How to completely treat decompensated cirrhosis?

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Hello doctor,
My father has decompensated cirrhosis, end stage ascites, pain a lot, eats little. Doctor tell me how to completely treat decompensated cirrhosis? Thank you.
Nguyen Quoc Than (1988)
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Hello,
To the question “How to completely treat decompensated cirrhosis? ", the doctor would like to answer as follows:
Treatment of decompensated cirrhosis can be treated by medical methods, specific treatment drugs include:
Coagulation disorder drugs: take vitamin K for 3 days , if prombin does not increase then stop using. If there is a risk of bleeding, give plasma. Increased biliary excretion: Cholestyramine (Questran), ursolvan, Albumin human: If blood albumin drops to less than 25g/l with edema or membrane effusion, then infuse human albumin. Infusion of branched amino acid solution. Inject or take vitamin B group. Diuretics: use if there is edema or ascites. Treatment of ascites:
Reduce daily salt intake to less than 2g/day. Drink less water < 1 liter of water/day. Regularly monitor electrolytes, about 3-7 days/time. Monitor weight and urine output. Patients with mild to moderate ascites can be treated with diuretics. But if the patient has a lot of ascites, causing abdominal distension, shortness of breath, it is necessary to combine with diuretics and drainage of 2-3 liters every 2-3 days and albumine 8-10g/l of ascites removed. go. In case of severe ascites making it difficult to treat, high-dose diuretics with spirolactone 400mg and furosemide 160mg/day have been used but still not responding, so ascites several times in 1 week and albumine infusion 8g/l of ascites. remove or use TIPS or perform peritoneal shunt or liver transplant. Prophylaxis of gastrointestinal bleeding due to gastric varices and esophageal varices End-stage decompensated cirrhosis also means that the liver is suffering a lot of damage, at the most severe level, the treatment in This stage is only supportive treatment with appropriate treatment courses. You should take him to the hospital for treatment.
If you still have questions about how to completely treat decompensated cirrhosis, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!

Answered by Master, Specialist II Phan Thi Minh Huong - Gastroenterologist - Department of Medical Examination & Internal Medicine, Vinmec Danang International General Hospital.