Liver Cirrhosis Patient

Most people don’t think twice about their morning cup of coffee; it’s a normal part of their daily routine. But if you’re battling a liver disease, you’ve probably found yourself questioning whether coffee consumption is a wise choice. Many people with Hepatitis C have likely been given a laundry list of foods and drinks to avoid due to the potentially negative effect they might have on an already weakened liver. This could mean that the number of cups of coffee they drink each day has lessened over time. However, researchers have been studying the effects of coffee on a compromised liver for a while and, while the preliminary results indicate that coffee consumption has more positive effects than negative ones, the evidence is truly inconclusive about whether someone with Hepatitis C should or should not avoid this stimulating beverage.

Study results show a noticeable decrease in the extent of liver damage in those people who consume coffee regularly, including lower enzyme levels, less severe liver damage and a reduced risk of developing type-2 diabetes. Based on these results, it appears that the progression of liver damage is directly affected, in a positive manner, by coffee consumption.

It’s important not to misinterpret these study results; they certainly don’t insinuate that you should rush out and drink ten cups of coffee a day to try and protect your liver. That simply won’t work. Keep in mind that very few people drink their coffee black. Most people add heaping amounts of sugar or artificial sweeteners to their daily cup of joe, and this poses its own set of health risks.

The bottom line is that coffee drinkers who have Hepatitis C can breathe a sigh of relief – they need not abandon their favorite morning beverage due to their condition. However, as with many things in life, moderation is the key when it comes to coffee consumption while battling a liver disease.

To earn more about the benefits of coffee drinking with Hepatitis C, visit: hepatitis-central.com/mt/archives/2008/11/coffee_drinkers.html.

Frequently Asked Questions

  1. QUESTION:
    HOW MANY YEARS LIVER CIRRHOSIS PATIENT LIVE AFTER DIAGNOSE?

    • ANSWER:
      Cirrhosis is caused by irreversible scarring of the liver. Once cirrhosis develops, it is not possible to heal the liver or return its function to normal. It is a serious condition that can lead to many complications.
      A liver specialist (hepatologist) should help evaluate and manage complications. Cirrhosis may result in the need for a liver transplant.
      Possible Complications:
      * Bleeding disorders (coagulopathy)
      * Bleeding esophageal varices
      * Build-up of fluid in the abdomen (ascites) and infection of the fluid (bacterial peritonitis)
      * Coma
      * Hepatic encephalopathy
      * Increased pressure in the blood vessels of the liver (portal hypertension)
      * Kidney failure (hepatorenal syndrome)
      * Liver cancer (hepatocellular carcinoma)
      * Mental confusion or change in the level of consciousness (hepatic encephalopathy)
      * Sepsis
      A procedure called TIPS (transjugular intrahepatic portosystemic shunt) is sometimes necessary as a result of many of these complications.

  2. QUESTION:
    My mother is a liver cirrhosis patient and suffers from ascites. Please help.?
    My mother is a liver cirrhosis patient for five years and suffers from ascites. Every 15 to 20 days about 5 to 9 litres of fluid has to be removed from her abdomen by inserting a needle and draining the fluid through the needle. She has been taking medicines like Lasix, Aldactone and Inderal. Water intake is restricted to 1 lit/day and she passes almost 800 ml urine every day. She also has diabetes and is on insulin. She also has been diagnosed with hepatitis B and has been taking Enteca 500 every day.
    How does she accumulate so much water every 15 or 20 days when water intake and outlet almost matches?
    She now has been diagnosed to have water accumulation in her back also and doctors want to install a bag which will collect all the water and discharge later. Please explain that procedure.

    • ANSWER:
      You are talking about Ascites and fluid build up in
      the extremities.
      People who have cirrhosis of the liver retain alot
      of fluid inside the body because their bodies tend
      to hold onto too much sodium. Sodium has to be
      watched closely on the blood work now, because
      it is an electrolyte that keeps the heart beat in
      rhythm. The doctor is trying to remove the excess
      sodium from the body by using diuretics and
      also placing her on water and sodium restricted diet.
      This fluid is known as edema and tends to collect in
      the feet and legs. Elevating the legs helps, but do
      not massage the area.

      Ascites is caused by something different. It develops
      because the liver is no longer able to make a protein,
      known as Albumin, which holds fluids inside our vessels.
      This fluid seeps out and collects in the abdominal area.
      This will continue to happen because the liver isn’t
      able to produce this Albumin and if given to the body,
      will only last a short period of time. This ascites also
      occurs because of vascular reasons. This fluid
      is known as third spacing fluid, because it can be
      removed from the body without the body needing it.

      They can place tubing in the area that will continue to
      drain the fluid from her. I never heard of this being done
      in the back area, though, I have heard of it being done
      in the abdominal area.

      Here is a link about an implantable device to remove
      fluid, but I’m not sure this is what they tend to use:

      http://www.freepatentsonline.com/7195608.html

      What they use may just be a catheter that leads to
      a bag, similar to what is used in the paracentesis.

      Here is also a link about Ascites, that you can click
      on:

      http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/hepatology/complications-of-cirrhosis-ascites/

      I hope this information has been of some help to you.
      Here are also a few links about Cirrhosis of the liver
      that will tell you more of what to expect with this disease:

      http://www.medicinenet.com/cirrhosis/article.htm

      http://www.mayoclinic.com/health/cirrhosis/DS00373

      http://yourtotalhealth.ivillage.com/cirrhosis.html

      Also a couple on liver transplantations:

      http://www.surgery.usc.edu/divisions/hep/patientguide/index.html

      http://www.transplantliving.org/

  3. QUESTION:
    why does patient with liver cirrhosis has foul-smelling urine?
    was the liver affected when it comes to urine production?

    • ANSWER:
      The colour of urine is produced from bilirubin, which is what the liver produces when it breaks down haemoglobin. It doesn’t smell very nice. People with hepatic failure and/or biliary obstruction have elevated levels of bilirubin in the blood, so more of it is excreted by the kidneys. Many other unpleasant-smelling compounds also accumulate, such as ammonia.

  4. QUESTION:
    Iam a liver cirrhosis patient now i taking ciplar 40,BECOSULES*Z CAPSUL&CYTOZEN,LIVPAR but my urine yellowish?

    • ANSWER:
      Hepatitis is inflammation of the liver because of damage done to the liver cells. Cirrhosis is death of the liver cells with scar tissue formation inside the liver that blocks the flow of blood through the liver on its way back to the heart and can block the flow of blood to the other liver cells, so they die off, also.

      Most all medications go through the liver first, to be broken down, before going to the rest of the body. The cells of the liver is what does the functions, the liver as a whole does, to keep the body well. When the cells start to die off, these functions (including the breaking down of medications) may not happen efficiently. Doctors know that medications, then, have to be adjusted according to how much cell damage is done to the liver and whether there are other drugs that would be less harmful to the liver to use.

      The urine is naturally a light yellow in color. It may be a darker yellow when you first awake in the morning…because it becomes concentrated, since you are not drinking any fluids over nighttime. If you are seeing a gastroenterologist or hepatologist…he would check your blood work and look at all the different medications you are on, whether they be things over the counter (like vitamins, minerals, supplements, herbs, cough and cold med, pain meds, etc) and also any prescriptions drugs you are taking and be sure that none interact or cause your liver stress. He would weigh the pros and cons of all the medications you take.

      If your urine is extremely darker yellow in color, all the time, or start to turn to orange or brown…it could come from the liver function
      starting to deteriorate. The doctor would check your bilirubin levels, since bilirubin is a pigment (colors other things) and if it goes higher in the blood…it can cause this. Some drugs naturally will change the color of a patients urine, also. Things like iron pills will change the bowel movements to a darker, almost black color. Beets will make the urine look more pinkish. Carrots can change the skin color if eatten in excess.

      With liver cirrhosis, having your urine being yellow…the yellow urine is not a real cause for concern…However, I would check with your doctor so he can be sure of your combination of medications you are taking.

      I hope this information is of some help to you.

  5. QUESTION:
    why does hemoglobin decreases in patient with liver cirrhosis?
    I tried to search more about it,but I found no thorough explanation.

    • ANSWER:
      because there are lots of problem in liver cirrhosis .
      the patient may have splenomegaly, the spleen becomes enlarged, so lots of red blood cells get stuck inside it, preventing it from circulating in the body .platelets (which stops bleeding) are also arrested in the enlarged spleen .
      there are formations of varices in the gastrointestinal tract which will bleed, further causing anemia. plus vit K absorption is impaired by cirrhosis, which make them bleed easily
      also, cirrhosis can cause kidney failure. normal kidneys secrete erythropoetin, which stimulates the bone marrows to produce red blood cells.

  6. QUESTION:
    What are the diet orders for a diabetic patient with liver cirrhosis and severe complications?
    complications include ascites – encephalopathy, and esophageal variceal bleeding

    • ANSWER:
      It would probably be a low salt diabetic diet that the doctor would want the patient to follow. I had cirrhosis and all they told me was low salt due to the fluid retention. Other than that, I there were no diet restrictions for me. Some doctors will tell you to stay away from meat proteins if you have problems with enceph.

      The best thing for ascites is low salt and diuretic meds. Sometimes high doses are needed to keep things under control. The med used for encephalopathy is Lactulose which helps lower ammonia levels. For the bleeding problems, my doctors used to order me to have an endoscopy done every 3-6 months to have any varices banded that can greatly reduce the risk of any internal bleeding. It’s a simple procedure that can save your life. The patient doesn’t want to wait until those varices grow big and can suddenly burst creating a life threatening crisis. Getting them routinely checked and banded is the best thing to do.

