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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Symptoms Of Cirrhosis, Ascites, Ammonia In Blood. History Of Diabetes And Regular Intake Of Alcohol. Detected Advanced Stage. Chances Of Survival?

My brother is showing severe symptoms of cirrhosis after 50 years of drinking from12 to 24 beers a day, he now has ascetes, was drained for 10liters of fluid, confused for the last 3 weeks, falling, now hospitalized and blood is showing amonia, is being treated with laxatives, lactulose, is quite jaundiced, he is diabetic, 65 years of age, according to the Dr. he is quite advanced, what are his chances of survival and about how long, the Dr. is refusing treatment if he doesn't stop drinking, also his INR is out of whack andhe is very weak and larthargic?
Wed, 22 May 2013
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General & Family Physician 's  Response
Hello,
Things look pretty bleak at thee moment.
Doctors are right,your brother has to quit alcohol,before any thing can be thought of doing.
Only 50% of people with severe alcoholic cirrhosis survive 2 years, and only 35% survive 5 years. Recovery rate worsens after the onset of complications (such as gastrointestinal bleeding, ascites, encephalopathy). Liver transplantation remains the best treatment, but livers are available for very few people. 
With the present condition,survival beyond few months looks unlikely.
I feel sorry for your brother's condition.
Thanks
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Symptoms Of Cirrhosis, Ascites, Ammonia In Blood. History Of Diabetes And Regular Intake Of Alcohol. Detected Advanced Stage. Chances Of Survival?

Hello, Things look pretty bleak at thee moment. Doctors are right,your brother has to quit alcohol,before any thing can be thought of doing. Only 50% of people with severe alcoholic cirrhosis survive 2 years, and only 35% survive 5 years. Recovery rate worsens after the onset of complications (such as gastrointestinal bleeding, ascites, encephalopathy). Liver transplantation remains the best treatment, but livers are available for very few people.  With the present condition,survival beyond few months looks unlikely. I feel sorry for your brother s condition. Thanks