instruction: hi doctor my father is suffering from hepatitis and currently his medication is going on medicines are entaliv 5 my reheptin pantodac livoluk 15 a day ulysses 300 norflox 400 lasilactone once a day let trice a day also tapping is doing condition fluid in abdomen back pain low be 90 60 no improvement even after two months of treatment
output: hello I can understand you must be very upset about your father health form history and medication history it seems he has liver cirrhosis in other words it is called scarring of liver shrunken liver or chronic liver disease well the medications he is on and recent history of tapping of abdominal water suggest he has advanced disease which require a close follow up and listing such patient on liver transplantation the liver transplantation is the only definite therapy for advanced liver scarring such as in your father case but it is required to assign liver transplantation not too early and neither too late there are some scoring that should be performed before recommending liver transplant the one such score require blood investigations radiological test such as contrast enhanced it scan the reason why you do not see any improvement even after months of treatment is that all treatment is just supportive and does not correct underlying problem within liver except entaliv which is used for suppression of hepatitis infection to correct underlying liver it is liver transplantation which could help the survival are good after liver transplantation such as on average 70 individuals survive at years after successful transplant I want you to share me the complete blood investigations and tests that have been done as I can be able to stage his disease and give you reasonable approach to the problem chronic liver disease hepatitis related follow up to provide more information and investigations