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Hi All,

My ex became ill early this year. Although, he'd had abnormal liver

function results on a blood test about 4 years ago no physical signs

were apparrent until 6-7 Months ago.

When a problem did manifest it was as massive fluid retention that

made him look pregnant. He was admitted to Hospital and they drained

7 litres from him, he was also very undernourished but was stableised

and after being discharged he began to improve a lot. He started

eating well and also gave up drinking.

His consultant had diagnosed decompensated cirrohsis and he was

prescribed Spironolactone as a Diuretic. He sees the Consultant about

every 10-12 Weeks and any visits required in between are to his GP.

On one of these visits the GP took him off the Spironolactone, as a

result he got a build of of fluid but fortunately this coincided with

a visit to the Hospital Consultant who put him back on it.

The problem is, despite resuming the diuretic for a few Weeks now,

there is still a fluid build there, not as bad as before but

certainly noticeable and one that makes him feel uncomfortable and he

seems to get cramps a lot, (although that could also be a side affect

of the drug). Is this normal, i.e that the Diuretic may not get rid

of all the fluid once it's built up but just stops it getting worse

as rapidly or does the amount he is taking need to be increased?

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Sometimes a person will not realize that they are consuming too much sodium. My

hepatologist always tells me that one patient was retaining fluid very bad, and

further investigation found the person was eating pickles which contain a lot of

sodium.

Ascites

Hi All,

My ex became ill early this year. Although, he'd had abnormal liver

function results on a blood test about 4 years ago no physical signs

were apparrent until 6-7 Months ago.

When a problem did manifest it was as massive fluid retention that

made him look pregnant. He was admitted to Hospital and they drained

7 litres from him, he was also very undernourished but was stableised

and after being discharged he began to improve a lot. He started

eating well and also gave up drinking.

His consultant had diagnosed decompensated cirrohsis and he was

prescribed Spironolactone as a Diuretic. He sees the Consultant about

every 10-12 Weeks and any visits required in between are to his GP.

On one of these visits the GP took him off the Spironolactone, as a

result he got a build of of fluid but fortunately this coincided with

a visit to the Hospital Consultant who put him back on it.

The problem is, despite resuming the diuretic for a few Weeks now,

there is still a fluid build there, not as bad as before but

certainly noticeable and one that makes him feel uncomfortable and he

seems to get cramps a lot, (although that could also be a side affect

of the drug). Is this normal, i.e that the Diuretic may not get rid

of all the fluid once it's built up but just stops it getting worse

as rapidly or does the amount he is taking need to be increased?

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Taking the diuretic doesn't stop the recurrence of ascites. It only helps to

relieve it. The frequency of the ascites depends largely on how damaged the

liver is. Increasing the amount of the diuretic may not decrease the build up

of the ascites because as the cirrhosis progresses fluid will continue to seep

into the abdomen. This fluid may build up more slowly as the liver is trying to

compensate for the cirrhosis or build up faster as the liver can no longer

maintain it's functions.

Here is a medical article that fully explains ascites.

http://www.emedicine.com/med/topic173.htm

MaC

tracy975537 wrote:

Hi All,

My ex became ill early this year. Although, he'd had abnormal liver

function results on a blood test about 4 years ago no physical signs

were apparrent until 6-7 Months ago.

When a problem did manifest it was as massive fluid retention that

made him look pregnant. He was admitted to Hospital and they drained

7 litres from him, he was also very undernourished but was stableised

and after being discharged he began to improve a lot. He started

eating well and also gave up drinking.

His consultant had diagnosed decompensated cirrohsis and he was

prescribed Spironolactone as a Diuretic. He sees the Consultant about

every 10-12 Weeks and any visits required in between are to his GP.

On one of these visits the GP took him off the Spironolactone, as a

result he got a build of of fluid but fortunately this coincided with

a visit to the Hospital Consultant who put him back on it.

The problem is, despite resuming the diuretic for a few Weeks now,

there is still a fluid build there, not as bad as before but

certainly noticeable and one that makes him feel uncomfortable and he

seems to get cramps a lot, (although that could also be a side affect

of the drug). Is this normal, i.e that the Diuretic may not get rid

of all the fluid once it's built up but just stops it getting worse

as rapidly or does the amount he is taking need to be increased?

_

---------------------------------

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  • 5 months later...

I have Ascites from a failing transplant. It can be a very serious

situation. My bely is now ssore to the to touch. I am going i for a tap. My

insurance

co has rjected thesecond implant. I just got on medicare does anyone know

about certifaction for 2nd transplants by medicare. By the way I have hep c and

i have been on interferon for 12 months The liver became cherotic as the meds

did not kick in until recently everything looks

The second transplant would have me on interferon right away. Sorry for

rambeling the question is how flexible is medicare certifing a second implant if

private insurance wikk not certify

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