Welcome to our forum, grannylil. Worriedgirl gave you good advice. However, the Lactulose is only necessary if your brother's ammonia is high. If he starts acting odd, "out of it," or beligerent he likely has high ammonia.
He needs to see a local hepatologist (liver specialist) and might also need regular drains for the fluid, though if he is placed on the correct dosages of diuretics, those might work for him (they did for me.)
I am very glad he has stopped drinking. That would be the worst thing he could do is to continue drinking.
Has there been any discussion of transplant? The word you were searching for is varicose or esophageal varices (varicose veins of the esophagus.) I suggest you read some of our educationall topics. They should be on the first or second page and will say Education: Stages of Liver Disease, etc.
Welcome to the forum.
Esophageal Varices are an extremely dangerous complication of ESLD. Varices are like internal veracious veins that burst. These are caused by an increase in pressure within the vessels because the blood that is trying to filter through the liver (as it should) is blocked by the scarring of cirrhosis in the liver. These can also occur in the stomach. If the vein bursts, the patient will unknowingly bleed into the stomach. This is a life-threatening event and can cause a person to bleed to death.
Once Esophageal Varices are discovered, the patient should have an endoscopy performed each month to monitor them. One of the treatments is to band them or ‘clamp’ them. With this, they scar over and disappear. My husband had 4 varices banded in the initial emergency, 4 varices banded in follow-up one month later, 2 varices banded in the 3rd month, then he was clear upon the 4th month.
Don’t sell your Son short. At age 14, he is probably more knowledgeable than you think regarding drugs and alcohol. This may be a very good lesson for him. I don’t recommend that you shield him from these events. He will resent that fact that you don’t think he can handle it. Provide him with an honest explanation and he will appreciate your confidence in his ability to handle this ‘adult situation’. His Uncle’s position could really strike a cord and prevent him from following the same chorus.
Good luck to you.
My mom suffered from end stage liver diease and atlast she died in 2 years after detection of the diease. She used to be hospitalized regularly and was in heavy pain for the past 2 years.
Inspite of end stage liver diease she had lot of complications including diabetics,blood pressure,broncitis and asthma.
Post Edited (Venkata) : 5/14/2009 6:20:39 AM (GMT-6)
Welcome to the forum, Pnutt and Venkata. We ask that new members start a new topic to introduce themselves and their situations, rather than replying to someone else's post. This is to prevent you from "falling through the cracks" and not being noticed.
Venkata, I am so sorry about your mom's death from liver disease. It must have been very rough on everyone.
Pnutt, you do need some help or you are going to burn out fast. If your brother cannot be there, perhaps he could provide for someone to come in a couple of times a week to help out. Also, if your mom has less than 6 mos. to live, you should speak to her doctor about calling in Hospice. They will send nurses, even on a 24/7 basis near the end. Meanwhile, I suggest you read our educational threads, especially the one entitled Comments on Death and Dying.
You will get a lot of support here, so feel free to vent whenever you need to.
Hugs to you both,
Hi, Cat510, and welcome to the forum. It would be best for your to start a new topic so that you don't get "lost." Just hit New Topic instead of Reply and state your dad's problem. Are you sure it is hep A that he has? That's the type that is contracted through contaminated food and isn't a chronic condition. Perhaps you are thinking of hep B or hep C?
His diabetes probably affects the treatment they feel will help him. Since he's had some cancer treatment but the cancer comes back, the doctors probably feel that he is not a good candidate for further treatment. You should make sure that he is eating lots of fresh fruits and veggies and NO red meat. No alcohol, of course. That will help him feel a little better. A multivitamin and Vit. C daily is also good.
You will find a lot of information and support here, so please visit often.