  7. QUESTION:
    What is urine analyzed for in a cirrhosis of the liver patient?

    • ANSWER:
      Good site for all liver tests; blood/urine.

      http://www.liverdoctor.com/Section2/09_livertest.asp

  8. QUESTION:
    liver cirrhosis?
    when patients get liver cirrhosis, many male patients develop gynecomastia and testicular atrophy, while female patients start showing signs of virilizm. what is the mechanism of action behind that?

    • ANSWER:
      Testicular atrophy, gynecomastia, and hypogonadism are common complications of advanced cirrhosis because the liver can no longer break down estrogens or because of possible breakdown of hypothalamic or pituitary functioning.

  9. QUESTION:
    Why laxative is administered to a patient suffering cirrhosis of liver?

    • ANSWER:
      Lactulose is commonly prescribed for people with cirrhosis. High ammonia levels can occur and Lactulose is used to get rid of the ammonia through bowel movements.

  10. QUESTION:
    how does physical work capacity affected in liver cirrhosis patients?

    i hope if there are any article about how to measure physical work capacity in liver disease

    • ANSWER:
      Uhhhh yes. Your liver actually determines your level of physical activity because it controls protein synthesis. Without the ability for your body to repair itself, well do I really need to explain this.

  11. QUESTION:
    Diet for patient suffering from liver cirrhosis?
    One of my relative was diagnose with liver cirrhosis due to heavy drinking.I’d surf the internet and found that people who suffer from liver cirrhosis should avoid meals with vitamin A and beta-carotene. Don’t that mean he cnt eat green vegetable and herd? Can anyone suggest a good diet for my uncle?

    • ANSWER:
      Hi Jennis

      Here you go.

      Natural Cures

      Aromatherapy: Juniper, rosemary, and rose essential oils can all help stimulate liver function.

      Detoxification: Liver function can also be impaired by a toxic bowel. For this reason, bowel cleansing and rejuvenation techniques may be very important. In severe cases, repeat the bowel cleanse once a month, or as needed, and stay on bowel nutrients for up to one year depending on the severity of your condition and your response to treatment.

      Diet: Diet is extremely important in preventing and reversing all forms of liver disease, including cirrhosis. Eat a low-protein, whole foods diet of organic foods, including seeds, nuts, whole grains, beans, nuts, and goat or rice milk, and also eat plenty of leafy green vegetables. Avoid all alcohol and processed fats such as margarine, hydrogenated oils, and foods with these oils added, rancid oils, and hardened vegetable fats. Instead, use cold-processed oils such as olive. Also increase your consumption of foods high in amino acids and potassium, such as nuts, seeds, bananas, raisins, rice, wheat bran, kelp, dulse, brewer`s yeast, and molasses, and drink plenty of pure, filtered water. Avoid animal protein as well as raw or undercooked fish, and limit your overall intake of fish.

      Also avoid all stressors on the liver, such as overeating, drugs of any kind, a highly processed diet (especially one high in processed fats, additives and preservatives), and foods high in animal protein, and accumulation of toxins from chemicals that have to be processed by the liver such as alcohol, drugs, acetaminophen, insecticides, and chemicals from rancid and processed oils. Toxins from Candida yeast organisms within the body can also contribute to liver stress, as can the use of contraceptives.

      Herbs: Milk thistle is an excellent herb to help in the treatment of cirrhosis because it helps liver cells regenerate. It may be taken in the form of tablets or the non-alcohol extract called a glycerate. The dose is based upon the content of silymarin (the active ingredient of milk thistle) and so standardized extracts are preferable. The typical dosage range is 70-200 mg of silymarin daily. The herb Picrorhiza kurroa is not as well-known as milk thistle, but may have similar effects. Licorice can also be helpful. The Chinese herb bupleurum (chai-hu) may also be helpful, as can the herbal mixture of kutki (200 mg), shanka pushpi (500 mg), and guduchi (300 mg), with is used by practitioners of Ayurvedic medicine to boost liver function. Take 1/4 teaspoon of this mixture taken twice a day, after lunch and dinner, with aloe vera juice.

      Best of health to both of you

  12. QUESTION:
    How Long Does A Patient With cirrhosis of the liver live..when they drink alcohol everyday of there life???
    My Uncle…Has cirrhosis of the liver and he says he can feel a hard lump in his side, and he refuses to go to the hospital, and when they get him to, hes out of it and when he realizes wats going on eh fights the doctors and wont release any info??

    • ANSWER:
      I’m sorry, but he won’t live for much longer if that’s his lifestyle. Your liver cleanses your body of toxins. With cirrhosis of the liver you can no longer do that. Drinking only increases the problem. If he’s noncompliant with his medication regime his body will continue to fill with toxins until it kills him. If he makes it a year I’d be amazed.

  13. QUESTION:
    what is prognosis of patient with CKD, early liver cirrhosis, uncontrolled diabetes?

    A liver biopsy has confirmed cirrhosis.

    • ANSWER:

  14. QUESTION:
    How long would it take a patient with cirrhosis of the liver to die, if they carried on drinking 10 litres?
    of wine a week? He is 34

    • ANSWER:
      It depends on how bad it is. As I’m sure you know the liver regenerates itself so this can take a very very long time. It is a horrible death. However once someone becomes jaundiced you know it isn’t likely to take much longer and they most likely have under a year.

  15. QUESTION:
    My dad(Liver cirrhosis Hepatitis C Patient) was approved for I-130 and about go for his Medical exam.?
    Does Liver Cirrhosis Hepatitis C is considered to be a communicable disease ?
    Will this disease fails him the Medical Exam and disqualify him form getting the US Immigrant VISA ?
    Does Liver Cirrhosis Hepatitis C is considered to be a communicable disease?
    Will this disease fails him the Medical Exam and disqualifies him form getting the US Immigrant VISA?
    I’ve checked the immigration Communicable disease list and I didn’t find anything about this specific disease. I checked with his doctor, and he told me Hepatitis C is not a sexually transmitted disease.
    Also, he never got this disease through any alcoholic abuse (as never he drinks).

    • ANSWER:
      my mom had hep c when she went through immigration and now is a u.s. citizen. at the medical exam, they only check for syphilis, tuberculosis and hiv by blood and the little injection for tuberculosis. i don’t think your dad should have any problems, b/c my mom didn’t, but you know it may be different than when my mom went through this about 7 years ago for the greencard application…

  16. QUESTION:
    How long can Lactulose work for someone with end-stage liver cirrhosis?
    Sorry I ask so many questions about this, but I’m really confused, because one minute my Grandfather looks near death, and then he can get out of bed and wheel himself to the bathroom. There is however blood in his stool…what would happen if this happened daily? How long can lactulose work in a patient with the final stage of liver cirrhosis? A few months? A few weeks?

    • ANSWER:
      Lactulose is used to get rid of ammonia for people with cirrhosis. It will work as long as the patient takes it. The ammonia is removed through bowel movements. High ammonia levels can cause a condition called encephalopathy which causes confusion, memory loss, behavior changes, hallucinations, and even coma and death if the levels get super high with no treatment. Of course, Lactulose also can cause a lot of diarrhea since that is the side effect.

      If your grandfather has continued bleeding day after day, he could get anemic from the blood loss. Cirrhosis causes lots of problems with bleeding. Unwanted veins grow called varix that can leak and bleed. Blood doesn’t clot like it should. Any bleeding can be hard to stop. They bruise very easy. It’s all part of the disease which is especially true when a person is in the end stage of the disease. Your grandfather can take the Lactulose as long as he is alive. The doctors usually increase the dosage if the ammonia levels continue to go up.

  17. QUESTION:
    how long can a patient live with cirrhosis of the liver with one kidneys malfunctions and patient is diabetic?

    • ANSWER:

  18. QUESTION:
    How long it will live if the patients diagnose with liver cirrhosis?

    • ANSWER:
      liver,
      The prognosis of cirrhosis of the liver may include the duration of cirrhosis of the liver, chances of complications of cirrhosis of the liver, probable outcomes, prospects for recovery, recovery period for cirrhosis of the liver, survival rates, death rates, and other outcome possibilities in the overall prognosis of cirrhosis of the liver. Naturally, such forecast issues are by their nature unpredictable and individual. You would be advised to contact the doctor/specialist dealing with the case and make your enquiries there. I regret that I am unable to accurately answer the question that you ask.

      ALL ANSWERS SHOULD BE THOROUGHLY RESEARCHED, IN ANY FORUM AND ESPECIALLY IN THIS ONE. – MANY ANSWERS ARE FLAWED.

      The information provided here should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions.

      I add a link with details of this subject

      http://www.merck.com/mmhe/

      sec10/ch136/ch136c.html

      Hope this helps
      matador 89

  19. QUESTION:
    how to prevent developing liver cirrhosis among patients with chronic hepatitis b?

    • ANSWER:
      Homeopathic Medicines & Treatment for Liver Enlargement, Hypertrophy, Jaundice, Hepatitis, Gall Stones :-

      #Bryonia. [Bry]
      When there are stitching pains in the right hypochondriac region, Bryonia is the first remedy to be thought of, though for these pains we have other remedies, such as Chelidonium and Kali carbonicum. Under Bryonia the liver is swollen, congested and inflamed; the pains in the hypochondriac region are worse from any motion, and better from lying on the right side, which lessens the motion of the parts when breathing . It is one of the chief remedies for jaundice brought on by a fit of anger. Chamomilla has this symptom, but the Chamomilla patient gets hot and sweats, while the Bryonia patient is apt to be chilly, though he appears hot. There is a bitter in the mouth and the stools are hard and dry, or , if loose, papescent and profuse and associated with a colic. Berberis has stitching pains from the liver to the umbilicus. Chelidonium is distinguished by the character of the stools. Bryonia is pre-eminently a gastro-hepatic remedy, and has pain in right shoulder,giddiness, skin and eyes slightly yellow. Hughes says it hardly reaches true hepatitis.

