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Liver Problem
My father is currently admitted in SGPGI,Lucknow.
Summarised report is in the attached image.
Please advice,
Answers (1)
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Dr. Laxmikant Desai
Gastroenterologist
10 yrs exp
Hubli
Hello
As per your details and investigations, your father is suffering from
1. HBV related DCLD(MELD - 25), 2. Portal HTN, 3. Refractory Ascites, 4. Hepatic Hydrothorax, 5. Non bleeder/No HE
My suggestions would be -
To consider evaluation for liver transplant as MELD >14
TIPSS is not a good options in view of AF, but can be considered
Optimise diretic therapy
Low salt, high protein diet
To consider Entecavir in place of Tenofovir as there were two episodes of AKI
Antibiotic prophylaxis to prevent SBP/SBE if total protein in ascitic fluid is less than 1 g/dl
Therapeutic ascitic tap under albumin cover as and when required
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.