Re: Article on Hepatorenal Syndrome

[Guest guest]

why don't you just answer the question with few words....we don't have much

time..!!!! from what I have read...he can be drained 2 times a week w/meds and

not do too bad....still live !!!

MaC wrote: This is pretty in depth.

http://www.emedicine.com/med/topic1001.htm

MaC

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

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[Guest guest]

Janet,

I think Mac tried to answer you question in his first post. Quoting

from his first post :

" Dialysis is an option but this won't keep the liver

from failing or effecting other organs like the heart. "

We are both patients and caregivers on this list. What we are not is

Doctors. Each persons combination of health problems differs and

must be treated by a doctor and that should be the best place to have

your current questions answered as well. Someone that knows your

friends complete medical profile.

If the problem is ultimately a failing liver dialysis won't help the

failing liver. Many times the liver problems ultimately cause the

kidney problems. The failing liver must be addressed to solve the

kidney problems, if they can. Discuss it here after you get your

friend to a good doctor - that is the most imperative thing right

now. I am sorry for your pain and frustration but please don't look

to us to offer all the solutions.

This is pretty in depth.

>

> http://www.emedicine.com/med/topic1001.htm

>

> MaC

>

>

>

>

>

>

> ---------------------------------

> Be a better friend, newshound, and know-it-all with Yahoo! Mobile.

Try it now.

>

>

[Guest guest]

I was posting the article for everyone to read not just to answer your question

which I gave my opinion in a previous post. But I will try to provide more

specific but please understand cirrhosis is very complicated and involved. Also

keep in mind I'm none of us are doctors here. The best advice should come from

your friends doctors.

Can you explain all the symptoms your friend is having? Ascites (Swelling of the

abdomen), Does he have encephalopathy? (mental confusion) How long has he had

cirrhosis?

You mention " drained 2 times a week " . What is being drained? Fluid?

Kidney failure in cirrhosis patients with liver failure has a very, very poor

prognosis and a liver transplant is the only chance at survival.

My wife passed away only three days after her kidneys started failing. Dialysis

would have only prolonged the inevitable. Once her body could no longer get rid

of toxins especially ammonia she went into an hepatic coma and died 24 hours

later.

With a liver transplant the hepatorenal syndrome is completely reversible.

Just keep in mind that the kidney failure is secondary to the liver failure.

http://en.wikipedia.org/wiki/Acute_liver_failure

I wish you and your friend the best and hope the doctors can manage the symptoms

long enough for him to have some type of recovery.

MaC

Janet wrote: why

don't you just answer the question with few words....we don't have much

time..!!!! from what I have read...he can be drained 2 times a week w/meds and

not do too bad....still live !!!

MaC wrote: This is pretty in depth.

http://www.emedicine.com/med/topic1001.htm

MaC

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

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

[Guest guest]

MaC,

When your wife went into kidney failure was she taking diuretics as well?

I'm noticing mom's urine getting darker later into the day. She takes 100

Spironolactone and 80 of Lasix. But her body seems dehydrated, I understand

that the Spironolactone is working on the Ascites which is pretty uncomfortable

but not ready to be tapped (no breathing issues). The legs/feet do not have

edema, so we are lowing the Lasix from 80 to 40 now...but increasing the Spiro

from 100 to 125 to help with the ascites.

I'm just wondering if this darker urine is a sign of what is next.

Thankyou for your willingness to share!

God Bless you!

Pamela

Re: Article on Hepatorenal Syndrome

I was posting the article for everyone to read not just to answer your

question which I gave my opinion in a previous post. But I will try to provide

more specific but please understand cirrhosis is very complicated and involved.

Also keep in mind I'm none of us are doctors here. The best advice should come

from your friends doctors.

Can you explain all the symptoms your friend is having? Ascites (Swelling of

the abdomen), Does he have encephalopathy? (mental confusion) How long has he

had cirrhosis?

You mention " drained 2 times a week " . What is being drained? Fluid?

Kidney failure in cirrhosis patients with liver failure has a very, very poor

prognosis and a liver transplant is the only chance at survival.

My wife passed away only three days after her kidneys started failing.

Dialysis would have only prolonged the inevitable. Once her body could no longer

get rid of toxins especially ammonia she went into an hepatic coma and died 24

hours later.

With a liver transplant the hepatorenal syndrome is completely reversible.

Just keep in mind that the kidney failure is secondary to the liver failure.

http://en.wikipedia.org/wiki/Acute_liver_failure

I wish you and your friend the best and hope the doctors can manage the

symptoms long enough for him to have some type of recovery.

MaC

Janet wrote: why don't you just answer the

question with few words....we don't have much time..!!!! from what I have

read...he can be drained 2 times a week w/meds and not do too bad....still live

!!!

MaC wrote: This is pretty in depth.

http://www.emedicine.com/med/topic1001.htm

MaC

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

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

[Guest guest]

My wife had already been admitted to the hospital before her kidneys started

failing. She was admitted because she almost fell into a hepatic coma from

encephalopathy. After she was admitted she rebounded after treatment but her

kidneys started shutting down four days after she was admitted. She had been

taking diuretics for almost a year for her ascites. She never developed edema

and her ascites never caused her any breathing problems. It just made her

uncomfortable.