      #Mercurius. [Merc]
      This remedy has much sensitiveness and dull pain in the region of the liver; the patient cannot lie on the right side. The liver is enlarged. The skin and conjunctiva are jaundiced. The stools are either clay-colored from absence of bile, or yellowish-green bilious stools passed with a great deal of tenesmus. There is a yellowish white coated tongue which takes the imprint of the teeth and there is a foetid breath, loss of appetite and depression of spirits. Leptandra has aching and soreness in the region of the liver and is especially indicated in the lazy livers of city men; but is distinguished from Mercurius in the stools, which are pitchlike and black, accompanied with no tenesmus, but rather a griping and the pains of Leptandra are dull, aching and burning in the posterior part of the liver. The character of the diarrhoea will also distinguish Mercurius from Magnesia muriatica, which is useful in the enlarged livers of puny and rachitic children. Mercurius is the remedy for jaundice arising from abuse of quinine when fever is present. It is a splendid remedy for “torpid liver.” It suits well simple jaundice in children. Cowperthwaite believes that, as a rule, Mercurius dulcis 2X is the most effective preparation of mercury in catarrhal jaundice.

      #Podophyllum. [Podo]
      The principal use of Podophyllum is in liver affections. Primarily, it induces a large flow of bile, and, secondarily, great torpidity, followed by jaundice. It is indicated in torpid or chronically congested liver, when diarrhoea is present. The liver is swollen and sensitive, the face and eyes are yellow and there is a bad taste in the mouth. The tongue is coated white or yellow and the bile may form gall stones. There is a loose watery diarrhoea, or if constipation be present the stools are clay-called. It somewhat resembles Mercurius; it is sometimes called “vegetable mercury.” There are a number of drugs having the symptom that the tongue takes the imprint of the teeth, namely; Mercurius, Podophyllum, Yucca, Stramonium, Rhus and Arsenic. Another symptom of Podophyllum is that the patient constantly rubs the region of the liver with the hand. Functional torpor of the portal system and the organs connected there with indicates Podophyllum. There is constipation, clay-colored stool, jaundice and langour.

      #Chelidonium. [Chel]
      The liver symptoms of Chelidonium are very prominent. There is soreness and stitching pains in the region of the liver, but the keynote for this drug in hepatic diseases is a pain under the angle of the right shoulder blade, which may extend to the chest, stomach, or hypochondrium; there is swelling of the liver, chilliness, fever, jaundice, yellow coated tongue, bitter taste and a craving for acids and sour things, such as pickles and vinegar. The stools are profuse, bright yellow and diarrhoea; they may be clayey in color. It is remedy to be used in simple biliousness and jaundice, and in hepatic congestion or inflammation the character of the stools will distinguish Bryonia. Taken altogether, Chelidonium is perhaps our greatest liver remedy; it causes the liver to secrete thinner and more profuse bile than any remedy; it is a useful remedy to promote the expulsion of gall stones, and to prevent their formation. It was Rademacher’s great remedy for gall stones, and Cowperthwaite finds it his best remedy. In simple catarrhal jaundice it is often all sufficient. It affects the left lobe of the liver much less than does Carduus marianus.

      #Digitalis. [Dig]
      When jaundice arises from cardiac diseases, Digitalis may be the remedy. There is no retention of bile, nor obstruction of the ducts, but the jaundice is due to the fact that the liver does not take from the blood the elements which go to form bile. There is present drowsiness, bitter taste, soreness , enlargement and bruised feeling in the region of the liver. Sepia has the yellow sallow face with the yellow saddle across the nose, with stools of bright yellow or ashy color. Digitalis is useful in the worst forms of jaundice if the pulse be irregular and intermittent, and if there be rapid prostration of the strength.

      #Myrica cerifera. [Myric]
      Myrica is an important liver remedy. There is first despondency and also jaundice due to imperfect formation of bile in the liver, and not to any obstruction, comparing here with Digitalis. There is dull headache, worse in the morning, the eyes have a dingy, dirty, yellowish hue, the tongue is coated yellow. The headache is worse in the morning. The patient is weak and complains of muscular soreness and aching in the limbs; there is slow pulse and dark urine. It is more superficial in action than Digitalis. The jaundice calling for its use is catarrhal and this is the form produced by the drug. The throat and nasal organs are filled with an offensive, tenacious mucus. Dull pain in right side below the ribs no appetite, and desire for acids; unrefreshing sleep.

      #Nux vomica. [Nux-m]
      In liver affections occurring in those who have indulged to excess in alcoholic liquors, highly seasoned food, quinine, or in those who have abused themselves with purgatives, Nux is the first remedy to be thought of. The liver is swollen hard and sensitive to the touch and pressure of clothing is uncomfortable. The first remedy in cirrhosis of the liver. Colic may be present. Jaundice induced by anger also calls for Nux, also jaundice from abuse of quinine, in the former cases reminding of Chamomilla , which is an excellent remedy for biliousness of nervous, irritable women. In the enlarged liver of drunkards, Sulphur, Lachesis, Fluoric acid, Arsenic and Ammonium muriaticum must also be borne in mind, together with Nux. Juglans cinerea causes a jaundice like Nux vomica, with stitching pains about the liver and under the right scapula, bilious stools and occipital headache. Nux must be compared with China, Pulsatilla in liver affections from over-eating. Iris seems to have a solvent action upon the bile, it is especially useful in torpid liver and when gastric disorders result from perversion of hepatic and intestinal functions. Jaundice and constipation. Aloes has biliousness from torpor of the portal system, distension of the liver, bitter taste and jaundice.

      #Lycopodium. [Lyc]
      Lycopodium acts powerfully on the liver. The region of the liver is sensitive to the touch, and there is a feeling of tension in it, a feeling as if a cord were tied about the waist. Cirrhosis. The pains are dull and aching instead of sharp and lancinating, as under Chelidonium. Fulness in the stomach after eating a small quantity. There are no real icteric symptoms, but there is a peculiar sallow complexion. Natrum sulphuricum is useful when the patient has a bad, slimy taste in the mouth and “thinks he is bilious.” There is apt to be weight and aching in the liver; he can lie on that side, but on turning to the left side the liver seems to pull and draw. Natrum sulphuricum is the greatest Schuessler specific for liver affections, and clinically it has often worked well. Dr. Alfred Pope claims that Lycopodium is more useful than any other remedy in old hepatic congestions. Pain in back and right side from congestion will often yield to the remedy.

      #Carduus marianus. [Card-m]
      This remedy is indicated in jaundice with dull headache, bitter taste, white tongue with red edges, nausea and vomiting of a greenish fluid. There is an uncomfortable fullness in the region of the liver, the stools are bilious and the urine golden yellow; there is sensitiveness in the epigastrium and right hypochondrium. Burnett regards a dark brownish patch over the lower part of the sternum as a useful hint for Carduus, and in such cases he observes that both the liver and heart are at fault. The presence of “liver spots seems to be a special indication for the remedy. Biliousness following la grippe has been cured with Carduus. Hydrastis has a bitter taste and chronic torpor of the bowels, lack of appetite, coated tongue and yellow urine. Carduus resembles Aloes. Hale says that it stands between Aloes and Hamamelis in its action on the veins. It has been used in gall stone colic successfully in the tincture, and it deserves a trial before resorting to opiates.

      #Sulphur. [Sulph]
      Sulphur is suitable to chronic affections of the liver; it increases the flow of bile and there is much pain and soreness in the liver. Sulphur often completes the cure commenced by Nux. Liver complaints from abuse of mercury will oftentimes call for Sulphur. If the stools are colorless and if much jaundice or ascites be present Sulphur is contra-indicated. Lachesis, however, has jaundice, as do all snake poisons, and is useful in the enlarged livers of drunkards, with tenderness on pressure and throbbing in the right side. Jaundice from sexual excesses call for Cinchona. Dr. Thayer, of Boston, recommended Cinchona in biliary calculi,and Dr. Williams,of Augusta, Me., has had success with Ipecac in this connection. Burnett claims that Hydrastis is the best remedy in gall-stone colic. Berberis vulgaris is also an important remedy in gall-stone affections.

      #Phosphorus. [Phos]
      Phosphorus is homoeopathic to fatty degeneration of the liver, with well marked soreness and jaundice. The stools are grayish white. Cirrhosis and atrophy may also call for Phosphorus. The jaundice is indicative of organic diseases, and the remedy is a useful one in malignant diseases of the liver. Digitalis has also been recommended in acute yellow atrophy. Jaundice accompanying pneumonia may also call for Phosphorus.

