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Suggest Treatment For Diarrhea And Nausea While Treating Liver Cirrhosis
Question: i look after my nan whos under doc and hospital as needed she has cirosis of the liver and congenital heart disease shes 92 she now has fluid building up in her abdomen although she takes fruismire and seratona ( sorry spelling of these ) fluid tablets the fluid build up is causing diaria and nausea can you tell me is this both diseases worsening or one of them and what should i look out for shes stubbon about hospital stays so tries to hide things her weight is going down dispite eating well and fluid build up her abdomen is quite hard i just need to know what symptoms to watch out for. as she dont let on much ... also her feet and ankles are swollen continuously ..thanks for any advice in advance ..reguards . XXXXXXX
Brief Answer:
She needs hospital care and fluid removal by therapeutic ascitic tap
Detailed Answer:
Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, it is sad to know what you she had to go through.
Based on the history you have shared, it seems she has developed sequalae and complications of cirrhosis of liver like fluid in abdomen since it has build up so much that it is making abdomen tense and medicines to decrease fluid seem not to be working, she may need to remove the fluid temporarily for symptomatic relief and for that she needs a gastroentrologist review. Feet swelling is also part of the complications.
Diarrhea and lose stools are good in a way as she need to have stool frequency of atleast 3 per day. So that toxic chemicals may not build up in her gut to accumulate in blood as it can make her drowsy. Such patients even receive lactulose to induce diarrhea.
For vomitings or nausea, motiliy agents like domperidone can be used. The only thing to be concerned about more with such symptoms is her electrolytes levels and renal functions which need to be reviewed regularly.
She may also need to have injectable infusions of albumin from time to time. You should also monitor her for any signs of black colored stool or bruising or signs of active bleeding as in those circumstances she may need to be immediately taken to hospital.
Wishing her a static and comfortable health. Hope this has answered your query, if you have any more questions, feel free to ask. Regards.
She needs hospital care and fluid removal by therapeutic ascitic tap
Detailed Answer:
Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, it is sad to know what you she had to go through.
Based on the history you have shared, it seems she has developed sequalae and complications of cirrhosis of liver like fluid in abdomen since it has build up so much that it is making abdomen tense and medicines to decrease fluid seem not to be working, she may need to remove the fluid temporarily for symptomatic relief and for that she needs a gastroentrologist review. Feet swelling is also part of the complications.
Diarrhea and lose stools are good in a way as she need to have stool frequency of atleast 3 per day. So that toxic chemicals may not build up in her gut to accumulate in blood as it can make her drowsy. Such patients even receive lactulose to induce diarrhea.
For vomitings or nausea, motiliy agents like domperidone can be used. The only thing to be concerned about more with such symptoms is her electrolytes levels and renal functions which need to be reviewed regularly.
She may also need to have injectable infusions of albumin from time to time. You should also monitor her for any signs of black colored stool or bruising or signs of active bleeding as in those circumstances she may need to be immediately taken to hospital.
Wishing her a static and comfortable health. Hope this has answered your query, if you have any more questions, feel free to ask. Regards.
Above answer was peer-reviewed by :
Dr. Raju A.T
thank you for your help im guessing as long as shes eating properly passing urine snd dtools that arnt dark nans in a steady position at present will lactolose increase her diarea ? should it be with held while experiencing diarea? i cant see blood in stools but she goes 4 ir 5 times daily is this of concern ?
Brief Answer:
Lactulose can be decreased or increased according to stool frequency
Detailed Answer:
Hi! Thanks for sharing the details. I must say that you her managing and nursing her very well. As long as she is passing three or more stools you can skip or decrease the lactulose. Yes lactulose does induce diarrhea so in more stools frequency it should be skipped. If stool frequency decreases lactulose can then be increased accordingly. Regards.
Lactulose can be decreased or increased according to stool frequency
Detailed Answer:
Hi! Thanks for sharing the details. I must say that you her managing and nursing her very well. As long as she is passing three or more stools you can skip or decrease the lactulose. Yes lactulose does induce diarrhea so in more stools frequency it should be skipped. If stool frequency decreases lactulose can then be increased accordingly. Regards.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
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