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Dr. Saha
Dr. Saha, Doctor (MD)
Category: Health
Satisfied Customers: 17828
Experience:  35 years of experience
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What is the life expectancy of someone having severe ascites

Resolved Question:

What is the life expectancy of someone having severe ascites due to liver disfunction ?
Submitted: 9 years ago.
Category: Health
Expert:  Dr. Saha replied 9 years ago.

Though large ascites causes much discomfort to the patient the real problem is hepatic encephalopathy where the patient may go into coma & bleeding from the varices.

Ascites is treated with various diuretics , often in combination, & restriction of salt & water intake.
Sometimes, when the diuretics do not work a long needle or catheter is used to draw out the ascitic fluid directly from the abdomen, a procedure called abdominal paracentesis. It is used when the ascites is causing painful abdominal distension or difficulty in breathing because it limits the movements of the diaphragms.

Established cirrhosis has a 10-year mortality of 34-66%, largely dependent on the cause of the cirrhosis; alcoholic cirrhosis has a worse prognosis .So the patient with cirrhosis should avoid alcohol totally.

I hope this will satisfy your query.

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Customer: replied 9 years ago.
My husband died a few weeks ago from liver cirroshis - it got so bad that 15 liters had to be removed . He got an umbilical hernia that ended up exploding . he got the hernia repaired but more fluid accumulated. Then he developed a bowl obstruction so he went to surgery. From then, it went down hill and he developed hepadorenal syndrome. I just want to understand what happened and if there was anything i could have done . The doctors did everything to save him but i need to really understand a bit more.
Thank you in advance for your help. As I am grieving, all information really helps me get some understanding because it went so fast. My husband drank for most of his life - more after he got a cerebral hemorrage/stroke 5 years ago that left him home all day while I was working. I feel guilty : what could I have done ?
Expert:  Dr. Saha replied 9 years ago.
I feel your grief but you should not feel guilty . You couldnot stop working to stay at home to prevent him from drinking.
I feel that when the hepatorenal syndrome developed it went into multiorgan failure & doctors had little to do for him.
Customer: replied 9 years ago.
Was he in pain ? he looked like he was in a coma. He woke up once after the abdomen surgery and he looked like he was suffering. His hands were battling and he looked at me frighten. I asked him if he was in pain and he acknowledged. Then his eyes rolled up and he was not reacting.All I saw when I opened his eyes was the white part of his eyes. Then after two days, his pupils came back but they were fixed. he was on a ventilator, heart monitor, tubes in the stomach and blood started coming into the tube. I was with him days and nights for 5 straight days. I just want to know if he suffered from this or not. Tell me the facts because I just need to know. He is in peace now but I need to understand the last 5 days and nights and whether or not he was suffering. Thank you for your care. It helps me a lot ! Corinne
Expert:  Dr. Saha replied 9 years ago.
He was on ventilator & there was blood in the tube ,so he developed bleeding ,
which is a serious complication as I wrote earlier.

He was feeling the pain when he was conscious .
But I think during most of last 5 days he was passing through stages of precoma & coma , where his mental awareness was low to feel the pain.
Customer: replied 9 years ago.
Thank you so much for your answers. I hope he did not suffer too much - I miss him so much !
Expert:  Dr. Saha replied 9 years ago.
I also feel.
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