Suggest treatment for liver cirrhosis
Patient: My mother in law was told she had 30 days to live with cirrhosis. Two months later her amonia levels are normal and she has not had a paracentisis since then. Mentally she has declined- not wanting to take medication and thinks she has to pee all the time. Her communication has declined, she cries all the time and hits her nurses. Doctor: hi,Whatever symptoms you have described ,it looks like she is in encephalopathy ,for which she might be hospitalized for further management and check her blood parameters like renal function and electrolytes which are usually deranged and there are chances of getting infection too.If there is any abnormality better to correct to regain her conscious levels.And about pee ,that will be because of diuretics which your doctor might have prescribed.So starting with encephalopathy measures like adding duphalac syp 30 ml twice or thrice a day so that she should pass stools atleast 2 to 3 times per day if not consider to give her duphalac enema .Tab RIFAGUT 550 MG twice a day for atleast 15 days should be given as this is a intestinal antibiotic with no side effects.Avoid NSAIDS.Proper nutrition specially protein content is necessary as in cirrhosis there will be low protein.AVoid pantop injection as its not recommended in cirrhotics.Avoid oily band spicy foodHope this information helps youThank you