When her kidneys started to shut down her urine output decreased significantly.

(she had a catheter by the way)

When she did urinate it was brownish yellow and progressed to a reddish brown.

The doctors were in a difficult position. Because some of the meds they needed

to give her to help her liver did harm to the kidneys. Medicine needed to help

the kidneys did harm to the liver. It's a catch 22. They did the best they could

to manage both. If I remember right, they stopped the diuretics and watched the

ascites closely.

They offered dialysis but told me that it probably wouldn't make much of a

difference. So I asked that they treat her the best they could with less evasive

procedures. At this point, there really wasn't any hope of recovery. She was

asleep most of the time and I decided that she be as comfortable as possible.

The only other meds she was given was Albumin, and medicines to help maintain

her blood pressure. Which would go up and down. After she went into a coma they

gave her morphine to help her breathing.

My wife went from very talkative on Wednesday (start of kidney failure) to

lethargy on Friday with unintelligible speaking then fell into a coma on

Saturday. She passed away the following evening.

For me there came a point that no matter what kind of treatment she had it

wasn't going to save her life. That's when I decided that she just be made

comfortable which the nursed and doctors did. I just sat by her side and held

her hand the whole time.

MaC

Ohana5 wrote: MaC,

When your wife went into kidney failure was she taking diuretics as well?

I'm noticing mom's urine getting darker later into the day. She takes 100

Spironolactone and 80 of Lasix. But her body seems dehydrated, I understand

that the Spironolactone is working on the Ascites which is pretty uncomfortable

but not ready to be tapped (no breathing issues). The legs/feet do not have

edema, so we are lowing the Lasix from 80 to 40 now...but increasing the Spiro

from 100 to 125 to help with the ascites.

I'm just wondering if this darker urine is a sign of what is next.

Thankyou for your willingness to share!

God Bless you!

Pamela

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

Looking for last minute shopping deals? Find them fast with Yahoo! Search.

[Guest guest]

What a wonderful Husband you are MaC, I'm sure your wife was blessed!

Was your wife taking lactulose for the encephalopathy prior to the coma?

Pamela

Re: Article on Hepatorenal Syndrome

My wife had already been admitted to the hospital before her kidneys started

failing. She was admitted because she almost fell into a hepatic coma from

encephalopathy. After she was admitted she rebounded after treatment but her

kidneys started shutting down four days after she was admitted. She had been

taking diuretics for almost a year for her ascites. She never developed edema

and her ascites never caused her any breathing problems. It just made her

uncomfortable.

When her kidneys started to shut down her urine output decreased

significantly. (she had a catheter by the way)

When she did urinate it was brownish yellow and progressed to a reddish brown.

The doctors were in a difficult position. Because some of the meds they needed

to give her to help her liver did harm to the kidneys. Medicine needed to help

the kidneys did harm to the liver. It's a catch 22. They did the best they could

to manage both. If I remember right, they stopped the diuretics and watched the

ascites closely.

They offered dialysis but told me that it probably wouldn't make much of a

difference. So I asked that they treat her the best they could with less evasive

procedures. At this point, there really wasn't any hope of recovery. She was

asleep most of the time and I decided that she be as comfortable as possible.

The only other meds she was given was Albumin, and medicines to help maintain

her blood pressure. Which would go up and down. After she went into a coma they

gave her morphine to help her breathing.

My wife went from very talkative on Wednesday (start of kidney failure) to

lethargy on Friday with unintelligible speaking then fell into a coma on

Saturday. She passed away the following evening.

For me there came a point that no matter what kind of treatment she had it

wasn't going to save her life. That's when I decided that she just be made

comfortable which the nursed and doctors did. I just sat by her side and held

her hand the whole time.

MaC

Ohana5 wrote: MaC,

When your wife went into kidney failure was she taking diuretics as well?

I'm noticing mom's urine getting darker later into the day. She takes 100

Spironolactone and 80 of Lasix. But her body seems dehydrated, I understand that

the Spironolactone is working on the Ascites which is pretty uncomfortable but

not ready to be tapped (no breathing issues). The legs/feet do not have edema,

so we are lowing the Lasix from 80 to 40 now...but increasing the Spiro from 100

to 125 to help with the ascites.

I'm just wondering if this darker urine is a sign of what is next.

Thankyou for your willingness to share!

God Bless you!

Pamela

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

Looking for last minute shopping deals? Find them fast with Yahoo! Search.

[Guest guest]

She was on lactulose. Her hepatologist actually put her on this early on. About

a year prior to her death. She didn't like it very much and I had to stay on her

to take it regularly. I can only assume that before she was admitted to the

hospital, she skipped taking it because after she was admitted she responded

very well to it.

MaC

Ohana5 wrote: What a

wonderful Husband you are MaC, I'm sure your wife was blessed!

Was your wife taking lactulose for the encephalopathy prior to the coma?

Pamela

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

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