instruction: hello doctor the scan for my maid husband shows early liver cirrhosis we need a consultation on the scan he has stomach pain with water filled abdomen is surgery necessary
output: hello I have reviewed your given details I agree with you that he is suffering from end stage liver disease and ultrasound is showing fatty liver we need to look at the cause of this fatty liver which could be due to excessive alcohol intake or obesity related or it could be because of certain drugs for treatment of water filled abdomen I need further information to decide whether it can be treated with drugs or he will require paracentesis is a procedure in which needle is inserted into the abdominal cavity and inside accumulated fluid is taken out I need to know about how much discomfort he feels because of this water filled abdomen is there difficulty in breathing and will need the following test abc complete blood count bun blood urea nitrogen creatinine serum electrolytes let liver function test serum albumin urine analysis perfect cure for end stage liver disease is liver transplantation which is a long procedure before deciding whether he needs it now we need above workup so we can calculate scores how early he will need it viral hepatitis alcohol nash metabolic cause abc bun creatinine serum electrolytes lots serum albumin urine do it in app hbsag anti hav antibodies liver cirrhosis liver cirrhosis decompensated with ascites will decide after investigations take low salt diet avoid constipation by taking syearup lactulose 30 my at bed time should pass two to three stools per day if target does not achieved then take 30 my twice a day follow after reports as soon as possible please answer the asked questions history of alcohol intake weight and height of the patient history of viral hepatitis history of iv drug abuse family history of liver disease or cancer