Hi doctor! My mother in law is from Romania, and she was recently diagnosed with cirrhosis. She is 59 years old, weight is normal, she does not drink anymore since she was diagnosed, but she used to have moderate drinks 4-5 times a week, we don't know if she has hepatitis, but 5 years ago she was in the hospital with a broken bone and the doctors told her that her liver tests did not look good, but no one did nothing.
Her blood tests are:
Doctor's suggestion was to remove her spleen, in order for her treatment to work. I don't know what treatment they recommended.
My questions are:
1. Should other tests be done to see if it is cirrhosis caused by hepatitis?
2. If she has cirrhosis caused by hepatitis what are the treatments used in US?
3. Is it relevant to remove the spleen?
4. What are your suggestions for us?
I really appreciate your help, we are so poor in knowledge, we feel stuck, especially we the medical system in Romania.
Thanks, and God bless.
1,2. Cirrhosis doesn't go back. You can't treat it, but you can prevent its development. STRICTLY NO ALCOHOL is a must, otherwise cirrhosis will progress. If it is obviously that alcohol was the cause, there's no point in checking if it was hepatitis. In either case, cirrhosis doesn't go back. However, with stopping alcohol symptoms(free abdominal fluid - ascites, anemia...?) may improve.
3. Removing of spleen should be avoided, if possible. Abdominal swelling from fluid retention can be treated with diuretics. Anemia can be treated with blood transfusion. Vitamins (by prescription) may be helpful.
- You two should find a good clinic, so her situation will be evaluated completely.
- It should be checked, if cancer has developed (last result from your above list: elevated AFP speaks for cancer - well, I'm not saying it's cancer.
- If liver is heaviliy damaged, a liver transplantation is an option.
Read about cirrhosis treatment:
You may consider to come in Ljubljana / Slovenia. We have a good clinical center here. About clinics in US you may start a thread here on the forum and ask specifically for good clinics.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.