Autoimmune Liver Disease Symptoms

Liver disease is a broad term that covers all the potential problems that may occur to cause the liver to fail to perform its chosen functions. Usually, more than 75% or three quarters of liver tissue needs to be affected before decrease in function occurs. Liver disease is categorized both by the cause and the effect it has on the liver.

Causes may take in infection, injury, exposure to drugs or toxic compounds, an autoimmune process, or a genetic defect. These causes can lead to hepatitis, cirrhosis, stones that develop and form blockages, fatty liver, and in rare instances liver cancer. Genetic defects can prevent vital liver function and lead to the deposition and build-up of damaging substances such as iron or copper.

Symptoms of Liver Disease: -

a See if the patient has discoloration of skin. The skin and eyes acquire a yellowish tinge and the urine turns dark yellow. It is called jaundice and this is considered to be the primary sign of liver disease. a Check for light colored stools as it indicates the beginning of liver disorder. A liver patient may also complain of irritable bowels or irregular bowel movements.
a Find out if there is distended abdomen. Swelling under the right lower ribs is a common complaint of liver patients. It can put severe pressure on the diaphragm that results in painful breathing.
a Examine the shape and appearance of the nails. Curved and whitish look of nails also suggests a liver problem.
a Notice nose bleeding and easy bruises as it shows liver abnormality and deficiency of proteins.
a Frequent headaches, dizziness, spasms, irritability, depression and so on are also indicative of liver problem.

Liver Disease Treatment: -

a Add a little salt and some roasted cumin seeds to a glass of buttermilk. Drink this early in the morning. This will keep your liver healthy and protects it from disorders.
a Decrease fat intake by 20-30 grams per day as in liver damage, bile secretion and digestion is affected that hinders the fat absorption.
a Fatty liver, also known as statuses, is an accumulation of fat in the liver that typically does not cause liver damage.
a Take small meals as they are easily digested and create less trouble for liver functioning. Do not eat deep fried refined flour products as they harm your liver and its functioning.
a For liver problem, detoxification of the liver is necessary. This is done by fasting for a day. After that, food that is easy to digest must be taken. Bitter vegetables such as bitter gourd and bitter drumstick must be given.
a Keep a white-colored glass bottle filled with water in the sun for 6-8 hours and drink it after cooling. This is a very simple home remedies for liver cirrhosis.

Frequently Asked Questions

  1. QUESTION:
    Do I possibly have leukemia or some other blood disease? ADVICE FROM EXPERIENCED/ or DOCS?
    my symptoms are, and noted beggining about a year ago, disapearing and reapearing regulary but not serious, but recently symptoms have returned elevated and much more serious then past experiences, symptoms include...

    bleeding gums, paleness, red dots on skin that are itchy, patchy red palms,, white fingernails under nail, yellowing at tip of fingures, fatigue, joint pain. wrestlessness, trouble waking up. (sleep long hours) sometimes bed at 8pm and up at 4-6pm the next day. and swallen lymph nodes in my lower neck and under my jaw.... (SINCE THIS NIGHT I HAVE DEVELOPED BUMPS UNDER MY LEFT ARMPIT AND CHEST PAIN) I also am beggining to feel ill, feels like the flu, but rather strange as my headache will go and come back in a different area...

    Here is my doctors summary from saturday night. when i attended the emergancy dept...

    (Jaime Waters presented to Box Hill hospital Emergancy Department on 07 Aug 2010 at 15:40

    ED Diagnosis: Bleeding disorder for investagation
    History of presenting Complaint: 20 y.o male presented with 2 month histroy of bleeding gum and joint pain with no significant background histroy.

    Patient first noticed gum bleeding at least 3 or more months ago after brushing, since then bleeding has become more consistant, bleeding lasting now upto 10 minuts after brushing. also noticed incease of joint pain mainly on MCP joint and knee joints over this period of time.

    Bleeding has worsened over the past 5 days and become consistant in the past 2 days. patient now also complains of lethargy and weakness in this time frame.

    smoker since 14

    heavy drinker; usually 2-4 bottles a week.
    Last alcohol yesterday 1/2 bottle bourben.

    No family history of bleeding disorder, auto immune disease or leukemia.

    Resting tremor noted, no heptic flap, no obvious brusing/petechae
    No sign of chronic liver disease
    No conjuctiva pallor, no scleral jaundice

    chest clear
    abdo soft tender, no oragomegaly

    Oral examination - no active gum bleeding, no obvious gingervitis, tonsil not enlarged.

    tender submental lymph node bilaterally R>L
    Palpable R cervical lymph nodes
    Thyroid not enlarged

    stiffness of mcp joint both hands no tenderness on palpation and movement

    Managment: FBE/U+E/Coags/LFT/CRP
    may need medical refferal for bleeding disorder

    Results/outcome: Neutrophilia and increase WCC
    Normal LFT and Coagulation profile hb166

    Refferals and followup: Need LMO follow up for investagation of autoimmune disease and thrombolic screening,

    patient wil need new LMO for follow up and observation of progression.)

    in this letter not all my symptoms are noted. but i hav put as much as i can think of before i added this letter, also the doctor told me im developing a little bit of anemia but was nothing to be concerned about at this time and that i needed to be observed over the next few weeks for a diagnosis of whats happening. and refferd me to a GP.

    can anyone offer me advice?

    since seeing the doctor my under left armpit has become sore and stiff, my left hip bone upper left beg bone has began to ache with worsening bleeding of gums. and consistant taste of blood in mouth. im very confused and worried about whats goin on... advice?

    • ANSWER:
      When you go to that referral, ask them to test you for Lyme's disease. I have a friend with similar symptoms and it turned out to be Lyme's disease. Have you been camping or in the woods lately? Even if you haven't, deer tics can be in tall grass and you don't even know they are on you. It doesn't sound like cancer to me
      I hope you find out what this is. Be well

  2. QUESTION:
    What kind of specialist should I see for the following symptoms:?
    I've had the following symptoms for a while now. My general practitioner isn't cutting it, and I've been negative so far for thyroid (hyper and hypo) problems, lupus, fatty liver disease, and diabetes. I'm at the end of my rope. If there is ANYONE out there who has similar symptoms and got help, can you please point me in the right direction?

    Severe Eczema (Since Birth, better with age, worse in winter)
    Severe allergies (Since Birth) (to food like fruits, veggies, and seafood. Meds like penicillin and sulfa, lots of different trees and plants, latex, and pet dander)
    Stunted height (grew very slowly, only 5'2")
    Rapid weight gain, inability to lose weight with proper diet and exercise (since my teens)
    Depression, and generalized anxiety disorder (Since my teens, worsens as I age. GAD was misdiagnosed as major depressive disorder for a long time)
    Migraines (intermittent, started in my teens)
    Fatigue (10+ hours of sleep per night)
    Gastrointestinal (I've always had constant gas. I get diarrhea very easily. Stomach aches give me severe headaches and will make me vomit)
    Insulin resistance (recently diagnosed)

    For a while, my thinking was that the depression and anxiety was causing an inability to deal with stress, which in turn caused the weight gain, and fatigue, and made my allergies/eczema worse. Then I couldn't lose weight for the life of me, and since my family has a history of autoimmune disorders, that led to the thyroid testing. Now I'm getting this insulin problem, and my doctor is telling me that I need to lose weight or risk becoming diabetic. But I still can't lose weight. See the conundrum? The most recent suggestion is that I might have celiac disease, but I looked it up and it seems to mainly have gastrointestinal symptoms, which I have very little of (just the persistent gas, really)

    Anyone have a suggestion? Anyone?

    I've had my thyroid checked. Also seen a rheumatologist (had joint pain for a while, but it was chalked up to the rapid weight gain). I also see my allergist and dermatologist regularly, they've been the same doctors since birth.

    I thought the allergies and eczema were just hereditary conditions unrelated to anything else until it was recently suggested that I include them in my list of symptoms to see if it narrows down my search, because apparently allergies and eczema can often indicate other disorders.

    • ANSWER:
      An Immunologist would test you to find out exactly what foods and other factors you are allergic to and therefore do not eat or avoid.

      An Endocrinologist would check your thyroid out really well and also advise you about the insulin problem.

      A specialist in Bariatric Medicine is the type of doctor who treats obesity. They use dietary/lifestyle changes and exercises and sometimes medicine in their treatment options.

      However before you contact any of them why don't you read this book extract in Google Books :

      " The Inflammation Cure", by William Joel Meggs, an Immunologist in America. Chapter 9 is the chapter that deals with dietary factors.

      Dr Meggs recommendations are :

      *to NOT eat wheat (found in breads, packet cereals, prepared sauces etc, cakes and biscuits). Doing this alone will stop the wind problem and start you losing weight. Alternatives to wheat are rye crackers, rye bread, spelt bread etc; oats for breakfast cereal.

      * DO NOT have dairy products except maybe pot set natural yoghurt which has beneficial bacteria for easy digestion. Alternatives to cows milk - goat milk, water or soy milk.

      * Lean red meat - beef as it is the best source of protein and iron. Once a week.

      *Oily fish for protein and Omega 3 Oils

      * Approved fruits and vegetables that YOU are NOT allergic or intolerant too.

      *Nuts and seeds that YOU are NOT allergic or intolerant to.

      *No junk food, no bought preprocessed foods.

      Good luck

  3. QUESTION:
    What is left for me to say.....?
    I typed up a report on diabetes, it is supposed to be 6 pages dubble spaced, but now i don't know what else to put, all i need is a half a page more. Thank you!

    Diabetes Type 1
    Diabetes is a disease in which blood glucose levels are above normal. People with diabetes have problems using food for energy. After a meal, carbohydrates in food are broken down into a sugar called glucose, which is carried by the blood to cells throughout the body. Cells require insulin, a hormone made in the pancreas, to help use blood glucose for energy. People develop diabetes because the pancreas does not make enough insulin or because the cells in the muscles, liver, and fat do not respond to insulin properly, or both. As a result, the amount of glucose in the blood increases while the cells are starved of energy.
    Prior to 1997, the type of diabetes typically diagnosed in young people was called juvenile diabetes or type 1. Diabetes emerging in adults was called adult-onset diabetes or type 2. Then in 1997, the official names of the types were changed to type 1 and type 2. Type 1 diabetes is the second most common chronic disease in children (after asthma). About 13,000 new cases are diagnosed in the U.S. each year. Patients with type 1 diabetes make up about 5 percent of all cases of diabetes. It most commonly appears in girls and boys when they are about 14 years old. Usually, type 1 diabetes is first diagnosed in children, teenagers, or young adults but it can occur at any age. Type 1 diabetes is an autoimmune disease in which the immune system attacks the beta cells in the pancreas that make insulin. As a result, the pancreas does not make insulin, a hormone which helps use blood sugar (glucose) for energy. The cells become starved of energy and there is an excess of glucose in the blood. People with Type 1 diabetes must have daily injections of insulin to live. Proper diet, exercise and home blood sugar monitoring are essential to manage the disease. Food and exercise must also be balanced because of the risk of hypoglycemia, low blood sugar, and hyperglycemia, high blood sugar. Both are life threatening concerns. When hypoglycemia develops, cells are not getting enough glucose. Confusion, loss of consciousness, comma and death results when the brain is deprived of glucose for too long. Hyperglycemia and prolonged absence of insulin may lead to ketoacidosis, the accumulation of ketones in the blood when the body uses fat for energy instead of glucose. Ketones make the blood acidic and slow down all body functions. Like hypoglycemia, hyperglycemia can also lead to comma and death. The only cure available today for type 1 diabetes is a pancreas transplant, which is rarely done. Because both pancreas transplants and kidney transplants require lifelong use of powerful drugs to suppress immune reactions that can reject the organs, pancreatic transplants are usually done to those with type 1 diabetes who also need a kidney transplant. The side effects of immune- suppressive drugs can be severe and even worse than the disease. One or two people out of every 10 who get the surgery die within a year. Also the new pancreas is rejected by half of the people who get this operation. If the transplant fails, diabetes returns. Recently, experimental treatments with stem cells have shown some promise. For most people, type 1 diabetes is a life-long disease that can be effectively managed with insulin.

    Signs and Symptoms of Type 1 Diabetes
    •Urinates frequently. The kidneys respond to high levels of glucose in the bloodstream by flushing out the extra glucose in urine. A child with diabetes needs to urinate more frequently and in larger volumes.
    •Is abnormally thirsty. Because the child is loosing so much fluid from peeing so much, he or she becomes very thirsty to help avoid becoming dehydrated. A child who has developed diabetes drinks a lot in an attempt to keep the level of body water normal.
    •Loses weight. (or fails to gain weight as he or she grows) in spite of a good appetite. Kids and teens who develop type 1 diabetes may have an increased appetite, but often lose weight. This is because the body breaks down muscle and stored fat in an attempt the provide fuel to the hungry cells.
    •Often feels tired. Because the body can’t use glucose for energy properly.

    But in some cases, other symptoms may be the signal that something is wrong. Sometimes the first sign of diabetes is bedwetting in a child who has been dry at night. The possibility of diabetes should also be suspected if a vaginal yeast infection (also called a Candida infection) occurs in a girl who hasn’t started puberty yet. If these early symptoms of diabetes aren’t recognized and treatment isn’t started, chemicals called ketones can build up in the child’s blood and cause stomach pain, nausea, vomiting, fruity- smelling breath, breathing problems; even loss of consciousness. Sometimes these symptoms are mistaken f

    • ANSWER:
      Watch out on using advice from yahoo answers if truthfulness is graded. While 80% of type 2's are overweight, only 18% of obese people are diabetic.

  4. QUESTION:
    CAN YOUR WHITE BLOOD CELL COUNT NOT SHOW SIGNS OF INFECTION?
    AND can herpes on your face look like acne, and not be near your mouth?
    im breaking out so bad! and im back on my acne medication which usually clears it up to like 90%!! i have mountain types of red painfull bumps(that dont pop like mine usually do) in all areas on my dermatologist says normal! and a few blisters types.
    BUT my dr's and i have been doing all kinds of blood, urine and stool tests to figure out whats wrong w/ me because i have been quite sick W/ a ridiculous amount of symptoms....... my symptoms include(but not limited to): extreme weight loss(20%) over the past 7 months w/ no known reason, memory loss,fatigue,confusion, trouble finding words, constipation,blood clots in stool, extreme amount of mucus in stool, malabsorbtion,constant feeling of needing to move bowels, itchy scalp,dry hair and skin, dry mouth, large amounts of yeast in mouth, swollen tender glands throughout entire body(HARD IMMOBILE SLOW GROWING LYMPH NODES IN GROIN ABOUT 1MONTH NOW -now about 1cm-1in big), circulation changes(pigmentation in skin either very pale or red, varicoses veins pronounced in legs when im doing anything physically demanding,broken blood vessels appearing easily; eyes and nose)cold feet and hands, hot flashes(im 29YRS OLD!), pain(inside of knees, lower back, stiff neck, headaches), hands wrists ankles and feet swelling(bilaterally) w/ tingling sensation and numbness, muscle cramping and spams, few BLISTER TYPE canker sores, hair loss, dry eyes, abdominal swelling, appetite up and down but always feeling full quickly, excessive gas, ocd symptoms, behavior changes, THROAT feels full, itchy wet ears(get clogged alot), cuts on fingers and hands slow to heal, allergy type symptoms out of no-where, skin tag inside anus almost at edge, slight vaginal discharge(not strong odor) and swelling(looks as if the walls of vagina are closing in! swollen and low), bump on cervix(that has been there years but now growing fast and a new one just inside opening-purplish in color. i can see it bc cervix is so low and maybe swollen(2gynecologists examined me and said look normal!)
    IM ON SYNTHROID FOR LOW THYROID,CO LACE FOR CONSTIPATION AND ZANTAC FOR GAS
    I HAVE HASHIMOTO DISEASE(autoimmune low thyroid) I HAD A VERY LARGE TUMOR REMOVED FROM CHEST 15 YRS AGO(attached to my trachea,aorta,heart,esophagus and windpipe. but seems to not have grown back according to x rays
    im thinking i have a number of different problems and that's whats confusing the dr's-
    i had clear x chest x rays and only one abnormal ekg out of 3(Dr's say no concern and no found heart probs) clear ultrasound of liver,heart,gall bladder, etc, all basic blood urine and stool tests plus extra thyroid tests, rheumatoid arthritis,lyme disease, celiac, HIV, gonorrhea, chlamydiae, and parasite tests and more.------ all normal so far! (w/ the exception of a slightly low sugar)
    *** im concerned my white blood cell counts are not showing up on tests accurately bc i must have SOME type of infection! LYMPHOMA, CANCER, HIV(that is not showing on test) BRAIN TUMOR! I DONT KNOW-SYPMTOMS ARE SO ALL OVER THE MAP!
    im stressed from all this worrying prb making my sypmtoms more severe and multiply, but i know something is wrong! SOMEONE ANYONE PLEASE HELP ME im seeing dr tom so hopefully some news(GOOD OR BAD AT THIS POINT IS GOOD TO ME!)

    • ANSWER:
      many of those symptoms lead to HIV, and it is not uncommon to have a negative test result when you are actually HIV positive. get retested.. but overall sounds like you just named everything you could think of.

      -vaginal discharge: normal
      -skin tags: normal
      -sores: possible STD
      - bump on cervix: might actually be the cervix, if you gyno can't see it, im sure it's fine
      - etc..

      start thinking about what's changed recently versus worrying so much about the little things. that's what confuses doctors, when you talk about 100 different things when really the worst symptom is the cause of everything else

      your thyroid problem is most likely causing your lymph nodes to be swollen, as well as most of the symptoms above

      as for the acne.. it is stress induced.. and you seem to be very stressed.

      i suggest stop taking so much medications, consult more doctors until you're satisfied, they know what your blood work reveals, not us

  5. QUESTION:
    I need a diagnosis - severe body pain, low grade fevers, sore stomach, etc.?
    I need help! My doctor can't diagnose me and I'm in so much pain I don't know what to do. Starting about a month ago I've been getting low grade fevers on and off. It happened a month ago for two days and came with body aches that started in my neck and spread throughout my body. It lasted for two days with no other symptoms and went away completely. A month later I started getting mild to moderate body aches mostly in my arms and legs. It lasted for about a week with low grade fevers again (around 99.7). Now, starting two days ago, I've had such severe body aches I can barely move and walk. My neck, back, knees, legs, feet, arms, hands, even my fingers and toes are unbearably sore. I can't even sit comfortably. It hurts even just typing this.

