Jaundice,CLD (alcoholic)

Question

Asked for Male, 45 Years

I have been talking diabetic and BP, medicine for past 15 years recently 1 year back admitted with jaundice and diagnosed as CLD, with moderate ascites and edema, later after again admitted for hepatic encelopathywhich is just 5months back, getting better now with less episodes of hepatic encelopathy but jaundice levels remain fluctuate from 5 to 8 and severe muscle cramps unbearable pain. Kindly suggest me medication, for jaundice control and muscle and nerve cramps please.

Answers (2)

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Dr. Krishnagopal Bhandari

Gastroenterologist 12 yrs exp Hyderabad

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You have decompensated CLD Generally after stopping alcohol chances of complete recovery is in first 2-3 months If u have decompensated and has been symptomatic U should consult Hepatologist or Liver transplant physician for consideration of Liver transplant

Next Steps

Consult Hepatologist or Liver transplant physician

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Low salt diet High protein diet

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Dr. Anubhav Laparoscopic Surgeon 11 yrs exp Gurgaon Consult Now · Accepted Answer

Dr. Anubhav

Laparoscopic Surgeon 11 yrs exp Gurgaon

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Firstly, the chronic liver disease is “decompensated” which means that the liver severely affected, which leads to 1. Shorter life Expectancy 2. Poor Quality of life. Medical management will only be aimed at controlling your symptoms, and provide temporary and partial relief at best. Loss of muscle mass, and sense of weakness shall persist and gradually worsen over the period of time. The presence of nerve and muscle cramps suggests that there might also be electrolyte imabalance. The only curative treatment option in this situation is a liver transplant. You should visit a hepatologist/liver transplant surgeon for further treatment. Chronic liver disease is an complex condition affecting every other organ system in the body. It is not recommended that you start medicine with an online consultation without thorough evaluation of your previous investigations.

Next Steps

Visit a hepatologist/transplant surgeon.