Gastroenterologist, Gastroenterology Journal

Question: Doctor, hello! "A year ago, when ultrasound was to identify a moderate increase in echogenicity of the liver. However, due to the work, comply with restrictions on food and alcoholic drinks reception did not work (endless presentations, negotiations, etc.) Now that's afraid of cirrhosis, since read that the fatty liver alcohol intake leads to cirrhosis. Say, a complete rejection of alcohol, can stop this process or have it if he suddenly started, can not be stopped. And yet, what are the signs of cirrhosis?

Answer: Complete denial of alcohol may stop the process. Description of cirrhosis, please find on the Internet alone.

Question: My mother 61 year, of liver cirrhosis learned when it passed the treatment of asthma accordions are only 2 weeks ago. Already there were 3 bleeding. What should I do to avoid renewed bleeding? To stabilize the situation? What can you eat, not to provoke him? Thank you for your reply.

Answer: Your question is too complex, and proper medical information is too small. Diet with a sharp restriction of salt. Restriction of protein in the brain manifestations of liver failure.

Question: Fears alk. cirrhosis, there are some symptoms: the area of the liver slightly pobalevaet week! after alkagolya, and immediately after drinking a white 2raza feces, urine, resp. Heavily bleeding gums, acute sense of smell, fatigue and TP. gipatitov not. Alcohol is polnlstyu deleted, sat on a diet, take liv52, status satisfactorily. Should I go to the doctor a specialist such complaints? especially if "the most effective drug-refusal of alcohol" and I already did (36let, drank no more than 1 time in 2nedeli, but too).

Answer: There were episodes of acute alcoholic hepatitis and passed. Liver with cirrhosis does not hurt, the condition is satisfactory, do not drink. The doctor does not further help.

Question: I'm 47 years old. Three years sick with hepatitis C, two of them – cirrhosis of the liver. Last ultrasound this year liver: pr, 125, lion. d. 72, the structure of a diffusely homogeneous, medium-, moderately increased echogenicity of focal no changes. , Gate Vienna 13mm; Gallbladder: p-p 85-34mm, a lot of stone 4-5mm, holedok 6mm; Spleen: rr 133-55, the structure is homogeneous, fine-grained, slightly high echogenicity, focal changes there, Vienna 8mm. B / x krovi6 b/r- 64,63, straight. -32.31, Non. -32.32, Tim. Ave -14,7 ALT-0, 84, AST-0, 45. After treatment, b p is not reduced, and increases each time. The doctor explains that cholelithiasis, and we operate are not taken (only on vital signs). As a child sick with diabetes insipidus. Complicated all gemorrogicheskim vasculitis. Very stiff joints of legs, there is swelling, long plagued by seizures up to 30 minutes. In the recent increase in attacks of sudden weakness, accompanied by a feeling of fear, ciliated vision, loss of self-control. Very similar to gipergligemiyu, but sugar is normal. Doctors say that is the result of hepatitis. What do you advise on this matter. It would be very grateful.

Answer: It is very difficult with such a problem to give advice in absentia. It is possible that the attacks – a panic attack.

Question: Dear doctor, I wanted to clarify the diagnosis, cirrhosis. I'm 48 years old, menopause 5 years, since 1988 DS-standing chronic persistent hepatitis, with billirubin-norm, thymol, 12-15 ~. In 2006 came a strange diagnosis, edema, anemia, HB-68, enlarged liver, spleen, tachycardia, TSH-126, while nodes 2 small (0. 2 mm). To save the liver, removed the thyroid gland. Now HB-115, billirubin-norm, thymol-12. Liver was not enlarged (pain in the hypochondrium due to stone in the gall ~ 18mm). Condition is satisfactory, I would like to know whether there is cirrhosis or autoimmune disease? Thanks in advance. AI

Answer: The presence of liver cirrhosis relatively easily determined using ultrasound. But sometimes cirrhosis and autoimmune origin.

Question: Doctors diagnosed with cirrhosis of the liver on ultrasound, as he pravelen in protsenntnom respect? Result ultrasonography: echogenicity different ehostruktura large zernistayaEhogennost diffusely heterogeneous with the presence of small areas of reduced echogenicity. CWR 19.6 AAC 12.5 percentage tail 6,3 / 3,8 vascular pattern changed deformirovanVorotnyaya Vienna 1,7 diametrpod the left lobe of the liver unit kolotermii 2-3 mm diametrSelezenka 180-73 splenic vein diameter of 13 mm homogeneous structure S figuratively izvitaZaranee thanks for advice

Answer: Explicit ultrasound signs of cirrhosis of the liver, but no information about the patient the truth of this diagnosis can not be assessed. For example, acute alcoholic hepatitis will have the same symptoms.

Question: A year ago I was diagnosed with "toxic hepatitis", on the basis of alcohol consumption. AST / ALT – about 120, ultrasound showed that the liver is dense, zoom in, sharp edge, parenchyma is homogeneous. Drink alcohol, I stopped immediately and completely, to this day used the app. 4 years old, spirits. By doctor's prescription was to take Essenciale, to 6 capsules per day. Diet do keep some – do not eat spicy, greasy, fried. Dyspnea disappeared, but the pain in his right side is not stopped, his hands red, sometimes with blood or feces almost black. Otherwise I feel good. The pain in my side sometimes stops after taking choleretic collection 3rd room. Is it a big chance that this is cirrhosis? At the doctor since then has not been. . .

