuring stiffness of liver) and Magnetic resonance elastography and Biopsy (for ruling out any cancerous growth and for signs or any inflammation and scarring).

• If a patient has a fatty liver, he or she should be checked for the entire metabolic syndrome, which includes diabetes, hypertension, cholesterol, and thyroid issues.

• The best way to treat fatty liver is with making some lifestyle changes which can significantly improve your health which includes – Avoiding alcohol and High fat diet, Losing weight, taking medications for controlling glucose and fat(Triglyceride and Cholesterol) levels and Vitamin E with Thiazolidinediones in specific instances.

• Currently, no drug treatment is approved for management of fatty liver disease.

In order to prevent further progression of disease one can:

 Maintain a healthy weight by consuming food less/minimal in in its fat percentage.

 Follow a Mediterranean diet which is high in vegetables, fruits and good fats.

 Exercise regularly for 45 minutes where in you can include combination of cycling with walking, cardio, CrossFit and yoga with meditation.

 Restrict alcohol consumption

 Consult a hepatologist near you for further evaluation and treatment and your dietician for advice on fat loss.

 

Answered on 23rd May '24

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She suffering fever from last 6 months and liver assessment

Female | 67

question is missing proper details

Answered on 10th July '24

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In my liver test SGPT is 42 and GAMMA GT is 57 more than normal range

Female | 35

Since your SGPT and Gamma GT levels showed higher values, your liver test result is fine, but slightly elevated. It may be a sign of the disease process that is manifesting itself in the form of liver damage or inflammation. Consult with a hepatologist is important. They can propose the right therapeutic methods which suits your situation best.

Answered on 23rd May '24

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I am suffering from chronic liver disease and had ascites last month but now better after treatment. At Jan month My albumin 2.3, AST 102 & ALT 92 level is reduced albumin 2.7, AST 88 IU/L & ALT 52 IU/L. My USG report taken during ascites shows DCLD & liver reduced in size, measures 10.4cm & coarse parenchymal echo texture with surface irregularity noted.portal vein indistinct. Following a healthy diet. Kindly advise if my liver had chances to regenerate or symtoms goes worse. Any treatment to cure.

Female | 68

It is possible for the liver to regenerate, especially if the damage to the liver is not too severe. However, this is not always the case, and the extent to which the liver can regenerate may depend on the underlying cause of the liver damage. 

There are several treatments that may be helpful in managing chronic liver disease. These may include medications to control symptoms and complications, such as ascites, and lifestyle changes, such as following a healthy diet and avoiding alcohol. In some cases, a liver transplant may be necessary if the liver damage is severe and not reversible. 

You must follow your doctor's recommendations for treatment and to continue to monitor your liver function tests and other symptoms closely. It is also important to avoid activities that could further damage your liver, such as drinking alcohol and taking certain medications that may be harmful to the liver.

Answered on 23rd May '24

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Respected Doctor Sir, Myself a 63 years old Non-alcoholic, retired man from a Pharmaceutical MNC Abbott, got diagnosed with Chronic Liver problem I e. Liver Cirrosis about three years back. Since, I am in Delhi, arranged best possible treatments from Max Hospital, ILBS & Apollo hospital. But all doctors clearly told me.... only option left is Liver Transplantation. I tried best for healthy & maching Liver but couldn't succeeded so far. Apart from Allopathic, I approached Professor & Head of the department Homeo- pathy and very renowned Ayurvedic doctor. All the doctors tried their best for recovery & I noticed the remarkable change in Fibroscan reports. ( Attaching both reports). But some problems remained as it is like.... Whole body itching, Loss of Stamina/vigour. My Whole body PLATELETS not improving. My Protine difficencies & Albumin lebel not satisfactory. For avoiding loss of Albumin, doctor recommends use of Hunan Albumin Interavenus Injections after intervalbof 15 days. Heavy weaknesses & Constipation. I spent my all retirement funds for treatments on Continuous doctor's consultations, repeated tests, Fibroscans, Ultrasounds, Costly Medicines, Admissions etc & having lot of financial crises. Even though life was going ok with some little problems. Suddenly on 27th December -23, when I was being injected Albumin, suddenly Some drops of Blood noticed on my tongue and I stopped using Albumin & informed Apollo Hospital Doctor, He suggested, I should get an emergency admission in nearby Hospital. So I got admitted in Max hospital, where my new problems were started during treatments. As per Max Doctors, my heart, Lungs, Kidneys, Pancreas were not functioning normal & I started feeling Memory loss. The doctors were telling that no chances of survival now & advised family to allow to put me on ventilator but my son hesitated & in same condition, he got me Apollo Hospital in mid night. I think Max hospital only seen their monotary benefits & recovered around 14.00 lacs for treatment through Insurance co. Then slowly slowly, I got recovery & after a weak, I got recovery . Sir, I am having no pain in and around Abdomen area, no swelling anywhere. For checking Ascites, doctors asked me to take half tablets of Lessilactone. Only feeling heavy Weekness, loss of stamina. I approached one of my doctor relative & he said as per MELD SCORE of 16, no immediate Transplant is advisable. Please see my attached reports & put your comments, whether, I may survive 5-6 years with this problem without Transplantation. I shall take video consultation with you but before that, I informed my few details to you for your better assessments & reply. WITH MY FOLDED HAND, I HUMBLY REQUEST YOURGOODSELF TO PLEASE SEE MY DETAILS THROUGHLY AND GIVE YOUR BEST POSSIBLE ADVISES. Best regards, Chaitanya Prakash Delhi Mobile. 9891740622

Male | 63

Answered on 14th Aug '24

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