Frequent Abdominal Pain In Patients With Liver Cirrhosis?

Illustration of Frequent Abdominal Pain In Patients With Liver Cirrhosis?
Illustration: Frequent Abdominal Pain In Patients With Liver Cirrhosis? Bing

Hello, I want to ask my father, who was diagnosed with liver cirrhosis, the drugs he is currently taking are propranolol and spirolactone 25mg, sometimes he feels pain in his stomach so he can’t sleep, sometimes it’s like a normal person as usual, what should I do when the pain comes? Are there any foods to abstain from? What is the function of consuming albumin? Thank you 😊

1 Answer:

Hello Ahmad

Liver cirrhosis is a condition where scar tissue has occurred in the liver, this situation occurs due to various conditions that interfere with previous liver health such as hepatitis infection or because of the habit of consuming alcohol, drugs, chemicals that damage the liver. In addition, the accumulation of liver fat in obese people or those with metabolic disorders, hypertension, and diabetes have the potential to experience liver cirrhosis.

Symptoms of cirrhosis itself will generally only arise if the liver function has actually experienced a serious enough disturbance, meaning that in the early stages of liver cirrhosis there may be no symptoms felt or mild so that it is considered a condition of the body that is not "fit" only. Abdominal pain is not a direct symptom of cirrhosis, the symptoms that may arise in those with liver cirrhosis are decreased appetite, fatigue, weakness, drowsiness, swollen legs, weight changes, feeling difficult breathing, eyes and skin look more yellow (than before), nausea and vomiting, even vomiting blood, itching, to changes in the color of urine and stools to look yellow or even accompanied by blood.

The stomach pain experienced by Ahmad needs to be studied further to find out what is the root of the problem, liver cirrhosis can cause abdominal pain but not directly, usually due to an enlarged liver or excessive accumulation of fluid in the stomach, enlarged blood vessels in the digestive tract / even rupture which is a complication of cirrhosis. Or it could be due to the inflammation of the liver (hepatitis) itself, which is still ongoing, causing the stomach pain

On the other hand, it may turn out that abdominal pain is caused by things that are not related to liver cirrhosis, such as stomach ulcers, pancreatitis, kidney disorders, gastrointestinal infections, etc.

Ahmad is expected to consult again with the doctor who treats you or to an internal medicine doctor so that further evaluation can be carried out on Ahmad's current condition. Later the information obtained from the evaluation will be useful for the doctor in planning the appropriate treatment for you.

It is difficult to determine which foods to abstain, considering that it is not known exactly what is the source of the problem, but Ahmad is expected to avoid instant food/beverage products and medicines without clinical consideration from a doctor with the aim of not worsening liver or kidney function in metabolizing these chemicals. Also avoid some foods that easily trigger the occurrence of stomach ulcers and inflammation of the gastrointestinal tract such as spicy and sour foods.

Albumin itself is actually produced by the liver, but in conditions of liver cirrhosis, the albumin production eventually decreases. Albumin itself is an important protein in the human body because it is in charge of regulating so that fluid in the blood does not leak into body tissues. The purpose of giving additional albumin is to maintain the body's albumin level at a fair value even though its production is disrupted.

Hope it is useful

dr. Arnold

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