      #Taraxacum [Tarax]
      This is a decided liver remedy, and the indications are a mapped tongue and a bitter taste in the mouth, chilliness after eating, pain and soreness in the region of the liver and bilious diarrhoea. Kali bichromicum also has a mapped tongue. Yucca filamentosa has a pain going from the upper region of the liver to the back and a bad taste in the mouth. The stools are loose and bilious, accompanied with much flatus. The face is yellow and sallow and the tongue takes the imprint of the teeth. Another remedy used in bilious troubles is Euonymus; it has intense heavy, wearing, occipital headache, the stools are deficient in bile, and it is useful in cardiac disturbance from inaction of the liver. Euonymus 2X is an admirable remedy in hepatic congestion. Dr. Wm. E. Leonard says: ” In the case of torpid livers with tendency to attacks of biliary colic, it anticipates and prevents the colic.” Chionanthus has biliousness, sick headache, coated tongue, nausea and complete anorexia. It is remedy highly recommended for biliary calculi. Jaundice and hepatic pain are its indications. It overcomes catarrh, liquifies the bile, prevents the formation of calculi and promotes the discharge of those already formed. Sluggish circulation in the liver with the long train of symptoms resulting therefrom are indications. Ptelea has sharp pains in right hypochondria, distress in liver and constipation.
      ______________________________…

      And here is a tried and tested prescription :-

      Homeopathic treatment for Hepatitis B/C and / or Liver Cirrhosis :-

      1.SULFUR 30C or 30X
      2.BRYONIA ALBA 30C or 30X
      3.CARDUUS MARIANUS in Q (Mother Tincture)
      4.CHELIDONIUM MAJUS in Q (Mother Tincture)
      5.LYCOPODIUM 1M(1000)

      Take remedy 1 and 2 thrice a day half hour before meals followed by 20 drops each of 3 and 4 half hour after meals together in a half a cup of hot water and take 5 after a week of taking the above regularly just one dose a week. and avoid all foodstuffs, which gives you constipation at all costs.
      If there is any ambiguity about the dosage or the potency of the medicine please ask me before doing anything.
      And keep me posted about your progress at least every three days.
      It would be better if you send me the details of the patient exactly the way he or she feels not the doctors Diagnosis let the patient describe their own feeling exactly the way they are feeling the above will clear all in any case but it would be lots better if you send complete details. Curing without any side effects or Complications Thats the Beauty of Homeopathic Medicine

      Precautions :-
      Avoid Chocolates, Mints, Coffee, Red Meat, Alcoholic and Carbonated drinks, Spicy Rich Food while taking any Homeopathic remedies, and keep the medicines away from direct sunlight, heat strong smells and perfumes and do not store them in the fridge.

      I know conventional doctors and pharmaceutical industry goons will go on telling you there is no cure for Hepatitis, and I am telling you there is and I will go on treating and curing patients with Homeopathic remedies. And those who do not believe there is any cure are free to think that way and remain sick all their lives. After all its your own decision and your own life.
      My duty is to heal people not to make money by selling them drugs which can make people sicker then they were before taking those drastic medicine.
      Best of Health to you and your loved ones. Amen

      Take Care and God Bless you!

  20. QUESTION:
    is liver damage reversible? how is this diagnosis mean for the life of the patient when having cirrhosis? ?
    i need help on an essay. can anyone give me any sites with information or if you guys know please help me.

    • ANSWER:
      Liver damage is reversible if caught early. Alcoholics get “fatty liver”. if they stop drinking it will go away if not, it will kill them. Liver is the only organ that can regenerate itself even if you cut half of it off. BUT the regenerated liver is no good b/c only liver cells are generated not the vessels or other stuff that are needed. Cirrhosis gradually changes liver cells to fibrose tissue. at first the liver tolerates it b/c the rest of the liver can do the job but at time goes by, more liver cells are dead and nothing can be done to reverse the fibrosis of the liver.

  21. QUESTION:
    a patient with ovarian cancer, cirrhosis of the liver and ovarian cancer could it be the same cancer just spre?

    a patient with ovarian cancer and cancer in the stomach lining plus the cirrhosis of the liver is the actual question I meant to post.

    • ANSWER:
      Cirrhosis of the liver is not necessarily cancer, so the only cancer you have actually mentioned is ovarian cancer. So yes, I think all the cancer is just one cancer.

      If you are also talking about liver cancer instead of or as well as cirrhosis then it is more likely to be metastasis (cancer spread) than 2 separate cancers but biopsy results are the only way to know for sure.

  22. QUESTION:
    Does liver cirrhosis cause anemia?
    Or why would a cirrhosis patient need a transfusion?

    • ANSWER:
      1. Does liver cirrhosis cause anemia?
      Some experts say that the complications of cirrhosis can cause the spleen to remove too many red blood cells from circulation or decrease production of red blood cells. It can also cause gastrointestinal bleeding which may lead to anemia. The thing is that If you look at symptoms of Cirrhosis as listed by credible organizations, anemia is not mentioned as a major symptom of Cirrhosis (Only rarely is it even mentioned as a less common or “other” symptom). One example of this: In the “Cirrhosis of the Liver” section of The National Digestive Diseases Information Clearinghouse (part of the National Institutes of Health (NIH), which is part of the U.S. Department of Health and Human Services) there is no mention of anemia as a symptom or a complication of cirrhosis. Here’s a link to that information, please verify: http://digestive.niddk.nih.gov/ddiseases/pubs/cirrhosis/

      You will find the same is true if you view the Cirrhosis information on other credible websites, including:
      MayoClinic: http://www.mayoclinic.com/health/cirrhosis/DS00373/
      American Gastrointestinal Association: http://www.gastro.org/wmspage.cfm?parm1=681
      American Liver Foundation: http://www.liverfoundation.org/education/info/cirrhosis/

      In anemic patients, If your red cell count falls dangerously low, a blood transfusion may be the only way to raise your hemoglobin quickly. For some types of anemia (such as thalassemia major, aplastic anemia, or sickle cell disease) regular blood transfusions may be required to manage anemia and to avoid serious complications.

      If cirrhosis of the liver is caused by Hepatitis C, there is a good chance that the anemia is actually being caused by the antiviral treatment, for instance the drug Ribavirin is known to cause mild anemia, but usually not to the point you would need a transfusion.

      In other words, cirrhosis CAN cause anemia, but it’s not a common/major symptom of hepatic cirrhosis.
      ————————————————–
      2. Why would a cirrhosis patient need a transfusion?
      As mentioned above, one possible complication of cirrhosis it’s effects on the spleen. The filtration of blood by an enlarged spleen (Hypersplenism) usually results in only mild reductions of red blood cells (anemia), white blood cells (leukopenia) and platelets (thrombocytopenia) that do not require treatment. Severe anemia, however, may require blood transfusions.

      No approved medication is available yet to increase the number of platelets (thrombocytopenia). If a low number of platelets is associated with significant bleeding, transfusions of platelets usually should be given.

      There might be other reasons that I am not aware of, this is simply the information I found when i was researching the subject.
      ——————————————————–
      I’m a pharmacy student and did some research on this last year (mainly on your first question). Your physician is the best source for information related to your or your loved ones care. Good luck to you.

  23. QUESTION:
    what are the common vital signs of patients with liver cirrhosis?

    • ANSWER:
      palpable liver, jaundice (icteric) bleading disorders, duputrerine contractions, spider navei, intension tremour and fine tremours and in late stages headache tirdness confusion may also occur

  24. QUESTION:
    Severe vomiting with liver cirrhosis?
    I am a nursing student and had the following question on my final:

    A patient with liver cirrhosis presents to the ER with sever vomiting. What may be the issue?

    a. esophageal varices
    b. a plasma accumulation in the peritoneal cavity
    c. decreased excretion of bilirubin
    d. increased bile stasis

    ….i didn’t choose esophageal varices because i thought it would mention VOMITING BLOOD if that were the answer, otherwise I only thought the bleeding was a side affect of varices.

    ….i know decreased excretion of bilirubin would lead to jaundice

    …bile stasis?

    …i chose plasma in the peritoneal cavity because i was thinking ASCITES. i know ascites is fluid build up in the abdomen and i thought that would definitely cause nausea leading to vomiting.

    any ideas?? thanks! :)

    • ANSWER:
      This is just a guess on my part, but I would say D. Bile breaks down fats. If is is not moving (stasis), maybe that could make you nauseous because it is not breaking down the fats like it should and you could not digest food properly which could make you sick.

      Even though your answer sounds good, I had a liver failure with massive amounts of fluid in my abdomen from ascites to the point of not being able to breathe right, but it never made me vomit or even nauseous. The fluid was not inside the stomach which would make a person possibly get sick and vomit. It was all around it on the outside and in all the areas around all the organs. When I was given a paracentesis, they run that small tube all over the place inside of you draining what they can, but it never goes inside the stomach. All that fluid could eventually squeeze out other organs like the heart and lungs. That’s why I wasn’t able to breathe, but it didn’t make me vomit.

      Abijann could be right with esophageal varices, but I agree that they should have mentioned “vomiting blood” for that since that would be so important to include. Varices don’t cause vomiting unless it is blood. It’s a very important word to forget in answering this question. If they did say blood, there would be no question at all that this would be the answer.

      I am curious as to what the answer is going to be, so when you find out, could you let us know?

  25. QUESTION:
    Liver cirrhosis and liver cancer?
    Is anyone able to tell me how likely it is that a patient suffering from cirrhosis of the liver (caused by congestive heart failure) will develop liver cancer? Also, what is the outlook/life span for a patient with cirrhosis of the liver? My husband has a very enlarged liver and ascites, and shows several symptoms such as fatigue, occasional nosebleeds, nausea and fatigue, but has not shown any sign of jaundice (although he is hispanic with slighter darker complexion, which possibly cold mean it is harder to detect). Does anyone have any information? Any facts would be most welcome. Thankyou.

    • ANSWER:

  26. QUESTION:
    Stage 6 Cirrhosis – what are the symptoms of conditon of someone in Stage 6 of cirrhosis of the liver?
    Patient told he was in Stage 6 – also is a victim of Agent Orange. What are the symptomsd of someone in Stage 6 of cirrhosis of the liver and also, what is the prognosis?

    • ANSWER:
      There is no stage 6. Liver disease has 4 stages and cirrhosis itself has 3.

      Liver Disease Stage

      0- no fibrosis present
      1- small amount of fibrosis
      2- a little more fibrosis present
      3-even more fibrosis present (stage 3 is bridging fibrosis)
      4- cirrhosis (permanent scar tissue) is present

      Cirrhosis Stages
      stage A- compensated cirrhosis (no symptoms)
      stage B- beginning of decompensation (symptoms are present but controlled with meds)
      stage C- depcompensated cirrhosis ( meds no longer working and total liver failure is near)

      These are the stages that I have always known and never heard of any other staging.

