Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
From your post I can understand that your father underwent sleeve gastrectomy to control blood glucose.
And he was found to have chronic liver disease.
The workup for chronic liver disease showed that he has Wilson Disease and he is on D penicillamine.
Now the answer for your questions.
1. To know whether he needs liver transplant, we need to calculate the MELD score. To calculate this we should know the following - Bilirubin, creatinine and INR. In the attached document I am not able to see creatinine and INR.
2. If it is just Wilson disease, the liver will work fine with medications. But the doctor has said there might be an autoimmune component as well and it was to be evaluated during the follow up.
3. The liver is cirrhotic. Cirrhosis of liver is irreversible. So the liver will not become normal with medications. Only the worsening is prevented.
4. D.pencillamine works well for Wilson Disease.
5. Periodic follow up with the doctor very important.
I hope that answers your question.
Let me know if I can assist you further.
Regards,
Dr.R.K
Patient replied :
the inr
was there it was
1.21
0.01 high
the normal is 1.2
creatinine was normal completlly normal
so what do u think ?
I attached some old test before 4 months if u don't mind look at it
Hi,
As per MELD score he does not need liver transplant as of now.
He needs to continue taking D penicillamine and to be on regular follow up with his doctor.
Let me know if you have any more questions.
Regards,
Dr.R.K.
Patient replied :
thnx a lot
But I want to ask what is the food that he should avoid completely?
is he alowed to eat meet ?
what about fat and olive oil ?
Hi,
Food that is minimal in copper should be consumed.
Beef, pork should be avoided until copper levels are stabilized. Occasional egg white, chicken is consumption is allowed.
Speak to dietician if vegetarian as many things any vegetarian diet may have high copper content.
Many vitamin supplements contain copper. Consult your doctor before taking them.
Avoid smoking/alcohol completely. Avoid dry fruits, chocolates, mushrooms.
Consultation with dietician is adviced
Thank you
Patient replied :
Hi,
Food that is minimal in copper should be consumed.
Beef, pork should be avoided until copper levels are stabilized. Occasional egg white, chicken is consumption is allowed.
Speak to dietician if vegetarian as many things any vegetarian diet may have high copper content.
Many vitamin supplements contain copper. Consult your doctor before taking them.
Avoid smoking/alcohol completely. Avoid dry fruits, chocolates, mushrooms.
Consultation with dietician is advised
Thank you