liver cirrohsisHello, i am muhieddin from lebanon. I have a problem!!! my father has a liver cirrohsis encephalopathy, and his health condition become worse but still there is no complications like ascitis or bleeding just  confusion or to become unconsous  knowing that i am a staff nurse  so i always treat him by  lactulose  but i want to know if i can do something to decrease complications, also i want to ask about  portal shunting, also  someone tell from saudia arabia that camels milk and its urine can treat such this case it is  true ?? also i want to know about liver transplant and who can donate to make this operation. I know it is a big subject but i am a healthworker and i blame my self why i can do anything
Thanks for asking question. Your patient having cirrhosis with encephalopathy. Neomycin or rifaximine like Chat Doctor. Yes in cirrhosis with portal hypertension TIPS shunt can be placed. Best treatment is liver transplantation.HLA matched liver needed.Meanwhile, if varietal bleed occur banding applied. Take less fatty diet. Papaiya like fruits more. Avoid alcohol and smoking. Protein diet can take. But don't much benefit by camel milk that you have mentioned. It is not needed. If diarrhea occur consult doctor as it can aggravate encephalopathy. Use less oil in diet... Cumin seed crushed one tsp with milk can be taken. Take care.