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Dr Basu
Dr Basu, Experienced Specialist
Category: Health
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Experience:  MD
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My partner had a liver transplant last year in september, however

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My partner had a liver transplant last year in september, however after having the transplant he suffered from severe depression and stopped taking his medication. He just recently began suffering from acute liver rejection and the Doctors have said that his liver has failed. His kidney also began failing, to the point where there was only 8% function, however, a week since then, his kidney function has improved to 20% function. The Doctor had said that he can't be put on the waiting list again because he didn't look after his new liver, but I wanted to know if a failed liver can be treated? and what causes the kidney function to improve?

mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

mysticdoc :

Hi there,


I am Mysticdoc, experienced Internal Medicine Specialist.


I am here to help you with your concerns.


Customer:

Hi

mysticdoc :

Sorry to hear about your partner's condition.

mysticdoc :

Failed liver may be treated with immunosuppressive medications to prevent body rejection.

mysticdoc :

If that is not possible, another liver transplantation may be required.

mysticdoc :

Sometimes, failing liver may regenerate to some extent but that is hard to predict.

Customer:

He has re-started taking his immunosuppressants, but they had said that his liver had failed

mysticdoc :

Kidney function may improve with hydration and also improving blood supply to the kidneys.

mysticdoc :

The improvement can also be related to the immunosuppresssants.

mysticdoc :

Still, there is some hope.

mysticdoc :

The medications may be able to preserve some liver function.

mysticdoc :

That may be adequate for him to live for some tome.

mysticdoc :

time

Customer:

The Doctor had said that if his kidney function continues to improve, they would also consider another treatment for his Liver. Do know what other treatment they could do?

Customer:

oh thats good to hear

mysticdoc :

Transplantation is the only option --no other treatment besides immunosuppressants at this time.

Customer:

If some liver function was there, then could the liver re-generate it self completely?

mysticdoc :

complete regeneration is unlikely.

mysticdoc :

but 40 to 60% regeneration is possible.

mysticdoc :

And that can be adequate.

Customer:

oh ok

Customer:

cos the doctors said that he won't be able to go on the waiting list for another transplant because he didnt look after his new liver

mysticdoc :

correct.

Customer:

do you know if private hospitals would allow him to go for a transplant if he was to pay for the transplant

mysticdoc :

but if he takes his medications for next 6 months, he will be in the list again.

mysticdoc :

No, money alone cannot buy a new liver in developed countries.

Customer:

oh ok, could a person with liver failure live up to 6 months without transplant

mysticdoc :

yes he can with medications.

Customer:

thats so gd to hear,

Customer:

cos initially the doctors said he had only 4 days to live, but its now been 2 weeks and he's doing ok, just sleeping most of the time

mysticdoc :

no that is too unlikely.

mysticdoc :

he will be fine if he takes his meds daily.

mysticdoc :

Also follow a high fiber diet.

mysticdoc :

And avoid alcohol.

Customer:

oh ok, what foods would contain high fibre? at the moment he's hardly able to eat much, just has a few chips

mysticdoc :

fresh fruits, vegetables, rice, pasta, bread for example.

mysticdoc :

grilled fish, chicken 1-2 servings each

Customer:

so even if his liver had completely failed, would the medications still help to re-vive the liver

Customer:

or would there have to be some liver function already

mysticdoc :

There are some liver function left.

mysticdoc :

And medications may be able to salvage some more liver function.

mysticdoc :

Supportive treatment with lactulose ( to avoid excess ammonia in the body), water pills as required can be used as well.

mysticdoc :

waterpills commonly used are spironolactone, and furosemide.

Customer:

because the doctor had said his liver had completely failed, but then if there is still kidney function, is that what determines that there is still liver function

mysticdoc :

yes improvement in kidney function suggests some liver function also.

Customer:

oh ok, im so glad to hear this

Customer:

thanks so much for your help

mysticdoc :

very welcome

mysticdoc :

It was my pleasure to help you today.
Best wishes,
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