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Fluid retention in the abdominal cavity is a part of end stage liver disease when the liver is shutting down and the kidneys are in trouble. Often the patient turns a yellow colour.

There is also stomach bloating from foods, hormone changes and other normal living that can be controlled somewhat, but is just part of the human (mostly female) condition.

Ascites is a distinct condition. In the milder stages the use of lactulose can help rid the body of ammonia and extra fluid. Many people can be stabilized for a long time. At later stages, the doctors will "tap" the person's abdomen with catheters or syringes. It is done in the hospital mostly. At this point, the build up is so great that other strategies are inadequate.

End stage liver disease is beyond stage 4 cirrhosis.

I hope this helps,

thanbey

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[url="http://www.hcop.org"]www.hcop.org[/url]
...all information is intended for general information and is not an attempt to speak to the specifics of any one person's medical situation or decision...........

preapproved by moderator1
End stage liver disease is not necessarily the same as liver failure. However, it is beyond the time when treatment of anything less than aggressive strategies are necessary. It is appropriate at that point to be discussing or be referred for transplant.

Ascites does not occur in someone without progressing cirrhosis. Cirrhosis is still manageable. I have never heard of anyonwe having ascites at a stage one biopsy or even up to stage three or four. That would be rare indeed and likely would have some kind of mitigating factor associated with it.

I offer this only for purposes of clarification. Bloating is not end stage disease, nor is it ascites.

thanbey




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[url="http://www.hcop.org"]www.hcop.org[/url]
...all information is intended for general information and is not an attempt to speak to the specifics of any one person's medical situation or decision...........

preapproved by moderator1
Thanks Thanbey, That's one less thing I have to worry about. I was beginning to wonder if the VA missed diagnosed my liver stage. I've more or less watched a person die from cirrhosis, but they didn't have HCV. They couldn't quit drinking, so liver damage can definitely affect a persons brain. This individual had a bloated stomach and they were jaundice too. I've seen the signs of a person dying from cirrhosis and it's hard to deal with that person, especially if they won't listen to any kind of logic. I believe that a person in that state of mind is best cared for in a hospital. I also know I don't want to end up like that person too. I hope this message encourages all never to drink again...ChihuahuaLady, I hope your friend get's some help soon and recovers quickly. Good luck and take care...

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Jeanie
End stage liver disease and liver failure are not the same.
End Stage just refers to the point you have reached that without medical intervention or a mirical by God you will go into complete liver failure. End Stage can last months years or even just days. A friend of mine her name was Kelly. She got sick out of the blue without warning. Within 2 weeks she was admited and evaluated for tranplant. It progressed so fast that within 2 days of the evalutiion she had gone into complete failure and was in the OR getting her new liver.
By the time you go into complete liver failure you have about a 12 hour window to get transplanted.
There are many stages. If your having any of those symptoms you can ask about getting evaulated. There classifications. I was a status on my 2nd transplant. Top Priority. If I did not have a new liver within 12 hours I was going to die. A friend of mine was stage 4. He waited almost 8 years for his new liver. The worse the symptoms are the higher up you go on the stages. Plus if your problems get to the point that medical intervention does not work you are moved up on the list.
I use to do volenteer work for LifeNet transplant services. My job was to sign people up as donors and answer questions people had about transplant and what has to happen to your heath to get you on the list.
If you have any symptoms like the ones described in this then get to the doctor. Now you dont need to panic but they do need to watch it so that they can watch you.
As far ascites. Your cirrhosis does not have to be progressing in order to have it. Cirrhois is not the only thing that can bring it on. There are different things that can in connection to it cause it.
I dont get this whole thing below that you are refeing to about no one having ascities in stage 1, 2, 3 or 4. Are you trying to ay that you only gett ascities when your in failure, or ESLD? If that is what your saying your wrong. Bloating is just that or swelling. It can be from walking to much to much salt intake, ect. Ascities is fluid collection mainly in your belly. It does not respond to water pills most time and you have to get it tapped. And it will reoccure.
Melinda



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