Sir I am suffering from hepatitis b which diagnosed 1 year earlier then after scanning it shown hepatitis b liver cirrhosis with portal hypertension, splenomegaly and gallbladder stone. I have gone endoscopy and doctor told small esophageal varices 40 percent liver damaged, ulcers.after treatment gall bladder stones, ulcers gone. But splenomegaly size increased now in ct scan it shown hepatitis b liver cirhossis with features of portal hypertension. Doctor changed cardivas 3.125 to cardivas 6.25.now what I need to do. What is my life expectancy, can I go liver transplant now does it can make me live normal life or can I go with medications my age 50. Please suggest me.
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Hi, from the details provided by you, I understand that you have cirrhosis of liver with chronic hepatitis b infection as the cause. You do not seem to have developed complications of portal hypertension viz. Gi bleed (blood in vomitus or stools), ascites (collection of fluid/water in stomach) or hepatic encephalopathy (drowsiness, transient loss of consciousness) etc. You need to continue with anti-viral medications for hepatitis b and cardivas along with regular screening and follow up with blood tests (every 3 to 6 months), ultrasound of abdomen (every 6 months) and surveillance endoscopies. Liver transplant is usually needed once you start developing complications or liver cancer (hcc) and is decided by your gastroenterologist/ hepatologist based on several parameters and scores (meld score.)
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