Cirrhosis and end stage liver disease questions

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hoping for some answers
New Member


Date Joined Jul 2009
Total Posts : 7
   Posted 7/9/2009 7:28 PM (GMT -7)   
Hi there.
 
My dad was diagnosed with end stage liver disease May 20th.  I think he may have been having symptoms for years, but he doesn't have insurance and is not big on doctors.  On Dec. 22nd I got a call from him telling me he'd been in the hospital the night before because he thought he was having a heart attack.  It turned out to be a gall bladder attack and they told him he needed his gall bladder removed.  He was jaundiced after that and was throwing up a lot.  We had believed this to be acid reflux.  In april, he had another gall bladder attack but waited it out, because he says he knew it would pass because he had been through it before.  His jaundice worsened.  I saw him Easter weekend and he looked terrible.  I had just seen him the week before his gall bladder attack in December when he came to visit and the difference was crazy.  His muscles were deteriorating and his belly was bigger and with his jaundice he almost looked like he was glowing.  At this point he would still not go to the doctor.  When he went to his hometown hospital with the first gall  bladder attack, the doctor he saw told him that any surgery would ruin him financially which is the worst thing you could ever say to my dad.  After a phone call from my aunt in May, I decided I was driving down to see him and staying until I could get him to go to the hospital.  It took him a week to cave and I think he knew that we would find out that what he was going through was much more than gall bladder issues.  May 20th we went in and they kept him 3 weeks.  In the hospital, he almost had to go on dialysis for his kidneys, but they turned around.  He's back at home now and I'm here taking care of him.  My aunt and brother come when they can to relieve me and spend time with him.  It's very hard for him since he has lived alone for 29 years, but I feel that it's crucial that he has some support at home and he doesn't have anyone that can check in on him that lives anywhere close to him.  He had had Paracentesis (belly tap) twice in the last week and a half and they have retrieved 5 1/2 liters (10 pounds) each time.  He is extremely fatigued, has absolutely no muscle and is continuing to lose weight, moody, not eating much and getting sick when he does eat.  His MELD score is 37.  When we saw the liver team last week, they said they would refer him to be evaluated by the liver transplant team.   He's only been attending AA since he got out of the hospital in June, and from what I understand, you generally have to be in some sort of program for at least 6 months.  He still gets up daily and walks to his chair in the living room.  He did fall the other day when he lost his balance.   I am wondering what his chances are to even get on the transplant list?  And also, I'd like to know what to look for when he is getting close to the end. No one has given us any kind of time frame regarding how much longer he has. When do I call hospice?  When do I know it's time to take him to the hospital? This is all very scary and a bit surreal.  I just have no idea what to expect and would love to hear any information anyone has.  Thank you for any advice you can give.
 
 

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 7/9/2009 8:18 PM (GMT -7)   

Hello, Hoping, and welcome to the forum!  I'm so sorry that your dad is in such bad shape.  A MELD score of 37 is quite high and should put him at the top of the list.  However, since he's only been going to AA since June, I don't know if they will list him...or even put him through the battery of evaluation tests.  What transplant center is he being referred to?  Also, is he getting documentation of the meetings he attends; i.e., is someone signing a form or note after each meeting stating that he was there?  I know they want documentation.

How old is your dad?  Is he eligible for Medicare?  If he's not working and has little income, he could possibly qualify for Medicaid.  Someone should really apply for SS Disability for him right away.  He most likely would be approved.

I applaud you for being there for him.  I know it's a lot to take on and so much to learn.  If you will go to the Hepatitis Resources folder at the top of the forum, there is a lot of educational information in there, such as the stages of liver disease, etc.  Also read the Death and Dying info.  Also read some of the older posts here.  They are full of information.

Hugs,

Connie


hep93
Forum moderator - Hepatitis
 
"But that was yesterday, and I was a different person then."
Lewis Carroll, Alice in Wonderland


hoping for some answers
New Member


Date Joined Jul 2009
Total Posts : 7
   Posted 7/10/2009 6:22 AM (GMT -7)   
Hi Rick and Connie.

Thanks for your replies.

He has been approved for disability and we've got him applied for medically needed medicaid. We are awaiting to hear back about their decision.

He is getting signatures and stamps at meetings and has a sponsor he talks to daily.

