Hi sir my father is been suffering from liver cirrhosis and there is fluid in his abdominal are nearly around 2-3 liters and his blood hemoglobin level is been degrading in every couple of months doctor has said that this Is an continues process so sir tell me a permanent cure for this and is it safe to take out the water from his abdomen or we should continue on medication for it.

Dr. Siddharth JainGastroenterologist18yrs exp

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Mr. lybrate-user, If you father is suffering from cirrhosis and is having ascites (fluid in abdomen). Then this means the liver disease is fairly advanced. This condition needs to be taken seriously. Also important to understand is that there is treatment available. Treatment will depend on: 1. How advanced the liver disease is? 2. Cause of liver failure. 1. To see how advanced the disease is, we usually asses it based on a severity scoring. To simply put it for you Cirrhosis can be Type A, B or C based on severity, A being less advanced and C is most advanced. 2. Common causes for liver disease are: excessive alcohol intake, viral hepatitis, NASH. I will suggest you to share your father's liver function and ultrasound reports with me. I will also need a detailed medical history of your father. So you can share his reports and prescriptions that you may have. This is my link: https://www.Lybrate.com/delhi/doctor/dr-siddhart-jain-gastroenterologist In fact my article will soon be posted on Lybrate regarding liver failure and cirrhosis, I am sending you the excerpts from the same. This will hopefully will be informative: Whats is Liver Cirrhosis? What is Portal hypertension (PHT)? Why PHT occurs in cirrhotic patients and why it can be a life threatening problem? ?Cirrhosis? (can be equated to scarring of liver). For instance, when there is a cut, the body repairs the wound but leaves behind a scar. Similarly, when liver gets hurt and tries to repair itself, that too may leave a scar behind. With repeated insult to the liver a cycle of injury, repair and scar formation ensues. Gradually, normal liver cells are lost, liver becomes shrunken and hard from replaced scar tissue. Common causes of insult to liver are alcohol, viral hepatitis or steatohepatitis (fatty liver disease). ?Portal Hypertension? (PHT): Liver cirrhosis leads to portal hypertension which is increased pressure in portal vein (a large vein draining blood from the stomach and intestines into the liver). Normally, portal vein is a low pressure system. When the liver becomes hard from scarring, back pressure in the portal vein increases. How can Portal Hypertension be life threatening? A lot of complications in cirrhosis occur because of PHT. Blood vessels in the gut coalesce to form the portal vein. As pressure in portal vein increases, back pressure in these vessels increases too. Once the pressure rises significantly, these vessels rupture and can cause severe bleeding. This will be seen as blood in vomiting or as black stools. This can be a life threatening complication of portal hypertension. PHT can decrease the level of platelets in the blood, which also increased the risk of bleeding. Ascites (fluid in the abdomen) forms because of portal hypertension. Ascites if gets infected (SBP) becomes a serious condition. Excessive ascites formation is also related to reduced blood flow to kidneys resulting in kidney failure. Liver filters/cleanses this blood before it goes to the heart. In failure, this does not happen and unfiltered blood circulates in the body, which if affects the brain (increased ammonia level in blood) can cause confusion, drowsiness or even coma (hepatic encephalopathy).  

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