  27. QUESTION:
    Does anyone have any experience with liver transplants when the patient has lupus?
    A friend of mine is in end-stage liver failure due to cirrhosis. He is on a liver transplant list. He has lupus. How effective would a liver transplant actually be with the presence of lupus?

    • ANSWER:
      The doctors would not have put him on the list if there was no hope that it would work.

      Lupus patients do get transplants sometimes, and do well.

      The medication that prevents rejection also calms the lupus. I have not had a transplant but I take Cellcept, an anti rejection med, for lupus kidney disease. The Cellcept has not only allowed me to keep my kidneys, but reduced most of the other manifestations of lupus.

      The point is, no one can predict the success of a transplant, with or without lupus. But the alternative is certain and that is death. With that knowledge, I would take the chance on the transplant.

      Best wishes.

  28. QUESTION:
    How shall i book thehelicapter from katra to vaishnodevi & back to Katra.?
    We r reaching katra on 8 th of june 2008 at 11-00 am.On the same day we have to move to maa vaishnodevi.On the same night we have reserved train seats to Delhi & back to Bangalore.I am a liver cirrhosis patient i could not bear any kind of physical strain.Kindly lead me for getting two seats to have darshan of maa vaishnodevi.REG payment of fair & other details be posted.

    • ANSWER:
      mail at sumit_nanda@hotmail.com for helicopter reservations.

  29. QUESTION:
    Choronic Alcholic.Liver cirrhosis Pt.Dificulty in driving at night.45 Y,Male. Vision prblm nt reltd to lver?
    Patient was admited as a choronic liver alcholic.he was suffering from liver cirrhosis.the house officer while recording the history noted the complaint of 45 year old Male patient that he feels difficult to drive at night only….this is not relted to liver problem at all.

    • ANSWER:
      Hassan – It may be true that the chronic alcoholic patient has difficulty driving at night, but you cannot be sure that this is not at all related to his liver cirrhosis. He may be taking in more alcohol, other drugs such as marijuana, or medicine which could affect his driving judgment. His past alcohol abuse could have caused some permanent brain damage. Perhaps he is developing cataracts in his eye lenses or having hemorrhages in his eye retinas. He should have an eye examination by an eye doctor (ophthalmologist). Perhaps nighttime glare from the headlights of other automobiles disturbs his vision. In such an instance, anti-glare eyeglass lenses was be of considerable value to protect him and others on the road.

  30. QUESTION:
    A patient has bleeding oesophageal varices caused by cirrhosis of the liver (i.e. portal hypertension)…?
    Why does he have systolic hypotension (105/85mmHg)? I know there would be some kind of hypotension due to the hypovolaemia caused by the variceal bleeding, but why is the diastolic pressure still normal?
    thanks d00ds

    unfortunately there is no such thing as more detail as it’s a hypothetical case :|

    That’s an interesting theory about the clotting factors, not sure if I will be able to fit it on the few lines I’m given in the exam =D

    Thanks again guyz
    There could be something in that osmolality theory. The serum albumin is 30 g l-1 (reference range 30 – 50 g l-1). Obviously that’s just within the lower boundary of the ref. range, but it sounds plausible. Danke Schon!

    • ANSWER:
      I’m not entirely sure about this answer, its just how I think.

      I don’t think bleeding from a few esophageal varices would be enough to cause a significant hypovolemia which can’t be corrected by the carotid reflex. So your thinking low pressure is due to bleeding–>hypovolemia is probably wrong. And I’m most certain the clotting factor theory in Answer 1 is also wrong.

      My theory is like this:
      Liver cirrhosis means liver failure. So the liver won’t be producing what it normally produces. Almost all of the plasma proteins are produced by the liver. In absence of these plasma proteins, plasma oncotic pressure falls & osmolality of the blood will increase. This will cause water from the plasma to move into the interstitial compartment. So plasma (blood) volume will fall.

      Systolic blood pressure depends on cardiac output. As total blood volume falls, so will the cardiac output. Resulting in drop of systolic BP.
      As diastolic BP depends on peripheral resistance, and nothing happened to the vessels in this case means the diastolic BP would stay put.

      Thats how I think it wold happen Hope I helped.

      Download Free Medical eBooks at:

      http://rajamed.blogspot.com

  31. QUESTION:
    ct scan-cirrhosis of the liver?
    I need some info help please-if a patient has cirrhosis of the liver, and it’s badly damaged, what will the ct scan show? the patient still has some jaudice in the eyes, and is loosing weight. but eats well.one blood work is a 7, but should be a 21, I’m not sure which one. sugar count was 135, then 355, now 156. diabeties runs in the family. is there a possiblity, this patient might need a liver transplant, and something isn’t functioning properly??

    • ANSWER:
      Usually, the liver starts out with inflammation. This
      inflammation causes the liver to enlarge. They can see
      this on the scan. If you ever ate liver, you know that it is
      rather smooth in appearance, this is not so in cirrhosis,
      the liver takes on a lumpy appearance.
      If you go to almost the bottom of the page, you will see
      the difference between the healthy liver and a cirrhosis one.
      Just the cirrhosis picture is at the top
      This site is also excellant in learning more about this
      disease and the different things that caused it.

      ……………………………………………………………………………..

      http://images.search.yahoo.com/images/view?back=http%3A%2F%2Fsearch.yahoo.com%2Fsearch%3Fei%3DUTF-8%26p%3Dcirrhosis%2Bimage&w=216&h=200&imgurl=www.gihealth.com%2Fnewsletter%2F31%2FCirrhosisLiver.jpg&size=15.5&name=CirrhosisLiver.jpg&rcurl=http%3A%2F%2Fwww.gihealth.com%2Fnewsletter%2Fprevious%2F031.html&rurl=http%3A%2F%2Fwww.gihealth.com%2Fnewsletter%2Fprevious%2F031.html&p=cirrhosis&type=jpeg&no=3&tt=7%2C570

      …………………………………………………………………………………….
      Also, as the cirrhosis progresses and scar tissue form
      inside the liver, the liver is no longer soft and pliable,
      it becomes hard and will eventually shrink in size.
      They should be able to see all this on the scan.
      Depending on whether you have dye injected during
      this time, they may be able to see the blood flow to the
      liver also and also notice any changes that may be
      taking place if the ducts, tube like structures coming
      out of the liver to the gallbladder and intestines may be
      twisted, strictured, malformed, or show signs of a blockage
      like a stone formation. It should also show any tumors or
      growths that may have developed.
      Here is a sight that explains more about the CT scan
      and what they use it for:

      http://www.walgreens.com/library/contents.jsp?doctype=1&docid=003789

      Liver patients usually start with an ultrasound and then
      have a CT scan done. The very best test to have done,
      though, is the liver biopsy. That way they can look directly
      at a sample of the real tissue instead of depending on a
      film or picture of it.

      Patients who have cirrhosis, have yellowing of the whites of
      the eyes and also the skin. Their urine may turn a darker
      color. If there is a blockage of the bile going from the
      liver to the intestines through the tube like structures,
      known as ducts, then the stools will take on a lighter color
      and may tend to float on top of the toilet water.
      There is also muscle wasting in this disease. It is not that
      they may not be eatting well, it is because the liver isn’t
      able to make the amount of proteins it once did and it
      is drawing the proteins from other areas in the body to use
      now.
      When the cells of the liver have inflammation, the doctor can
      usually give drugs to help the inflammation go away and
      the liver will heal. If the patient is doing anything to cause
      the liver problems… like drinking alcohol, being around
      toxic chemicals, or taking drugs that are hard on the
      liver…stopping this, can sometimes reverse and allow the
      liver to heal also. Once the cells of the liver start to die,
      there is no turning back then. The doctors then can only
      try to slow the death of the cells down. When the cells
      die, scar tissue forms inside the liver and can block the
      healthy cells from receiving the blood oxygen and
      nourishment they need and they die also over time.

      There is alot involved in how this will progress…age,
      how far advanced the disease is, is the patient following
      doctor instructions and taking medication, how many
      other conditions or diseases they have and how serious
      they are and many more.

      A diagnoses of cirrhosis, will eventually lead to a liver
      transplant being needed unless they find some cure or
      way to reverse it down the road.

      The best doctor to be with now is a Hepatologist.
      Here is a link more about cirrhosis:

      http://digestive.niddk.nih.gov/ddiseases/pubs/cirrhosis/

      Here is a link that tell you the process of being placed
      on the transplant list…it will tell you more about the
      liver and its functions and will even show you a tour:

      http://www.surgery.usc.edu/divisions/hep/patientguide/index.html

      There are many transplant centers across the country.
      http://www.unos.org ….on this site there is a link to
      Transplant living, which is a good place to learn more
      about transplants.

      The yellowing of the eyes and skin are usually the very
      first signs that show up when the liver isn’t functioning as
      good. This jaundice does show up in other conditions
      also, besides liver problems…it could be a blood problem.

      When the liver cells start to die, the functions the liver
      once did also start to decline. Many people don’t know
      they even have cirrhosis. The liver doesn’t complain much
      until the functions are hampered and then sometimes not
      even then until complete liver failure. Each person is
      different.

  32. QUESTION:
    what is the best treatment for primary liver cancer complicated with cirrhosis with portal thrombosis?
    patient is a diabetic with low platelet count gastric verces are present. he has affected to primary liver cancer specially in right lobe with lot of nodules. if he get the treatment with radio frequency ablation will he stay with us for long period. what are the side effects of RFA?