Rick, the liver doctor and social worker at the hospital told us he had a choice of going to a counselor or AA, as long as there is some sort of effort.

And Connie, he will be at Shands in Gainesville.

He seems to be having a good day so far today, but that can turn around quickly.

Thanks again for your responses,
Hoping...

Pink Grandma
Veteran Member


Date Joined Nov 2006
Total Posts : 2445
   Posted 7/10/2009 6:59 AM (GMT -7)   
Hello Hope and welcome to HealingWell. I am so sorry about your father. You are right on with thinking that he needs support at home. Once the encephalopathy starts to be one of the symptoms you never know when it's going to rear it's ugly head.

As far as Hospice is concerned the doctors should tell you when it's time to call them. Ask the doctors what his prognosis is......they may try to skirt around the answer and if they do ask them about hospice. I believe that it's once the prognosis is 1 year or less of life expectancy that they will be able to help out .

Take care...........thoughts and prayers...........
Pink Grandma
Forum moderator-Hepatitis

When the going gets tough....the tough get going! Don't always know where I going but I get there anyways.


hoping for some answers
New Member


Date Joined Jul 2009
Total Posts : 7
   Posted 7/10/2009 11:00 AM (GMT -7)   
Also, given that he makes it there, does anyone know what to expect during the transplant evalutaion? I know testing to make sure he would be able to handle the surgery. I'm actually more concerned about the psychological evaluation and social worker stuff and wondering. I have a huge concern given his alcoholism. When a financial member of the transplant team commitee meets with him, will they want bank statements and such or are they just making sure that he has something set up to help pay for the surgery and pre and post op drugs?

Thanks!!

-Hoping...

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 7/10/2009 3:06 PM (GMT -7)   

Hunting, I'm not a fan of Shands, but I know the Gainesville one is probably better than Jacksonville and that unlike Jacksonville, they do transplants in Gainesville.  If your dad doesn't have insurance in place when he goes to Shands, then he will likely have to get a financial evaluation which does include 6 months of bank statements and proof of income.  When did he apply for SSD?  He will get Medicare 2 yrs. from the time he applied.  Medically Needy Medicaid requires a share of cost.  Mine is over $600 a month, which is ridiculous.  It does me no good at all.  Or maybe that's just the amount that I need in unpaid medical bills after Medicare pays their part.  I was never really clear on that.  However, Medicaid does pay for my Part B Medicare premiums and my Part D Prescription Drug Plan premiums.  I go to Mayo and their charity program picks up the balance left after whatever Medicare pays them, so I never get any bills.  When I had no insurance, I went to Shands Jacksonville and went through financial evaluation every 6 mos. to get a clinic card and "city contract" care.  In other words, I paid nothing for hospitalization, medications, testing, etc.  However, when I developed liver cancer as a result of my hep C and cirrhosis, they treated it like a death sentence.  I had just gotten approved for disability and Medicare (it took two years for approval), so I contacted Mayo Jacksonville and they saved my life.  I go to them for most everything now.

Your dad's alcoholism history should make no difference as long as he's getting treatment now.  AA has kept me sober for 23 yrs. next month, so I highly recommend it.  However, they could want him to get that 6 mos. in before they evaluate him for transplant.  That is something to ask about at the first appt. at Shands.

I can tell you that not drinking is the single best thing that your dad can be doing for his liver.  So give him a lot of praise and encouragement for that.

Hugs,

Connie


hep93
Forum moderator - Hepatitis
 
"But that was yesterday, and I was a different person then."
Lewis Carroll, Alice in Wonderland


hoping for some answers
New Member


Date Joined Jul 2009
Total Posts : 7
   Posted 7/10/2009 4:06 PM (GMT -7)   
Hi Connie.

Thanks for the detailed reply.

Shands at Gainesville has been great so far. They do perform transplants there and his liver doctor seems to be pretty good and seems very caring.

Dad only has disability at the moment. He applied while he was in the hospital. So, I guess that was late may or early june and was approved quicker than anyone has ever heard of. He's only 60, so he doesn't qualify for medicare quite yet (and honestly, I can't see him making it two more years like this). He has been unemployed for a year and has been recieving unempolyment which has ended. But, he does have a little money in the bank which he has been working on spending down to help him get qualified for more financial programs and hopefully medically needed medicaid. And my understanding of that is that he has to spend almost all of his disability on medical bills except $200/month for the medically needed medicaed to work. I am confused on that issue as well. They don't make it very simple, do they?!

Congratualtions on your sobriety. As an adult child of two alcoholic parents, I respect that very much. Dad has supposedly been alcohol free since his first gall bladder attack on December 21st, but I can only go by what he says and I do know he hasn't a drink since I drove down here the 2nd week in May since someone has been with him the entire time.

No one knew he was drinking as much as he was. We had suspicions that he drank, but had no idea to what degree. We are having some guilt issues about not knowing, but he hid it very well. He doesn't talk about it, so it's hard to praise him. My aunt, brother, and I have all sat in at AA meetings with him but that is the extent of his acknowlegement. He doesn't believe in any kind of therapy, so I can't get him to talk to anyone about it. It's been challenging all around. He is and has been a very private person.

Can I ask you about the irratibility? He can be in a decent mood which goes sour quickly if someone says something he doesn't like. And then he just becomes mean and he can't seem to stop. Is this normal and if so, will it get worse as time goes on? I've been reading old posts and will continue to do so as some of the info has been helpful and it does make you feel not so alone in it all.

I am sorry you had such a time with Shands/Jacksonville, but am so glad that you found help at Mayo Jax. :)

Have you had a transplant yet?

Thank you so much,
Hoping...

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 7/10/2009 6:50 PM (GMT -7)   

Hoping, I haven't needed a transplant yet, thank goodness.  My liver (or what's left of it) is functioning pretty well, although my enzymes are a little elevated due to the hep C.  The cancer had metastasized to the inferior vena cava (large vessel), so I wasn't a transplant candidate at the time I had cancer.  The treatment I received shrunk the tumor and the part that had metastasized, so they then removed the entire rt. lobe and gall bladder.

The irritability you mention is likely due to your dad not drinking.  You have to remember that he was drowning his emotions and now they are surfacing.  I remember that first year being difficult because little things would irritate me.  I also had trouble sleeping the first 6 mos. or so.  I had always had booze to turn to when I was anxious, when I was hurt, to lift my mood, etc.  When it was no longer there, I didn't have the skills to deal with "life on life's terms."  That is what AA teaches, through their steps.  Your dad is getting something out of it, even if he's not talking.  But it's going to take him sharing in meetings and with his sponsor and actively working the steps for him to become the person he is meant to be.  If he is just "putting in time" because he has to, he will either return to drinking or just be a miserable sober person.

The other thing that can be causing mood swings is an elevated ammonia level, which causes hepatic encephalopathy.  You can read about this in the Hepatitis Resources folder.  However, if he doesn't seem "out of it" or forgetful, etc., then it is likely just his adjusting to life without alcohol.

Some alcoholics are very good at hiding the amount they drink.  My dad was a closet drinker.  He ended up committing suicide.  My mother was an alcoholic who never got sober until an advanced age when she went into a NH.  By then, her brain was gone.  Of course, with this genetic disposition to alcoholism, I should never have drunk alcohol at all.  But I thought I could handle it.  Ha!

Your dad will receive Medicare in about 2 yrs., if he lives that long.  Hopefully, he will get the transplant he needs.

Hugs,

Connie


hep93
Forum moderator - Hepatitis
 
"But that was yesterday, and I was a different person then."
Lewis Carroll, Alice in Wonderland


hoping for some answers
New Member


Date Joined Jul 2009
Total Posts : 7
   Posted 7/10/2009 7:17 PM (GMT -7)   
Thanks Connie.

He is on Lactulose already for ammonia levels. (and blood pressure meds, something to prevent gall stones, and phenegran for nausea) I guess I hadn't really considered that he was living sober now because it's hard to get my head around the amount he was drinking and for how long. But now that you say it, it's obvious. And of course, he is just going through with what he was told to do. There is no comittment on his part, which as you can imagine is frustrating to those of us who are trying to look after him. And makes us mad that he is not taking it seriously.

Sounds like you've had a rough time of it and I commend you for being a voice of support and caring to so many people on this forum. The world is a better place because of people like you.

-Hoping

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 7/10/2009 8:26 PM (GMT -7)   

Thank you, Hoping.  I have been given more than one chance to live when I shouldn't really be here, so this is my way of giving back.  I don't have the energy to go volunteer in person somewhere.

Perhaps by the end of 6 mos. in AA, your dad will start to actually enjoy it and want what the others with long-term sobriety have:  Comfortable in his own skin, a feeling of serenity, peace, and gratitude, and a sense of humor, among many gifts that the program gives us.  Otherwise, he is just "putting the plug in the jug" and will be miserable, angry, bitter, and not very much fun to be around.  He does have to get out all those emotions he is feeling right now, which are likely fear, anger, and resentment that he has lost his best friend (the bottle.) 

There's not a lot that you can do for him.  He is the one who has to do it.  Does he have a copy of "The Big Book" of Alcoholics Anonymous?  If not, make sure he gets one.  They sell them at AA clubs or you can even get one online (do a search for Alcoholics Anonymous or just get it at Amazon.com.)  He should also get a copy of 12 Steps and 12 Traditions, which goes into detail about the steps and traditions.  Just casually put one down somewhere that he will see it.  He might have a fit about it, but he may also be curious and start reading. 

Hugs,

Connie


hep93
Forum moderator - Hepatitis
 
"But that was yesterday, and I was a different person then."
Lewis Carroll, Alice in Wonderland


ring of fire42
New Member


Date Joined Jul 2009
Total Posts : 9
   Posted 8/2/2009 12:49 PM (GMT -7)   

Hello and Welcome,

I am new to the forum, so I have no advice on living with end stage alcoholic cirrhosis (I was diagnosed earlier this summer and have moved in with mother to give me assistance and support, thank God)...It took me a long time to admit it; I have been a heay drinker for 15 years and am only 35, but as you and my mother realize now is that alcoholics can become very crafy when concealing their drinking.  No more of that for me; I am trying to learn how to walk again and am not sure if or when I will need to require a transplant.  i start AA and Al-Anon next week and well see from there,

Best wishes for your family,

Ring of Fire 42

 


isergodur
Veteran Member


Date Joined Jan 2009
Total Posts : 831
   Posted 8/2/2009 5:42 PM (GMT -7)   
I sorry to hear about your dad but you are at the right place to ask for advice :)

I also have one question do all the liver patients have to go through AA or just the ones who drink ? Sorry it is a stupid question but would love to know the answer
24 year old female
Diagnosed with :
Endometriosis march 2007
Anxiety disorder august 2007
Crohn's disease in December 2008 Then they changed it to UC in June 2009.
and Autoimmune Hepeatitis in July 2009


Medication - Asacol, Remicade, Cipralex and Cerazette.
My wonderful dogs :) ~ www.poodle.is ~


MARRIED35
New Member


Date Joined Aug 2009
Total Posts : 2
   Posted 8/19/2009 12:16 PM (GMT -7)   
MY HUSBAND HAS CIRRHOSIS OF THE LIVER . HE WAS DIAGNOISED about 3 YEARS AGO. THEY SAY THE TYPE OF CIRRHOSIS HE HAS IS HERIDITERY. THE WAY WAY WE GOT CONFIRMATION HE HAD CIRRHOSIS HE ENDED UP IN THE EMERGENCY ROOM WITH A SEVERE STOMACH ACHE AND SWOLLEN IN THE BELLY,LOOKING LIKE HE WAS 8 MONTHS PREGNANT. HE WAS ADMITTED TO THE HOSPITAL WHERE THEY DRAINED 4 QUARTS OF FLUID FROM HIS STOMACH. HE HAS HAD TO HAVE THE FLUID DRAINED SEVERAL TIMES. WE ARE BEING ABLE TO CONTROL THE FLUIDS WITH DIRECTICS. THE PROBLEM WE ARE HAVING NOW IS HIS AMONIA LEVEL SKY ROCKETS AND THE LACTULOSE HE IS ON PLUS OTHER MEDICATIONS ARE WORKING PROPERLY. WE ARE UP 8 TABLESPOONS OF LACTULOSE PER DAY PLUS ALL OF THE OTHER MEDICATIONS. IN THE PAST THREE WEEKS HE HAS HAS 4 EPISODES OS ENCEPLOPHATHY. EACH TIME IT IS GETTING HARDER TO PULL HIM OUT OF THE STAGE. HE IS ON TRANSPLANT LIST. THEY SAY HE IS SLATED AT NUMBER 4 AT THIS TIME. OF COURSE AT TIMES HE KEEPS ME UP DAY AND NIGHT BECAUSE HE CAN SLEEP. I AM GETTING EXHAUSTED. I DO NOT WANT LOSE HIM WE HAVE BEEN MARRIED 35 YEARS,WE HAVE 4 GROWN CHILDREN, 8 GRANDCHILDREN WITH A NEW GRANDSON DUE IN JANUARY. I WAS HOPING THIS WOULD GIVE MORE INCENTIVED TO FIGHT BUT, AT THIS POINT I THINK THE FIGHT HAS JUST about GONE BECAUSE HE TELLS ME EVERYDAY NOW THAT HE IS TIRED OF THIS. IF ANYONE HAS ANY SUGGESTIONS PLEASE LET ME KNOW.THNAKS FOR LISTENING

Phranque
New Member


Date Joined Aug 2009
Total Posts : 1
   Posted 8/19/2009 2:22 PM (GMT -7)   
One way to combat the ammonia (encephalopathy) is to lower the amount of encelephatic protiens ingested. By those I mean just about most things eaten unfortuantely. I have found a good way to get non encephalatic protien is from soy products. (chocolate soy milk seems to be the least offensive to me and most others can be adjusted to rather quickly). This will also cut down on some of the irritability also. It did for me. Also alot of the irritablity in me comes from the frustrastion of the constant fatgue, nausea, fluctuating potassium levels, and generally just having most of what i knew life to be altered or just taken away. Im only 40 and have been having fun with cirrhosis for the last 5 years. I too at times feel extremely tired of fighting this obstacle but after some "mental adjustments" I have begun to deal with it much better. One thing that helped was realizing that my overlooking ALL the negatives and focusing on the newest improvement. ie getting to sleep an hour earlier than normal, nit being nauseated for most of the day sometimes, being able to walk to the end of the street without having to want to rest, the list goes on and on. But with the more i do, the more i find myself able to do overtime.

By all means please find a good hepatologist and do exactly as they say. The liver can heal itself somewhat. Im living proof. I lowered my MELD score from 20 down to 12. Lots of fruits and veggies, low low sodium, low protein intake (except for soy bean protein, Have as much of that u want) and try to get some excersize in the evening of somekind,. It helps you get to sleep alittle more easily and Ive found that it helps make my whole body feel just a little better, which is a huge difference somedays.


In addition--- Happy Bday Connie!!!!!! Gratz

MARRIED35
New Member


Date Joined Aug 2009
Total Posts : 2
   Posted 8/19/2009 3:31 PM (GMT -7)   
THANKS FOR THE ADVICE. DID NOT KNOW about THE SOY PRODUCTS. WE HAVE NOT USED SALT/SODIUM ANY MANY YEARS AS HE ALSO HAS HIGH BLOOD PRESSURE. RIGHT NOW HE DOES NOT HAVE THE STAMINA TO EVEN WALK TO THE DUMPSTER WHICH IS MAYBE A TOTAL OF 30 STEPS. HIS MELD SCORE RIGHT NOW IS AT 19. JEWISH HOSPITAL JUST CALLED THIS MORNING AND WANTS UPDATED BLOOD TEST AS YOU WELL KNOW TO CALCULATE HIS MELD SCORE. I THINK THE ONLY THING THAT DOES KEEP HIM GOING IS THAT WE DO HAVE 2 GRANDCHILDREN THAT ARE ESPECIALLY CLOSER TOUS THAN THE REST. WE HAVE 1 IN PATICULAR OUR YOUNGEST GRANDAUGHTER SAYS EVERYTIME WE TALK TO HER OR SEE HER THAT SHE IS MOVING IN. SHE WILL TURN 7 IN DECEMBER. WHEN MY HUSBAND WAS ON STERIODS TO BRING UP HIS BLOOD COUNT ,IT CAUSED HIM TO HIGH SUGAR. THIS GRANDAUGHTER WATCHED ME TEST HIS BLOOD AND LERNT HOW TO DO THIS AT AGE 5. SHE WOULD ALWAYS ASKED CAN I TEST YOUR BLOOD. NOW THIS IS ANOTHER PROBLEM WE HAVING IS KEEPING HIS SUGAR LEVEL UP. IT IS NOT HIGH ANY MORE,IT GO LOW ESPECIALLY AT NIGHT IT HAS BEEN AS LOW AS 40. WE WILL BE SEEING OUR LIVER SPECIALIST ON MONDAY OF NEXT WEEK AND I WILL ASK about THE SOY PRODUCTS. IF ANYONE CAN GIVE ME ANY HELP WITH KEEPING THE SUGAR LEVEL UP I WOULD APPRECIATE IT. MY HUSBAND IS ONLY 55 WILL BE 56 IN OCTOBER. GOOD LUCK TO YOU AND KEEP UP THE GOOD WORK.

