HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Causes Vomiting And Acid Reflux Post Hepatitis C Treatment?

Posted on Thu, 7 Jul 2016

Question: I recently almost died twice. I was diagnosed with hepatitis c and drank wine and threw up a lot of blood my bp was 48/24. they gave me four blood transfusions and retested me for hep c. it was sent to mayo and came back undetectable. I was unable to walk and had to use a walker at first I wrote like a child and lost some of my memory. I slowly got better but still have loss of feeling in my legs. I have been receiving periosentheses treatments every two weeks and this last time I was able to go a whole month. I went from 162lbs and now am 123lbs. but constantly feel cold and tired and recently have been feeling sick. I hardly sleep because of the tremendous amount of gas in my system. and vomited profusely yesterday. I have little energy even though I am only consuming 1500 mg of sodium a day and 2 liters of fluid. I watch every thing I consume and currently am on 20mg of Lasix twice a day,60mg of gabapentin twice a day,20 mg of omeprazole once a day,20 mg of propranolol twice per day(bid) I was a med sales rep and surgical tech,100 mg spironolactone bid. Zofran for nausea, vit e, vit c, multi vit, liver regenerator. i feel like i have too much toxins in my body. will a phlebotomy help with the healing process? i cannot access my email please respond another way. phone is 0000-000-0000.

Answered by Dr. Shafi Ullah Khan (1 hour later)

Brief Answer:
Supportive care,

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. Drinking wine on a chronic liver disease secondary to hep c is like throwing gasoline on flames. All your symptoms are attributed to hepatic liver disease, probably child turcot score of C and a bad prognosis. All these measures are to alleviate the pain, diet lifestyle precautions will help the symptoms relief, you may request dose adjustment for the symptoms and consider for liver transplant if still a feasible option and discuss the odds and severity of fibrosis and cirrhosis of yoru liver with your doctor. From vomitng blood to passing gas, bloating, nausea, all GI symptoms , these are sequelae and there is no avoiding that, only managing that with good diet and lifestyle, avoiding triggers and compliant use of the medications. Use of laxatives and measures to prevent hepatic enkephalopathy.

Stay in touch with your hepatologist, do as directed and hope for the best. And no the phlebotomy wont help the liver disease, that helps when its due to hemochromatosis, not due to hepatitis c.

I hope it helps. Take good care of yourself and dont forget to close the discussion please.

Regards XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shafi Ullah Khan (31 minutes later)

thanks for the advice but I am doing everything required including not drinking alcohol and improving dramactically. I still believe that part of my liver is still functioning and not completely chirotic .I live in south XXXXXXX and the doctors are not very good here they still have not performed a liver biopsy to see what stage my liver is in. If there is some function why can't they cut the portion out that may have chirrosis and allow the portion that is still functioning to regenerate?

Answered by Dr. Shafi Ullah Khan (52 minutes later)

Brief Answer:
Needs clinical correlation

Detailed Answer:
Thank you for getting back to me
Until and unless we know the severity of cirrhosis and extent of involvement of fibrosis its really hard for me to comment on. Blood in vomit means varices in gut and that is ultimate cirrhosis. Fibrosure scans and liver biopsy will sort out. Talk to a hepatologist and let them sort it out. I wish i could do more.
Take care XXXXXXX

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar