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Dr Ashit

Dr Ashit Hegde  |180 Answers  |Ask -

Consultant Physician, Internal Medicine and Critical Care Expert - Answered on May 25, 2023

Dr Ashit Hegde specialises in internal medicine and intensive care. He has nearly 40 years of experience and is consultant physician, intensivist and head of the critical care section at the PD Hinduja Hospital and Medical Research Centre.
He is actively involved in teaching and training residents for post graduate programmes in internal medicine and critical care.
He holds an MD degree in general medicine and therapeutics from the Lokmanya Tilak Municipal Medical College, Mumbai, and an MRCP from the Royal College of Physicians, Edinburgh.... more
Asked by Anonymous - May 19, 2023Hindi

Dear Sir/Madam, my husband has the following diagnosis:- UPPER GASTRO-INTESTINAL BLEED ETIOLOGY: MALLORY WEISS TEAR, DECOMPENSATED CHRONIC LIVER DISEASE; CTP 9 B; MELD 18,ETIOLOGY: ETHANOL, PORTO-HYPERTENSIVE ASCITES PAST UPPER GI BLEED-GASTRIC ULCER-FORREST III, ALCOHOL USE DISORDER Good thing is that he has stopped drinking. He has been kept on OPD follow up 3 monthly with repeated blood tests. Now we have doubt that is this fearful condition or can be followed up in OPD basis only.

Ans: he has cirrhosis of the liver. He needs to follow up regularly with the gastroenterologist. This of course is a serious condition but does not require admission unless the patient develops a complication like bleeding from the stomach, or fever or altered mental state.
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