billysgirl
New Member


Date Joined Aug 2009
Total Posts : 1
   Posted 8/22/2009 6:41 PM (GMT -7)   
hello i would like to offer you the best advice that anyone could ever give you, AA! even if your father suggests different (just as my father did) you have to be the stronger of the two and explain fully to him that anywhere in the united states the same government guidelines follow. i personally fought for my fathers life and even persisted that i was giving him half of my liver thru a living donor program and that it was my body my choice however the entire 18 months they said no that he had not been in aa for 6 months. if you stay ontop of his bloodwork you can track his deteriation through out the progression. VERY VERY IMPORTANT= THE LAST 2-3 MONTHS OF HIS LIFE HE WILL NOT BE ABLE TO SURVIVE THE SURGERY. the body breaks down very rapidly and any mortality expected is often preceded by busted varices in the throat due to portal hypertension. my father was rubber banded 3 times in his throat due to this, each time required a significant blood transfusion and upon bleeding out to that extent it unfortunately causes the symptoms of encephalpathy to be more prominant. my point for letting you know these things is that you and anyone he might would listen to needs to explain that this WILL kill him and that the meetings are only a pain in the rump that will save his life. if you would like more information on whether or not living donor program would be right for the john hopkins website is very usefull along with the help of an organazation ANGEL FLIGHT that will often allow free medical flight for donor recipients to and from a hospital that would otherwise require lengthy traditional road travel. i hope this helps, just remember that in the event he dosnt go to aa, it wasnt your choice or your fought, it took me 6 years to get past the loss and everyday is still a challenge. when it comes to the government guidelines i dont understand how i as a woman could have an abortion legally (though i havenot) yet the same government could tell me that i couldnot give my dad half my liver to save his life. though i love the land of the free there are times that our same government could use a reality check. goodluck hon.

sad grandma one
Regular Member


Date Joined Apr 2009
Total Posts : 29
   Posted 8/23/2009 10:31 AM (GMT -7)   
How do you get people to quit acting like they will catch cirrhosis if they come near you. I know some people are not strong enough to handle this, but it still hurts. I go to liver doctor Thursday afternoon for the first time since all the tests. Please pray for me. Am new at this. Tried to get help for 6 years and now we will see.

Thank you
sad grandma

sad grandma one
Regular Member


Date Joined Apr 2009
Total Posts : 29
   Posted 8/23/2009 10:35 AM (GMT -7)   
I will add your father to my prayer list. All things are possible with the Lord.

sad grandma

sad grandma one
Regular Member


Date Joined Apr 2009
Total Posts : 29
   Posted 9/13/2009 12:40 PM (GMT -7)   
Well have got to the point of finding a liver clinic. My problem is no one wants to take the insurance I have. Am on medicaid and no one likes it. If anyone have information about a liver clinic in Humble, TX. please let me know.

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 9/13/2009 3:55 PM (GMT -7)   

SadGrandma, you may have to travel to a clinic that accepts Medicaid.  I know that Shands in Gainesville and Jacksonville accepts Medicaid (and also patients with no insurance), but you must be a county (or state, can't remember which) resident for 6 mos.  See if you can find a hepatologist in one of the larger cities near you.  You don't necessarily need a liver clinic at this point, but should be followed by a hepatologist or, at the least, a GI doc.

Since you picked up an older thread, it might be better for you to start a New Topic to introduce yourself and your situation.  You will get more replies that way.

Hugs,

Connie


hep93
Forum moderator - Hepatitis
 
"But that was yesterday, and I was a different person then."
Lewis Carroll, Alice in Wonderland

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