    This is the main problem (the severe pain) but I also have a sore stomach. Not nausea, not "sick" just sore. Like, it's sore to the touch, I can't even push on it. Today for example I was lying on my back and put a book down on my stomach. The pressure from a small, light book was so excruciating I actually gasped and had to take it off. I really think my organs must be inflamed!

    Last but not least I've been experiencing Raynaud's Syndrome. For those of you who aren't familiar with it, it's when your fingers and toes go completely white and numb, usually from cold. I haven't been cold but it happens to me whenever I apply pressure to my fingers - like writing with a pen, using silverware, etc. This has never ever happened to me in my entire life and now it happens 10+ times a day and it all started at the same time as my other symptoms so I think they may be related.

    Here's what I DONT have (I just got some bloodwork done):
    No autoimmune diseases, no HIV, no vitamin deficiencies

    The only thing that was abnormal on my entire bloodwork is that my liver enzymes are high. My doctor thinks this may be due to long-term use of Minocycline (an antibiotic I've been taking for 3 months to clear up my skin). A lot of my symptoms seem like they could be an adverse reaction to minocycline but it just feels like it all came on so suddenly and so aggressively that I don't know if this can be right and I want some other ideas.

    Can anyone help?? I'm in so much pain I don't know what to do! And I can't even take painkillers because of the liver issue (I'm getting an ultrasound of my liver soon).

    Thank you for any help you can give!!!
    Thanks, unfortunately it can't be any of those things... my doctor tested me for all auto-immune diseases and I have none of them...

    Any other ideas anyone?

    • ANSWER:
      This does actually sound like an auto immune disease. Raynaud's phenomenon is commonly associated with auto immune diseases. Connective tissue disorders are an immune system response attacking your own connective tissue and causing inflammation that damages your collagen and elastin. There are other conditions associated with Raynaud's phenomenon as listed below. :)

      Connective tissue disorders:
      http://www.healthblurbs.com/about-connective-tissue-disorder-autoimmune-and-mixed-connective-tissue-disease/

      Other conditions associated with Raynaud's phenomenon:
      http://en.wikipedia.org/wiki/Raynaud%27s_phenomenon

  6. QUESTION:
    My LYMPH NODES are extremely palpable (for years) i have lost TOO MUCH WEIGHT, what is wrong?
    Hello....if anyone would like to try to DIAGNOSE ME, I'd be SO GRATEFUL AT THIS POINT!
    ..... i'm 30 year old female, with a 10 year old son and had a thoracic fore gut tumor(benign) removed from my chest @ 15, a good portion of which was attached to my lungs, aorta,esophagus, Trachea.
    To Date- no known complications or regrowth.
    109 lbs
    5'3"
    hypothyroid, on synthroid
    Had IUD recently placed in cervix
    amphetamine salts,celexa, lorazapam for depression/fatigue and ADD
    MY SYMPTOMS:
    CURRANTLY AND THIS PAST YEAR: Generalized Swollen lymph glands(some firm and hard in groin area. Also where my hairline is in the back of my neck behind my ear i guess, and a few large ones up the side of my neck aligned with my shoulder), Re currant low Grade Fever(no higher than 101 w/out infection),Itchy Skin, Memory Loss,Hair loss, Acne,Bowel Changes,On and Off fatigue, mucus in my stool(for one year at least.More mucus than actual stool on average! SORRY TO BE SO GRAPHIC! Lower Back Pain, DULL ACHING PAIN on the inside of my knees,stiff neck,ankle pain after being on my feet for more than an hour.Also extremely dry; mouth,skin,hair,eyes,&nostrils, dizziness upon standing, sweats,wounds heal slowly, weird painless swelling above my butt where my dimples are(no dr has been able to guess why/what this swelling might be),diarrhea and constipation, tenderness above my belly button, hyper pigmentation on abdomen, arms and feet, anxiety, blood pressure has steadily increased throughout all of my many dr's visits this past yr.
    ADDED RECENT SYMPTOMS:Kidney pain, visible blood in urine: for 2 months now! it was bright red and then less visible for awhile and now dark brown like tea and extremely strong smelling, hardening and bloating of abdomen, extreme fatigue, productive cough, chest pain, neck pain,easily exhausted, unexplainable bruises, muscle spasms and bulging type pain JUST under my rib on both sides separately, weird stabbing pain on my left groin area near my larger lymph glands that makes my tendon look swollen, thrush, protein in urine, HI albumin in urine, repetitive rbc in urine, BUT NO INFECTION!! (multiple negative cultures), kidney stone shows on CT in an area that is expected to be asymptomatic and may not even pass. BUT I DO HAVE difficulty urinating and cramping JUST PRESCRIBED CIPRO FOR A SECOND TREATMENT. (not sure exactly why since culture is consistantly negative)

    Many tests HAVE BEEN DONE: .....All Basics(CB C's, liver, etc panels) + Lyme Disease,Hep(B,C etc), ANA,Sed Rate,R.F.,AIDS, Celiac Disease,Fecal Bacterial+Viral cultures,Lupus,Syphilis, Gonorrhea, Chlamydiae,Anemia, scleroderma, h. pylori, bladder cancer,
    P.C.P. says: hematologist &will do allergy & routine testing upon insurance ok
    E.N.T(ear,Nose&throat) says: inflammation or irritation down deep in my throat(but i smoke so...)
    GASTROENTROLOGIST says: gastritis, hemorrhoids,IBS, lymphoid aggragates in non lymph areas
    UROLOGIST says: extreme gross & microscopic unexplained hematuria, referral to hematologist(concerned about enlarged lymph's in groin and unexplained hematuria---------says kidney stone most likely not causing this amount of rbc,did FISH URINE TEST...NO CALL SO I'M GUESSING ALL CLEAR ON RESULTS)
    HEMATOLOGIST says: i'm thin so nodes are more palpable s we should wait. does not believe biopsy is neccessary at this point
    RHUEHEMATOLOGIST says: no signs autoimmune, non arthritic/ lupus like disease
    GYNOGYNECOLOGIST says: no infection, no discharge see urologist...
    DERMOTOLOGIST says: see rhuemotologist! lol, biopsied pigmented marks(inconclusive-possibe allergic reaction)

    i am waiting on results of a chest CT from HEMATOLOGIST because he heard alot in my lungs and another aids test(that'll be 4 tests in the last yr(all negative)

    I'M SURE THERE IS MORE INFO I"M NOT OFFERRING
    but i can't remember everything! lol any EDUCATED ADVICE would be appreciated
    THANK YOU!!!! i feel so helpless when i am sooo tired or weak..... i just want a solution!
    PLEASE HELP!

    • ANSWER:
      See what the CT results are. If you get no answers there, I would go to a different hematologist and insist on a biopsy. If you can't get answers switch to a hospital that specializes in diagnostics.

  7. QUESTION:
    Hepatitis B questions!?
    Hepatitis B:

    Cause:
    •What is the infectious agent? What type of organism is it? What is known about its structure?
    •How does the infectious agent interact with the body to produce symptoms?
    •What cells or tissues does it infect and how does it damage those cells or tissues?
    -------------------------------------------------------------------------------------------
    THIS PARAGRAPH MAY HELP YOU, OTHERWISE, PLEASE HELP ME FIND THE ANSWERS! THANK YOUUU!

    Infectious agent: Hepatitis B infection is caused by the hepatitis B virus. Hepatitis B virus is present in the blood and body fluids of infected persons.
    Hepatitis B virus (HBV) is a member of the Hepadnavirus family. The virus particle, (virion) consists of an outer lipid envelope and an icosahedral nucleocapsid core composed of protein. The nucleocapsid encloses the viral DNA and a DNA polymerase that has reverse transcriptase activity. The outer envelope contains embedded proteins which are involved in viral binding of, and entry into, susceptible cells. The virus is one of the smallest enveloped animal viruses with a virion diameter of 42nm, but pleomorphic forms exist, including filamentous and spherical bodies lacking a core. These particles are not infectious and are composed of the lipid and protein that forms part of the surface of the virion, which is called the surface antigen (HBsAg), and is produced in excess during the life cycle of the virus.
    A group of viruses known as the hepatitis viruses cause most cases of liver damage worldwide. Hepatitis can also be due to toxins (notably alcohol), other infections or from autoimmune process. It may run a subclinical course when the affected person may not feel ill. The patient becomes unwell and symptomatic when the disease impairs liver functions that include, among other things, removal of harmful substances, regulation of blood composition, and production of bile to help digestion.
    The genome of HBV is made of circular DNA, but it is unusual because the DNA is not fully double-stranded.

    • ANSWER:
      Don't you think perhaps it would be better if you read the paragraph yourself and answered the questions yourself? I hope this isn't for nursing school, or something to prepare you for a career in the medical field. I'd hate to think you planned to play with people's lives and are too lazy to read a short paragraph and answer three questions that can be found so easily by doing so.

  8. QUESTION:
    Who can be my Dr. House? I have a mystery illness...?
    I will make this as short as possible. I am a 26 yr old female, in good shape and eat well. Ive had my gallbladder and appendix out. In march I came down with shingles (horrible pain). Two months later I had it again (sick all the while in between with every passing illness). In june I had a horrible sinus infection thing (maybe flu), I made lobster for my husband while I was recovering and had an anaphylactic reaction to it. Went to the doc to get tested, and had anaphylaxis from that. I had recurrent reaction 4 hours later when the meds wore off, then again in walmart days later from no known allergen. They put me on steroids, which took 6 weeks to taper off of and I was so sick I couldnt hardly do anything the whole time. I have had shingles twice again since. Every three weeks I get sick as a dog. I have this recurring illness no one can explain. Here are my symptoms

    -Swollen glands (esp on the right side, and my face swells on the right side when I sleep)
    -Ringing in my right ear, which comes and goes
    -Extreme fatigue, I am falling asleep sitting up when I slept great lastnight!
    -Stress intolerance
    -Tight lungs, I feel like I am having a constant mild asthma attack
    -Wierd symptom, but the asthma attack thing and coughing happens worse just before every bowel movement.
    -Joint pain, most especially wrists and knees. Much worse when I am tired.
    -Muscle aches, mainly lower back and legs
    -Random low grade fevers (99.0-99.6 and Im normally in the 97.'s)
    -Panic attacks (which I have never had before all of this)
    -Skin flushing
    -Pain where my liver is, and it is very tender to palpation
    -Chest pain, bilateral. Only prominent when all of my glands swell (esp inguinal glands which make it difficult to walk when they hurt so bad)

    I currently have all of these, but I now also have developed this skin rash I have had for two weeks. It looks like measles or roseola, but is not either. My primary care doc doesnt know what it is.

    Here are my labs
    CBC, CMP are fine, all within limits
    ANA neg x 3 checks
    Urine HIAA normal, but chromagranin A 86, then recheck 61.
    Rheumatoid factor of 11, normal is below 10. But most people don't have it at all.
    All other autoimmune labs are normal
    Serum tryptase (for mast cell disorders) is normal
    Halter monitor shows PAC's and PVC's, but I was cleared for cardiac
    Lung function tests shows 9% improvement with meds, indicating bronchospasms
    Labs are still out for lyme disease and chronic mono

    My mom has Sjogren's, which they said is a big possibility for me. But the rheumatologist just blew me off and told me to come back in a couple of years so my labs will be more indicative. Frustrating.

    In between these spells, I feel about 90%. Not much really bothers me and I have tons of energy, as I have my whole life. But every couple of weeks I am convinced I am dying of something. I am miserable, and it is really effecting my life. Then it goes away and I am okay. Someone tell me they have been through this and survived!!!
    By the way, the specialist I have been to include
    my primary care doc
    2 allergy specialist
    an endocrinologist
    a rheumatologist
    a cardiologist
    I am asking because they are stumped

    • ANSWER:
      A lot of people have been through this (or similar) and survived.

      Sounds an awful lot like Lyme disease. But the test they gave you (the ELISA) may well come back negative--because that test is highly unreliable, and often comes back negative, even when the person most definitely has Lyme disease.

      Recommend you read up at the following websites and see if anything here rings a bell for you:

      Good sources of info about Lyme disease:
      http://www.lymedisease.org
      http://www.ilads.org
      http://www.canlyme.com
      http://www.lymeinfo.net
      http://www.lymediseaseassociation.org
      http://www.lymenet.org
      http://www.igenex.com
      http://www.lymedoctor.com
      http://www.touchedbylyme.org
      http://www.facebook.com/lymedisease.org

  9. QUESTION:
    I have an undiagnosed condition and need help!?
    I am a 20 year old female who has been having stomach problems for the past year or so, and it has gotten much worse in the past six months. The symptoms are now starting to affect more parts of my body, and the pain can be debilitating and is affecting my schoolwork. I was tested for thyroid issues and Celiac, but both were negative. I also went to the ER for abdominal pain a few weeks ago, but that didn't turn up any new results.

    Here is a list of symptoms:

    Digestive symptoms - abdominal pain (sometimes crampy and all over, sometimes very sharp in right upper abdomen or left lower abdomen, sometimes made worse coughing or sneezing), LOTS of diarrhea, undigested food in stool almost every day, sometimes fat or mucus in stool, loss of appetite, lots of extreme bloating, some nausea/heartburn/dry-heaving, sometimes foods taste very different than they should (ex - candy tasting extremely acidic, milk tasting like sushi, plain white rice tasting nutty)

    Skin symptoms - I get a red skin rash almost every night or afternoon. It's itchy, not raised, and not dry. It's not related to any contact allergy or physical activity. Sometimes, it seems to happen more often or with more severity when I feel really warm or cold. My hair has thinned significantly in the past year, and I've started getting coarser hair elsewhere on my body (arms, face). My skin feels itchy most of the time.

    Nervous symptoms - extreme fatigue/malaise, depression/anxiety, headaches, trouble concentrating, photophobia and phonophobia, increased sensitivity to cold and heat, numbness in fingers

    Other symptoms - occasional low-grade fever, muscle weakness/pain, joint pain/swelling, easy bruising (once I got a bruise from the elastic band on my sweatpants and it wasn't tight, another time on my arm from holding a package - the bruise was in a line from where the package was resting against my arm), I had some very mild jaundice and green-tinted urine at one point. I'm anemic and have high liver function according to the most recent tests. I don't drink, and I don't take any drugs unless they are prescribed (I deal with headaches by drinking water and resting). Small doses of Lortab helped relieve many of the digestive symptoms (prescribed by the ER). Diseases that have come up with my doctor are: lupus, Crohn's or ulcerative colitis, IBS, Celiac (apparently false negatives are common?), and diverticulitis. Also, gallstones and pancreatic cancer were suggested, but less likely. We are pretty sure it's autoimmune.

    I'm sick of being sick, and am reaching out for help in every place possible. I would love any suggestions or ideas, questions to ask my doctor, tests to request, warm thoughts, or stories (if you had a similar illness and got a diagnosis or found a way to manage the symptoms). I'm seeing my doctor next week, but because I've already gone through two series of tests, I want to be more prepared this time to help lead to a diagnosis more quickly. Thanks in advance!

    • ANSWER:
      You have a lot of symptoms that could indicate a variety of problems. Celiac Disease, possible intestinal obstruction (Intestinal carcinoma, lymphoma), bruising is indicative of a bleeding disorder such as Von Willebrand disease or leukemia. Upper right quadrant pain indicates gallbladder disease, especially if fever and nausea are present also. Some of your symptoms are also those that present with kidney disease and diabetes so you have a real jungle of symptoms which has a tendancy to lead me back to Celiac Disease because ...

      Celiac Disease is an autoimmune disorder which can present with an amazing array of symptoms, Gastrointestinal (cramps, pain, bloating, fatty stools, nausea, vomiting), Neurological (tingling, numbness, nerve pain, fatigue, depression and more) and so it is just frustrating for people who have it yet have not been diagnosed plus false negative tests are common. The definitive diagnosis is based on a positive biopsy of the small intestine. It's not uncommon to have a false negative blood test yet have a positive biopsy.

      If you had maybe thought you had Celiac Disease and went on a gluten free diet before being tested that could have created a false positive and it may create a false biopsy if you have been on the gluten free diet for anytime allowing your small intestinal cells to heal and the villi to re-establish. However that doesn't sound likely that you have adapted the diet because you said you are still experiencing symptoms even though some people with refractory Celiac do not see a reversal of symptom via diet.

      If it were me I'd ask the doc to re-test for CD (blood work) and also do stool fat, total protein, albumin, calcium, vitamin b12, autoantibodies, vitamin d, vitamin e, CBC, CMP.

      Oftentimes Celiac Disease causes malabsorption (reason for fatty stool) and this in turn creates vitamin deficiencies within the fat soluble vitamins such as d, calcium, vitamin k. b12 and so forth. It also causes anemia in many people and a host of other symptoms and complications because (via autoimmune response) it can attack your organs such your heart, lungs, liver, kidneys and pancreas (autoimmune response) thereby creating symptom from those sources as well.

      Celiac Disease can also cause lactose intolerance (nausea, vomiting, diarrhea in severe cases) and so this complication could be a portion of your symptoms.

      I would suggest you keep a very concise diary of your symptoms, including when they occur (time, date, etc...) and of course exactly what they are. Note what you eat daily so that you can correlate your food intake with symptoms (note whether symptoms appear immediately after, within hours, or even a day or two after ingestion). Be as accurate as possible and by this I mean if you chew a stick of gum, write it down because ...

