I have been diagnosed with macronodular cirrhosis via biopsy. I have a slightly enlarged spleen, PT 14, platelets 100K, albumin 4. I have noticed that after doing certain things (sometimes eating, sometimes exercise) my abdomen seems to be sorta like a "beer gut". After a while it shrinks down quite a bit. I have never been a heavy drinker and do not now drink at all. Is this possibly due to portal hypertension? If so, is this an early prediction of decompensation? Is there an average time frame from this point to full decompensation?
I appreciate your questions and I can certainly understand your concerns. You have hepatitis C, a platelet count of 100, a normal albumin and a liver biopsy that shows cirrhosis. You have some self-resolving bloating after meals. You wonder if you have signs of decompensation and when you can expect to develop signs of decompensation. Let me try to make a few comments that might help you.
One sign of advancing liver disease is fluid accumulation in the belly called ascites. Obviously it would be inappropriate for me to comment about whether you have ascites without examining you. However, ascites typically does not get worse and better with meals. It typically does not vary from hour to hour and it gets worse with excess salt in the diet. Ascites is easy to see on an ultrasound. If you had a recent ultrasound, your physicians can tell you if they saw ascites.
Similarly, it is difficult for me to tell you how long you have until you start to develop decompensated disease. I don
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.