Hepatitis C Community
13.4k Members
Avatar universal


my husband has cirrhosis and his stomach is bloated does this go away in time
4 Responses
Avatar universal
My husband also has cirrhosis and his stomach is also bloated.  This has been this way for two years or longer... I was wondering what elevated ammonia levels indicate???  Please help.  ~beth
144210 tn?1273092382
Elevated ammonia can cause a toxic build up in his brain. Symptoms include Hepatic encephalopathy is a major neuropsychiatric complication of chronic liver disease that occurs when large amounts of ammonia accumulate within brain tissues. Ammonia is normally produced by the breakdown of protein in the bowel, and in healthy individuals it is metabolized by the liver to form urea. In patients with significant portal hypertension, blood cannot pass into the liver and the ammonia enters the systemic circulation where it enters brain tissues. Hepatic encephalopathy and its final stage, hepatic coma, occur in 4 stages.

In the first stage, the patient may exhibit mild confusion, mood changes, inability to concentrate, sleep disturbances, and mild asterixis: rapid involuntary flapping of the wrists, also known as "liver flap."
In stage two, the patient experiences confusion, apathy, aberrant behavior, asterixis and apraxia: problems in carrying out familiar, purposeful movements.
Stage three is characterized by severe confusion, incoherence, diminished responsiveness to verbal stimuli, and hyperactive deep tendon reflexes.
Hepatic coma occurs in the last stage: the patient has no reaction to painful stimuli, no corneal reflex, dilated pupils, and assumes the flexion or extension posture characteristic of severe brain damage.
Correcting pH and electrolyte disturbances, restricting dietary protein, preventing constipation, and preventing gastrointestinal bleeding are methods used to treat hepatic encephalopathy in its early stages. When bleeding occurs in the gastrointestinal tract, bacterial action creates increased ammonia. Sterilizing the bowel by giving neomycin, a drug that is poorly absorbed from the gastrointestinal tract, may prevent ammonia formation by decreasing bacterial counts.

LACTULOSE AND LACTOBACILUS GG (prebiotic and probiotic) should be given to help contain ammonia in the gastrointestinal tract where it can be excreted in the feces.

Avatar universal
A bloated stomach is often caused by something called ascites. It is a buildup of fluids and can be very serious if the fluid gets infected or it causes the stomach to swell so much it leans on other organs such as the lungs. It will not go away on it's own. I hope he is seeing a doctor about this.
Avatar universal
I have cirrhosis also and my stomach and nody blew up with fluid. I had to have my stomach tapped several timrs. It does return. Its bc of the disease.
Have an Answer?
Top Hepatitis Answerers
317787 tn?1473362051
683231 tn?1467326617
Auburn, WA
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Answer a few simple questions about your Hep C treatment journey.

Those who qualify may receive up to $100 for their time.
Explore More In Our Hep C Learning Center
image description
Learn about this treatable virus.
image description
Getting tested for this viral infection.
image description
3 key steps to getting on treatment.
image description
4 steps to getting on therapy.
image description
What you need to know about Hep C drugs.
image description
How the drugs might affect you.
image description
These tips may up your chances of a cure.
Popular Resources
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Here’s how your baby’s growing in your body each week.
These common ADD/ADHD myths could already be hurting your child
This article will tell you more about strength training at home, giving you some options that require little to no equipment.
In You Can Prevent a Stroke, Dr. Joshua Yamamoto and Dr. Kristin Thomas help us understand what we can do to prevent a stroke.
Smoking substitute may not provide such a healthy swap, after all.