Hepatitis C
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Articles by
Dr. Zhang
 
TCM and MCM Theory Related to Common Liver Disease Blood Test Markers

Low Dose Interferon Patient Experiment

Hepatitis A Prevention Reminder

Hepatitis: Causes of Pain in Liver Region 

The Need to Monitor Your Chronic Hepatitis

Liver Enzyme Fluctuation during Allergy Season 

What are the Serum Markers of Hepatitis B and What do They Mean?

Enterogenous Endotoxemia in Chronic Hepatitis–
Part 2

Enterogenous Endotoxemia in Chronic Hepatitis–
Part 1
 

Chronic Hepatitis and "Blood Activating and Stasis Expelling" (BASE) Therapy -
Part 2

Chronic Hepatitis and "Blood Activating and Stasis Expelling" (BASE) Therapy
Part 1

What Causes Gastrointestinal Bleeding in Cirrhotic Liver Disease

Dietary Support for Cirrhotic Liver Diseases

Ascites - A Complication of De-Compensated Liver Cirrhosis

Liver Cirrhosis - Portal Vein Hypertension Complications

Liver Cirrhosis Overview

PG-IFN and Ribavirin Treatments

Antibiotics and Chronic Liver Diseases

Why is Alcohol Harmful for People with Hepatitis?

Co-infections and Super-infections of Viral Hepatitis

Beware of Medications That Can Cause Liver Damage

Bile Retention and Its Clinical Manifestations (MCM) part 4

Modern Chinese Medicine (MCM) Part 3 
Jaundice and Chronic Viral Hepatitis

Modern Chinese Medicine (MCM) Anti-Liver-Fibrosis Treatments - Part 2

Modern Chinese Medicine (MCM) Anti-Liver-Fibrosis Treatments - Part 1

What is Liver Fibrosis and How is It Different from Cirrhosis?

How does the liver change as we get older?

How is that my LFTs are so good when my viral load is seemly so high?

Comprehensive Care for Chronic Viral Hepatitis

What can Cause Liver Inflammation?  

What Are the Major Functions that the Liver Carries?


 





Ascites - A Complication of De-Compensated Liver Cirrhosis

Ascites (fluid retention in the stomach) is a common complication of the de-compensated cirrhotic stage of diseases. The main underlying causes are portal vein hypertension, low serum albumin level, and lymph over-formation in the liver and spleen. This in turn, causes leaks on the surface of the liver and the membrane of the stomach-cavity.

The long-term prognosis of ascites is dependent on three factors: the degree of reversibility, the control of the underlying liver disease, and the patient’s response to treatments. If the underlying liver disease can be controlled by effective treatment, then the ascites can be reversed quickly and the fluid can be released. With time, the patient can eventually restore their liver functions to the compensated level.  However, if the patient develops other complications, such as the deterioration of kidney functions and spontaneous bacterial infections in the stomach cavity (peritonitis), the prognosis will worsen. Therefore, ascites is a serious condition that requires immediate care and active treatment as soon as it is found.

To treat ascites, first important step is the restriction of salt intake. Generally, salt intake should not exceed 2 grams per day for a patient with ascites, and in persistent and severe cases, salt should be completely eliminated from the diet. Because most prepared foods from supermarkets contain salt or sodium, it is important to read the label carefully.  

In conventional western medicine, a diuretic medication is usually used. Sometimes, the rate of the fluid release can become too high and cause a decrease in blood volume. This can adversely affect cardiovascular functions and to avoid this, the diuretic dose should be calculated carefully while the patient is monitored closely. Fluid restriction is generally not necessary unless the serum sodium level becomes too low. Other treatment options for ascites include active draining of the fluid and evaluation for a liver transplant. Once the decision is made, the evaluation for liver transplantation should be done as early as possible because the availability of the liver donors is very limited and the waiting period can be quite lengthy.

 

 

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About HCV
Overview
Causes and Transmission

 
Diagnostic Tests
Antibody
HCV RIBA
HCV RNA 
Viral Load

Viral Genotyping

 
Major Signs
Liver Inflammation
Fibrosis
Cirrhosis

 
Peripheral Signs and Symptoms
Fatigue
Jaundice
Bile Retention
Joint Pains and Skin Rashes
Blood Sugar Instability
Portal Vein Hypertension
Ascites

 
Important Liver Function Test Markers
Overview
ALT and AST
ALP and GGT
Albumin
Bilirubin
PT (Prothrombin Time)
 
Liver Biopsy
Overview
Procedure
Inflammation Grade
Fibrosis Stage
 
Interferon Based Treatment
Overview
Ideal Candidate
Possible Side-effects
 
Liver Support with TCM
Overview
Liver Enzymes
Serum Albumin
Blood Clotting Factors
Bile metabolism
GGT
 
Dietary Considerations
Overview
Proteins
Essential Fats
Carbohydrates
Vitamins
 
 

 


 

 

Medical Information Sources:
http://www.nih.gov/
http://www.nlm.nih.gov/

http://nccam.nih.gov/
http://www.medlineplus.org/


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