      You'd be amazed how many products we eat contain wheat, barley or rye (sources of gluten) or are processed with wheat, barley or rye products. Even spices can contain wheat and wheat derivatives that contain gluten. If you drink wine the oaken cask it was probably aged in most likely was treated on the inside of the cask with a wheat paste to prevent leakage. That paste leaches into the wine and guess what? If you have CD you will most likely suffer intestinal damage.

      Of course I am not saying you have Celiac Disease. You may not have it at all. You may have something else entirely such as cancer that could present with a myriad of strange symptoms or it could be a combination of gallbladder disease (pain, nausea, vomiting, diarrhea, fever, jaundice are all possible symptoms) and kidney disease. Now, don't let what I write frighten you, simply get your doc to rule various possibilities out by doing the appropriate tests.

      I wish you better health :-)


Alcoholic Liver Disease Symptoms

The liver is one part of the body that is barely given much notice because it doesn't manifest any complaint like other organs. It is quite easy to ignore but its function in the body is very, very significant. Liver problems are not easy to detect because its symptoms are typical and you wouldn't relate them immediately to liver. It is important to mention that the liver has an ability to regenerate itself. This is the best news ever especially for those suffering from any liver disease. If you have developed liver disease and natural cure is probably the least of your option, you had better think again.

Natural herbs and plants have been used as flavoring for food and for their medicinal properties. They have become extremely vital to daily life since they are main sources of medicine and healing for a lot of human diseases. Like for any liver disease, there are natural cures around that can help.

Dandelions - Official Remedy for Disorders

The scientific name Taraxacum officinale, which means "official remedy for disorders" is the common dandelion. These can probably be found growing in your backyard and you ignore them. It's time you get a closer look at this herbal cure-all. In Europe, studies and scientific experiments have proven that this herb truly has healing properties for hepatic ailments.
Its liver-healing properties help enhance bile flow and remove excess water from edematous conditions brought about by liver congestion. It also can help improve hepatitis and jaundice in children.

A handful of fresh dandelion leaves mixed with other sliced vegetables and drizzles of oil and apple vinegar will make a yummy salad that can help clean out liver and stimulate its activity. Eating this 2 to 3 times a day as an appetizer will help remedy liver cirrhosis and biliary lithiasis.

Milk Thistle Seed Extract (MTE) - Herbal Detoxifier and Liver Protector

Silybum Marianum is also known as Milk Thistle. Its seeds have silymarin extract and silybin component that are natural protectors of the liver. They combat the symptoms of liver disease and help treat cirrhosis of the liver.

In the US, there are milk thistle products and extracts that can be purchased from health food stores and drug stores. In Europe, MTE is highly regarded as a supplement for liver protection against the effects of alcohol or pollution.

What the MTE does is to battle the toxins and prevent them from destroying the liver, making it possible for the liver to regenerate. MTE also assists in speeding up this regeneration process.

Artichoke - An Alternative to Milk Thistle

The vegetable that we all know is also a healer. Traditional herbal healers have used the leaves of the artichoke to treat upset stomachs and poorly functioning livers. The leaf extract increases the flow of bile from the liver to the gallbladder, like the dandelion.

Like the Milk Thistle, the artichoke leaf extract protects the liver from the toxic substances and shields it so that it can regenerate. It helps detoxify the liver, thereby protecting the body from any poison from lethal doses of toxins. This is a great way to protect the liver from this very polluted world that we live in now.

So, for those with liver disease and natural cures are still something they need to be convinced about, try to take some of these plants mentioned as appetizers. See if something good comes out of it for you.

Frequently Asked Questions

  1. QUESTION:
    What are the symptoms of alcoholic liver disease ?
    How many years of heavy alcohol consumption can someone expect liver disease and what symptoms are a warning sign ??

    • ANSWER:
      There may be no symptoms at all to begin with.
      Some people become extremely tired and may have
      flu like symptoms that can be mistaken for something else.
      The liver is very quiet about damage being done to it,
      until the liver cells start to die off, then the functions they
      do to keep the body well, start to deteriorate...this is
      when most signs and symptoms appear. Usually the
      first sign is high Bilirubin levels, of which a person
      starts to appear yellow skinned and the whites of
      the eyes become yellow, also. Their urine may appear
      darker, also, as it picks up the Bilirubin from the blood.

      To say how long it takes or how much someone could
      drink before a liver problem occurs cannot be pin
      pointed. The reason for this, I will explain.

      The liver takes toxins from our bodies and converts
      them to non toxic forms.
      1) When someone consumes high amounts of alcohol
      in a short time period, it doesn't give the liver a chance
      to do all the steps needed to convert it. Alcohol, using
      the liver enzymes, is converted first to acetaldehyde,
      then to acetate, then to carbon dioxide and water
      (with other steps in between). When it isn't converted
      completely, then it becomes toxic to the liver cells and
      can damage them.
      2)When someone consumes alcohol over long time
      periods, it can lead to fatty infiltration of the liver.
      The fat inside the liver can build up and cause
      damage to the liver cells. This is then known
      as Fatty Liver disease.
      3)Just as, some people are more sensitive to
      certain drugs, some are more sensitive to alcohol
      and some even have an allergic reaction to it.
      (that explains why some people drink for years
      with no liver problem and for others, it doesn't take
      much)
      4)Taking alcohol with drugs can cause a severe
      interaction between them and damage the liver
      cells.

      What happens to cause the alcoholic liver disease
      depends upon the persons sensitivity, the amount
      consumed, how much is consumed and how their
      body handles it.
      Anyone who consumes alcohol in certain amounts,
      should have blood tests taken to be sure of its
      effect on the liver. There are many people, who are
      now waiting for a transplant, that wished they had
      caught it early enough. You see, when the liver
      cells become damaged, the immune system of
      the body responds and causes inflammation inside
      the liver that will cause the liver to enlarge in size.
      If the alcohol is stopped and the inflammation is
      treated, then there is a chance the liver cells can
      heal....if not, the inflammation will continue to
      increase until it becomes a irreversible disease
      known as Cirrhosis of the liver.
      Cirrhosis of the liver is death of the liver cells
      and scar tissue formation inside the liver that
      causes the blockage of blood flow through
      the liver.

      To have warning signs, there are not many.
      However, the signs and symptoms that appear
      when the liver cells are damaged are many.
      You can look at these sites to understand
      some of them:
      http://www.medicinenet.com/cirrhosis/article.htm
      http://www.mayoclinic.com/health/cirrhosis/DS00373
      http://yourtotalhealth.ivillage.com/cirrhosis.html
      http://www.uihealthcare.com/topics/medicaldepartments/internalmedicine/liverdisease/index.html
      http://www.texasliver.com/en/cms/139/

      People with Cirrhosis have enlarged bellies full of fluid
      (Ascites)that has to be removed frequently. Their muscles
      waste away. The develop mental problems (Encephalopathy)
      where someone else has to handle all their affairs for them.
      They can throw up blood from broken blood vessels where
      they can completely bleed out (Portal hypertension with
      varies). Many things can occur with people who have
      Cirrhosis, where they believe it is a side effect of
      being an alcoholic and can be misdiagnosed as just
      being a drunk.

      I hope this information has been of some help to you.
      Best wishes

  2. QUESTION:
    My Father has a liver disease from alcohol and wont go to a dr. how do i know anything?
    Ok my dad has pretty much every single sigh and symptom of alcoholic liver disease. he is getting really weak and is confined to his bed a few days a week. He has not been to a dr in a very very long time and refuses to go. he says all the time its almost his time now and he is not going to go to a dr. to find anything out. how do i know the severity of this issue. i know this is really nasty to mention but i am going to give some of the signs and symptoms i know of from what he has told us all.

    jello textured bloody stool
    chest pains
    not able to get out of bed for 1 sometimes 2 days at a time
    vomiting blood
    severe vulgar shakes after he vomits
    high blood pressure
    light yellow skin
    cant eat
    cant sleep
    severe throbbing pains in his abdomin approx. where the liver is at
    going to the bathroom every 20 minutes to shit out more blood
    he looks like he is losing weight but at the same time he looks like he is bloated as well.

    how am i suppose to know how bad he is if he wont go to a dr. i hope someone out there can give me some kind of info on this. i know he is really bad and i just want to know if anyone knows if this is the last stage or how long he might have to live or anyhting at this point in time will help me a lot
    me my 2 sisters and my grandmother aka his mom have all tried everything we can to get him to go and he will not go. so its up to god now. its just really hard and its a struggle right now cuz he wont go and check with a dr on any of it

    • ANSWER:
      That definitely sounds very traumatic! Your dad does not sound good at all, and appears to be in the later stages of ESLD (end stage liver disease). The blood in your lower body and GI tract is pumped through the liver on the way back to the heart. In alcoholic cirrhosis, or any hepatic disease, normal tissues are destroyed and this causes the blood to back up in the system. When it backs up, the vessels become big and fragile and easily rupture. These frequently occur in the esophagus (varices), stomach, and rectum. This is where the blood in his vomit and stool is coming from, and the major source of his pain. Given the amount of blood that he may be losing, he would be expected to be very weak. Depending on the seriousness of his condition, there are some treatments, like banding, that can be done. God bless.

  3. QUESTION:
    Treatment for Alcoholic Fatty Liver Disease?
    I am a 52 year old male who has presented with swollen feet, distended belly and abdominal pain last week. Following blood tests for liver function it was established that although albumen production was normal, the enzyme reading was not. An ultrasound scan revealed fatty liver disease. I was disturbed to hear a BBC Radio 4 documentary say that 20% of people with my symptoms do not live beyond a few months.

    I have stopped drinking alcohol and am taking lecithin and milk thistle and I have also radically changed my diet to exclude fat, sugar and nighttime carbohydrates and have been eating plenty of fresh fruit and vegetables.

    Despite this regime being enforced for more than two weeks, the pain continues, the belly is still swollen and I have not lost an ounce of weight.

    Any advice would be hugely appreciated. Thanks in advance for your time and knowledge.

    • ANSWER:
      Ann gave you a lot of good advice. Don't believe that radio thing because it is simply not true. I had cirrhosis and had to get a transplant, but my disease was from an autoimmune problem. Whatever causes the cirrhosis, it still pretty much acts the same for everyone.

      You need to get treatment for your liver problem and find out what is really going on with it. You need more done that just blood tests. I don't know how much fluid you are retaining, but that is what sent me to the hospital where I was eventually diagnosed with cirrhosis the first time. The next step is a CT scan to show if your liver is enlarged or shrunken and the size of your spleen. Depending on what shows up there, a biopsy would be next which is the one definitive test that will tell exactly what is going on.

      The fluid in your belly is probably what is causing you pain and that needs treated one way or another. There's 2 ways to do it and they did both with me. My fluid was so bad that I could hardly breathe anymore so I had to get tapped to drain it out physically. Then they gave me meds (diuretics such as Spironolactone and Lasix) to try to keep it under control. Once I received treatment, the meds were able to control it until I received a transplant. That fluid can be quite miserable when it is pushing on everything inside you and it needs to be removed. You might actually continue to gain weight if left untreated no matter what you eat.

      Stopping the use of alcohol is the most important step you can take with this disease. Find yourself a gastroenterologist or hepatologist to treat you since they know much more than a regular PCP about the problems that come with liver disease. I was surprised at how little some regular doctors know about liver problems.

      You are on the right track with what you are doing, but now you have to take it a step further and find out more about your condition and get the proper treatment for it. Otherwise, you are probably going to be pretty miserable. Good luck to you and get help ASAP because it seems like that fluid of yours is not going to go away on its own which means it will just continue to accumulate. You also run the risk of that fluid getting infected and you never want that to happen because that is life threatening.

  4. QUESTION:
    Dark stool...Pepto Bismol? Liver disease?
    Every time I've gone to the bathroom for about the past 2 weeks my stool has much darker than usual, a very dark brown, almost black. I did take some Pepto Bismol around that time and a little after but I haven't taken any since (Pepto can make your stool darker, but I haven't heard anything about it lasting this long.)

    I've also heard that a dark stool can be caused by alcoholic liver disease. I'm a 21 year old female and have been drinking since I was about 16, I usually drink heavily once a week (only in the recnt years though, not since I was 16), sometimes 2 times, and sometimes not at all and if I got out to eat or somethng I'll have a drink or two. Could I have alocohlic live disease even though I'm young? Because I also have some other symptoms such as abdominal bloating and nausea.

    I know I should go see a doctor but I'm broke as a joke right now. Could this be normal at all? I'm just wondering why it's been so dark lately, I've looked around and it sounds like it could be some sort of internal bleeding. No idea, any help or suggestions would be appreciated, though.

    Thanks.
    Thanks, wahoo. I do plan on stopping the drinking for a while to see what happens, if not all together.
    Thanks, Millie, that is very helpful :] I have been eating kind of funny lately so hopefully that's all it is.
    Thanks to you too, Scojo., I checked it out, that was helpful.

    I also just realized that I started taking a multivitamin around the time it started so I'm thinking maybe it could be the iron in it or something.

    • ANSWER:
      just for a test drive you could abstain from any and all alcoholic beverages for a couple of weeks just so see of the symptoms disappear...many times it is the mixes in the drinks with so much sugar etc that can upset your system. Otherwise it is good to see a doctor. With the money that you save from not drinking, you can maybe at least afford the initial doctors appointment. Then if you find that you must have other appointments there must be a county system that will help with medical expenses if you cannot afford them.

  5. QUESTION:
    Cirrohsis,Liver disease from alcohol...?
    What are the symptoms of an alcoholic who has Cirrosis? (sp?) Liver disease from alcoholism?

    • ANSWER:
      symptoms:

      nausea, fatigue, anorexia, weight loss, ascities( there is accumulation of water in your abdominal wall), varicosties(inflammation of small viens especially in your lower extremeties), and spider angioma

  6. QUESTION:
    My boyfriend has liver disease caused by Hep C & chronic alcoholism - What can I expect? (symptoms, etc)?
    He was told about 3 years ago that he had hep C, chirrosis and he is a chronic alcoholic. Dr told him to quit or he would die. He has tried and failed several times ( I know he's not trying hard enough.... ) . I just want to know what to expect. He is tired all the time, has headaches, and is depressed - Is this part of it? Also I have heard that mood swings are common to this, is that true? I posted a similar question earlier but felt I needed to clarify.... I appriciate any info I can get! Thanks!
    I appriciate the replies but I am looking for real answers not opinions on the relationship..... we have been together for many years, it's not something simple to walk away from.....

    • ANSWER:
      Hepatitis C is the inflammation of the liver cells
      caused by a virus. Cirrhosis is death of the
      liver cells. His disease can be brought on by
      the Hep C or his drinking problem. Trying to
      quit drinking on his own is extremely difficult.
      He needs to go into a detox program at a
      hospital in order to do this. The symptoms
      he has from trying to stop drinking may be
      too much to handle...they can give him drugs
      to lessen these symptoms and help him get
      through it much better. The symptoms that you
      stated are normal. You have to realize that
      he is now facing death straight on and he has
      to make decisions on what he can do now.
      Depression is normal now, because of having
      to live with all these hurdles to go over to
      save his life. Waking up everyday knowing
      that you may die is very hard.
      Liver patients are usually in shock when they
      first hear they have a terrible disease like this.
      The first reaction is unbelief...then it moves
      where they try to do something to help
      themselves, if it is possible...it leads from
      there to either coming to terms with the
      disease and trying to fight it or just giving up.
      They need alot of support and understanding
      at this time. They get mad and they feel
      helpless and they feel like someone cheated
      them or played a dirty trick on them or they
      feel like saying "why me". Others people drink and they don't have this. Cirrhosis can be caused by many different things.

      Your boyfriend doesn't have a rosey future and
      he knows that. He also knows that if he wants
      to spend time with the people he loves he has
      to do it now. I'm going to explain a few things
      to you. Once there is death of the liver
      cells it forms scar tissue in the liver...this blocks
      the other normal healthy cells from receiving
      nourishment and oxygen and causes them to
      die also. This is a progressing disease and
      the only real option he has now, if he has
      cirrhosis, is being evaluated and placed on the
      transplant list for an organ. But, first he has
      to overcome his addiction of alcohol which
      he needs to get care in order to do. A
      person has to be free of alcohol for at least
      six months before he can be placed on the
      list for transplantation.

      There are symptoms that may start to develop
      with this disease that he may or may not
      show signs of. Some of them are listed in
      this short article.
      http://www.nlm.nih.gov/medlineplus/ency/article/003895.htm

      If he wants to stay with his loved ones longer,
      than he needs to stop drinking now. He is
      causing his liver much more damage faster
      and it will lead to a much much earlier death.

      Having others around him who truly care about
      him, will make whatever course he decides on
      alot easier on him. You cannot make decisions
      for him, but you can be there to support him
      with all he does. Best Wishes

  7. QUESTION:
    Liver disease and Hepatitis C questions..?
    Recently, my dad has become jaundiced and his belly distended. This all happened within about.. 2 weeks maximum. He's an alcoholic and has been for years. However, he also recently got a really bad cut while he was "beach combing," trying to pull out a metal lobster trap that was stuck in the sand after washing up on a beach shore. The cut was really pretty bad and infected-looking and hasn't even fully healed yet. His symptoms started to show about.. 2 weeks after he got this cut.
    I immediately attributed his symptoms to liver problems due to his drinking problem. However, I was just doing some research and it seems as though Hepatitis C is characterized by liver disease and jaundice, among other things, and that alcohol consumption (not to mention excessive alcohol consumption) can cause a rapid deterioration of Hepatitis C.

