Suffering from chronic liver disease, on Heptral, Udiiliv, Evion, Zevit. Decreased appetite. Solution ?
Patient: my father is suffering from chronic liver disease .He is taking heptral,udiiliv, evion ,zevit. serum bil is2.5 Allother tests also deranged No symptoms of portal hypertension He is having very decreased appetite He is nonalcohalic No viral infection in liver and no autoimmune disease How can his appetite be increased He is 78 years and a known case of diabetes although controlled Doctor: Hi, Thanks for posting your query. With the available described symptoms, there appears to be high possibility of Non alcoholic steatohepatitis (NASH) induced chronic liver disease. Presence of diabetes and deranged liver function with already diagnosed history of CLD suggests the diagnosis. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. He must have some degree of portal hypertension as he has CLD with deranged liver function test. He can take Liquid Aptivate for increasing appetite. Other appetizer available in markets contains cyproheptadine which has some sort of sedative effects; avoidable in liver disease. He should take normal diet. Aptivate and normal diet will help your father. Take care, Dr. Mayank Bhargava