Hi Saranya,

Interloop ascites is a very old term. It used to be used for abdominal tuberculosis. It just means fluid in the mesentery of the small intestine. Any case of severe ascites can have fluid in the mesentery.

This fluid can't be drained as it's trapped. As Jill said, diuretic tablets can help. The ascites is just part of your mother's liver failure.

Hello to All,

Pls anyone tell me what is interloop ascetis?

Dear All, 

Next check up dat efor my mom is 15th january 2014. Now the dr. said that there is more fluid in her stomach and continuing the Lasilactone Tablet and on 15th January their will be a scaning of stomach. Now she loss her wait. The swollen stomach became very small. She have no discomfort now and look like a normal woman. Now she not feeling any stomach pain, gas problems, no vomiting etc. But thinking about the liver I am nervous. Now I hope for the new medicine( Sofosbuvir) Pls share your experience if any one in this condition have any symptoms??

Thanks to all who helps me by answering my questions, I will also need your valuable suggestions in future. Thanks............ and best wishes 

I agree, interferon tx in that condition would be perilous, the only way I know of to help the liver recover somewhat, is to eliminate the current cause of the continuing destruction. I am sorry that you do not have access to the all oral medications which is the only safe way to rid her of the Hepatitis without damaging the liver further, but that and transplant are the only modes of improving the situation I am aware of.

I will pray that God provides a solution to your mothers dilemma, I know how hard this is for you and how helpless you may feel, but put your faith in God and all things will be resolved through his grace. 

Best wishes and prayers to your Mother and you...... you are a truly wonderful soul to be so helpful and concerned about her and I pray that peace will find it's way to your family.

Duane

All you need is the INR blood test results to calculate the MELD score, then go here http://www.mayoclinic.org/medical-professionals/model-end-stage-liver-disease/meld-model-unos-modification and it will calculate it for you.

You already have the Total  Billirubin and Creatinine so if you have the INR...... which I'm guessing you do, as it would be a pretty standard part of a work up for someone with the rest of the known results to have.

You can get a pretty good idea of the condition of the liver, I would agree with Mallani that it appears to be decompensated cirrhosis  and I'll guess that the INR comes in between 1.7 and 2.0 based on the other results and will yield a score of between 16-18  which is significant damage but not immediate day to day danger at this time.

If the patient is treated to successfully treat and cure the HEP C  or B or any other contributing factors,there is the possibility of going from decompensated to compensated with proper diet and professional care. 

However your Mother should most definitely be worked up for a pre transplant assessment with that level of liver disease, because in any case even though there maybe some improvement the likely hood of other complications is high and I don't  want to scare you with those.

If it helps calm your nerves.... I have decompensated cirhosiss meld scores from 14 -17 prior to HCC and have had very similar blood results as your mother, and I have been on the transplant list for over 2 yrs now, having successfully been treated and gone SVR from HEP c there has been dramatic improvements in liver function, so treating the underlying cause is the 1st order of business and will improve the quality of life a lot....but you must seriously consider the road to transplant if possible for long term best outcome.

I'm sorry if any of this has scared you, as it was not my intention but rather share my experience of the road ahead with truth.

God Bless,

Duane

Dear Mallani,

Good afternoon, As you asked, here I am attaching the albumin and Bilirubin test results. Pls go through it and give me solutions.

Hello Saranya, welcome to the forum.

You must be very worried about your mother, and I feel for you in your distress.

If your mother was also infected with Hep B that could certainly cause liver damage and cirrhosis and I would say it would be a good idea for her to be tested for that too.  The surgery she had could not cause cirrhosis though and that won`t be the reason.

Here is some information about cirrhosis and the possible causes.  As you can see there could be many reasons for your mother`s health problems... 

http://www.niddk.nih.gov/health-information/health-topics/liver-disease/cirrhosis/Pages/ez.aspx

As Malcolm has said, the best course of action is for your mother to consult an experienced liver specialist or hepatologist who will be able to answer your questions more fully.

Wishing you both the best of luck!  ~ Jill

Hi Saranya,

Thanks for the results. You haven't posted the albumin , ALT or bilirubin. These will probably be under 'LFT's'.

Your mother has cirrhosis, which is probably long-standing, and she has portal hypertension, with oesophageal varices and ascites.

I see the Genotype test was done in Mumbai. There may have been a problem with the specimen, or the Viral Load may be too low for them to do a Genotype with their equipment.

Whether your mother's cirrhosis is due to HepC is uncertain. What does your doctor think?

There are many causes of cirrhosis. Cheers.

Hi Saranya,

The Ultrasound shows your mother has liver cirrhosis. Do you have other results of blood tests, such as platelet count, albumin, ALT and bilirubin?

The Hepatitis test is rather confusing. The PCR-Quantitative result shows a Viral Load of only 1683 i.u./ml which is very low. I am not sure why the Lab in Trivandrum could not do a Genotype test on this.

Your mother should see a liver specialist (Hepatologist) to fully assess her liver. Whether the cirrhosis is due to HepC is uncertain at this point. Try to get some more information. Cheers.