    I know he needs to see a doctor, but for some reason he's having a hard time getting himself in to see a doctor. I think it may be because he doesn't want to face what's going on with himself. I'm going to try and convince him to go, but I just want to ask a few questions to help me out with my facts:

    1) Is it possible that he acquired Hep C after getting the cut, and that his jaundice and distended stomach is due to rapid Hep C deterioration because of his alcoholism?
    2) It's only been about 1 month since he got the cut. Is it too soon for Hep C to be showing symptoms, excessive alcohol consumption or not?
    3) Is liver disease curable? How?

    Thank you for any answers in advance.

    • ANSWER:
      Most advanced liver disease is not curable and the jaundice that is now present gives this indication. Your father needs to go to the nearest ER so they can give him the correct medications to make him more comfortable. He could be dying right before your eyes. Forget about the Hep C, the jaundice and belly distension are serious symptoms that need immediate medical attention. It is a sign his liver is shutting down which can soon lead to death.

  8. QUESTION:
    can my sister get liver function tests without her doctor knowing? (UK)?
    My sister drinks a bottle of 13% red wine a night (sometimes a glass or two more)
    She didn't drink at all (ever) until she was 34 (she's now 42) then she just seemed to get the taste for it.
    She wants to give up, but she's afraid of having withdrawal symptoms (fits etc) so she's cutting back then she says she'll stop completely.
    However, She has also scared herself silly because she has heard about the death of Emma Pyecroft and started looking up alcoholic hepatitis/ liver disease etc on the internet. She is convinced she has done herself some damage.
    She did have an ultrasound scan of her liver done last year (and liver function tests) because she had a suspected ulcer or gallstones or something. Her liver looked fine then, and there was only slightly elevated bilirubin levels (which is normal in our family) She doesn't want to go back to the doctor and ask again as she doesn't want "wino" on her notes. So is it possible for her to get tested privately without her doctor knowing?
    She's worked herself up into some state, and so I thought I'd ask on here.

    • ANSWER:
      anything can happen now-a-days whether it is against the law or not.

  9. QUESTION:
    Cirrhosis of the liver symptoms.. and Need Help!!?
    I have a family member who has been diagnosed 15+ years ago with cirrhosis of the liver. He is probably the largest alcoholic known to mankind. He drinks at least 30 + beers a day, and is now experiencing constant nosebleeds, for over 3 days now.. It just bleeds and bleeds when he sits up. He has blood in his urine and his stool appears blackish greenish of color and has constant diarrhea, but does not eat very often.. at all!

    I am assuming that hes in the end stages of this disease and want to know if any of you have had these issues with a family member or friend, and what is wrong and how long that this trend will continue and what will happen.

    Thank you so much for your cooperation in advance, we appreciate any answers you may have!

    • ANSWER:
      I have worked with people who had cirrhosis. They get swelling in their abdomen (ascites) & extremities (edema). The stomach can get the size of a honeydew melon.
      Vit K gets reduced & so there is more bleeding. As the toxins build up in the body, the skin begins to itch...the person becomes jaundiced & mental changes occur...sometimes during these various stages antibiotics are given.

      High potency Vit B complex can be helpful as can milk thistle. However, I don't know how long it will prolong his life.

      Google: mayo clinic>>diseases>>cirrhosis

      I'm very sorry to hear of your situation.
      Good luck.

  10. QUESTION:
    end stage liver failure..poss. time frame?
    I know its all in God's hands yet I'd like an idea of what to expect. After searching the web I have not been able to find enough info.
    My dad I BELIEVE is in end stage liver failure based on his symptoms. I finally got him to go to dr this past wed. but we have to wait 2 weeks for blood results to know for sure we he stands. Anyway he's an alcoholic with hep c..was diagnosed many years ago w/ cirrohsis. A yr ago he was told only about 2-5% of liver was working(hope I have #'s right) His health has been failing at a rapid pace within the past month, he has pain in abd where liver is, is extremely tired sleeping 15 hrs a day, feet swelling, horrible lower leg cramps and pins/needle feeling in them and hands. HE can barely walk now and has thousands of spider veins on chest, upper back, shoulders, neck and face. No obvious yellowing or ascites. He also is having sporadic sharp pains under left rib/chest and sharp pain in creases of legs by groin. I've tried to find stories of ppl that are similar so i know what to expect or look for..I'm so afraid he will slip into a coma before he can see hema dr on july 27th...I NEED SOMEONE TO BE BLUNTLY HONEST WITH ME, only if you have had any kind of experience with someone dying from liver failure, I don't need someone guessing. So please tell me if based on past experiences, is he close to dying, and if so is it soon or will he make it to see dr on 7/27....Telling him to stop drinking will not work he is at the point that he needs it to function, he shakes so bad, he knows he caused this but now he is scared along with us. Thanks so much in advance if you are able to give me real knowledge on how long he got. i don't need web links telling me the symptoms of liver disease, I know all that. Basically if you are a DR or lost someone to this disease...Please help!

    • ANSWER:
      I'm sorry that your dad is so sick. I had cirrhosis from an autoimmune disease and had to get a transplant. I'm also a nurse. The blood work is going to tell you that his liver is quite bad, but it's not going to give you an answer to your question. Since he does not have fluid retention and jaundice, it's nearly impossible to say how long he will last. Those two symptoms are usually always present at the end, especially the fluid retention. He might stay the way he is now for months, or he could go much quicker if he continues to drink. Anyone that gives you an answer would be guessing, even any doctor who examines him and knows his case. There is no telling exactly how long it could be.

      I know he is very near the end, but it could go on for months, weeks, or he could suddenly get worse and be tomorrow. They usually get so weak they can no longer stand or care for themselves. They often go into a coma. When that happens, it's just usually a matter of a few days unless they are being tube fed and have IV fluids. It's not uncommon for them to die of infection when the abdominal fluid can become infected, but your dad has no ascites right now. I would say it is too late for him to stop drinking and try to get a transplant. He is beyond that point now. The symptoms he is having is both from his liver disease along with his alcoholism. Each has their own problems. You got your percentages right about his liver function. I got my transplant when I had 10% function left. I have heard of people still getting along at 5%, but probably not doing too well. As you know, 2% is really serious and the body is just not going to last all that long with so low of function. I don't know how long, but I doubt it would be more than a few months at best keeping in mind that this is just a guess on my part from my experiences with this disease. He just has so much against him to make his disease progress quicker than most. He is an alcoholic who continues to drink plus has hep C on top of it. Together they make a lethal combination.

  11. QUESTION:
    Did I answer the question she's asking?
    I have to write 2 paragraphs as a biology assignment, one on how bacteria is helpful to humans and another on how it is harmful. I am not sure if I am answering the question in the best way. Here is the paragraph I wrote on how it is helpful:

    Different types of bacteria are helpful to humans, and these bacteria are called Probiotics. One thing probiotics do is help maintain and restore the balance of bacteria. Without this balance, harmful bacteria multiply and eventually take over. Another thing probiotics do is help relieve symptoms of inflammatory bowel diseases, irritable bowl syndrome, calitis, and alcoholic liver disease. There is also evidence that probiotics help prevent certain types of allergies and the risk for colon, liver, and breast cancers.

    • ANSWER:
      your first sentence would be stronger if you said why certain times of bacteria are helpful to humans. so 'Different types of bacteria are helpful to humans BECAUSE...'

      'one thing' and 'another thing' are somewhat awkward of transitions. try something like 'Also, probiotics help relieve...'

      remember to always state your idea, and then your reason! don't try to bs...I did that in school too, but teachers can always tell. just say what you mean, even if it is short. but yes I would say you answered the question. good luck!

  12. QUESTION:
    Thyroid problem.... ?
    About 4 years ago, I was diagnosed with non-alcoholic fatty liver disease. Since then, I've suffered with symptoms that aren't related to the disease (I think)

    Throughout the day, one side of my body will be cold and clammy and the other side will be warm and dry (then an hour later, the dry side will become clammy.) I've had trouble sleeping, lack of energy and I've gained weight in my middle section despite eating healthily, etc.

    My mother has a thyroid problem so I was thinking maybe I have an underactive thyroid (which could explain my liver problem) or a problem with my central nervous system?

    Any ideas?

    • ANSWER:

  13. QUESTION:
    Is it possible I have alcoholic hepatitis at 23?
    Is it possible I have alcoholic hepatitis at 23?
    For the past few months I have been drinking a lot with very few days of not drinking. The past couple of weeks I had a bottle of wine a day. I'm about 100 lbs and female, 5ft 3.

    Yesterday I went sober and had awful withdrawl symptoms, like burning stomach pain and diarrhea after eating. My abdomen feels tender however I could not tell if my eyes were a little yellow, they were mainly bloodshot.
    Is this just fatty liver disease or could it be hepatitis. There is a party I want to go to tonight but feel unsure about going as I with have a drink. I only started drinking heavily past few month and started drinking occasionally at 21/22, is it too soon to be worried?

    • ANSWER:
      If you started drinking at 21, and only in the last half a year progressed to heavy drinking at 23, then it is unlikely that you have hepatitis, and your eyes were probably not yellow - that's your worried head thinking.

      Go to your party, you will anyway.

      However, continue drinking in the same manner and you will develop it, also perhaps diabetes as your pancreas may become damaged and stop producing insulin (happened to me)

      You have an alcohol problem and may or may not be alcoholic. You do have to address your drinking. Your withdrawals will get worse. God, I can remember them as if it was yesterday - nausea, perhaps vomiting if you don't get drink in time, diarrhoea that gets so bad it burns, dizziness, shakes, sweats; I have also had a seizure on 4 different occasions, and experienced the DT's twice. Withdrawal from heroin can't kill you, but withdrawal from alcohol can.

      You are worried about your drinking. Do you ever feel pain in your kidneys or right lower back (liver)? And a fatty liver leads to liver disease. If you stop drinking in time your liver can go back to normal, however it 'remembers' and if you start drinking again in the future it will go back to the damaged stage.

      Go to your doctor and ask for blood tests, including a Liver Function Test (LFT). The result of this should be between 5 and 40. You also could need medication to come off alcohol so that you don't have a seizure.

      Please look at your drinking seriously, you may have to stop altogether. I can see me in you. I ended up on 3 bottles of wine a day, drinking and driving, drinking all through work, began to die last year when my body started to shut down (pancreas). A&E saved my life, I went on into rehab, kept drinking after I got out, but kept going to AA and one day it clicked I just couldn't live like that anymore and I stopped, really stopped (under medical supervision). I'm only 6 months sober now and I'm aware that it's always there but I can't go back to all that stress and worry and lieing.

      At least think about it? :)

  14. QUESTION:
    What is the outcome after being diadnosed with non alcoholic cirrhosis of the liver?
    After having a routine MRI some abnormalities showed up which led to further testing and a liver biopsy. It appears that at sometime in the past I had auto immune hepatitis that went undiagnosed. I really didn't have any symptoms other then fatigue but then I was always fatigued for other reasons. As of right now even with the cirrohsis my liver function is normal but my liver enzymes are elevated but not high enough for treatment. I realize the hepatitis could flare up again which would call for aggressive treatment to prevent any further scaring of my liver. I have read all kinds of information on these diseases both very disturbing and some encouraging but I would just like to know if anyone who reads this has been diagnosed with this or knows someone who has and what has been the outcome.

    • ANSWER:
      I have an autoimmune disease in which my autoimmune system attacks the bile ducts in my liver. This is called primary biliary cirrhosis (PBC). I am curious to know how the doctors came to the conclusion that you have a problem with your autoimmune system to the point that it has caused cirrhosis. If this is true, then this autoimmune problem has been going on for a very long time to damage your liver to the point of it being cirrhotic. I had no symptoms with my disease until my liver was already 90% destroyed with cirrhosis. I suddenly started to swell up with fluid and had no idea anything was wrong prior to that. It was a shock to me that my liver had so much cirrhosis that I would need a transplant. I had no idea anything was going on inside of me.

      That autoimmune hepatitis is probably still flaring up each and every day since it just doesn't stop and go away. It takes many years to destroy a liver. There is really nothing much they can do as far as treating it. Sometimes they will give medication to help it, but it really doesn't stop the disease from progressing, especially when its from your autoimmune system. When symptoms from the cirrhosis appear, they can give medications to control them and lab work is done routinely to ward off problems early. I used to have to get an endoscope done every 3-6 months to get banding done to any varices that form to lower the risk of bleeding problems. Basically, they just let the disease take its course since there is no cure other than a transplant.

      Even when my liver was 90% destroyed, my liver enzymes were just slightly above normal. My transplant doctor told me this can happen with some people, that the enzymes can almost normalize even though the disease is far advanced.

      You said you had a biopsy done. It should show the amount of damage done and how much cirrhosis (scarring) your liver has in it. Figuring out the cause of it when it is not so obvious like alcoholism, can be difficult to diagnose. That's why I asked how they determined yours was from an autoimmune problem. I didn't know the real cause of mine until after my transplant. The biopsy also should show whether or not there is active inflammation going on. The elevated enzymes can be an indication that there could be continued inflammation.

      The good thing is that you are still asymptomatic which means your liver is still compensating. It can stay this way for a long time. When I started to swell with fluid, that was my first sign of it starting to decompensate. Even then, I took diuretics that controlled the fluid retention quite well for several years. Once I was diagnosed with cirrhosis, I believe I went and got evaluated for transplant and was placed on the list a year later. I waited 18 months for my transplant and am doing well today. My autoimmune disease still wants to attack my new liver. I do take a medication that works well in keeping my enzymes in normal range which means there most likely will not be any damage as long as they remain that way.

      If you want to ask me anything else, just email me. I will be happy to help you if I can.

  15. QUESTION:
    I'm suddenly sensitive to alcohol and aspartame!?
    I have been ill with an unknown illness for 10 months now. The symptoms sprung up spontaneously and are: extreme fatigue, vertigo, weight gain, dizziness, inability to focus, loss of balance, mental confusion and a swollen, bloated belly, even when (and especially when) I fast. (I fast because everything I eat makes me nauseous). I have seen the doctor numerous times and had extensive blood work done with no answers. I finally decided to keep a food diary to see if it's something I'm eating. The result: after consuming alcohol or aspartame-laden soda, I awaken lethargic, nauseous and with a swollen belly. It would seem my liver is unhappy with these two substances. I am not an alcoholic (I can't drink more than 2 glasses of wine, and generally only have one drink a month at the most). My mother has Hepatitis C and is concerned that my symptoms signal liver disease, although there is no way I caught Hep C from her.

    Any of this sound familiar to anyone?

    • ANSWER:
      Have you had your blood sugars checked lately? I am experiencing some weird symptoms when i eat/don't eat and my doctor is having me keep a food diary and measuring my blood glucose levels when I have an episode. Alchohol is mostly carbs which could raise your blood sugar levels, and there is also something called red wine syndrome. I don't know about the soda. Also if you're fasting, maybe your blood sugar is dropping low and you are hypoglycemic. My heart starts to pound when I haven't eaten.

      I know how frustrating it is when the doctor says there is nothing wrong, because I've been going thru this for Years!!!
      Maybe you need to see a gastroenterologist (stomach problems) or an endrocinologist (blood sugar). Anyway, good luck. (to both of us!)

  16. QUESTION:
    Vomiting something black.?
    Okay, so out of the gate - I'm an alcoholic...have been for the past two years or so. I drink every night from 5-9 drinks (1.5 ounces-ish each). I've never had any health problems from this (sure, I'll throw up sometimes, but even that is extremely rare). I know the long term risks and that I need to change my behavior but that is not what this question is about. Last night after drinking I felt an urge to throw up - I did but since I hadn't eaten anything the only thing that came up was a black goop. Now, I'm sort of in a panic as I know it could be blood that is bleeding from an ulcer etc. But at the same time I was mixing all of my drinks with pepsi, so it could very well just be that, right? I don't have insurance and would like to avoid a doctor if necessary. I looked up ulcers online and don't seem to be having any other symptoms (i.e. abdominal pain or bloating etc.) - I also don't have any symptoms of liver disease (jaundice etc.) - am I worrying too much? Was it probably just soda...the only reason I'm not sure is because it was thicker than soda would have been...but could that just be because it was coming back up?
    Also I keep hearing that they should look like coffee grounds - this was deft. liquid looking - I tried to find a picture online but couldn't - what does "look like coffee grounds" mean?

    • ANSWER:

  17. QUESTION:
    Cirrhosis of the Liver???Will my dad die?
    My dad has been a raging alcoholic for 20+ years. Hard liquor from the time he wakes up until the time he goes to bed. It's his life.

    About a year ago he was admitted into the hospital for Kidney Failure but made it out of it okay.

    Just about a week ago he was admitted into the hospital because his skin and eyes had turned yellow and he collapsed. During that time the doctors explained that he was no longer a candidate for a Liver transplant, his liver was beyond repair, they can just treat the symptoms....
    He was let go after 5 days of being in the hospital because he was stable. 2 days following he was readmitted into the hospital only this time he's worse.......
    here is a list of his symptoms;
    Fatigue
    Nausea
    Weakness (can barely lift a bottle of soda to his mouth)
    Weight loss (20 + pounds in a week)
    Exhaustion
    Stomach Pains
    Severe Jaundice....like glowing
    Very swollen abdomen
    Personality changes, forgetfullness
    Decreased mental function, slow to respond, blank stares
    Fluid retention
    Pneumonia
    Dimensia
    bad shaking
    loss of balance, equilibrium problems

    It's just terrible and it's breaking my heart seeing him this way.

    I was reading posts from people who had someone close with this disease, they described the same symptoms I did and there loved ones ended up dying.. I'm so afraid of that.

    What are the chances??

    Any help or enlightment would be greatly appreciated!
    Im not sure if I should be precise.....When I say fluid retention, I mean fluid in around his liver which they already had to remove
    The honest prgnosis is they are not sure at this point whether he'll live or die.
    They say it may be time to start making out his will and planning his funeral arrangements just to be safe

    • ANSWER:
      I can answer your question because I had liver failure and a transplant. Your father has cirrhosis from his alcoholism. That is when healthy tissue is replaced with scar tissue in the liver and it can no longer function very well. Even though others will tell you the liver can regenerate, this is not the case when it comes to cirrhosis. Scarring is permanent in the liver and does not go away. The damage has been done from many years of alcohol abuse.

