What is Cirrhosis
Cirrhosis is a consequence of chronic liver disease characterized by replacement of liver tissue by fibrotic scar tissue as well as regenerative nodules, leading to progressive los...
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Cirrhosis is a consequence of chronic liver disease characterized by replacement of liver tissue by fibrotic scar tissue as well as regenerative nodules, leading to progressive los...

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Confused on diagnosis
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My fiance is 36 years old. He has had 1 esophageal bleed in 2004 and a mallory weiss tear in 2007. He has been a heavy drinker for over 10 years off and on. He has stopped drinking for as long as 2 years at a time. His labs are normal and has had conflicting medical diagnosis in the last 2 years. Some docs say his liver is working perfectly and has over 20 years of life left and one doc who scoped him told me he had 1 year left. In 2007 the doc who performed the EGD said that he had stage 1 varices and that he was going to die. Will its 2009 and he appears to be fine. Since then the docs continue to tell him that his liver is working normally. He has never been biopsied nor has he had an ultrasound. His diagnosis was based on the bleed in 2004.
This is great news however becuase of all the conflicting information, my fiance seems to think he doesn't have cirrhosis therefore he thinks its ok to drink one or two. I dont want to be overly obsessive with his condition so I dont know whether I should support him and be somewhat flexible or give him an ultimatum and tell him no drinking or I leave. Posted on 07/10/09, 01:07 pm |
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Rummi,
My thought is he needs to get in for a biopsy and ultrasound, that should give you a pretty good idea of what is going on with the liver. You may have to find a new GI Dr. so you get a fresh perspective. Best to find out then wonder. Best wishes.
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I am going to say this as kindly as I can and yet it's going to seem quite harsh. I will not sugar coat this. My response is based on my experience (see my profile) and is the truth as I see it. I also know that many on here will see it the same way.
The fact that he has liver problems with varying ideas of how serious and the fact that he has drank a lot in the past and still wants to and thinks it's ok is proof that He has a problem he's an alcoholic. I rarely ever diagnose anybody else's alcoholism but there is no doubt in this case. Every time he picks up a drink he is pulling the trigger on a revolver with one bullet. Eventually he will have the drink that kills him and there will be no turning back. If he is drinking he is committing suicide and it's the most selfish self centered thing he could ever do. The question for you is what are you going to do. This is my suggestion. Get strong get really strong tell him if he picks up a drink he is out of your life for good and follow through. Suggest that he go to AA it has the ability to change his life. Several of us in this group are involved in the program. Then you should start attending al-anon. There is a reason you are with an alcoholic and al-anon will help you discover why and how to avoid it in the future. Otherwise you will end up with someone just like him. I'm sorry if this hurts but there is no legitimate rationalization for his drinking or you tolerating it. God Bless Good Luck Also get him to a heptologist or a gastroenterologist that specializes in liver disease.
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I am goin to be blunt, rude even.
Let me make this clear to you. IF he HAS CIRRHOSIS and STOPS drinking, he may have over 20 or 30 years to live. If he DOES NOT he will be DEAD in a COUPLE of years, tops. I am sorry, but is his choice. Good luck to you,
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There doesn't seem to be any proof one way or the other as to whether he has or hasn't got cirrhosis. The sensible thing to do is to get blood tests and a CT scan or an utrasound scan.
If it means going to another doctor, or getting a referral to a liver specialist, or both then so be it. A definitive answer will put your minds at rest one way or another. I hope the news is good. As for his drinking, it all depends whether you believe him or not that he only has one or two drinks. Heavy drinkers/alcoholics are notoriously good for appearing 'normal' and sober while lying through their teeth.
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As a former Alcoholic (if there is such a thing) I agree with all the above advice.
Why can't the scientists develop a benign substance with all the pleasant effects of alcohol without Nasty one's? The UK has always has a problem since the Gin house's of the Victorian era. Maybe if America had legalised some other drug during prohibition, No I can't think of America without the Booze!
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Hello
Your situation is a bit confusing due to the varying opinions on diagnosis. I know for myself that at the start of 2008 I saw a GI doc who told me yes, I had cirhossis, but it was very managable with very few drugs. I was not drinking at the time, so I that was very good, and I took my meds and followed my diet perfectly. In August of '08 I moved back with my husband and found a doc down here and told him of my history, and kept on my meds (only 2 at the time) but before my referral for a new GI doc went thru I ended up in the ER with heavy bleeding and now am waiting to be put on transplant list. That's a far cry from managing my illness to almost dying. So I know what you mean and I agree with other on here who say you really should get the advice of another doc. You never do know and once you hit this stage, well...it's just not good. As for the drinking, I won't lecture to that, but just to say that with any liver condition, the best course of action is to not drink at all. Easier said than done for some...I was lucky, I've been not drinking for going on 2 years, even before I was diagnosed with any issue (simply because I wanted to just give up that lifestyle) and I was required to go to treatment for consideration on a transplant list last year, but before that I did it on my own...no AA, no nothing. Others swear by AA and that's very good too. I know that you need to be strong, but not just for him, but for you. Perhaps you do need to make it clear that it's you or alcohol. I don't know you and it would be wrong to say just get up and go....but sometimes putting the clear and only choice there is what needs to be done. He needs to stay well, but so do you. I do wish you the very very best of luck and hope that whatever you decide you can find some answers to his illness and do the very best you can for both of you to stay healthy. God bless, CA
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Ms. Rummi. That is what you must be feeling after reading all of these opinions. I have to say that I agree with Reed the most. He is dead on (no pun) on his assessment of the situation. He needs to find a doctor to find out what the hell is wrong with him and he needs to quit drinking PERIOD. I go to AA every Sunday and there`s a lot of caring members with nothing bad to say! You are welcome also. Al-anon is for you, go there whether he stops or not. BTW I quit early enough so my liver has recovered a bit and feel fine!
