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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Liver Cirrhossis, Enlarged Stomach, Hardness, Back Pain, Shortness Of Breath. Serious?

I have been diagnosed with N.A.S.H. nearly 2 years ago. It had progressed to liver cirrhosis . Recently I have been experiencing an enlarged stomach (my neighbor says I look 15 mo pregnant and I m not pregnant) that is hard as a rock, back pain and shortness of breath. I saw my GP doctor and he says the enlarged stomach is not ascities. I have been seeing a gastrointerologist but the soonest I can get in is 3 wks. I m wandering if I need to go to the ER.
Fri, 10 Aug 2012
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Endocrinologist,  's  Response
Hi Grimmettnancy,
Welcome to healthcaremagic.com

You are diagnosed to have NASH progressing to cirrhosis and you are currently experiencing an enlarged stomach. Please let me know the following :

1. Are you having normal bowel movements - any constipation etc ?
2. Are you having normal urine output ?

Ascites (of fluid in abdominal cavity) is the most likely cause of abdominal distention in your case, but can can determine that only by clinical examination or investigations. what you can do is get an ultrasound of the abdomen done...if there is fluid in the abdomen then we need to drain the fluid with albumin cover and start off on diuretics to keep the fluid down. Just get done an ultrasound and let me know report and I can guide you whether you need an urgent referral or you can wait.
Thanks
Dr. Om Lakhani
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Had Liver Cirrhossis, Enlarged Stomach, Hardness, Back Pain, Shortness Of Breath. Serious?

Hi Grimmettnancy, Welcome to healthcaremagic.com You are diagnosed to have NASH progressing to cirrhosis and you are currently experiencing an enlarged stomach. Please let me know the following : 1. Are you having normal bowel movements - any constipation etc ? 2. Are you having normal urine output ? Ascites (of fluid in abdominal cavity) is the most likely cause of abdominal distention in your case, but can can determine that only by clinical examination or investigations. what you can do is get an ultrasound of the abdomen done...if there is fluid in the abdomen then we need to drain the fluid with albumin cover and start off on diuretics to keep the fluid down. Just get done an ultrasound and let me know report and I can guide you whether you need an urgent referral or you can wait. Thanks Dr. Om Lakhani