      Everything you told me tells me that your father is in end stage liver disease. His condition is serious and he will not get better unless he receives a transplant. When the liver is beyond repair, that is when a person needs a transplant. The problem with your father is that he is an active alcoholic. There might also be some other medical reasons he could not qualify, but that is the first thing they look at for a candidate.

      It's very difficult for an alcoholic to receive a transplant, but there are many success stories out there. The patient has to be committed to changing their lifestyle and never drink alcohol again for the rest of their life. Transplant centers require at least 6 months of proven sobriety before they will even begin to consider an alcoholic for a transplant. The problem that happens with many alcoholics is that they don't have 6 months left to live with their disease. They let it go too far and ignore it until they are near death before seeking help.

      I don't know how your father feels about his disease and his alcoholism, but if he is serious about staying alive, he could go to a transplant center and at the very least talk to them. They will tell him what his options are for getting help and possibly getting a transplant if he has enough time left. If he is still drinking after all this, then I would say there is not much hope for him getting well. He has all the typical signs of end stage cirrhosis.

      It's also extra difficult for an alcoholic to get a transplant because they not only have to deal with the cirrhosis, but they also have to deal with their addiction to alcohol. But as I said, there are many success stories. The husband of a family friend of mine just recently got his transplant and he was an alcoholic for at least 20 years+. When he found out he destroyed his liver, he went to the transplant center, did everything he was supposed to do including rehab for 6 months and submitting to random drug/alcohol testing prior to his transplant. After the 6 months, he got listed and just recently received his transplant. I hear he is doing very well now. I don't know whether or not your father could be one of these success stories, but I want you to know that it might be an option for your father if he is willing.

      I had cirrhosis too but mine was from an autoimmune disease. No matter what the reason for having cirrhosis, it pretty much acts the same for everyone.

  18. QUESTION:
    my mom thinks she has an ear infection? seriously, i need help!?
    she's a recovering alcoholic with cirrhosis, otherwise known as liver disease, and she can't take pain killers or antibiotics and i was wondering what she can do!!! it seems like she just has the symptoms of a regular ear infection and i'm really worried for her, any advice?!?

    • ANSWER:
      Take her to the doctor.

  19. QUESTION:
    My Dad is an alcoholic? What should i do?
    Ok, my Dad has been an alcoholic since I can remember. Due to his excessive drinking, he developed the disease Pancreatitis. Recently, we had a really bad scare. According to his wife, he got out of bed and had symptoms of a stroke. He went to the doctors after we forced him to by calling the police and his blood work came back really messed up. They made him come back for more testing and a full body scan (forgot what it's called). We were all thinking the worst, cancer or something along those lines and my dad was very scared. When the results came back, surprisingly, everything was fine. He had slight liver damage but was told it could easily be repaired if he changed his lifestyle. Fast forward two weeks... Last night, my dad shows up at my place, where me and my 4 month old son live drunk. I was so pist, it was like a huge slap in the face. So i told his wife today and she said she knew he was drunk yesterday too, that she could tell. She went home on her lunch break and told him that if he doesn't stop she's going to leave and told him what I said about how he was drunk last night. He texts me an hour later and tells me "Thanks" (meaning thanks for telling his wife, what she already knew!) And i told him "Thank youself." And then he went on to insult me and tell me to worry about my dead beat bf and blah blah blah. I simply told him he could insult me all he wants if it makes him feel better. I'm done caring about him because he obviously doesn't. And he told me not to contact him anymore and I said Gladly.What would you do in this situation? I really want to disconnect from the dysfunction all together but feel like I have a responsibility as his daughter to help him. Keep in mind, we have tried everything and nothing seems to work. I am at a loss...
    Aside from the fact that he's killing himself with alcohol, he is completely abnoxious and inappropriate when he's drunk and says things that make me really uncomfortable. Like last night he was talking about how his upstairs neighbors are gay guys and said "yea.. i heard one say, "ugh i got poop on my weiner." He obviously didn't hear them say that... but he says inappropriate stuff like this when he's drunk ALL THE TIME.

    • ANSWER:
      I think you and her should get together and leave him to himself for a few weeks, just him and his booze.

      Then come back to him, if he missed you then he should take the help and quit.
      If not then there probably is no hope for him, send him a picture of your son and a AA brochure for christmas.

  20. QUESTION:
    How long will an alcoholic live with Hepatitis C?
    A friend has 4 children with her ex husband who has known he has Hep C for two years. He drinks A LOT everyday. Within 30 minutes of getting off work he is rip roaring drunk on vodka. Saturdays and Sundays he is drunk within minutes of waking up.

    He is not receiving treatment of any kind and has not changed his lifestyle (diet, exercise etc) in any way, nor does he see a doctor to monitor his condition. He is quite yellow (indicative of liver failure?).

    How long will he go on like this before he succombs to his disease? Three of their children are still quite young, their oldest just turned 18. She is very concerned that her children may lose their father and wonders just where he stands with this disease with his behavior and obvious symptoms (yellowing).

    Peace and many thanks.

    • ANSWER:
      The answer is surprising....one never knows. Thats the issue with HCV. Drinking will only cause more damage at a much faster rate and also increases the viral load, no doubt. If he is jaundiced now, looks like the kidneys are affected as well as the liver. Once the liver is over 92% damaged, it doesn't take too long afterwards....

      Depression goes along with HCV, which happens first before addiction. So, he may of had hcv much longer than previously thought.....he could of been born with it or contracted it somehow later on in life.

      A doctor will not treat anyone with hcv until they have been clean and sober for at least 6 months.

      It's a shame too because many who cannot seem to break the abuse often do not know that sometimes it is the HCV side effects that come to light instead of detoxing side effects when they quit their drug of choice.

      I wish I could tell you more, but honestly, no one really knows how long this guy will last. I have known others who never drank a drop or did drugs who had hcv infection and didn't live long and I've known a few to have abused drugs (alcohol included) who lived well beyond the doctor's wildest dreams.

      My prayers are with you and your friend and her family

  21. QUESTION:
    How dangerous is my alcohol use?
    I'm a college student and i already recognize myself as a chronic alcoholic. I drink every day and i drink gratuitous amounts everyday. i'm a male only 145 pounds 5"9' and i'm starting to get the idea in my head that i might already be in the first stages of liver disease. When i drink daily im not the type that just has a a few beers, a 1.75 liter of karkov will usually last me 3-4 days. I black out everyday but i never get hangovers, i usually wake up drunk. ive been drinking like this for past 2 months and ive had about 3 sober days. For me, drinking has become a completely different thing then before. I need to drink. i've realized what ive done to myself so i'm soon seeking treatment. well, after today of course, its halloween! but anyway,
    ive started to notice some symptoms that are described as symptoms of early stages of cirhossis or alchohol withdrawl. I've had dark urine frequently more lately, its impossible for me to fall asleep without being drunk, i litterally drip sweat while im not active. The one symptom i am very concerned about tho are my tremors, I have very shaky hands, people point it out all the time. when i'm drunk it usually goes away a little but there are times it is pretty bad, for example, i have a night class and when i have to sit in the classroom not drunk as i'm used to, i'll be writing notes and i cant even read them later because i twitch so bad.
    all in all tho, what i'm wondering is if its possible to develop cirhossis in only 2 months while drinking very heavily, or if you need to be a chronic alcoholic for years before thats possible. i am also concered about the consequenses of stopping abruptly, is it possible i could have a seizure if i quit?

    • ANSWER:
      Look, if you want to stop drinking then keep reading, if not go back to the bottle. You are going to need to go to a detox center in order to start getting better. Yes, you're going to have the DT's, and the shakes, and feel like sh**, and puke, but the other alternative is to die. Take your pick. I can't tell you that you're a chronic alcoholic, but you sound like one to me. I can tell you that you need to seek medical attention immediately, and then check yourself into a 90 day detox/rehab center if you hope to get better. I know you have school, work all that stuff, but if you cant quit drinking you won't be there anyhow. There is your solution, if you want it. I didn't say it would be easy or pretty. Good luck!!!!!!!

  22. QUESTION:
    I NEED HELP WITH ALCOHOL FACTZ PLZZ!!! I PICK BESST ANSWER?
    A chronic liver disease caused by excessive alcohol consumption is known as:

    Cardiac sympathy

    Cirrhosis

    Pancreatitis

    Parkinson’s

    --------------------------------------------------------------------------------

    Gender, emotion, mental status, and amount of time throughout consumption are a few factors that can change the effects each time alcohol is consumed by an individual.

    true

    false

    --------------------------------------------------------------------------------

    All 50 states enacted a BAC limit of .08 as the legal limit for drunk drivers over the age of 21.

    true

    false

    --------------------------------------------------------------------------------

    The following does NOT have the same alcohol content as a 12 oz. beer:

    Depends on the type of beer

    5 oz. glass of wine

    1.5 oz. of 80 proof distilled spirits (shot)

    none of the above

    --------------------------------------------------------------------------------

    The best way to avoid a dangerous situation involving drunk driving is to:

    Avoid alcohol and drugs altogether because you don’t need them anyway.

    Do what your friends tell you to do.

    Drink just a little or limit your drug intake.

    --------------------------------------------------------------------------------

    All of the following are symptoms of alcoholism except for:

    craving

    physical dependence

    tolerance (you have to drink more and more to get “buzzed.”)

    self-control

    --------------------------------------------------------------------------------

    Alcohol in the stomach…

    is partially absorbed from the stomach.

    interferes with digestion of essential vitamins and minerals.

    can lead to gastritis and ulcers from long term use.

    All answers are correct.

    --------------------------------------------------------------------------------

    Drinking alcohol can effect the heart, liver, stomach, and brain.

    true

    false

    --------------------------------------------------------------------------------

    If you are the driver of a vehicle, there is no safe level of alcohol consumption.

    True
    False

    --------------------------------------------------------------------------------

    Moderate to Excessive Binge Drinking can cause:

    health benefits for the heart, including reducing chance of heart attack

    Cardiac Arrhythmia (abnormal rhythms) and sudden cardiac death

    reduction in blood pressure and/or chance of stroke

    --------------------------------------------------------------------------------

    Mandatory license plate revocation is ineffective against drunk driving.

    true

    false

    --------------------------------------------------------------------------------

    ___________ are more likely to become alcoholics.

    children

    adults

    woman

    children of alcoholic parents

    --------------------------------------------------------------------------------

    Which of the following is a problem a baby may have if the mother drinks alcohol while she is pregnant?

    motor skills problems

    hearing and vision problems

    premature birth

    may include problems with motor skills, hearing and vision

    --------------------------------------------------------------------------------

    There are less alcohol-related fatalities for 18, 19, and 20 year olds than for the population over 21.

    true

    false

    --------------------------------------------------------------------------------

    According to research what would be the single most effective deterrent for drinking and driving?

    Automatic license revocation

    Inability to post bail if arrested

    Jail sentence

    --------------------------------------------------------------------------------

    This law imposes potential liability on the host of a party if alcohol is served to an obviously intoxicated person or a minor.

    adult liability

    social host

    MADD law

    minor party law

    --------------------------------------------------------------------------------

    Blood Alcohol Content (BAC), is a standard used to:

    Determine what type of alcohol had been consumed

    Determine how many total drinks have been consumed

    Determine between sobriety and intoxication

    Determine how long since your last alcoholic drink

    --------------------------------------------------------------------------------

    Examples of important functional skills that are not visible to others, but are affected by alcohol, are thinking skills like evaluating risk and processing information. This means that steering, braking, lane changing, and response time could be affected in a driver that has been dr

    • ANSWER:
      Cirrhosis
      True
      True
      Depends on type of beer
      Avoid alcohol & drugs
      Self Control
      All are correct
      True
      False
      Cardiac Arrhythmia
      Reduction of blood pressure
      False
      Children of alcoholic parents
      May include problems with motor skills, hearing, vision
      False
      Jail sentence
      Adult liability
      Determine between sobriety & intoxication
      True

  23. QUESTION:
    I really miss my Mum? Please answer?
    Sunday last week, my Mum finally decided to go to the hospital. (She had an ulcer on her leg that she thought was severe). She had X-Rays of her chest done, and it turns out that she had fluid in her lungs. The doctors gave her a tablet which makes her urinate out all of the excess fluid in her body.

    She was shocked. I could see her getting better, she even sounded different! (I've visited her almost everyday since she's been in the hospital, for 4-6 hours each time).

    The doctors finally allowed her to have gate-leave. (Where the patient is allowed to go home, but have regular check ups from the hospital). She was meant to have an echo cardiogram before she was meant to leave; if the results turned out positive, she'd be allowed to leave. If they turned out bad, she would have to be hospitalized longer.

    Well, it turns out she had enlarged (or suspected blocked) coronary arteries and an enlarged heart. She thought she was going to die. She came in and told my Dad...we all started crying.

    A day later, a liver doctor came in and said, "Your liver's okay, nothing's abnormal." (She's got Hep.C, a liver disease).

    The cardiac doctors came in and told her that she'll have to have an Angioplasty on Monday. We're all scared. She's been given tablets to help with the enlarged arteries as well as heart...

    I'm just petrified. My Mother's 54. She's not an alcoholic. My Mum also gets angry at the doctors for no reason, for example, a person who wanted to test her blood came in, she'd refuse to give her blood because one of the symptoms for an enlarged heart was HIV. She said, "I haven't got HIV, this is an insult!" But afterward my Dad had a talk with her and she's going to give blood now...

    I'm so stressed out. How long do you think she will live for? :(

    • ANSWER:
      its not easy having someone sick in the family especially when its your mum,and when there are all those symptoms it must be horrifying for you...i know you miss her and your worried,just try to be there for her as thats all you can do,tlking to the doctors and thinking negitive isnt going to change the outcome,im sure that the doctors are just trying to rule out all the basis to her symptoms...it in now what i call limbo....where its on the fence to what she has and how to treat it,you must feel they wait of the world right now but as i said just support her love her and be by her side for whats to come good or bad,i hope everything works out for her and if the news is bad just spend as much time with her as you can and remember the good times you have shared....good luck

  24. QUESTION:
    Drinks Industry Targeting Children. 12 year old Alcoholics In New UK Survey. What is Your View?.?
    Lost Children in the Wilderness©
    By J. P. Anderson
    (International registered copyright of author 2006).

    Drinks Industry Promotions
    Deliberately Targeting Children

    “We have children presenting with all the adult symptoms of alcoholism. Some are so addicted that it is actually dangerous to get them to stop drinking straight away”.

    A new nationwide survey carried out across the UK by the Independent on Sunday newspaper has revealed that, children as young as twelve years of age are being diagnosed as alcoholics amid growing concerns about binge-drinking in Britain, where record numbers of pre-teens and teenagers now require hospital treatment for drink-related disorders.

    The findings prove that there is a hidden epidemic of ‘child alcoholism’ resulting in thousands of youngsters being treated in hospital each year for alcohol poisoning, liver disease and drink-related psychiatric illnesses. ...

    • ANSWER:
      Yes, it's true. I have seen little groups of teenagers with vodka & beer in there hands, drinking as though it's water.

      It makes me sad, but i can't do much about it. The parents should have more control.

      This will have devastating effect on the childrens and there childrens future.

  25. QUESTION:
    Writing a paper about alcoholism? Help with topic ideas?
    I have an eight page paper about alcoholism due this Friday. I'm brainstorming what I want to write about and trying to come up with questions I can answer within my paper, relating to the disease, of course.

    So far, I've thought of:

    Basic statistics (How many people are affected by alcoholism in the US? How many are men/women? What's the economic/social level of those affected? Age range? Race?...)
    Risk Factors
    Possible causes (I'll only touch briefly on this, since no one really knows whether it's inherited or not. I will present both sides.)
    Symptoms
    Diagnosis (Using the AUDIT/CAGE testing system, etc...)
    Treatment (How many treated actually stay sober, as opposed to going back to the bottle? What are the treatment options?)
    Other health issues that stem from being an alcoholic (Liver failure, cancer, depression, bi-polar disorder, etc...)
    What could be done better/more to inform the public about alcoholism

    What else would you like to know about alcoholism, if you were reading my paper? Do you have any other topic ideas I could touch on? Thanks!