Answer: Well, go for it. . .

Question: Age of patients: 60 letDiagnoz: Cirrhosis of the liver (unspecified etiology), a class of gravity, portal hypertension, splenomegaly, varicose veins of the esophagus. Ascites. Hepatocellular insufficiency of moderate severity. Hepatic encephalopathy 2.2 degrees. Coronary artery disease: atherosclerotic cardiosclerosis, atherosclerosis of aorta, coronary arteries, H0. Deforming gonarthrosis of the right knee joint. Tell me, please: 1. Possible treatment (medication, bypass surgery, there is a contraindication to transplantation – when it needs to be done??'ll Show the possible centers of Russia) 2. Diet-information or links (preferably in detail on the day), on how to limit the protein?? liquid ????? 3. Your predictions ????????? PLEASE !!!!!!!!!!!!!!!!! If you receive: general weakness, fatigue, yellow skin, yellow sclera. Condition relatively satisfactory. Heart rate of 100 per minute, blood pressure 130/80 mm Hg. Art. Abdomen soft painless. Liver 3 cm SURVEY: A blood test 16. 05. 08: Al 4,3, HB 137 g / L, L 4,0, bases. 1, E 2, n 2, 71, l 20, m 4, ESR 28 mm / chasAnaliz urine 16. 05. 08: sp. weight of 1024, protein 0,12, 0 sugar, yellow. pig. 1, epit. 0-1 in the p / s, l. 0-1 in n / s, diastase 83Koagulogramma 16. 05. 08: PTI 104,5, fibers. 4.2, aPTT 23.5 PB of blood from 16. 05. 08: отриц. BAC 16. 05. 08: Ch. 6,0, beat. Obshch. 151,2 beat. ave 58,4, MON. 5,9, creative. 116,6, 76,2 ON, Alb. 28,0, 71,8 AST, ALT 39.5, LDH 327.3, MVKFK 44,3, 67,3 alpha-amylase, potassium 4.3, sodium 144,1, 114,2 chlorine, BLP. 3,89, livingroom. 4,66, Trp 0,864. BAC 19. 05. 08: BLP 3,89, Khlestov. 4,66, alpha-cholesterol 1.22, coef. aterogen. 2.8 BAC 27. 05. 08: Ch. 8,5, beat. Obshch. 85,3 beat. ave 34,8, MON. 6,4, creative. 90,2, 58,1 ON, Alb. 18,7, 54,2 AST, ALT 66,5, schel. phosphorylation. 182,7, alpha-amylase 46,6, potassium 4.0, sodium 140,5, 113,3 chlorine ECG 16. 05. 08: sinus rhythm, heart rate 83 per minute, a sharp departure left EOS. Signs GMLZH with changes in left ventricular myocardium. BPLVNPG. Fibrogastroduodenoscopy 16. 05. 08: Varicose veins n / 3 of the esophagus, giperatsidny gastroduodenitis atroficheskiyUZI UBP 16. 05. 08: pronounced diffuse changes in the liver of type Mts. hepatitis. Diffuse changes in the RV. Splenomegaly. Cysts of the kidneys. P-graphy of the right knee joint 20. 05. 08 (0.02 mSv): deforming arthrosis of 2 degrees. Treatment: lovast, hepatitis, sodium chloride, Vit B12, C, emoksipin, reamberi, KMA, mildronat, FTL. HR 72 min, blood pressure 130/80 mm Hg stRekomendovano: Mukosat 2,0 V / m 1 p. at day 15 after completing the course dneyPo Struktum scheme 1,5-2 mesyatsaKurs lazeromagnita 2 p. year 10-12 seansovDieta with restriction of salt and zhiraFosfoglif to 2 cap. 4 times a day 2 mesyatsaBOLShOE you very much!

Answer: "beat. Obshch. 1512, HB 137 g / l, ESR 28 mm / hour, PTI 104. 5, fibers.. 4 2, alb. 28. 0, hol. 4. 66 , schel. phosphorylation. 182. 7 ". Ascites, edema not. 1) as a medical treatment is possible, and bypass surgery; Russia's centers are looking at Public Health Ministry. 2) _podrobnye_ advice on nutrition you can get on the spot – a) live in the capital, and b) you need to have a constant normal contact with a doctor. 3) a favorable outlook for life with adequate medication and absolute rejection of alcohol.

Question: Can I get rid of the plaques on the body with cirrhosis? Can I get to retire with cirrhosis, because I can not work due to swelling of legs and abdomen.

Answer: 31 years old. From the "spiders" can save only cosmetologist. Health status is usually evaluated in the hospital, and in the clinic on the basis of honey. documents give a disability.

Question: Can I get rid of the plaques on the body with cirrhosis? Can I get to retire with cirrhosis, because I can not work due to swelling of legs and abdomen.

Answer: 31 years old. From the "spiders" can save only cosmetologist. Health status is usually evaluated in the hospital, and in the clinic on the basis of honey. documents give a disability.