    • ANSWER:
      It depends alot on if this cancer is aggressive or not. If this cancer has come from another area or has gone to other areas of the body. If this has happened, the patient would not be considered for liver transplant.

      It would have to be determine if this is one growth or many and the size of them. Once a cancer growth reaches a certain size..even though it is only in the liver,then the doctor would have to decide whether a transplant would be considered.

      There are different treatment measures:
      GAMMA KNIFE

      http://www.gammaknife.org?

      NANO KNIFE

      http://www.nanotechbuzz.com/50226711/nanoknife_nanoshells_kill_cancer_tumors.php

      CYBERKNIFE

      http://www.cyberknife.com

      RADIOWAVE THERAPY

      http://en.wikipedia.org/wiki/Non-invasive_RF_cancer_treatment#Cancer_therapy

      Here is a site that explains new developments in treating liver cancer:

      http://www.liver-products.com/liver-therapy/microspheres-hepatology.html

      TELEMORASE IN CURING CANCER

      http://www.baltimoresun.com/health/bal-md.hs.telomere06oct06,0,5278594.story?track=rss

      MICROWAVE Microwave destroy cancer tumors of the liver

      http://www.sciencedaily.com/releases/2009/02/090204173038.htm

      SIR-SPHERES: Selective Internal Radiation Therapy: http://www.umgcc.org/sir-spheres/about_sirt.htm
      A non surgical therapy that uses radioactive microspheres to deliver radiation directly to the site of the liver tumors. It gives
      up to 40 times more radiation to the liver tumors than conventional radiotherapy. Theraspheres which uses microscopic glass beads
      to deliver radiation to the liver tumors. It shrinks the cancer but is not a cure…it is usually used combined with chemotherapy.
      Another name: radioembolization: 6 million radioactive microspheres or glass beads into the tumor. Each bead, which is smaller than the
      width of a strand of hair, emits radiation to kill the cancer. It is alot of radiation concentrated in a very small area.
      ULTRASONIC WAVE (CUSA)excel ultrasonic Aspiration System

      http://www.ivanhoe.com/channels/p_channelstory.cfm?storyid=17589

      Patient loses very little blood. It is a surgical tool called a Cusa that sucks out liver cells. If you remove the liver cells you are left with the blood vessels.

      Considering he is diagnosed with Cirrhosis, Portal thrombosis, and cancer…it doesn’t sound promising. However, only the doctors can give you an educated guess on whether he will have a chance to become better, how long he might live, and whether he can be evaluated for transplantation.
      Here is a site on the Liver transplant process, if you need it:

      http://www.surgery.usc.edu/divisions/hep/patientguide/index.html

      I hope this information is of some help to you.

      .

  33. QUESTION:
    what is cause if normal SGPT level is found in cirrhosis?
    one of my patients have cirrhosis of liver but with normal SGPT level,what may be the cause of this?

    • ANSWER:
      If you are a doctor, then you should know the answer to this. I had cirrhosis and a liver transplant. My liver function tests were close to normal many times throughout the course of my disease even though I had cirrhosis. This happens sometimes.

  34. QUESTION:
    how neurobion forte effects on liver disease?
    is this good for liver patients?or for liver Cirrhosis

    • ANSWER:
      Hi, vitamin B and B complex are good for liver disease especially alcoholic liver disease, alcohol destroys Vitamins from our body, so its good to take a supplement.

  35. QUESTION:
    Is there any posibility that a patient can survive after Hapatic coma ?
    A female patient of 50 years of age having liver cirrhosis with Hapatitis C infection diagnosed in Dec 2004 is in Hapatic coma from last three days.

    • ANSWER:
      Recovery from hepatic coma due to chronic liver disease is very rare. There is a better chance of recovery in acute liver failure and Reye’s syndrome. Even if she recovers, there is a high chance of relapse again soon.

  36. QUESTION:
    Liver scarring and cirrhosis?
    My husband has “slight scarring” but his doctor says there is “no sign of cirrhosis”. I don’t quite understand this, I though scarring of the liver IS cirrhosis, although it might be at a very early stage. He also has end-stage heart failure (severe dilated cardiomyopathy) and COPD. He was told some years ago that he has Hepatitis C but it has been confirmed twice to be in a dormant state. Could his Hepatitis C have caused the scarring over time even though it is dormant? Which is more likely to have caused the scarring, dormant Hepatitis C or alcohol consumption (regular ant at times large amounts over many years). Also, when the scarring has started, is it bound continue (I know it cannot be reversed)? His doctor says that his liver is “working”, although I’m not sure whether she meant that it is working without any problems or working at a diminished capacity. How dangerous is scarring on the liver it and what is the outlook for a patient who continues to drink 3-4 beers plus 1-2 shots of hard liquor per day (believe me, I am struggling to make him stop, without result)? Is it a matter of decades or years/months before his liver gives in completely (if it will)? Any information at all would be most welcome.

    • ANSWER:

  37. QUESTION:
    prognosis for those diagnosed with cirrhosis of the liver?
    heart disease patient just dignosed with cirrhosis. how long will he live?
    His symptoms are advanced-no jaundice or bleeding of the esophagous yet. Has all other symptoms-bruising, abdominal swelling, lethargy, etc.

    • ANSWER:
      Ask his doctor, only he can tell you and at that, it’s only an educated guess. When my Mom was DX with a GBM, she was give 3 weeks and lived 9 months. R.I.P. Mom!!

  38. QUESTION:
    we are willing to know all details for liver transplant for 15 years old girl?
    patient living in sudan diagnosis as liver cirrhosis due to autoimmue hepatitis with splenomegaly &ascites
    OGD revealed grade 11 oesophageal varices with prepyloric ulcers
    HBsAg& HCV Ab were neg.ANA and asma were positive
    DR advised for more assessment for liver transplant

    • ANSWER:
      The best thing you could do is to take this girl to the nearest place that does liver transplants and get her evaluated. Since you say she is in Sudan, their health care system involving transplanting patients could be different from ours, so I don’t think me giving you all the details of my transplant is what you need right now. She has all the symptoms of cirrhosis and needs assessed just as the doctor advised. I have an autoimmune disease and received a transplant plus I’m a nurse. I hope she gets the help she needs. The best place for that is a transplant center.

  39. QUESTION:
    Does anyone know the signs of when the liver is at its last points of failing?
    My dad got diagnosed with non alcoholic cirrhosis of the liver. He has nasuea, vomiting, ascites (accumulation of fluid in his body), and lots of bloating, and loss of apetite. Basically those are all the symptoms of cirrhosis. Hes my best friend and I never want to lose him. Im keeping a close eye on him constantly. But now Hes been throwing up more than usual, he gets a strong cough at night, and this morning he woke up saying he sees white lights in his vision. Does this mean his liver is getting worse or those are just the symptoms all cirrhosis patients go through?
    He doesnt have his next drs appointment till next week. Also, if anyone knows about how to get on the liver transplant faster than usual- please let me know. His MELD score is a 15 or 16 i believe.
    Thank You.

    • ANSWER:
      Yes, those are typical signs of cirrhosis, but his doctor should be answering this question as to how severe his disease is right now. I had cirrhosis and a liver transplant. I never saw any white lights or a change in my vision and have never really heard that as being related to cirrhosis. He could have other medical issues going on at the same time as his cirrhosis such as the coughing at night. I never had that problem with my cirrhosis either.

      When it gets near to the end, the patient is usually very weak and extremely tired. It’s not unusual to sleep 16 hours a day and get so weak, they can no longer function to take care of themselves. They will be yellow (jaundiced), will bruise very easily, and need to be watched for internal bleeding. Their condition just worsens until they fall into a coma and then it will be over soon. Sometimes, it’s the side effects of cirrhosis that can take them out such as an infection in the abdominal fluid or a massive internal bleed. All can be life threatening.

      The only way to get a transplant quicker is to get sicker which puts a person to the top of list that goes by their lab work. There is just no getting around it. The MELD score determines who gets to go. I know I was having fluid retention problems and they increased my Lasix to help control it. They told me that due to the high dose I was on, my creatnine level would probably also go up. Creatnine is one of the lab tests that is part of the meld score. It did go up as they said. It put me at a 15 and that’s when I got my transplant.

      Every center is different as to what numbers are going for transplant at any given time. It varies day to day. It depends on so many things such as how many organs are being donated to what region you are in. It was pretty common for my center to do transplants at 15, but another center may not be able to give them until the score reaches mid 20′s or so. If you go to the UNOS website who controls all the transplants, I believe you can look up your center and find out all the details of the numbers.

      I hope your father has already been listed and is waiting now. If not, the next step for him will be the evaluation process to determine whether or not he could be a candidate for transplant. He must go through all the steps and there are no short cuts. Good luck to him and I wish him the best.

  40. QUESTION:
    TACE – in Liver Cancer?
    A women of 72 years, having liver cirrhosis and blood sugar, spleenomegaly, cholelithiasis, bronchitism, ashma having a lung capacity of less than 10% is now diagonised to have hepatoma, having 3.7 x 3 centimeters size space occupying exophytic lesion in the right lobe of the liver. Whether TACE is an effective treatment for this patient and what are the risks associated with this TACE treatment.

    • ANSWER:
      This should have been discussed with the oncologist when it was recommended. This is a part of the decision making process. TACE in this case is likely a palliative treatment and it is effective. There is risk of hemorrhage and developing an abscess which could be fatal.