    • ANSWER:
      costs to business community for employees with alcoholism--a, absenteeism/lost productivity and b, expense for health insurance/rehab

      social stigma/public view of alcoholism

      portrayal of alcoholism in popular culture ie literature, movies, tv-has it changed over time?

      drinking age and its correlation to alcoholism; contrast USA to other countries where younger poeple can drink

  26. QUESTION:
    health questions?
    fat soluble vitamins - dont build up in the body, are absorbed by fat, a lot are needed by the body, or pass easily through the blood stream

    tiny air sacs in lungs destroyed and breathing becomes harder by a disease known as - lung cancer, chronic bronchitis, emphysema

    carbon monoxide is present in blood and boday tissues and cells are deprived of - hemoglobin, carcinogens, iron, oxygen

    nicotin causes addiction and - acts as a stimulant, is a carcinogen, competes with oxygen , or destroys cilia

    a symptom of alcohol poison is - irregular heart beat, or increased respiration

    liver tissues replaced with useless scar tissue is - fatty liver, alcoholic hepititis, cirrhosis, or fetal alcoholic syndrome

    tar contained in tobacco smoke is harmful to the lungs because -
    it clogs blodd vessels, paralyzies cilia, its a stimulant, or its addictive

    a disease caused by a virus is - tuberculosis , malaria, or influenza ringworm...

    plz help..... :)

    • ANSWER:
      - are absorbed by fat
      -emphysema
      -oxygen
      -acts as a stimulant
      -increased respiration
      --cirrhosis
      -paralyzies cilia
      -influenza

  27. QUESTION:
    health questions. help?
    SIDS can be caused by
    A. smoking during pregnancy.
    B. smoking before pregnancy.
    C. drinking alcohol after the baby is born.
    D. drinking alcohol before conception.
    2.
    When offered alcohol, drugs, or tobacco, you should
    A. call your parents right away.
    B. stand by your peers and do as they do.
    C. stand by your values and make healthy decisions.
    D. let your best friend decide for you.
    3.
    Which of the following explains marijuana's effect on memory?
    A. Marijuana does not have any effect on memory.
    B. Marijuana is a stimulant, therefore memory is improved.
    C. Marijuana is a hallucinogenic drug therefore memory is unaffected.
    D. Marijuana decreases short-term memory.
    4.
    The following is a good resource for making healthy decisions about drugs:
    A. television
    B. magazines
    C. your parents
    D. an addicted friend
    5.
    Crack is classified as a
    A. stimulant.
    B. narcotic.
    C. depressant.
    D. hallucinogen.
    6.
    Which is true about Fetal Alcohol Syndrome?
    A. It can sometimes happen when a person does not drink during pregnancy.
    B. It can happen if the female drinks just before the time that she became pregnant.
    C. It can occur with light to moderate drinking.
    D. In order to have FAS, the pregnant female must be an alcoholic.
    7.
    Marijuana contains __________.
    A. DDT
    B. cocaine
    C. THC
    D. amphetamines
    8.
    Which is false about drug addiction?
    A. Most illegal drugs are addicting.
    B. Addiction always occurs immediately after the first time a person uses a drug.
    C. Addiction can be easily cured.
    D. Addiction can occur after the first few uses of a drug.
    9.
    What can be caused if a pregnant woman drinks alcohol?
    A. MS
    B. FAS
    C. TB
    D. MMR
    10.
    Quitting smoking has which of the following effects on the lungs?
    A. None, the damage is permanent.
    B. Risks of lung cancer decrease.
    C. Risks of high blood pressure increase.
    D. Risks of epilepsy decrease.
    11.
    Which of the following diseases has marijuana been effective in treating the symptoms?
    A. Cancer
    B. Sickle cell anemia
    C. The common cold
    D. Glaucoma
    12.
    Alcohol poisoning is dangerous because too much alcohol
    A. causes hallucinations.
    B. affects the nerves that control respiration and gag reflexes.
    C. causes a temporary lapse in the ability to speak.
    D. affects the neurotransmitters that control eyesight.
    13.
    The majority of alcohol in the blood stream is detoxified in the __________.
    A. heart
    B. liver
    C. kidneys
    D. brain
    14.
    People who use hallucinogens often experience
    A. increase in bodily control.
    B. enhanced judgment and reasoning.
    C. impairment of judgment and reasoning.
    D. increased concentration.
    15.
    Which is a risk of using smokeless tobacco?
    A. dental problems
    B. tongue and gum problems
    C. throat and mouth cancer
    D. all of the above
    16.
    People who drive drunk
    A. drive with no negative effects on coordination or control.
    B. usually make it home alive.
    C. drive under the speed limit.
    D. are committing a crime.
    17.
    Which is true about alcohol poisoning?
    A. It can result from even low blood alcohol content.
    B. It occurs only as a result of alcohol addiction.
    C. It can result in bleeding out.
    D. It can result in respiratory failure.
    18.
    Drinking alcohol is especially dangerous when combined with which of the following?
    A. hallucinogens
    B. narcotics
    C. amphetamines
    D. all of the above
    19.
    Which is true about steroids?
    A. Steroids build strength without long-term effects.
    B. Steroids do not cause anger management issues.
    C. Steroids can cause lifelong physical and psychological damage.
    D. Cortical steroids are good for building muscle.
    20.
    Stimulants
    A. can slow down the brain's reactions.
    B. are not addicting.
    C. can excite the central nervous system.
    D. can cause ulcers.
    21.
    Alcohol is a dangerous drug because it
    A. can change the way the mind and body function.
    B. changes the way you look to other people.
    C. makes you believe you are invincible.
    D. cannot absorb into the bloodstream.
    22.
    The following is a good strategy for avoiding alcohol and drugs:
    A. be easy-going
    B. be assertive
    C. experiment
    D. reconsider
    23.
    Which of the following is most often affected by long-term alcohol abuse?
    A. Bone marrow
    B. The liver
    C. Eyesight
    D. The epidermis
    24.
    Which of the following is true about alcohol?
    A. lowers social inhibitions
    B. causes hallucinations
    C. increases reaction time
    D. aids in decision making
    25.
    Nicotine is
    A. tar.
    B. the addictive substance in marijuana.
    C. the addictive substance in tobacco.
    D. present even in coffee.

    • ANSWER:
      "11.
      Which of the following diseases has marijuana been effective in treating the symptoms?
      A. Cancer
      B. Sickle cell anemia
      C. The common cold
      D. Glaucoma"

      This is totally a trick question. It has been shown to help BOTH cancer and glaucoma. Check out most state's medical mmj programs - both diseases are listed in almost ALL states with programs.

  28. QUESTION:
    Could my BF have HEP?
    My boyfriend is a pretty sever alcoholic (though making strides to get better), so I think that may be it, but a friend of mine said his symptoms may be linked to hepatitis.

    He is in the hospital with pretty bad pain and infection in the liver and kidneys.

    He doesn't have yellowing of eyes or skin, but does have a smooth blotchy red rash covering most of one arm, his chest and back. And he throws up a lot * Detox, I'm sure.

    I am pretty worried. We have only had unprotected sex once, but that may be one time too many. Would it show up on the blood test at the hospital?? I am going to have both of us tested, but 'till then I would appreciate some insight.

    I already posted this in the "infectious diseases" category but got no response. So I came here because I always get good responses and advice.

    Please no trolling

    • ANSWER:
      Yes it would have shown up in the blood tests. I'm sure one of the first things they would have tested for is hep c. Even in the unlikely hood that he does have it the chances of you contracting it through sexual contact are something like 1%. Hep c is usually transmitted from mother to child (during childbirth) through iv drug use or getting a tattoo with an infected needle. My friends husband had it and they were married 20 years and she never contracted it. They had unprotected sex and 3 children during the marriage with no issues so even if he has it you probably don't. The best thing to do is find out for sure if he's been tested then you can go from there.

  29. QUESTION:
    Liver disease and Hepatitis C questions..?
    Recently, my dad has become jaundiced and his belly distended. This all happened within about.. 2 weeks maximum. He's an alcoholic and has been for years. However, he also recently got a really bad cut while he was "beach combing," trying to pull out a metal lobster trap that was stuck in the sand after washing up on a beach shore. The cut was really pretty bad and infected-looking and hasn't even fully healed yet. His symptoms started to show about.. 2 weeks after he got this cut.
    I immediately attributed his symptoms to liver problems due to his drinking problem. However, I was just doing some research and it seems as though Hepatitis C is characterized by liver disease and jaundice, among other things, and that alcohol consumption (not to mention excessive alcohol consumption) can cause a rapid deterioration of Hepatitis C.

    I know he needs to see a doctor, but for some reason he's having a hard time getting himself in to see a doctor. I think it may be because he doesn't want to face what's going on with himself. I'm going to try and convince him to go, but I just want to ask a few questions to help me out with my facts:

    1) Is it possible that he acquired Hep C after getting the cut, and that his jaundice and distended stomach is due to rapid Hep C deterioration because of his alcoholism?
    2) It's only been about 1 month since he got the cut. Is it too soon for Hep C to be showing symptoms, excessive alcohol consumption or not?
    3) Is liver disease curable? How?

    Thank you for any answers in advance.

    • ANSWER:
      1. You never said your father was ever diagnosed with hep C, so I doubt he has it now. The hep C virus is a very slow to cause damage. By slow, I'm talking about 20 years slow. That's how long it can take for hep C to cause liver damage once you have it. A blood test can determine if your father has hep C if it is something he is worried about. No, it would be pretty much impossible for him to get it by cutting himself on that trap. You need blood to blood contact with someone else that has it.

      2. I think I answered your second question in my first answer. No, he cannot get hep C from that cut.

      3. Liver disease can be cured from alcoholism if the damage to the liver is not very much and in the early stage. Abuse of alcohol over time can cause cirrhosis which is when healthy cells in the liver is replaced with scar tissue. This scar tissue is permanent and does not go away. Once there is too much scar tissue in the liver, the only cure is a transplant.

      So that means that any alcoholic must stop drinking soon enough not to cause severe damage. I'm sorry to say that an alcoholic who has jaundice and also has excessive fluid in the belly is probably in the later stages of the disease and will probably need a transplant to get better. If the fluid is too much, he will need to get it drained at the hospital. That fluid can also become infected which is a very serious problem that needs immediate attention. If he is running a fever, I suggest he go to the hospital as soon as possible to get checked out.

      Your father can try and ignore his problems, but he will have to pay attention to them sooner or later because they are not going to go away if he has liver failure. Alcohol will only make the liver disease progress much more quickly and make it worse. I commend you for trying to get your father some help, but keep in mind that he is the one who will have to make his own decisions. Don't ever think it is your fault if you cannot convince him to go or convince him to stop drinking. He created this problem and he is the one that will have to take responsibility for his own health and his own sobriety. I hope he gets the help he needs.

  30. QUESTION:
    Is it possible I have alcoholic hepatitis at 23?
    For the past few months I have been drinking a lot with very few days of not drinking. The past couple of weeks I had a bottle of wine a day. I'm about 100 lbs and female, 5ft 3.

    Yesterday I went sober and had awful withdrawl symptoms, like burning stomach pain and diarrhea after eating. My abdomen feels tender however I could not tell if my eyes were a little yellow, they were mainly bloodshot.
    Is this just fatty liver disease or could it be hepatitis. There is a party I want to go to tonight but feel unsure about going as I with have a drink. I only started drinking heavily past few month and started drinking occasionally at 21/22, is it too soon to be worried?

    • ANSWER:
      Is it possible, YES. But as for a correct diagnosis you'll have to go to the doctor to check that out. They can run liver function blood tests. Generally its not the greatest idea to 'drink your face off' so to speak.


Alcoholic Liver Disease Stages

End-stage liver disease refers to the 4th stage, or cirrhosis. Cirrhosis is when the cells of the liver start to die and create scarring. It's caused by chronic liver disease, and the most common causes of chronic liver disease are alcohol abuse and hepatitis C. There are some other less common causes as well, including (but not limited to) hepatitis b, certain medications and metabolic disorders.

Most patients with end-stage liver disease are on or trying to get on the transplant list. Once a person is listed for a transplant, they are given a Model for End-Stage Liver Disease (MELD) score. This score can go up and down as treatments are administered. The lab values used in the MELD calculation include bilirubin, INR and creatine.
Bilirubin measures how well your liver is excreting bile, INR measures your liver's ability to make blood clotting factors, and creatine measures how well the kidneys are functioning.

There are many bodily changes that may be encountered during the end stage. Ascites is the build up of fluid in the abdominal area. Edema is when the legs and feet swell due to water retention. Weight loss is caused by loss of appetite. Encephalopathy affects the memory. These are just a few of the changes that may occur. A patient's doctor will go over everything they can expect when diagnosed with cirrhosis of the liver.

Some people with stage 4 liver disease have a chance of stopping the cirrhosis from getting worse and even start to reverse the effects. Nutrition, stress-relieving techniques and supplements are all important factors in prolonging a person's life.

There is a complete liver cirrhosis solution out there that guides a person living with this disease on how to give their liver a break, reversing the damage that's been done. Not only will this solution help to prolong a cirrhosis sufferer's life, but, more importantly, it will prolong their quality of life as well.

Frequently Asked Questions

  1. QUESTION:
    How long does someone with end stage liver disease (non alcoholic, non hepititis) have to live?

    • ANSWER:
      There are no accurate ways to estimate prognosis in many disease processes, including liver disease, as there are too many factors to consider, including severity of illness, co-morbidities, adherence to therapy, lifestyle, age, ect. Also the term 'end stage liver disease' has no exact definition, it is one used by practictioners with great variance. Measurable indicators such as Childs class or MELD scores are more accurate and useful, but even these only give percentages such as 5 year mortality or surgical risk. It also depends on the cause, and you have ruled out the two most common causes of liver disease.
      Liver disease in and of itself does not cause death, it is the complications associated with it. The most life threatning of these are esophageal varices resulting in massive GI bleeds. However there are many other complications possible due to blood clotting abnormalities, opportunistic infections, encephalopathy, and kidney failure. There are many symptomatic treatments for the complications of liver disease that may substantially increase survival and the liver is a remarkable organ that can improve if the underlying cause is treated. Also in true end stage liver disease in a non alcoholic, liver transplant is an option.
      There is a very large population of people with the diagnosis of 'end stage liver disease,' the severity of their illness is variable, as is their survival. However there is currently good medical options for those who seek treatment and adhere to recommendations. It is however a devastating disease and I wish you luck and hope for the best of scenarios in whatever situation has prompted this question.

  2. QUESTION:
    Should I be concerned about NAFLD (Non-Alcoholic Fatty Liver Disease)?
    My GP diagnosed this, as I started seeing him when I received blood tests with elevated liver enzymes. They continue to go up every time and he is pretty unphased about it. It is not related to hepatitis or alcohol. I am a little overweight but not obese and do not have any precursors for diabetes.

    My right side, in the area of my liver is always aching and I wonder if I should get a second opinion. Could this be serious or the early stages of something worse?
    I also had a colonoscopy and edoscopy and everything looks good.
    *endoscopy

    • ANSWER:

  3. QUESTION:
    Does anyone know anything about alcoholism and liver disease. My mom's an alcoholic and I need advice!!!?
    My mom is an alcoholic and has been for about 5 years. Her face is puffy and her abdomen is bloated. Her arms and legs are just flesh and bone. She doesn't look healthy. She is in total denial that she has a problem. On top of that, her mother died a few years ago of cirrhosis of the liver. She is now taking care of her boyfriend who lives with her and is in the final stages of cirrhosis. Her boyfriend is dying in her home, right in front of her and she continues to drink. I honestly don't know what her "rock bottom" is, that is, if it's not death. She lives in another state so there's not much I can personally do to help her. Can somebody help me? I don't know what kind of help I'm seeking here, but if anybody has any advice on how I should confront her or if anyone knows anything about liver disease and whether or not I should be concerned about the health of her liver based on her physical appearance, it would greatly be appreciated.

    • ANSWER:
      You need to seek out an Al-Anon group. It doesn't really do any good to confront an alcoholic, all you can really do is stop being supportive of it and control the effects on your own life. The bloating you describe could simply be the result of malnutrition and protein deficiency, and there could also be liver damage as well. But to know that, your mom would have to go see a doctor, and from the sounds of it she isn't willing to do that. Perhaps she is in denial, perhaps she'd just rather not know for sure. Perhaps she does know, and still isn't willing to give up the alcohol. Confronting an alcoholic really never works out, all it does is give them another reason to drink, and you end up frustrated. You can offer to support her if she chooses to dry out, otherwise there just isn't anything really you can do except save yourself. I'm sorry, it's rotten. But in this situation, the only person you can save is yourself. You can't make your mother do a single thing she isn't willing to do. The first step is hers. But do find the Al-Anon group, because there you will find folks in the same spot as you, and they will have a lot more support to offer than you can get here. Good luck, I wish you well.

  4. QUESTION:
    Is there any hope for an HIV POZ person with end stage liver disease from alcohol? Does anyone have experienc?
    I can't find anything about the lives of alcoholics and HIV+ and their hope for life. Or even what the end is like? Please, I need some help other than "stop drinking" - did that already but it is too late.... thanks.

    • ANSWER:
      End stage liver disease is a bad diagnosis without being HIV positive. Add the HIV status and it is not a great scenario. The only treatment for end stage liver disease is a liver transplant and if the HIV is not under control the patient (you?) will probably not be stable for such a huge procedure. Medical management of the symptoms is probably the only feasible choice. A hepatologist should be involved.

  5. QUESTION:
    My Father has a liver disease from alcohol and wont go to a dr. how do i know anything?
    Ok my dad has pretty much every single sigh and symptom of alcoholic liver disease. he is getting really weak and is confined to his bed a few days a week. He has not been to a dr in a very very long time and refuses to go. he says all the time its almost his time now and he is not going to go to a dr. to find anything out. how do i know the severity of this issue. i know this is really nasty to mention but i am going to give some of the signs and symptoms i know of from what he has told us all.

    jello textured bloody stool
    chest pains
    not able to get out of bed for 1 sometimes 2 days at a time
    vomiting blood
    severe vulgar shakes after he vomits
    high blood pressure
    light yellow skin
    cant eat
    cant sleep
    severe throbbing pains in his abdomin approx. where the liver is at
    going to the bathroom every 20 minutes to shit out more blood
    he looks like he is losing weight but at the same time he looks like he is bloated as well.

    how am i suppose to know how bad he is if he wont go to a dr. i hope someone out there can give me some kind of info on this. i know he is really bad and i just want to know if anyone knows if this is the last stage or how long he might have to live or anyhting at this point in time will help me a lot
    me my 2 sisters and my grandmother aka his mom have all tried everything we can to get him to go and he will not go. so its up to god now. its just really hard and its a struggle right now cuz he wont go and check with a dr on any of it

    • ANSWER:
      That definitely sounds very traumatic! Your dad does not sound good at all, and appears to be in the later stages of ESLD (end stage liver disease). The blood in your lower body and GI tract is pumped through the liver on the way back to the heart. In alcoholic cirrhosis, or any hepatic disease, normal tissues are destroyed and this causes the blood to back up in the system. When it backs up, the vessels become big and fragile and easily rupture. These frequently occur in the esophagus (varices), stomach, and rectum. This is where the blood in his vomit and stool is coming from, and the major source of his pain. Given the amount of blood that he may be losing, he would be expected to be very weak. Depending on the seriousness of his condition, there are some treatments, like banding, that can be done. God bless.

