How to self-manage in patients with cirrhosis

  Cirrhosis is an advanced stage of chronic liver disease in which patients develop various complications and abnormal liver function. The disease requires hospitalization during the active phase or with serious complications, and when the disease is relatively stable, patients can be discharged for recuperation. Patients still spend most of their time at home, so how should patients self-manage outside the hospital?  Monitor six symptoms: 1. Abdominal distention: Abdominal distention is a common symptom in patients with cirrhosis and the most prominent symptom of the appearance or increase of ascites. Therefore, patients should pay attention to observation, and if abdominal distension is significantly worse, they should be alert to the emergence or increase of ascites, which can be further confirmed by measuring weight, or abdominal circumference.  2, abdominal pain: abdominal pain is a prominent symptom of abdominal infection, if bloating pain, should be alert to the emergence of abdominal infection, once the occurrence of the hospital to seek medical attention. In addition, peptic ulcer, pancreatitis and cholecystitis are all diseases that are easily combined in patients with cirrhosis, and these diseases can manifest abdominal pain, which is difficult for patients to identify by themselves.  3. Swelling of lower limbs: it is a signal of hypoproteinemia. If there is sunken edema of both lower limbs, you should go to the hospital to check the liver function and see if the serum albumin drops, and if it drops severely it should be supplemented in time.  4, fever: fever often indicates that the patient has a bacterial infection. Patients with cirrhosis are prone to infections due to the low immunity of the body, of which the most common infection is spontaneous peritonitis, also known as abdominal cavity infection. If abdominal infection is not controlled in time, it can further aggravate liver failure. Fever is one of the signals of abdominal infection. If elevated body temperature is found, one should be alert and seek medical attention if necessary.  5, urine volume: ascites is the most common complication in patients with cirrhosis. The best way to confirm the presence of ascites is to do an abdominal ultrasound examination, but it is impossible for each patient to do ultrasound examination at any time. Under normal circumstances, urine volume should be balanced with our daily water intake, usually 1500-2000 ml per day, if urine volume is significantly reduced, there is a possibility of ascites. Also adjust the dosage of diuretics according to the daily urine volume.  6, the number of stools and color: normal people defecate once a day, the stool is not hard or thin. If there is a significant increase in the number of stools, thin quality, be alert to the presence of ascites, abdominal infection, intestinal flora dysbiosis or infectious diarrhea. Normal stool is yellow, if there is black stool or red after flushing, consider the presence of gastrointestinal bleeding, you should immediately call an emergency vehicle or go to a nearby hospital for medical attention.  Prepare three kinds of apparatus: 1, thermometer: cirrhosis patients with low immunity, prone to infection, so usually have a thermometer, if you feel cold, or discomfort, you should pay attention to the body temperature, if there is a fever, should promptly go to the hospital.  2, urine measuring cylinder or urine pot with scale: used to measure the daily urine volume when necessary.  3, home scale: patients with ascites are used to monitor weight changes during the application of diuretics, and weight loss of 0.5 kg per day is appropriate.  Prepare to take three kinds of drugs: 1, intestinal flora regulators: such as lactase, Pefixan, etc.. Patients with cirrhosis often have a combination of dysbiosis and are prone to abdominal pain, bloating and diarrhea. These drugs can be taken at home when these problems occur, and they are safe and have few side effects.  2, Yunnan Baiyao: This is an oral hemostatic drug. Gastrointestinal bleeding is one of the most serious complications of cirrhosis, often occurring suddenly and aggressively, once it happens, you should go to the hospital or call an emergency vehicle as soon as possible, but it takes time for patients to get to the hospital or call an emergency vehicle, before getting to the hospital, patients can take Yunnan Baiyao on their own to help stop bleeding, usually 1g with cool boiled water. 3, lactulose preparations: hepatic encephalopathy is also a common One of the complications, the milder ones only show changes in personality and behavior or dizziness and memory loss, while the severe ones may appear delirious. Hepatic encephalopathy can be triggered by poor bowel movements and the consumption of more protein-containing foods. Lactulose can improve the intestinal environment, reduce the absorption of blood ammonia, promote the excretion of toxic substances, and prevent hepatic encephalopathy.  If patients can do the above, they will be able to grasp the changes in their condition in time and prevent delaying treatment due to negligence.  Zheng reminds: the above methods are only temporary treatment for patients at home, with discomfort, or should promptly go to the hospital and listen to the doctor’s advice.