Self-management in patients with cirrhosis

Cirrhosis is an advanced stage of chronic liver disease in which patients develop various complications and abnormal liver functions. So, how should patients self-manage when their condition is relatively stable and they are discharged home to recuperate and recover? How should symptoms be monitored Abdominal distension: Abdominal distension 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. If the abdominal distension is obviously aggravated, they should be alerted to the emergence or increase of ascites, which can be further confirmed by measuring body weight or abdominal circumference. Abdominal pain: Abdominal pain is a prominent symptom of abdominal infection. If bloating occurs, you should be alert to the emergence of abdominal cavity infection. Once it occurs, it is important to go to the hospital in time. In addition, peptic ulcer, pancreatitis, cholecystitis are easy to combine with cirrhosis patients, these can show abdominal pain, it is difficult for patients to recognize. Therefore, when abdominal pain occurs, especially persistent abdominal pain that cannot be relieved, it is necessary to consult a doctor in time. Swelling of lower limbs: this is a sign of hypoproteinemia. If there is double lower extremity edema, should go to the hospital to check the liver function, to see whether the serum albumin is declining, and if there is a serious decline, should be supplemented in a timely manner. Fever: Fever often suggests that the patient has a bacterial infection. Cirrhotic patients are prone to infections due to low immunity, and one of the most common infections is spontaneous peritonitis, also known as abdominal infection. Abdominal infections, if left unchecked, can further exacerbate liver failure. Fever is one of the signals of abdominal cavity infection and should be treated in hospital if necessary. Urine output: Under normal circumstances, urine output should be balanced with our daily water intake, usually 1500~2000 ml per day. if the urine output decreases significantly, ascites may occur. In addition, the dosage of diuretics should be adjusted according to the daily urine output. Frequency and color of stool: Normal people defecate once a day, and the stool is not hard or dilute. If there is a significant increase in the number of stools, the quality of thin, be alert to the emergence of ascites, abdominal cavity infection, intestinal flora imbalance or infectious diarrhea. Normal stool is yellow, if the stool is black or red after flushing, we should consider the existence of gastrointestinal bleeding, and should immediately go to the hospital. What are the common instruments? Thermometer: Cirrhosis patients have low immunity and are prone to infections, therefore, a thermometer should be kept at home, and if you feel cold or unwell, you should pay attention to measure your body temperature. Urine measuring cylinder or urine pot with scale: used to measure the daily urine volume when necessary. Scale: Patients with ascites should be monitored for changes in body weight during the application of diuretics, and a weight loss of 0.5 kilograms per day is appropriate. Simple medicines need to be prepared Intestinal flora regulator: patients with cirrhosis are often combined with bacterial imbalance, prone to abdominal pain, abdominal distension, diarrhea symptoms. Lactasexan, Pepcid and other drugs are always available at home, which can be taken in time when these problems occur, and are safer and have fewer side effects. 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 occurs, patients should go to the hospital as soon as possible or call an emergency ambulance. Before going to the hospital, patients can take Yunnan Baiyao by themselves, which is helpful for stopping bleeding, usually 1g with cool boiled water. Lactulose preparation: hepatic encephalopathy is also one of the common complications in cirrhotic patients. In mild cases, it only manifests changes in personality and behavior or dizziness and memory loss, while in severe cases, delirium can occur. Patients who have irregular bowel movements and eat more protein-containing foods are prone to hepatic encephalopathy. Lactulose can improve the intestinal environment, reduce the absorption of blood ammonia, promote the discharge of toxic substances, and prevent hepatic encephalopathy.