  6. QUESTION:
    is there any other treatment for alcoholic liver failure other than a transplant?
    my relative has been diagnosed with alcoholic liver disease and is currently suffering from most of the symtoms listed on various sites. although he has not touched a drop of alcohol in nearly 90 days, his condition deteriorates daily and the government hospital refuses to admit him as they say theres nothing they can do for him, they will also not consider him for a transplant as they say it is a self inflicted condition. we do not have a medical aid and would appreciate some advice. medically hes at the stage where certain brain loss symtoms are occuring

    • ANSWER:
      Alcohol can cause liver cell damage in different ways.
      1)Overconsuming alcohol in short time periods doesn't give the
      liver time to convert the alcohol into acetaldehyde, then acetate,
      & then CO2 and water. 2) consuming alcohol over long time
      periods can cause the build up of fat inside the liver. This fat
      causes pressure inside the liver, which is surrounded by a tight
      membrance capsule. 3) Some people are more sensitive to
      alcohol than others are & some are even allergic to it.
      4)Taking medications with alcohol can cause such an interaction
      between them that it can instantly damage the liver cells.
      All of this, that I mentioned, can damage the liver cells.

      When the liver cells become damaged, the immune system
      of the body will respond to this damage & cause inflammation
      to develop inside the liver. Inflammation causes the liver to
      enlarge in size. Stopping the cause, (up to this point)
      then the problem may start to reverse & the liver cells can heal.

      Once it advances to where the liver cells start to die off,
      it is Cirrhosis of the liver...the doctors can only try to slow down the
      progression of this disease... it will eventually lead to where
      the patient will need to be evaluated for placement on the transplant list.
      Scar tissue inside the liver cannot be removed & it acts like a wall.
      It will block the flow of blood going through the liver on its
      way back to the heart and also from going to the functioning
      liver cells so they lack nourishment and oxygen & they
      continue to die off. The liver cells does over 500 functions
      to keep the body well. As more & more cells die off,
      the less functions the liver is able to do. [This is known
      as liver failure}The liver is dying inside the living patient.

      The best doctor:gastroenterologist or hepatologist.
      The best test to determine how far advanced in the disease:
      a liver biopsy.
      Most liver transplant centers require that a patient be detoxed
      from alcohol for a period of six months (with proof from his
      doctors) to be evaluated for placement on the Transplant list.
      Shortage of organs, drinking when needing to take medication
      afterwards, organ rejection, dying on the table during long hours
      of surgery, other medical problems, may be the cause of not
      transplanting.

      Signs of being in the last stages of this disease are:
      1}Ascites: which is the build up of fluid in the abdominal area
      (can be mistaken for a beer belly). The
      liver can no longer make a protein, known as albumin, that
      holds the fluids inside our vessels. The doctor can do a
      procedure to remove this fluid ( more comfortable, able to eat, and
      easier to breathe)...it is known as Paracentesis.
      2}Edema: which is fluid build up in the legs, feet, etc.
      Build up of sodium in the body of patients with
      this disease. The doctor may place the patient
      on a "lower" sodium diet...telling him how much sodium &
      how much fluid he is allowed per day. (diuretic, also)
      Blood work done to make sure the sodium stays in the
      normal range [because of heart beat} and so
      patient doesn't become dehydrated.
      3} Encephalopathy: the patient can become easily confused/
      disoriented. Sleep pattern changes/ hand tremors.
      The liver used to take this ammonia &convert it to urea,
      that the healthy body can dispose of in the urine. It
      is now in the blood & goes into the brain..to cause this.
      {this can be mistaken for drunkeness}
      Medications:..Lactulose or Xifaxin.. much be taken
      otherwise the patient may slip into a coma.
      4}Portal hypertension and varies. The blood is backing up
      into the portal vein & smaller vessels known as Varies.
      Varies can have weak spots,balloon outward,in area &
      break open. Emergency situation.
      Any blood seen in the sputum, vomit, or rectal area is an
      Emergency. The doctor can go in and try to band these
      varies to stop the bleeding. However, the liver is no longer
      able to make clotting factors to help the blood to clot....therefore,
      any bleeding from the nose or other areas should be checked, also.

      The main thing that I can suggest is to contact a
      Transplant Center (who does liver transplants) and
      talk to them. I don't know if the Transplant Social
      Worker will be able to help you there or not.
      You may have to pay for their time.
      Please be sure you have an advance directive or
      durable power of attorney form signed by him giving
      you permission to act and talk to someone on his behalf.
      The privacy laws are very hard even on immediate family
      members.
      Transplant centers: (click on link)
      http://www.ustransplant.org/csr/current/Centers/TransplantCenters.aspx?organ=Liver
      Transplant funding:
      http://www.ntafund.org/
      http://www.transplantliving.org/beforethetransplant/finance/funding.aspx
      http://www.transplantfund.org/

      I hope this has been of some help to you. Best wishes

  7. QUESTION:
    if someone is in Early End stage liver disease, what is the likely hood that they will end up on the?
    transplant list? Does it always get to that point if you stick to the diet and meds?

    My fiance was just diagnosed with Early End Stage Liver disease. I'm sure that it is due to his alcohol consumption since he also had alcoholic hepatitis. I need some encouraging words to get him back on his feet. We do not know if this is definitely a liver is dying situation as of yet, but given the diagnosis and that his liver counts were fine, I can only hope for the best. Can anyone tell me what to expect and if the Hepatic diet with the meds will help.

    They did not do any type of biopsy, but the did drain 4 liters of fluid out of his abdomen. I am really nervous and am trying to stay positive about the outlook and outcome.

    • ANSWER:
      They really need to do a biopsy to determine how much damage is present in his liver. The most important thing he can do is to stop drinking ALL alcohol. That is more important than anything else and will help him more than anything else such as diet. You don't say whether or not they have told your boyfirend he has fibrosis or cirrhosis of the liver. There is a big difference. In the fibrosis stage, if he stops drinking and takes care of himself, then his liver can actually heal itself and he should be fine.

      When you say ":early end stage" they are usually talking about cirrhosis since that is true end stage liver disease. They probably mean that he has just a small amount of cirrhosis present right now. Cirrhosis occurs when scar tissue replaces healthy tissue in the liver. This is permanent damage that will never go away. If he continues to drink, more and more scar tissue will form until the damage is severe and total liver failure will eventually occur. I had cirrhosis and my first symptom was fluid in my abdomen that needed drained like your boyfriend. I was eventually sent to a transplant clinic for an evaluation. Everything right now depends on the amount of damage and whether or not he continues to drink. Everytime he takes a drink, inflammation to the liver continues and more damage is done. The good news is that a person can still stay alive even with a significant amount of damage since the liver is a pretty tough organ. If he stops drinking and it's in the early stage, then he might be able to stop the progression of his cirrhosis to becoming total liver failure. Once the damage gets severe enough, there is no stopping it from progressing. It will continue no matter what you do. That's why it's so important to not drink alcohol. Even if he stops and starts doing better healthwise, he still cannot go back to drinking because the scar tissue is still there forever. The disease would just pick up where it left off at if he starts drinking again.

      The meds and diet will help control the symtpoms. If the cirrhosis progresses to being much worse, the meds stop helping and that's when you know total failure is near. He could live a very long time as long as he starts doing the right thing, but if not, his prognosis is very poor.

  8. QUESTION:
    How do i stop my mum bing an alcoholic?
    My mum has recently come out of hospital after 8 weeks and has started drink straight away. She has been an alcoholic for 18 years now, but all this is finally taking its toll and is killing her.

    She drinks at least a bottle of vodka per day and will not stop. She has very late stages of liver disease, just had a hip replacement, has lost 4 stone in 6 weeks due to not eating.

    I dont know what to do.

    • ANSWER:
      She has to acknowledge that she needs help. She has to want to do something about it. She has to be willing to accept help to help her come through what she may be facing in coming off the alcohol. Notice that I said "she"....that is because a person is responsible for their own life and others can only try to persuade them or guide them in the right directions. They cannot force them or do it for them.

      Your mother could of asked her doctor to be placed in a detox program at the hospital. They would give her medications there to help relieve some of the symptoms, she may fear having, if she comes off of alcohol.

      Considering she had no alcohol in the hospital...would have been a good start. Apparently she doesn't want to stop. The doctors have probably informed her, that for her to be placed on the transplant list...she would have to be detoxed from the alcohol for a period of 6 months prior to being listed. This goal may seem to be too far off for her and she may have given up. Or she knows she is dying and, for some reason, is trying to end it sooner.

      You should not feel quilty now...cause she has to decide on whether she want to live or not. You could try to persuade her and let her know how much it hurts you that she won't at least try. You don't want to lose her. It is very difficult dealing with someone who is addicted. They don't think as clearing and see what is happening as easy as someone who isn't. All they see is alcohol and a way to get more.

      If you had an advance directive or power of attorney signed by her that gives to the right to talk directly with her doctors, then they may try to help you takes steps to try to remove this out of her life, slowly. Some say AA meetings help...but, not everyone agrees on this.

      I want to give you information about Cirrhosis of the liver, so
      you can learn more about this disease and what to watch for,
      so you can help her through this and know when she may need more care from her doctors...it will also help you to point out to her what she will be facing if she doesn't stop the drinking now.
      http://www.hcvets.com/data/hcv_liver/cirrhosis.htm
      http://www.medicinenet.com/cirrhosis/article.htm
      http://www.mayoclinic.com/health/cirrhosis/DS00373
      http://yourtotalhealth.ivillage.com/cirrhosis.html

      I hope this will be of some help. Best wishes to you and
      your mother.

      For an Advanced Directive::
      http://www.caringinfo.org/stateaddownload

  9. QUESTION:
    How long can an end-stage alcoholic live drinking only beer (no water or anything) and not eating?
    He also has liver disease.

    • ANSWER:
      if he's an end state alcoholic, he should have liver disease.

      anyway, beer is made up of carbohydrates, carbohydrates are simple sugars, your body runs on sugar therefore he is still living and being hydrated at the same time because beer is 90% water.

      i hope that helps

  10. QUESTION:
    Alcoholic Cirrhosis - advice needed - anyone have experience of this?
    My mother has end stage liver disease and now has hepatic encephalopathy (confusion through not being able to process toxins and near coma). It would be good to hear from anyone who has had family members go through this - it is terminal but not getting much out of the doctors. Please no horrid answers - genuinely would like advice.
    She is in hospital already - we know she's dying but we don't know how long she might stay alive for.

    • ANSWER:
      My mother in law has the same thing she has been in hospital a couple of times in comas and near death. with laxatives and drips thay can get the toxins out and rehydrate her. At home she was taking sleeping tablets thats what caused a toxic build up cos her liver couldnt break anything down. She is now in a nursing home as she cant look after herself but at least here she has no access to any chemicals and has a regular routine. Her quality of life isnt 100% but its better than it has been for a number of years. And shes still around.

  11. QUESTION:
    Cirrhosis/Liver disease life expectancy. Please help???
    Does anyone kow the life expectancy of someone in the late stages of cirrhosis?
    My mom is very ill, she is a chronic alcoholic. She stopped drinking last week, but was diagnosed with cirrhosis many years ago.
    I need to know if anyone has been through this and knows what I can expect.

    She is jaundice, and in the past week has had high levels of amonia in her blood, also, she vomits all the time, can barely keep anything down.
    Today she is having her stomach drained again, this will make the 4th time, fluid builds up in her uppper stomanch area, and it makes it very uncomforatable for her. He legs also are very swollen today (ankles) she cannot walk she is so week. She went from wieighin 145 pounds to now about 98 in a matter of 3 months. I am afraid that it is too late. She has been admitted to the hospital so much that now the Hospitals now just say that the damage is done, they cannot help her. Last year she was in ICU - .......please give me any opinions you may have.

    • ANSWER:
      There are a few things that I know to give you
      as information. (you might already know this) The best doctor to have for
      a patient with cirrhosis is a Hepatologist.
      She can be given medication to bind the ammonia in her blood to be eliminated from the
      body which should help to clear her mind some. She could be placed on diuretics, like
      Lasix and Spirolactone to help relieve the sodium content in her blood and also
      remove some of the fluid and help keep it from
      coming back so fast. If they take alot of fluid
      from her abdomen, they might give her
      albumin, a Protein. The fact that she did
      not stop drinking alcohol, may mean she cannot
      be placed on the transplant list for a donor
      organ because they usually request that the
      patient be free of alcohol for about six months.

      With what you have stated that her condition is
      now, it doesn't look promising...but I would
      not give up. The doctors look at many things
      considering a patient: whether they have a
      strong, well beating heart, whether they can
      withstand a long surgery, whether they have
      cirrhosis in one area of the liver or throughout,
      whether they have love and support of family
      and friends, and how much a person truly
      wants to live,etc. Ascites( fluid in the abdominal
      area) and Encephalopathy (memory, and mental
      confusion problems caused by toxins) and
      the fact that she drank clear up to a week ago..
      means that the end is in site.....She may last
      a long time this way or depending on what I
      have stated above...it could be very short.
      Each person's body chemistry, diseases,
      and conditions are unique and have to be
      evaluated to see what may be in the future.
      If you have an advanced directive with your
      Mom signature on it, you may be able to
      talk with her doctors and get her medical
      records and have a second opinion and also
      be able to answer for her since she might
      not be able to answer for herself. There are
      free forms on the internet according to your
      state. It should be signed in front of two
      witnesses, but a notary can stamp it and make
      if valid. I hope this info is of some help to you.
      It is sad that a daughter has to watch all this
      happen to a mother they love...as long as
      you are able to be there with her, she will
      have peace in knowing that you really care.

      You asked what you can expect. There are
      a few things that may take place: her heart
      may start to beat irregular. If you get her
      blood work results, if the sodium and potassium
      levels are either too high or too low, this
      will cause an irregular beat and is an
      emergency. If she starts to cough up blood and
      not just vomit (it may look like coffee grounds,
      or a darker color) this is also an emergency
      cause she could be bleeding internally. If she
      feel faint and goes into a coma...there may be
      little chance she will come out of it without the
      doctors help. What can you do? be there for
      her so she doesn't feel alone. Watch for
      any of these signs above and keep a record
      of how she is feeling day to day and let the
      doctor know what exactly is happening with her.
      Be with her at all her doctor appointments so
      that you can be sure she is taking medication
      right and doesn't get so confused she puts
      herself in more danger. She might not be
      able to break the habit of alcohol especially
      since she has been so sick, but knowing that
      others understand and will try to help her in
      anyway despite of this all, may give her the
      strength she needs to try.

  12. QUESTION:
    Anybody married to a recovering alcoholic/addict. Need your advice, please?
    My husband has been sober about a year and a half. The drinking was VERY bad for about 2 years before he got sober. And I mean he was full-blown, not "I think my husband drinks too much". One of his contractors (and his wife) have invited us to their daughter's one year birthday. I have told him I'm not going because of the history. I have turned down many outings with people he drank with.

    My husband has the ability to make his contractors millionaires and this guy is rich because of my husband. However, even when he KNEW my husband's drinking was a dangerous situation and that he had end stage liver disease, this guy just kept encouraging him into drinking.. picking him up to take him, letting him stay at his own home, him and his wife taking him out etc. I'm not saying my husband's drinking is his fault AT ALL. However, I think this guy is a piece of sh*t. He's a bad person that only cared about lining his pockets - that isn't a friend. A friend helps you, not helps destroy you. My husband would call home ranting and raving the way a drunk does... saying all sorts of stupid and horrible things and generally acting like an idiot while with this guy. My husband is 50 btw.

    My problem is two-fold.. I'm embarrassed by the way my husband acted in front of them and I also can't stand the guy for claiming to be his friend and then encouraging him to drink when he knew he was ill. My husband has asked me several times to go to the party with him, but I have refused. I honestly don't know how he goes and faces these people and I sure don't want to.

    Our lives have become separate.. he's sober and things are good at home, but I don't want to be involved in the lives of his drinking buddies. I know we can't live this way... I keep telling myself if he can face these people after acting like a complete idiot, then so can I. I know we need to be building good memories together if we hope to be close again, but I am really struggling.

    How did you get past these feelings? Or am I extremely unreasonable and others were able to move on after their spouse found sobriety? Please give me advice from your experiences.

    • ANSWER:
      Wipe the slate clean and make new friends. You know who to stay away from.
      Good luck to you........nothing worse than a drunk.

  13. QUESTION:
    How should I help my alcoholic husband?
    He is drinking again. He got out of the hospital about 2 months ago from alcoholism. He has already been in the hospital 4 or 5 times. This last time was really bad. He went in to cardiac arrest and almost died. He loss lots of blood. They called me at three in the morning and told me to let his family know that he may not make it through the night. I had to tell this to my 11 year old son. It was the hardest thing I have ever done. He is a good man with a serious problem.I can't take it anymore. I just don't know what to do or where to turn. I have tried everything I could think of interventions, AAA meetings, and nothing seems to be working. Every time we go to the hospital they tell us that he is at the last stages of liver disease and the next visit may be his last but he gets better and I mean it is like he was never sick. I know they say the liver is a remarkable organ and I'm grateful but frightened at the same time. He has not been drinking for very long so I don't think he is as bad off as in the past so I want to do something before it really gets out of hand. We have no insurance and like many people are just getting by, if anyone has a suggestion of some way that I can help get through to him would be greatly appreciated. God bless and thank you.

    • ANSWER:
      I know you hate to hear it but by the sounds of it, his liver is teetering on the brink of shutting down. Every time he gets better, he never goes back to the previous state of health. So this means, with each hospitalization, his health has taken a beating at least 5-6 times and has decreased bit by bit with each one. The liver is great, but a damaged liver can't spring back like a healthy one can.

