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		<title>What symptoms might a person experience in the final stages of cirrhosis of the liver?</title>
		<link>http://symptomadvice.com/what-symptoms-might-a-person-experience-in-the-final-stages-of-cirrhosis-of-the-liver/</link>
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		<pubDate>Thu, 07 Apr 2011 22:34:10 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[liver symptoms]]></category>
		<category><![CDATA[albumin]]></category>
		<category><![CDATA[cirrhosis of the liver]]></category>
		<category><![CDATA[live 105]]></category>
		<category><![CDATA[protein]]></category>
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		<category><![CDATA[vacuum bottle]]></category>

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		<description><![CDATA[I&#039;m planning a story where a character finds out &#104;&#101; &#104;&#097;&#115; cirrhosis, &#097;&#110;&#100; it&#039;s in the final stages. How long is someone typically given to live &#105;&#102; &#116;&#104;&#101;&#121; are in the latter stages of this disease, &#097;&#110;&#100; &#119;&#104;&#097;&#116; symptoms &#109;&#105;&#103;&#104;&#116; &#116;&#104;&#101;&#121; experience? A patient &#099;&#111;&#117;&#108;&#100; develop fluid in the abdominal area. This fluid is &#107;&#110;&#111;&#119;&#110; [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/04/1302215650-97.jpg%3Fw%3D403%26h%3D336" style="clear:both;clear:both;margin:0 15px 15px 0" />
<p>I&#039;m planning a story where a character finds out &#104;&#101; &#104;&#097;&#115; cirrhosis, &#097;&#110;&#100; it&#039;s in the final stages. How long is someone typically given to live &#105;&#102; &#116;&#104;&#101;&#121; are in the latter stages of this disease, &#097;&#110;&#100; &#119;&#104;&#097;&#116; symptoms &#109;&#105;&#103;&#104;&#116; &#116;&#104;&#101;&#121; experience?</p>
<p>A patient &#099;&#111;&#117;&#108;&#100; develop fluid in the abdominal area.<br /> This fluid is &#107;&#110;&#111;&#119;&#110; as Ascites. &#105;&#116; is caused because<br /> the liver can &#110;&#111; longer make a protein, &#107;&#110;&#111;&#119;&#110; as<br /> Albumin, efficiently. The fluid can keep building<br /> up &#105;&#110;&#115;&#105;&#100;&#101; the patient &#097;&#110;&#100; cause pressure to <br /> develop against other organs &#097;&#110;&#100; &#117;&#112; against<br /> the diaphragm, &#109;&#097;&#107;&#105;&#110;&#103; &#105;&#116; difficult &#102;&#111;&#114; &#116;&#104;&#101;&#109; to breathe<br /> and feel &#108;&#105;&#107;&#101; eatting. The doctor can remove this<br /> fluid &#098;&#121; a procedure &#107;&#110;&#111;&#119;&#110; as paracentesis.<br /> This is where &#116;&#104;&#101;&#121; insert a needle connected to<br /> a tube &#116;&#104;&#097;&#116; leads to a vacuum bottle or bag. The<br /> vacuum &#105;&#110;&#115;&#105;&#100;&#101; cause the fluid to be gently pulled<br /> from the abdomen into this bottle. &#105;&#116; is sent to<br /> the lab to be tested &#116;&#104;&#101;&#110;.</p>
<p> A person can develop fluid in other areas of the<br /> body, also. This fluid is &#107;&#110;&#111;&#119;&#110; as edema. <br /> Mostly, this is seen in the legs &#097;&#110;&#100; the feet.<br /> It is caused &#098;&#101;&#099;&#097;&#117;&#115;&#101; people &#119;&#104;&#111; &#104;&#097;&#118;&#101; Cirrhosis<br /> of the liver tend to hold onto &#116;&#111;&#111; much sodium in<br /> their bodes. Most patients are &#116;&#111;&#108;&#100; to elevate<br /> their legs (do not massage them). &#116;&#104;&#101;&#121; are<br /> placed on diuretic &#097;&#110;&#100; a &quot;lower&quot; sodium diet.</p>
<p> The patient &#119;&#105;&#108;&#108; &#115;&#116;&#097;&#114;&#116; to become easily confused <br /> and disoriented. This condition is &#107;&#110;&#111;&#119;&#110; as<br /> Encephalopathy. &#105;&#116; happens &#098;&#101;&#099;&#097;&#117;&#115;&#101; certain<br /> toxins, &#108;&#105;&#107;&#101; ammonia, is &#097;&#098;&#108;&#101; to pass the blood<br /> brain barrier &#097;&#110;&#100; go into the brain. The liver<br /> used to &#116;&#097;&#107;&#101; the ammonia&#8230;which is a byproduct<br /> of the proteins &#119;&#101; use&#8230;&#097;&#110;&#100; convert &#105;&#116; into urea<br /> for the body to dispose of. The liver cells can<br /> no longer &#100;&#111; this efficiently&#8230;&#116;&#104;&#101;&#114;&#101;&#102;&#111;&#114;&#101; the <br /> ammonia stays in the blood. <br /> People &#119;&#104;&#111; &#104;&#097;&#118;&#101; this problem are usually<br /> placed on medications &#108;&#105;&#107;&#101; Lactulose.<br /> It is important &#116;&#104;&#101;&#121; &#116;&#097;&#107;&#101; the medication&#8230;because<br /> they may &#101;&#110;&#100; &#117;&#112; in a coma, &#105;&#102; this isn&#039;t done.<br /> This conditions also &#099;&#097;&#117;&#115;&#101;&#115; &#116;&#104;&#101;&#109; to have<br /> sleep pattern changes &#097;&#110;&#100; trembling in the<br /> hands &#109;&#097;&#107;&#105;&#110;&#103; &#105;&#116; difficult &#102;&#111;&#114; &#116;&#104;&#101;&#109; to write.</p>
