This patient support community is for discussions relating to transplants, anti-rejection drugs, financial and insurance issues, long-term issues, organ rejection, pre- and post-surgery, and waiting list issues.
My brother, aged 36, is suffering from liver cirhosis due to alcohol. He is awaiting liver transplant from his wife. But the transplant is on standby due to:
-His Hamoeglobin is down to 6.5
-His creatinine is 1.4
-His PR and INR are also high.
The doctors have stopped all meds and have asked to wait till kidney heals up. But we are loosing patience. Need your expert advise. Please help.
You are very apprehensive I know. Liver transplant surgery is a major surgery. The patient undergoing surgery should be haemodynamically stable before the surgery. Your brother’s hemoglobin is very less it should be corrected before surgery as there can be increased bleeding during surgery. He may need blood transfusion. INR tests are usually done prior to any surgery to look for any bleeding problems.INR may be high in liver diseases and may need to be corrected by giving vitamin K.Your brother seems to be in early stages of hepatorenal syndrome since his creatinine is little high. It is raised in end stage liver disease due to vasoconstriction of large and small renal arteries and impaired renal perfusion .He may need expansion of intravascular volume with albumin and fresh frozen plasma. I will advise you to follow your doctor’s advice and keep patience. The doctor knows what is best for your brother and when is the appropriate time for transplantation based on his blood parameters. Have a frank discussion with his doctor and share all your concerns. Do write to us again.
Take care and best luck!
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
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.