Sudden Change in Liver Condition After ERCP Treatment - #46944

Key Points From Your Description

ERCP for CBD stone on 22 Nov → successful, patient improved USG on 24 Nov (AIG Hospital) → Normal liver, normal portal vein USG on 20 Dec (Assam) → reported cirrhotic liver + portal hypertension + ascites Labs: LFT: largely normal Albumin: low (2.55) Total protein: low (5) Hb: 9.1 (chronic anemia) Clinically: No encephalopathy Appetite good New onset bilateral pedal edema + water-filled blisters Very Important Understanding ❌ Cirrhosis does NOT develop in 25 days Cirrhosis takes years, not weeks.

Cirrhosis was overdiagnosed on the second USG, OR There is acute/reversible liver congestion or fluid overload mimicking cirrhosis on ultrasound

YOUR FATHERS REPORTS SHOW VERY LOW ALBUMIN AND TOTAL PROTEIN AND THIS ALONE CAN CAUSE LEG SWELLING WATER FILLED BLISTERS AND FLUID IN ABDOMEN EVEN IF THE LIVER STRUCTURE IS NOT DAMAGED AFTER ERCP THE BODY GOES THROUGH STRESS INFLAMMATION AND FLUID SHIFTS AND IF PROTEIN LEVEL FALLS SUDDENLY ULTRASOUND CAN MISINTERPRET THIS AS CIRRHOTIC CHANGES OR PORTAL PRESSURE THIS IS CALLED FUNCTIONAL OR TEMPORARY DECOMPENSATION AND IT IS REVERSIBLE

THE MOST REASSURING SIGNS ARE GOOD APPETITE NO CONFUSION LFT AND KFT MOSTLY NORMAL RECENT ULTRASOUND BEFORE DISCHARGE WAS NORMAL HB LOW BUT STABLE

THIS DOES NOT FIT WITH END STAGE LIVER DISEASE

REPEAT ULTRASOUND WITH DOPPLER AFTER TWO TO THREE WEEKS REPEAT LFT ,INR, ALBUMIN, TOTAL PROTEIN,CHECK URINE PROTEIN CHECK ECHO, IF NOT DONE

FOCUS SHOULD BE ON IMPROVING PROTEIN LEVEL AND FLUID BALANCE SALT RESTRICTION PROPER PROTEIN IN DIET AS ADVISED BY DOCTOR LEG ELEVATION BLISTER CARE MONITOR WEIGHT AND URINE

FROM AN AYURVEDIC POINT OF VIEW PUNARNAVA MANDURA ONE TABLET TWICE DAILY AFTER FOOD TO HELP EDEMA IF APPROVED BY HIS DOCTOR DIGESTION SUPPORT VERY MILD FORMULATION BEFORE FOOD IF APPETITE IS WEAK

NO STRONG MEDICINES NO CLEANSING NO OIL NO HEAVY HERBS AT THIS STAGE

I NEED MORE DETAILS TO UNDERSTAND THE FULL PICTURE PROPERLY PLEASE TELL ME HIS AGE, ANY HISTORY OF ALCOHOL IN THE PAST , ANY LONG TERM MEDICINES LIKE PAINKILLERS ,ANTIBIOTICS ,OR HEART MEDICINES ANY HISTORY OF JAUNDICE IN THE PAST, ANY DIABETES, HIGH BP ,OR HEART PROBLEM ANY WEIGHT LOSS OR LOSS OF APPETITE IN LAST FEW MONTHS ANY FEVER OR INFECTION AFTER ERCP IS URINE OUTPUT NORMAL ANY ABDOMINAL PAIN OR TIGHTNESS ANY BREATHLESSNESS ON LYING DOWN ANY BLACK STOOLS OR VOMITING ANY MENTAL CONFUSION OR SLEEPIN

PLEASE SHARE THE DETAILS I ASKED ABOVE SO I CAN GUIDE YOU MORE CLEARLY AND SAFELY