      How to help him? You have tried interventions, AA, have you sent him away for a dry detox? This might mean a long time away from you and your son (at least 6 months) and at the end of it all, your whole family might have to relocate so he never returns to the same environment. That is of course assuming he wants to go.

      I can see you are a believer in God so the last thing I will say is pray, pray and pray, and I will pray for you. Stay strong in these difficult times.

  14. QUESTION:
    end stage liver failure..poss. time frame?
    I know its all in God's hands yet I'd like an idea of what to expect. After searching the web I have not been able to find enough info.
    My dad I BELIEVE is in end stage liver failure based on his symptoms. I finally got him to go to dr this past wed. but we have to wait 2 weeks for blood results to know for sure we he stands. Anyway he's an alcoholic with hep c..was diagnosed many years ago w/ cirrohsis. A yr ago he was told only about 2-5% of liver was working(hope I have #'s right) His health has been failing at a rapid pace within the past month, he has pain in abd where liver is, is extremely tired sleeping 15 hrs a day, feet swelling, horrible lower leg cramps and pins/needle feeling in them and hands. HE can barely walk now and has thousands of spider veins on chest, upper back, shoulders, neck and face. No obvious yellowing or ascites. He also is having sporadic sharp pains under left rib/chest and sharp pain in creases of legs by groin. I've tried to find stories of ppl that are similar so i know what to expect or look for..I'm so afraid he will slip into a coma before he can see hema dr on july 27th...I NEED SOMEONE TO BE BLUNTLY HONEST WITH ME, only if you have had any kind of experience with someone dying from liver failure, I don't need someone guessing. So please tell me if based on past experiences, is he close to dying, and if so is it soon or will he make it to see dr on 7/27....Telling him to stop drinking will not work he is at the point that he needs it to function, he shakes so bad, he knows he caused this but now he is scared along with us. Thanks so much in advance if you are able to give me real knowledge on how long he got. i don't need web links telling me the symptoms of liver disease, I know all that. Basically if you are a DR or lost someone to this disease...Please help!

    • ANSWER:
      I'm sorry that your dad is so sick. I had cirrhosis from an autoimmune disease and had to get a transplant. I'm also a nurse. The blood work is going to tell you that his liver is quite bad, but it's not going to give you an answer to your question. Since he does not have fluid retention and jaundice, it's nearly impossible to say how long he will last. Those two symptoms are usually always present at the end, especially the fluid retention. He might stay the way he is now for months, or he could go much quicker if he continues to drink. Anyone that gives you an answer would be guessing, even any doctor who examines him and knows his case. There is no telling exactly how long it could be.

      I know he is very near the end, but it could go on for months, weeks, or he could suddenly get worse and be tomorrow. They usually get so weak they can no longer stand or care for themselves. They often go into a coma. When that happens, it's just usually a matter of a few days unless they are being tube fed and have IV fluids. It's not uncommon for them to die of infection when the abdominal fluid can become infected, but your dad has no ascites right now. I would say it is too late for him to stop drinking and try to get a transplant. He is beyond that point now. The symptoms he is having is both from his liver disease along with his alcoholism. Each has their own problems. You got your percentages right about his liver function. I got my transplant when I had 10% function left. I have heard of people still getting along at 5%, but probably not doing too well. As you know, 2% is really serious and the body is just not going to last all that long with so low of function. I don't know how long, but I doubt it would be more than a few months at best keeping in mind that this is just a guess on my part from my experiences with this disease. He just has so much against him to make his disease progress quicker than most. He is an alcoholic who continues to drink plus has hep C on top of it. Together they make a lethal combination.

  15. QUESTION:
    My wife is refusing cancer treatment?
    My wife of 26 years was diagnosed with end-stage liver disease two months ago. She was an alcoholic for over 20 years and was recently released from rehab for prescription medication abuse.

    While doing routine imaging of her liver, the doctor noticed an abnormality on her pancreas as well. He referred us to another doctor who diagnosed my wife with advanced pancreatic cancer.

    Unfortunately, despite repeated urging from myself and other family members, she outright refuses to consider any treatment options. When she was in her mid-twenties she developed two tumors in her throat; both removed by resection after they failed to respond to chemotherapy. Evidently, she was so traumatized by this experience that she vowed to never undergo chemotherapy again. This, combined with her liver problems and the generally poor prognosis in people with pancreatic cancer, is fueling her choice to forgo treatment.

    Honestly, she seems resigned to death. My wife is all I have after our only daughter committed suicide early last year. I love her more than anything in the world and couldn't bear the thought of watching her die unnecessarily. How can I force her to undergo treatment? Can I legally have her declared mentally unfit to make her own decisions, or something?

    Thanks and God bless.

    • ANSWER:
      The decision is hers to make.

      The treatment is difficult to cope with even when you have a good prognosis.

      It is tantamount to torture when the prognosis is bad.

      In the same position, I would make the same decision as your wife and if you tried to force me into treatment I would consider it spousal abuse.

      I understand it is difficult for you to accept that you will loose her, but treatment likely to mearly prolong her pain and suffering.

  16. QUESTION:
    How dangerous is my alcohol use?
    I'm a college student and i already recognize myself as a chronic alcoholic. I drink every day and i drink gratuitous amounts everyday. i'm a male only 145 pounds 5"9' and i'm starting to get the idea in my head that i might already be in the first stages of liver disease. When i drink daily im not the type that just has a a few beers, a 1.75 liter of karkov will usually last me 3-4 days. I black out everyday but i never get hangovers, i usually wake up drunk. ive been drinking like this for past 2 months and ive had about 3 sober days. For me, drinking has become a completely different thing then before. I need to drink. i've realized what ive done to myself so i'm soon seeking treatment. well, after today of course, its halloween! but anyway,
    ive started to notice some symptoms that are described as symptoms of early stages of cirhossis or alchohol withdrawl. I've had dark urine frequently more lately, its impossible for me to fall asleep without being drunk, i litterally drip sweat while im not active. The one symptom i am very concerned about tho are my tremors, I have very shaky hands, people point it out all the time. when i'm drunk it usually goes away a little but there are times it is pretty bad, for example, i have a night class and when i have to sit in the classroom not drunk as i'm used to, i'll be writing notes and i cant even read them later because i twitch so bad.
    all in all tho, what i'm wondering is if its possible to develop cirhossis in only 2 months while drinking very heavily, or if you need to be a chronic alcoholic for years before thats possible. i am also concered about the consequenses of stopping abruptly, is it possible i could have a seizure if i quit?

    • ANSWER:
      Look, if you want to stop drinking then keep reading, if not go back to the bottle. You are going to need to go to a detox center in order to start getting better. Yes, you're going to have the DT's, and the shakes, and feel like sh**, and puke, but the other alternative is to die. Take your pick. I can't tell you that you're a chronic alcoholic, but you sound like one to me. I can tell you that you need to seek medical attention immediately, and then check yourself into a 90 day detox/rehab center if you hope to get better. I know you have school, work all that stuff, but if you cant quit drinking you won't be there anyhow. There is your solution, if you want it. I didn't say it would be easy or pretty. Good luck!!!!!!!

  17. QUESTION:
    Cirrhosis of the liver symptoms.. and Need Help!!?
    I have a family member who has been diagnosed 15+ years ago with cirrhosis of the liver. He is probably the largest alcoholic known to mankind. He drinks at least 30 + beers a day, and is now experiencing constant nosebleeds, for over 3 days now.. It just bleeds and bleeds when he sits up. He has blood in his urine and his stool appears blackish greenish of color and has constant diarrhea, but does not eat very often.. at all!

    I am assuming that hes in the end stages of this disease and want to know if any of you have had these issues with a family member or friend, and what is wrong and how long that this trend will continue and what will happen.

    Thank you so much for your cooperation in advance, we appreciate any answers you may have!

    • ANSWER:
      I have worked with people who had cirrhosis. They get swelling in their abdomen (ascites) & extremities (edema). The stomach can get the size of a honeydew melon.
      Vit K gets reduced & so there is more bleeding. As the toxins build up in the body, the skin begins to itch...the person becomes jaundiced & mental changes occur...sometimes during these various stages antibiotics are given.

      High potency Vit B complex can be helpful as can milk thistle. However, I don't know how long it will prolong his life.

      Google: mayo clinic>>diseases>>cirrhosis

      I'm very sorry to hear of your situation.
      Good luck.

  18. QUESTION:
    Life expectancy with stage 4 cirrhosis of the liver?
    non-alcoholic, diabetic, heart disease, colon cancer (remission), diverticulitis, high blood pressure and hypothyroidisum

    • ANSWER:
      You need more details in order to answer this question with even a good guess. What is the reason for cirrhosis? Hep C? If yes, then the progression could be quicker to total liver failure.

      If this person is experiencing lots of fluid retention that needs tapped often, encephalopathy (confusion due to high ammonia levels), jaundice, internal bleeding and bruises easily, then their liver is near total failure and death could occur anywhere from a few months to a year. Remember this is just an estimate for someone who has all these symptoms.

  19. QUESTION:
    Elevated triglycerides looking for an expert's opinion?
    Hi, I was diagnosed with alcoholic hepatitis on April 15, 2010. My LFTs at that time were:
    Bio chemistry
    Bilirubin 0.5 (Normal range 0.2 - 1.0)

    Enzymes
    SGOT AST 57 (normal range <40)
    SGPT ALT 116 (normal range <41)
    Alk Phos 70 (normal range 36 - 141)
    GGT 118 (normal range <55)

    Protiens
    Total Protien 7.5 (normal range 6.6 - 8.8)
    Albumin 3.9 (normal range 3.5 - 5.0)
    Globulin 3.6 (normal range 2.3 - 3.5)
    A/G ratio 1.1 electophoresis

    My LFTs now (January 07, 2011)

    Total Bili 0.8 (normal 0.2 to 1)
    Direct Bili 0.1 (normal 0-0.2)
    Indirect Bili 0.7 (normal 0-0.8)

    Alk Phos 176.0 (normal 100-290)

    SGOT 16.0 (normal 10-42)

    ALT/SGPT 11 (normal 10-40)

    Total Serum Protein 7.1 (normal 6.4 - 8.6)

    Serum Albumin 4.2 (normal 3.5 - 5.3)

    Serum Globulin 2.9 (normal 2.2 - 4.0)

    Albumin Globulin Ratio 1:4

    I wanted to redo my tests (January 07, 2011) and ended up doing LFT, CBC, Lipid profile and random sugar. The test results were back and my LFTs, CBC and random sugar all came within normal limits. However, my lipid profile showed an abnormal triglyceride of 315 mg/dL, with optimal being less than 150 mg/dL and VLDL cholesterol of 63.0 mg/dL with normal being 5 - 40 mg/dL. All other lipid panel parameters are borderline values except for TGL and VLDL. I am aware that one of the reasons for high TGL is chronic liver disease. I have abstained from alcohol for the last 10-11 months. I am worried my liver is healing and leaving scar tissues (which could result in cirhossis). My physician has put me on a regimen of Atorlip-F (combination of Atorvastatin 10 mg and Fenofibrate BP 160 MG) twice a day, antioxidants (presumably for liver) and a cholesterol reducing supplement. I am to be on these for 1 month before repeating all tests.

    About 3 months back, I had repeated the same tests and had elevated TGL with normal LFTs. I was on an other regimen for these three months and now the meds are changed.

    1. I am concerned that my elevated TGL did not respong to 3 months of meds and could hint at my liver not coming back to normal.
    2. Developing cirhosis.

    What are the chances I might develop cirhosis at this stage. What are the tests I need to get done to confirm I dont have it.

    I would really appreciate any help. Thanks much.

    • ANSWER:
      High triglycerides can also lead to pancreatitis in excessive concentrations.
      Changes in lifestyle habits are the main therapy for hypertriglyceridemia. These are the changes you need to make:
      •If you're overweight, cut down on calories to reach your ideal body weight. This includes all sources of calories, from fats, proteins, carbohydrates and alcohol.
      •Reduce the saturated fat, trans fat and cholesterol content of your diet.
      •Reduce your intake of alcohol considerably. Even small amounts of alcohol can lead to large changes in plasma triglyceride levels.
      •Be physically active for at least 30 minutes on most or all days each week.
      •People with high triglycerides may need to substitute monounsaturated and polyunsaturated fats — such as those found in canola oil, olive oil or liquid margarine — for saturated fats. Substituting carbohydrates for fats may raise triglyceride levels and may decrease HDL ("good") cholesterol in some people.
      •Substitute fish high in omega-3 fatty acids instead of meats high in saturated fat like hamburger. Fatty fish like mackerel, lake trout, herring, sardines, albacore tuna and salmon are high in omega-3 fatty acids.

  20. QUESTION:
    Why can't alcoholics just stop?
    A year ago my older sister died of liver and kidney failure. She was 49 years old. After her husband died unexpectedly in 1994, my sister began drinking heavily. Everyone in the family tried to get her to recognize her problem and go to treatment, but she always refused. She always had to do things "her way", and going to a treatment program would have meant giving up some control. A year before she died, she did actually go to AA for a while and stayed sober for almost 100 days. Unfortunately she went back to drinking though, even heavier than ever before. Finally, she was admitted to a hospital with end-stage liver and kidney failure in February last year, and she died 10 days later.

    My sister was not some uneducated, poor person. She had a bachelor's degree and she lived in a fine home. But alcoholism was stronger than she was, and she was destroyed by it.

    To this day I still can't understand why addictions are so extremely difficult to overcome. Yes, yes I have heard that it is a disease, but still... most diseases have some kind of operation or drug to correct it, but with alcoholism there's no surgery, no drug.

    I miss my sister. I love her but now she is gone, forever, except in our hearts. She died a horrible death from a terrible illness. How could this have been avoided? What more could I have done to help her?

    • ANSWER:
      I believe that both mental and physical illness both contribute to an inability to stop using a substance. I'm convinced that substance abuse is the most painful and sad thing a person can go through, and also to be around, so I know how difficult these issues are. Alcoholism has run in a significant part of my family and I can say for sure that the effects are absolutely devastating.

      I've often wondered what the "correct" method or "miracle" cure is for a person to stop abusing a drug. After all I've read and researched, the best I can come up with is that no matter the nature of the cure, it really has to come from the individual with the problem; that is, they have to WANT to accept it, COMMIT FULLY to it, and also BELIEVE that it will work. I don't think there is any one magic thing that works for everyone.

      I do know that one thing a person can never do is give up or get down about the situation. Regret and remorse compounds the problem. Even if slip-ups occur, the person must put it behind them and look forward to when they succeed, which has to be the current day. If a person fails 100 times, they need to try 101. If they fail 1,000 times, they need to try 1,001. As long as surrender is not an option, there is hope for a solution.

      I'm sorry for your loss. My uncle died of liver failure due to alcoholism some years ago. It's the time for you to enjoy your life "in the now" at this time. I'm learning more and more that living in the past or the future really does sometimes lead to suffering. I'm just about to start reading The Power of Now by Eckhart Tolle. It is all about this. It's supposed to be fantastic and from the few pages I have read so far, it looks as if it is.

      P.S. I just wanted to add that it helps if a person has something to believe in, whether that's an inspiring person, a religion, an idea....... something that maintains a focus in life. ;)

  21. QUESTION:
    My wife is refusing cancer treatment?
    My wife of 26 years was diagnosed with end-stage liver disease two months ago. She was an alcoholic for over 20 years and was recently released from rehab for prescription medication abuse.

    While doing routine imaging of her liver, the doctor noticed an abnormality on her pancreas as well. He referred us to another doctor who diagnosed my wife with advanced pancreatic cancer.

    Unfortunately, despite repeated urging from myself and other family members, she outright refuses to consider any treatment options. When she was in her mid-twenties she developed two tumors in her throat; both removed by resection after they failed to respond to chemotherapy. Evidently, she was so traumatized by this experience that she vowed to never undergo chemotherapy again. This, combined with her liver problems and generally poor prognosis in people with pancreatic cancer, is fueling her choice to forgo treatment.

    Honestly, she seems resigned to death. My wife is all I have after our only daughter committed suicide early last year. I love her more than anything in the world and couldn't bear the thought of watching her die unnecessarily. How can I force her to undergo treatment? Can I legally have her declared mentally unfit to make her own decisions, or something?

    Thanks and God bless.

    • ANSWER:

  22. QUESTION:
    My wife is refusing cancer treatment?
    My wife was diagnosed with end-stage liver disease two months ago. She was a practicing alcoholic for over twenty years and was recently released from rehab for prescription medication abuse.

    While doing routine imaging of her liver, the doctor noticed a mass in the tail of the pancreas. He referred us to specialist who diagnosed my wife with advanced pancreatic cancer.

    Unfortunately, despite repeated urging from myself and other family members, she outright refuses to consider any treatment options. When she was in her mid-twenties she developed two malignant tumors in her throat. Both were removed by resection after they failed to respond to chemotherapy.

    Evidently, she was so traumatized by this experience that she vowed to never undergo chemotherapy again. Her negative experience, combined with her liver problems and the generally poor prognosis in people with pancreatic cancer, is fueling her choice to forgo treatment.

    Honestly, she seems resigned to death. My wife is all I have after our only daughter committed suicide early last year. I love her more than anything in the world and couldn't bear the thought of watching her die unnecessarily. I lost both my parents to cancer recently and I don't think I have in in me to witness the death of another loved one.

    How can I force her to undergo treatment? Can I legally have her declared mentally unfit to make her own decisions, or something?

    Thanks and God bless.

    • ANSWER:
      No, and if you respect her, you won't try. Also, pancreatic cancer does not respond well to chemotherapy. In fact, it is basically a death sentence no mater what. Survival rate for pancreatic cancer is less than 5%. That includes the best case scenarios, and she is not a best case scenario. Chemotherapy will just make her last few months miserable and she will still most likely die. So let her enjoy her last days of life with her family and appreciate the time you have left with her.

      I am very sorry for your loss. Sadly I understand it too well. My dad just died from pancreatic cancer.