Be strong and draw a line with you on the sober side, if he wants to step over great, if not........................Jeff
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I agree with everyone and the truth is I think that all of us who are faced with the situation, with a loved once, are forced to make a very difficult decision. I love my fiance dearly but I know that his problem is much bigger than him or me. He has tried multiple drug treatment centers and for some reason has a very negative opinion about AA. He says that most of the attendees of AA are lying about their sobriety and are hippocrates. I have attended AA meetings with him and to tell you the truth I found them to be very informative and comforting. I do have to add that I lived with an alcoholic father. He stopped drinking when I was 14 and has been sober ever since. My dad never attended AA nor rehab. and he managed to stop cold turkey. I guess because I saw him do it I kind of expect my fiance to do the same. My dad tells me that my fiance will stop when he chooses to and that no rehab or AA will help him stop. He says its all in the mind and will. He tells me to be patient and to give him space to figure out for himself and not to be so pushy. To leave him alone. Well I have a hard time doing that because I love him and I know what alcohol is doing to him.
As for the ultimatum, Well I have already told him that the drinking has to stop. I did not tell him completetly stop but told him that we could enjoy an occasional drink during special occasions. As long as its not a habit. He agreed with this however I know that even a little bit is not good. The thing is that I am torn between two philosophies. One is to "Live and let Live" enjoy life and have fun and whenever its time to go "go out with a bang" and then the second is "no, I must take care of him and provide him with the best medical care and nourish him with the best foods and comfort as I possibly can" and protect him from hurting himself by making sure there is no alcohol around. Which means he must change his lifestyly completely. You see he is a musician and a bartender. Booze has always been a part of the lifestyle and now its like I want him to do a complete 180. I guess this is why I am willing to compromise by saying a little at a time in hopes that one day he will choose for himself to stop.He is a very intelligent man and is very aware of his humanity. He tells me that he does not fear death and that when its his time, hes ready. That he is not going to live his life in fear. He tells me that he loves me and that he is willing to compromise so we'll see. RIght now he is locked up due to multiple DWI'S so when he comes home is when the real test will be. Hes been sober now for 1 year so he has had plenty of time to think about what he has to lose. To add to his package, he is bipolar. This makes this situation even more complicated. Believe me, I have my hands full. Let me just end by saying that, my fiance and I have been best friends for over 15 years, since high school. HE is not some random guy I just me and decided to make a life with. Its because of the history that we share that makes letting go so much harder. I know what a great guy he is. The problem is that he is sick with two very powerful diseases, Alcoholism and Bipolar disease. They have such a strong hold of him and I am doing everything in my power to fight for him when I know that if he was in his sane mind, he would be fighting too. I am not a quitter and as long as I am healthy and sane minded I will continue to search for a solution or a way to help my beloved. I must because if I let go he will be lost to everyone. That is not something I am willing to do without a fierce fight. Now we have cirrhosis to deal with. And well, another battle I am faced with. As long as he gives me an inch of hope and as long as he is willing to try to continue to improve I am willing to stick around.
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Rummi,where to begin? Your fiance is an alcoholic, you know it and he knows it. As an alcoholic myself, we can be very cunning, deceitful and lie more than tell the truth. The problem is when you lie to yourself and fall for it with everyone else. How many times did I say "leave me alone, let me figure it out for myself" etc, etc..
I have been married for 21 years and my wife and I have been friends since 6th grade.The hardest thing I have ever had to do was listen to my wife say was stop drinking or she was leaving with the our 3 girls. That was 2-23-09. The second hardest thing was to walk through the doors of AA with all those liars and hippocrites but unfortunately that is what we are. That was 2-24-09.I will always be grateful to my wife for standing up to me and that I was not too dumb to listen. I was diagnosed with cirrhosis about two months later. I had the most negative attitude about AA as well but I now know that my biggest fear was that it would work. I enjoyed my lifestyle which was all about drinking it was almost required in my occupation as well (or I thought it was). I have not had a drink since 2-23-09 and I know if I have one now it will not be just one. Sorry for the sermon but the alcohol has to stop before the cirrhosis can be addressed. A Dr can explain that better than I, but go find one who knows cirrhosis. If I can be alcohol free for almost 5 months then your fiance can for one day. Worry about tomorrow when the sun comes up. I will be praying for you both. tbonz p.s. AA is working for me but there are many different options.
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GI Bleeds don't happen for no reason. They afe often associated with cirrosis. Your husband needs to see a real hedpatologist instead of a GI doc - and he needs to do it immediately.
The majority of these posts start by talking about AA and alcoholism before getting to your question. Your husband should check this out too, but it is secondary to the real problem. Since he dislikes AA, look up Schick Shadel on the net. 10 days and 2 recaps and the problem is gone. But - I say again! Hepatologist, NOW! Stop guessing.
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