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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Hepatitis B. Having Gall Stones. Should I Go For Liver Transplant?

Hi Sir,
I am a patient of Hepatitis B, Chronic Liver Disease. My CTP scrore is 8/15 currently. my treatment was started from August 2012, Due to Sabio, total viral load reduced to 47 IU/ml. I felt good improvement from October to december 2012. But after from January 2013 this went stable. currently Bilirubin is varying between 5-7 mg/dl, current alubimin count is : 3.1 mg/dl & INR is 1.9. Cretinine is : 1
There is no Acitis.
Having gall stones.
physically feeling well.
Doctors are talking about liver transplant, but I dont want to go for it.
Please suggest what should I do. Is liver transplant the only option???
Mon, 20 May 2013
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Gastroenterologist,  's  Response
Since you are having cirrhosis due to Hepatitis B with poor liver functions as bilirubin and INR are increased and albumin is low.It is not like that Liver transplant is the only option left, however it is the most suitable time to get it.Liver transplant is an expensive treatment and moreover one of your first degree relative has to give half of his liver.. However if it is not an option then
Start tab Entecavir 0.5mg od
Tab Ursocol 300mg bd
Take high protein diet, dont take any hepatotoxic grugs or drink alcohol. Also check antiHCV antibody for HCV infection.Get in regular touch of a Gastroenterologist and check your LFT regularly
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Have Hepatitis B. Having Gall Stones. Should I Go For Liver Transplant?

Since you are having cirrhosis due to Hepatitis B with poor liver functions as bilirubin and INR are increased and albumin is low.It is not like that Liver transplant is the only option left, however it is the most suitable time to get it.Liver transplant is an expensive treatment and moreover one of your first degree relative has to give half of his liver.. However if it is not an option then Start tab Entecavir 0.5mg od Tab Ursocol 300mg bd Take high protein diet, dont take any hepatotoxic grugs or drink alcohol. Also check antiHCV antibody for HCV infection.Get in regular touch of a Gastroenterologist and check your LFT regularly