Pneumonia common for ESLD patients?

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lynn5865
New Member


Date Joined Oct 2010
Total Posts : 2
   Posted 10/15/2010 5:02 AM (GMT -6)   
Hello everyone.
 
I am new to the forum but have been reading lots!
 
My father has ESLD from Hec C. Lately he hasn't been eating, sleeping all the time and of course not taking meds "cause he is too tired". Doctors said he has 2 years but it seems he is on a steady decline. He had pneumonia last month and fluid needed to be drained from around his lungs (along with encephalopathy). Not even a month later he has pneumonia again and more fluid around his lungs that need to be drained. He has slurred speech and exhausted from walking a few steps. Is this commom for ESLD patients to get pneumonia so often? Or is it common to have Ascities around the lungs? I thought it was generally around the mid section. 
He is in the hospital now and will be getting the fluid removed today but I was just wondering if this was common. Of course Doctors don't tell much.
 
Thanks!
 

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 10/15/2010 1:28 PM (GMT -6)   
Lynn, welcome to the forum.  I'm sorry that your dad is so ill.  Just wondering...did he ever have treatment for the hep C?
 
Ascites in the abdomen can be so large that it presses against the lungs, making it difficult to breathe.  Given that his immune system is compromised with hep C, he's probably more susceptible to pneumonia.  Also, if he is going to hospitals or clinics frequently, he is at increased risk of picking up bugs from others.  I contracted pneumonia during my last surgery (a year ago August.)
 
If he could take 1,000 mg of vitamin C, half in the AM and half in the PM, it would help build up his resistance to colds and other infections.  However, if he doesn't take the meds he is supposed to take, it seems unlikely that he would take this.  Is he on Lactulose or does he refuse to take that, too?  Also, is he drinking alcohol?
 
Hugs,
Connie
hep93
Forum moderator - Hepatitis
 
"But that was yesterday, and I was a different person then."
Lewis Carroll, Alice in Wonderland

lynn5865
New Member


Date Joined Oct 2010
Total Posts : 2
   Posted 10/15/2010 2:04 PM (GMT -6)   
Hi Connie,
 
No, he never did treatment for Hep C. He didn't even know he had it until he had to have his gull bladder removed which he almost didn't survive. He doesn't drink but is a heavy user of pain meds due to a back injury many years ago.
He hates the lactulose and doesn't take it often, its supposed to be 3 times a day.
I figured he was getting sick from being in and out of the hospital so much as well as not moving at all, on top of that he smokes.
 
Another question I have, he is diabetic and no one can even get blood from his fingers when they prick him to test the sugar, is that common too?
He needs to have a hernia repaired but its risky for them to do surgery because his platelets are low, from what I have been reading it seems common for ESLD patients to have gull bladder and hernia issues.
He is just a mess and doesn't want to do anything to make himself better so the best my family can do is keep ourselves informed as to what we can expect.
Thanks for the advice, the forum is very helpful!

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 10/15/2010 2:32 PM (GMT -6)   

Usually, there's a problem with clotting.  However, since he smokes and is diabetic, his circulation is probably poor.  Having diabetes and ESLD is not a good combination.  The smoking also weakens his immune system.

I had 2 hernia repairs, but they were incisional hernias from the surgery to remove the cancerous right lobe of my liver.  When they did the lobectomy, they also removed my gall bladder which is on the underside of the rt. lobe of the liver.

By the way, it's gall bladder.  wink    There's a medical word list at the top of the page.

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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