MY Father is 64 years old and is suffering from Liver Cirrhosis since 2012. He has a history of excessive alocohol consumption which he has stopped in 2012 only. In the initial 2 years, he had to stay in hospital several times due to Internal Bleeding but for last 2 years, his condition was almost stable with no sign of intestinal bleeding. His albumin ranges from 2.8 g/DL to 3.2 g/DL so he has been undergoing transfusion of Albumin twice daily. His creatinine ranges from 1.3 mg/DL to 1.7 mg/DL. In last 2 years, there are only a few rare occasions when his creatinine has dropped to the normal value which is less than 1.2 mg/DL. His Bilirubin ranges from 1.7 to 1.9 mg/DL.
Since February, 2016, he has developed the problem of Ascites and has to undergo Paracentises every 10 to 15 days where around 7 to 8 liters of water is tapped out of his body. Since February, he is going more and more weak and mass from his body is disappearing.
In spite of the decreasing health, his liver & kidney functions have stayed almost constant. Last week, he suddenly caught fever and was unable to pass the urine. On 3rd day, we came to hospital where they admitted him in Intensive Care Unit. Doctors told us that kidney is not working and creatinine has reached 4 mg/DL. in 4 days, they have performed dialysis twice on him and they are giving him Terlipressin Injection and trying to revive the kidney.
But they have clearly asked us to consider Liver Transplant very soon otherwise, he might lose his kidney also. My dad is very reluctant to take live donation from me since I have the same blood group. And waiting for Cadaver Donation might waste a lot of time. We have already wasted a lot of time. We have to very quickly decide the future course of action.
I am reading all sort of stories of post transplant recovery and the quality of life. Is the live donation better than Cadaver Donation in any sense? Because in India, you are not sure how long will you have to wait for a liver being on a waiting list. Are there chances of kidney revival to its full after the transplant since kidney is affected only due to the liver disease. I am very confused about
every thing, donation, surgery & most importantly, post - op recovery.
If we do not go for transplant at all, how much more life should we expect? And how high are the rejection risks? Looking for advises and suggestions.