Liver psoriasis. Endoscopy done bands placed. Liver biopsy came back negative. BP dropped. What is the next step in treatment?
Patient: My husband has cirrohois of the liver which is severe. He had an upper GI bleed 10 days ago and an endoscopy was performed and two bands placed. A couple of days later his first parenthentisis was performed followed the next day by a liver biopsy (was negative). He was released from the hospital on Nov. 7 (was admitted Oct.30). On Nov. 11 and Nov. 14 we returned for more parenthentis treatments. When he had the procedure done on Nov. 11 they took 5 liters out and his blood pressure dropped so our PC doc ordered only 2 liters removed on the 14th. I have been measuring his abdomen twice a day and is increasing again. My question is how many times is it possible to repeat this procedure and what could be the next step. He is 60 years old. Thank you! Doctor: Welcome to Healthcare-MagicGreetings of the dayParacentesis can be done as much time as possible.It just provides symptomatic relief from distension off abdomen and respiratory distress. Next step would be doing other serology test to know the etiology/cause of cirrhosis.Take careRegardsDr T ShobhaMBBS MD