  41. QUESTION:
    What exactly is Scheurmann’s disease?How to minimise and control its effects?
    If the patient feels more pain in the back after resting for a longer period of time, does it make any sense?He also has liver cirrhosis, how would that effect this?
    There is straightening of dorsal spine.There is mild reduction in height of D7,D8,D9 vertebral bodies.Schmorl’s nodes are seen at inferior end plateof D6,D7and D9. Type 11end plate changes at D7-D8 and D8-9 appearing hyperintense on T1 and T2 weighted images.
    Type 1 end plate changes at inferior end plate of D4 appearing hypointense on T1 and hyperintense on T2 weighted images.
    Marginal osteophytes at C4,C5,C6,D7,D8 and D9.
    Ther is variable loss of intensity on T2 weighted images at cervical and rest of dorsal invertebral discs suggestive of dessication.
    Pre and Para spinal tissue planes appear normal.

    • ANSWER:
      This is way out of my league, but I have a feeling you wont see any responses so I wanted to at least say something!

      As much as I would like to help….my only understanding is that a brace or surgery is about the only options for actual long term control of its effects. But what do I know!

  42. QUESTION:
    I need help convincing other people on herbal supplment i have developed for liver related infections and HIV?
    The herbal supplement i have developed can cure liver related infections like Hepatitis B, Hepatitis C, and Liver Cirrhosis etc completely. It brings CD4 counts or T-Cells into normal range in HIV infected people preventing them to develop AIDS. I have two case records where people have even turned HIV negative from HIV positive. I have several case records where I have been able to eliminate HBsAg and HCV virus completely on those people who suffered from Hepatitis B or Hepatitis C. This supplement is good for both alcohol related and viral related liver cirrhosis. I have been practicing this for nearly 10 years and everyone i have treated are in good health so far. I have recordings of my interviews in national televisions, patient records showing before and after the treatment, and several published news in several newspapers in Nepal to prove the credibility.
    Here is one real example:
    September 04, 2003 (before) October 31, 2003 (after)
    Serum Bilirubin (total) 6.3 msg/dl. After -> 0.8 msg/dl.
    Conjugated 4.8 mgs/dl. After -> 0.3 msg/dl.
    Unconjugated 1.5 mgs/dl. After -> 0.5 msg/dl.
    Serum Protein (total) 4.8 gm/dl. After -> 6.8 gm/dl.
    Albumin 2 gm/dl. After -> 3.6 gm/dl.
    Globulin 2.8 gm/dl. After -> 3.2 gm/dl.
    Serum Alt(GPT) 36 U/ml After -> 16 U/ml
    Serum Alkaline Phosphate 12.3 KAU/dl. After -> 9.0 KAU/dl.
    Hepatitis B After -> HBsAg-Non Reactive

    I am looking for someone who can assist me in convincing rest of the world in my findings. Can anyone help? I can be reached at medicineherbal@yahoo.com

    • ANSWER:
      I hope you are successful in this as so many suffer from these things and medical science is useless here. Unfortunately, in the us the AMA has a history of going to people with successful herbal formulas (example hoxsey) and even regular doctors treating successfully with “non approved” treatments and harassing them.

      In these cases they offered to buy the treatment, apparently with the purpose of holding the rights and then putting it on the shelf to keep using their expensive profit making treatments like drugs, surgery, chemo, radiation etc.

      They have reached the point where a system has been set up where money over-rides cures if that makes sense.

      Unfortunately, the medical journals that most doctors read are full of high priced pharmaceutical ads for drug companies..when these respected journal (ie like new England journal of medicine and things like that) publish articles or studies showing the effectiveness of simple, safe, inexpensive, alternative treatments like herbs etc, the drug makers running the ads threaten to pull out their advertising dollars which keeps the journals/magazines afloat. They have done this in the past and magazines folded and this example is remembered by other magazine that are then to scared to publish this info and so most doctors never get to read it.

      The drug makers spend millions of dollars patenting a drug and are not wanting people using things which they could grow or pick themselves.

      This is the dilemma they face..when people refuse to sell their products, the AMA has in the past set out to destroy the person..in hoxsey’s case they sued multiple times but hoxsey was the first person to win a case against the AMA when tons of healed cancer victims came in and testified complete with medical records saying they were going to die in x number of months and years later they were still hear..angered somehow they eventual sued and got all his clinics across American closed the same day and he could not afford court battles in all these states and so he was forced to move to Mexico.

      The respected doctor that refused to sell was a victim of rumors they apparently started that his treatment was contaminated by the aids virus and they tried to take his medical license and he wound up fleeing to another country.

      I would therefore think it will be hard to do this here other than writing a book and trying to sell it through health food stores but not claims I don;t think can be made on any herbal supplement so you will have to convince through education/books and then hope people seek the product out.

      a better option might be trying to market in another country that is more open to herbs like Canada or Europe

      You can hear the very interesting story of hoxsey by viewing the video here

      http://video.google.com/videosearch?q=hoxsey&sourceid=navclient-ff&rlz=1B3DVFA_en___US204&um=1&ie=UTF-8&sa=N&hl=en&tab=wv#

      In light of this desire to not cure or treat outside established medicine to maintain the huge industry, it will be hard.

      Maybe going to aids support groups or maybe even the gay community (they are not the only people who get aids but you know they are interested in the topic) or maybe hanging outside places say alcoholics might gather and seeing if you can find people with Cirrhosis who might be willing to try it and by enlisting people to try it and having it spread word of mouth if successful will help the word spread.

      I do remember a book I read by a “doctor’s doctor” (allopath) who turned to alternative health and discovered organic olive leaf cured many viral/bacterial/fungal and protozoan illnesses including things like AIDS, anthrax, bird flu etc and published a book..through the cases were anonymous, he wrote that the AIDS cases were all the real people’s names as they insisted he use their real names to try to add weight as they were healed and wanted others to be healed to.

      Maybe such as approach will work for you. Unfortunately you are battling a system of medicine that does not want competition except a little light “complementary” medicine that is used as an addition and not the “real” or primary treatment which they insist only the doctors etc are not quacks and this will make it hard for people in need to get your product..also much work is done to try to convince people that alternative medicine is full of quacks trying to scam them so people are afraid to try stuff and this suits the AMA fine.

      It is a sad day when profit comes above people’s lives.
      You need to find people already interested in alternative health perhaps.

      Drs like Lorraine day who heal themselves using alternative health and tell people are often ostracized by their doctor peers and attempts made to discredit them. People like Kevin
      Trudeau they get people to think he is a scammer to blunt the info that can help people..they try all the time to try to outlaw suplements or regulate them so they can maintain their exclusive right to our health

  43. QUESTION:
    i’m looking for a patient with similar symptoms?
    patient: Adly Kamal Hassan
    History:
    1-Hepatosplenomegaly
    2-Abdominal ascitis
    Presented to ER:Hepatic coma
    random Sugar test:600(very high)
    Investigations done:
    1-CBC
    2-ECG
    3-TBG
    4-Urine culture
    5-Blood pressure
    6-liver cirrhosis
    7-Hematuria
    8-Malena
    9-oesophegoscope
    treatment:
    1-Insuline 40 units(morning) 25 units (night)
    2-vitamin B /8 hrs
    3-gastosol/12 hrs
    4-vilagel /8 hrs
    5-nitosid/ 12 hrs
    6-enema(luctilose) /12 hrs

    • ANSWER:

  44. QUESTION:
    What should be the treatment for a patient like this?
    My mom had caught with “Cirrhosis of the Liver” back in 2000. It got diagnosed in 2002 when she started feeling tired, no appetite, swollen feet, blue marks on skin and abdominal pain. Doctors also told us that she has “Hepatitis C”. We started her treatment with “Roferon 3mu”. After six months she got better. We found last year that her “Cirrhosis of the Liver” problem is again disturbing her health. We took her for blood test but there were no detections of “Hepatitis” anymore. Doctor told us that her liver is damaged and it is in the “De-compensated Stage”. It can not be reversed but it can be stopped to go further. Now she has swollen feet again, watter in abdomen, blue marks on lower legs, itching skin, minor fever, a little high blood pressure but she is not a Diabetic. Her last test results were these. (i called her home to get these readings. if you find any trouble you can e-mail for this.)

    XXX (should be) actually is

    Albumin (3.5-5.5) 2.3
    Platelets (150-400) 111
    WBCS (4-11) 5.63
    RBCS (4-6) 3.82
    HGB (11.5-17.5) 12.1
    HCT (36-54) 36.2
    MCV (76-96) 94.8
    MCH (27-33)31.7
    MCHC (33-35) 33.4
    RDW-CV (11.5-14.5) 15.5
    Neut (40-75) 59.7
    Lymp (20-45) 30.7
    Mono (2-10) 7.5
    EOS (upto0.6) 1.6
    Baso (0.0-1.5) 0.5
    Portion in urine (5.5-8) 8
    GGT (5-36) 71
    Alkaline Phosphates (35-104) 130
    AST (10-35) 38
    ALT (10-35) 34
    Total bilirubin (upto 1) 2.17
    Creatinine (0.50-0.90) 0.62
    Urea nitrogen (6-20) 10.4

    Now she is taking
    1- Spiromide 40mg (Hydrochlorothiazide)
    2- Siliver (For Liver)
    3- K-Vit (Vitamin K)
    4- Moderatic (ANTIHYPERTENSIVES)
    5- Seven Seas (cod liver oil)

    Her dite is
    A lot of egg whites
    vegetables
    fruits
    bread
    olive oil for light cooking
    No meat, No fish, No chicken, No fried eatables, No salt, No spices
    ————————————–…
    AFTER READING ALL THIS IF ANY DOCTOR (HEPATOLOGIST) THINKS THAT THERE IS SOMETHING MORE WE SHOULD DO FOR OUR MOTHER (WE ARE TWO BROTHERS) PLEASE, PLEASE, PLEASE TELL ME. TELL ME REALLY SOON PLEASE. I WISH ANSWERS COME REALLY QUICK. PLEASE DOCTORS! I AM WAITING. INFACT WE BOTH THE BROTHERS ARE ANXIOUSLY WAITING FOR YOUR KIND ANSWERES