<p> Portal hypertension: As the liver cells die<br /> off &#097;&#110;&#100; form scar tissue &#105;&#110;&#115;&#105;&#100;&#101; the liver&#8230;.<br /> this blocks the flow of blood through the liver<br /> on &#105;&#116;&#115; way back to the heart. &#119;&#105;&#116;&#104; Cirrhosis,<br /> the liver is actually dying &#105;&#110;&#115;&#105;&#100;&#101; the patient.<br /> The &#111;&#110;&#099;&#101; soft, smooth organ &#104;&#097;&#115; turned<br /> into a enlarged spongy &#111;&#110;&#101; &#119;&#105;&#116;&#104; the development<br /> of inflammation. &#119;&#105;&#116;&#104; cirrhosis, &#105;&#116; starts to <br /> shrink &#097;&#110;&#100; become hard textured. <br /> The blood isn&#039;t &#097;&#098;&#108;&#101; to go through the liver<br /> and &#105;&#116; backs &#117;&#112; into the portal vein &#097;&#110;&#100; into<br /> other smaller vessels (varies)&#8230;not used to handling <br /> this &#097;&#109;&#111;&#117;&#110;&#116; of blood &#097;&#110;&#100; &#116;&#104;&#101;&#121; can &#104;&#097;&#118;&#101; weak spots<br /> that can break open &#097;&#110;&#100; bleed. These are <br /> usually &#102;&#111;&#117;&#110;&#100; in the esophagus, rectal area,<br /> and belly button area. &#097;&#110;&#121; blood seen in the<br /> vomit, sputum, or in the rectal area is &#097;&#110; <br /> emergency. The doctor can go in &#097;&#110;&#100; &quot;band&quot;<br /> these varies to stop the bleeding.<br /> The pressure &#105;&#110;&#115;&#105;&#100;&#101; the portal vein is known<br /> as Portal hypertenstion. </p>
<p> Patients &#119;&#105;&#116;&#104; cirrhosis tend to bruise &#097;&#110;&#100; bleed<br /> very easily. The liver is &#110;&#111; longer &#097;&#098;&#108;&#101; to make<br /> the clotting factors &#116;&#104;&#097;&#116; helps the blood to clot.</p>
<p> Patients are also extremely tired since the<br /> body is &#116;&#114;&#121;&#105;&#110;&#103; to heal &#097;&#110;&#100; also, other organs<br /> are &#116;&#114;&#121;&#105;&#110;&#103; to compensate &#102;&#111;&#114; &#119;&#104;&#097;&#116; the liver<br /> no longer can &#100;&#111;. The liver does over 500<br /> functions to keep the body &#119;&#101;&#108;&#108;.</p>
<p> To learn &#109;&#111;&#114;&#101; &#097;&#098;&#111;&#117;&#116; the disease, here is a link <br /> that may be of help to &#121;&#111;&#117;:<br /> medicinenet.com/cirrhosis/art…<br /> unos.org/SharedContentDocumen…</p>
<p> The doctors are the only &#111;&#110;&#101; to determine how long<br /> a patient may survive &#111;&#110;&#099;&#101; diagnosed. &#116;&#104;&#101;&#121; usually<br /> do a liver biopsy. &#116;&#104;&#101;&#121; &#116;&#104;&#101;&#110; &#116;&#097;&#107;&#101; blood tests to<br /> see how &#102;&#097;&#114; advanced the disease may be.<br /> Patient are placed on the transplant list according to<br /> how much time the doctor decides the patient may<br /> have left to live &#105;&#102; &#116;&#104;&#101;&#121; &#100;&#111; not receive a transplant. <br /> Once on the transplant list &#097;&#110;&#100; the doctor observes<br /> the blood work, &#116;&#104;&#101;&#121; are given a MELD score.<br /> The MELD score runs from 6 to 40. &#105;&#102; a patient is<br /> closer to a 6, &#116;&#104;&#101;&#121; are the healthiest on the list and<br /> may even be taken off the list&#8230;&#105;&#102; &#116;&#104;&#101;&#121; continue to<br /> get &#098;&#101;&#116;&#116;&#101;&#114;. As the patient &#103;&#111;&#101;&#115; &#117;&#112; the ladder closer<br /> to the 40 &#109;&#097;&#114;&#107;: &#116;&#104;&#101;&#121; are sicker, &#104;&#097;&#118;&#101; &#109;&#111;&#114;&#101; signs<br /> and symptoms, &#097;&#110;&#100; are &#109;&#111;&#114;&#101; in need of a transplant<br /> sooner. &#105;&#102; &#116;&#104;&#101;&#121; reach the 40 &#109;&#097;&#114;&#107;: &#116;&#104;&#101;&#121; &#104;&#097;&#118;&#101; a &#118;&#101;&#114;&#121; <br /> short time to live &#097;&#110;&#100; may die &#105;&#102; &#097;&#110; organ doesn&#039;t <br /> become available &#102;&#111;&#114; &#116;&#104;&#101;&#109;. </p>
<p> Hope this information is of some help to &#121;&#111;&#117;.<br /> Best wishes</p></p>
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