Suggest treatment for stage 4 liver disease
Patient: My husband has been diagnosed with stage 4 liver desease. He has not touched alcohol ij over 20 yrs. He contracted hep c while in the army from a blood transfusion. He had a liver tumor removed 3 months ago it was small and localizd.since then he has been in the hospit for acites and gi bleed. No active bleeding in the throat stomach or colonhowever they did band off a grade 3 varices column. Where do we go from here Doctor: HiI understand your concern.When ascites develop, disease becomes decompensated. Treatment includes symptomatic treatment and some dietary management. Avoid constipation to reduce effects of liver disease in brain. For this syrup lactulose can be used. Avoid protein rich diet. Although albumin decreases with liver failure but high protein content can cause upper GI bleed. Avoid salt intake to avoid ascites. Certain drugs to reduce ascites are used too like tablet spironolactoneHope my answer helps.