    • ANSWER:
      She should be evaluated for a liver transplant as soon as possible. She has decompensated end stage liver disease. Without a liver transplant , her life expectancy will likely be short, a median survival of less than two years is usually agreed upon by the world over. There is a good liver cirrhosis support group at http://health.groups.yahoo.com/group/livercirrhosissupport/

  45. QUESTION:
    Liver scarring and Hepatitis C?
    My husband has “slight scarring” but his doctor says there is “no sign of cirrhosis”. I don’t quite understand this, I though scarring of the liver IS cirrhosis, although it might be at a very early stage. He also has end-stage heart failure (severe dilated cardiomyopathy) and COPD. He was told some years ago that he has Hepatitis C but it has been confirmed twice to be in a dormant state. Could his Hepatitis C have caused the scarring over time even though it is dormant? Which is more likely to have caused the scarring, dormant Hepatitis C or alcohol consumption (regular ant at times large amounts over many years). Also, when the scarring has started, is it bound continue (I know it cannot be reversed)? His doctor says that his liver is “working”, although I’m not sure whether she meant that it is working without any problems or working at a diminished capacity. How dangerous is scarring on the liver it and what is the outlook for a patient who continues to drink 3-4 beers plus 1-2 shots of hard liquor per day (believe me, I am struggling to make him stop, without result)? Is it a matter of decades or years/months before his liver gives in completely (if it will)? Any information at all would be most welcome.

    • ANSWER:

  46. QUESTION:
    Cancer Patient seeking advice.?
    Hello, I am writing on my father’s behalf. He’s 55 yrs old. He was diagnosed with liver cirrhosis 3 yrs back, and underwent treatment for the same, which left his liver very weak. Now he’s been diagnosed with adrenocortical tumour, and the malignancy has started to spread in his lungs. Our doctor said that surgery is not an option in his case and started chemotherapy. He’s still very weak, after 1 session of chemo, has high fever and cough almost alternate day. I want to know whether any other form of treatment is available. Thank You

    • ANSWER:
      I am very sorry to hear about your father. After my mother was diagnosed with colon cancer, I went to see what other alternative forms of treatment were out there. She expressed a few different “natural” treatments she would like to try after doing a bit of chemotherapy.
      There is everything from herbal medicines and foods, to electromedicine being promoted to help with cancer treatment.
      I recall watching a program not too long ago on be venom therapy that peaked my interest (one of the sites: http://www.beewelltherapy.com/).
      I also want to put out, I do not have any formal medical training and it would probably be best to keep on with what the doctors say (especially since it seems its a later stage cancer), along with looking into alternative forms if you think they would help.

  47. QUESTION:
    If a person is in End Stage Renal Disease and needs a kidney, would liver damage exclude her from transplant?
    My girlfriend just found out she cannot take a certain immune suppressor due to cirrhosis of the liver, (Hepatitis C and Lupus damage). Now, if she can’t take this drug, are there other drugs she can be prescribed for anti rejection that wouldn’t affect her liver? Is she still a transplant candidate for a new kidney? She is currently a home dialysis patient. She also has Sjogren’s syndrome, high blood pressure, systemic and subcutaneous Lupus with the Hepatitis C.

    • ANSWER:
      Short answer is that there are no anti-rejection medications that are not processed in the liver. With Hep C she won’t be allowed to receive a kidney. I am very sorry to tell you this and wish the best for you both.

  48. QUESTION:
    Is there any cure to recover from hepatic coma?
    a female patient having 50 years of age with liver cirrhosis and hepatitus C diagnosed 2 and a half years ago hospitalized from last two weeks with asites and now in hepatic coma

    • ANSWER:
      Sorry is kind of late to recover………………..

  49. QUESTION:
    Diagnosed with Hepatitis C Virus then a week later diagnosed with Cirrhosis, what should I do?
    Hi, my fiancée has been diagnosed with Hepatitic C Virus (PCR: 75000). A week later we headed to a doctor who diagnosed her with Cirrhosis. The doctor said that it’s not in the advanced stage. I read about the topic and understood that it’s a serious disease and it’s survival rate is too low. I also learned that in the very advanced stage the only option a patient has left is the liver transplantation procedure, which of course requires a donor with a healthy organ. Can a donor donate only a piece of their health organ? Or does it have to be the full organ? Is it possible to recover from this disease? What can I do to help her recover? I’m planning to donate a piece of my liver to her in her advanced stage, in case she needed it to survive, what should I consider from this point -in terms of altering my life style and all- to be able to make this donation without harm to me or her?
    any help?

    • ANSWER:
      Hepatitis C is a virus that has entered her body
      and has gone to her liver cells and is using
      them to replicate itself. There is treatment
      for this which can be started before or
      after having a liver transplant.

      When the cells of the liver become damaged,
      like this, the immune system of the body
      responds to this and causes inflammation
      inside the liver…which will cause the liver
      to enlarge in size even though it is surrounded
      by a membrane capsule. This inflammation
      then lead to death of the liver cells and
      scar tissue formation inside the liver that
      blocks the flow of blood through the liver
      on its way back to the heart and also blocks
      the flow of blood to the other liver cells and
      they continue to die off. This is then known
      as Cirrhosis.
      I’m going to give you a couple links that
      are excellant in understand Hepatitis C and
      will help explain alot: (just click on them)

      http://www.janis7hepc.com/

      http://www.medicinenet.com/hepatitis_c/article.htm

      This is a movie clip that starts out about the
      liver and then you can click on other movies
      that are about hepatitis:

      http://hepatitis-c.emedtv.com/hepatitis-c-video/the-human-liver.html

      She should be seeing a gastroenterologist
      or hepatologist now. The liver biopsy is the
      very best test to see how far advanced she
      is in this disease.
      If you want to know the closest transplant
      center where she might have the transplant,
      type in the state you live in and Transplant
      center after that.

      To be a living donor, you must be 18 years of
      age or older. You have to have a compatible
      blood type. Both the part of the organ you give
      to her and the part left inside of you will
      regenerate into a whole organ again…it takes
      a few months to do this. The risks that she
      has will be the same for you, including the
      chance of dying. She has a right to refuse to
      accept you giving her your organ and you have
      a right to not give her the organ, at any time.
      You will also be going through an evaluation
      process similar to what she will be going
      through, this includes seeing a phycologist and
      having testing done. Her insurance has to
      cover both of you and this has to be looked
      into…what it exactly does or doesn’t cover.
      They will take UP to 60% of the donors organ
      for the transplant recipient patient.
      You have to be in the best of health with
      no serious medical problems. After surgery,
      considering you are in good health…your
      recovery will be alot quicker and you will
      have clinic appointments that will have to
      be kept for the doctor to be sure you come
      through this okay. It will mean taking alot
      of time off work.

      Here is a link about what the evalution process
      will be like and also much info about before and after surgery:

      http://www.surgery.usc.edu/divisions/hep/patientguide/index.html

      http://optn.transplant.hrsa.gov/about/transplantation/transplantProcess.asp

      Here are sites that explain living donations and
      what to expect:

      http://www.transplantliving.org/

      This is a booklet that may take some time to
      download..even if you have a fast connections:

      http://www.unos.org/SharedContentDocuments/Living_Donation_Booklet_Final.pdf

      It is very important that both of you look into
      having an advance directive or power of
      attorney form made up. Someone will need
      to be able to speak for you when you are not
      able to do so and possibly make decisions
      in your behalf. (Like when you are in surgery,
      or if something goes wrong and you are
      under medications influence)

      http://www.caringinfo.org/stateaddownload

      On personal notes: stay away from drinking
      alcohol, taking any medications not approved
      of or prescribed by the doctor, watch your
      chemical exposure. Eat good foods without
      alot of preservatives or sodium. Stay clear
      of open salad/dessert/food bars and wash
      hands often to prevent becoming sick and
      weak before surgery. Wash fresh fruits and
      vege that people touch in the stores.
      Use purell or anti bacterial towelettes on your
      hands when touch shopping cart handles,
      door knobs, money, etc. Try doing breathing
      exercises to enlarge and strengthen your
      lungs.

      I hope this information has been of help to you.
      Best wishes to you both.
      She is lucky to have you…she will have the
      support she needs to make it through this.

  50. QUESTION:
    Help… Liver Cancer?
    Last week, my relative has been diagnosed with primary liver cancer (have cirrhosis – hepatitis C) . My uncle has passed away from 9 months by the same cause (It is very common here in Egypt). I want to help him but I don’t know (I am not a doctor and the medical care information is very rare here)

    Are there some organizations in USA or Europe that support the treatment of overseas cancer patients in poor countries with low cost?
    Are medical trials … good option (low cost)?
    If liver transplant medically possible (e.g. cancer has not spread to other parts of the body)… How he can find a donor?

    • ANSWER:
      I live in the US and have no idea how your healthcare system works there, but it does seem odd for liver cancer to be common there yet medical care information is very rare. From time to time there are organizations here that will bring children over from underdeveloped countries free of charge to do difficult surgeries they are not equipped to do. However, this is rare and we do not do this for standard procedures.

      Our healthcare system has failed millions of our own citizens. Our government has failed us by allowing insurance companies to influence them and by allowing illegal aliens to zap our resources while our citizens pay of it and go without. So until this is fixed we should not encourage anyone to come here to get free or low cost care.

      In the US it is not possible for individuals to find their own liver donor. Here you are put in a database and when a match is found and it is your turn you get the liver.