My mom died on November 2 2010 from cirrhosis and renal failure. She entered the hospital on Sept 18, 2010 with a urinary tract infection. My mom did not drink alcohol and had no previous signs of cirrhosis, and they did not diagnose the cirrhosis until 11 days before her death. After a week in the hospital they sent her to rehab. They gave her resperdal in rehab and she exhibited signs of parkinson's disease.She began to deline rapidly and after two weeks in rehab they admitted her to the ICU. She was put on a ventilator and feeding tube. She had sepsis, elevated white blood cell count, temp of 101 and elevated ammonia levels. After ten days of tests, including various cat scans, biopsy, and other tests, they diagnosed my mom with compensated cirrhosis. On October 31 they said she was experiencing renal failure. They suggested pallitive care that night. She was taken off life support on November 1 and passed away the next day. She was 69.
My mome saw her doctor every three months and I am still shocked that her cirrhosis was undetected. Is this unusual?
Thank you
Cirrhosis can be asymptomatic, with no signs of yellowing jaundice, or swelling, or discomfort, and it can remain so for years. The unfortunate thing is that decompensation of the liver (loss of liver function) can be slow and progressive, or it come very quickly, as it seemed to for your mother. It is not at all unusual for people suffering from cirrhosis and liver damage to also have associated renal dysfunction and kidney failure. Also, some of the complications of end-stage liver disease are similar to what you describe: infection, elevated ammonia levels, and parkinson-like symptoms are not uncommon with someone declining from hepato-renal syndrome. Hope that helps with some of your questions.