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End stage Sirrosis of the liver
Do you know what symptoms are involved in end stage, stage 4 of the liver?  My brother keeps swelling and they draw from his lung and stomach and his ammonia level went sky high.  Is this near the end of his illness?  He is also very, very skinny and always tired.  Your help is appreciated, trying to understand
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446474 tn?1446351282
Most importantly....
Your brother should be on a liver transplant list so he can receive a transplant to save his life. A liver transplant center can provide the only medical care that can help your brother with his advanced disease.

SYMPTOMS: fatigue, anorexia, nausea, abdominal pain, weakness, weight change, pruritis, rash, hematochezia/melena, hematemesis, mental
status changes, tremor, scleral icterus, jaundice


COMPLICATIONS ASSOCIATED WITH CIRRHOSIS

ASCITES: The build up of fluid in the abdomen

ESOPHOGEAL VARICES: Swollen blood vessels in the lower esophagus (tube between your mouth and stomach) which may bleed.

HEPATIC ENCEPHALOPATHY: Changes in mental status that can range from confusion and delayed/clouded thinking to coma.

SPONTANEOUS BACTERIAL PERITONITIS: Potentially serious infection starting in the abdomen.

HEPATOCELLULAR CARCINOMA: Cancer of the liver.

HEPATORENAL SYNDROME: Kidney problems caused by liver failure.

HEPATOPULMONARY SYNDROME: Lung and breathing problems.


What is a liver transplant?

A liver transplant is the process of replacing a sick liver with a donated, healthy liver. Liver transplants require that the blood type and body size of the donor match the person receiving the transplant.

Currently more than 6,000 liver transplants are performed each year in the United States. Liver transplant surgery usually takes between four and twelve hours.

How does a person become eligible for a liver transplant?
After being referred by a doctor to a transplant center, the transplant team evaluates the person’s overall physical and mental health, plan to pay for transplant related medical expenses, and emotional support family and friends will provide. Based on the findings, the team decides if the person is eligible for a liver transplant.

If the person is eligible, the center will add him or her to the national transplant waiting list. The waiting list is prioritized so the sickest people are at the top of the list.

How long does a person wait for a liver transplant?

The waiting time for a liver transplant is different for each person. The time a person spends on the waiting list depends on his or her blood type, body size, stage of liver disease, overall health, and the availability of a matching liver. In the United States, there are more people who need a liver transplant than there are donated livers. There are currently over 16,000 Americans on the waiting list for a liver transplant.

Good luck.
Hector
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