Hi,
Thanks for posting your query.
I am Dr.Ratnakar Kini and I am pleased to assist you.
You are affected by a condition called decompensated
chronic liver disease due to
alcoholism. It is a condition in which the liver is damaged and the liver tissue is replaced by scar tissue. Though in your case it is due to alcoholism, tests for
Hepatitis B and C should be done as these are the other common causes.
This condition can lead to complications like blood
vomiting, black stools, fluid collection in the abdomen called
ascites ( which you already have developed), leg swelling, altered sleep pattern due to involvement of the brain,
kidney failure and infection of the fluid collected inside your abdomen. Hence you need to be under constant follow up with gastroenterologist/hepatologist.
Few tests need to done which include the following -
1. HBsAg
2. Anti HCV
3. Ascitic fluid analysis
4. PT/INR
5. Upper GI endoscopy
You need to quit drinking alcohol as quitting alcohol may sometimes reverse this condition to some extent as some studies say (though need not be always and most often remains irreversible), But quitting alcohol will help prevent further damage.
You need to take salt restricted diet.
You need to take medications that increases urination ( called diuretics).You are already taking it (
aldactone)
You may also need medications to reduce pressure in the blood vessel of liver.
Have a regular follow up with your doctor.
I hope that answers your question.
Regards,
Dr.Ratnakar Kini