NAFLD

[jacqueline121]

My partner has recently been diagnosed with none alcoholic fatty liver disease stage 2.

He was fine until February when he started to suffer from fatigue. He then started getting chest pains and was admitted to hospital for a few days.

He is diabetic and during his hospital stay they changed a few of his meds and added trulicity a weekly injection to stimulate the pancreas to make insulin.

The drug made him feel really I’ll and he couldn’t eat a thing hardly during that time. Thankfully he came off it but was still loosing weight and not eating. No nausea but his stomach felt bloated and uncomfortable when he ate anything.

Now diagnosed with liver disease stage 2 but he is suffering from fluid in he abdomen and fluid in his legs. He is struggling to walk.

When I have read about the fluid it seems to happen in a later stage of liver disease. Cirrhosis. Also the water tablets aren’t helping at all. He is getting confused with all the appointments and tablets and I’m wondering if he confused about the stage of his illness as at fist he said he had cirrhosis and now NAFLD stage 2.

He is in London and I’m in Yorkshire but I travel up there to help. Although Im Thinking of moving here so he had more help.

I’m just wondering if you can get he problems with fluid build up at stage 2 of NAFLD? Thanks

[AyrshireK]

Ascites and oedema are generally symptoms of advanced/decompensated cirrhosis rather than merely fibrosis - it's possible someone has discussed stages with your partner and he has gotten confused.

NAFLD can lead to fibrosis of which there are 4 stages.

F0 - No fibrosis

F1 - Mild Fibrosis

F2 - Moderate Fibrosis

F3 - Severe fibrosis with bridging, a.k.a. incomplete cirrhosis.

F4 - Cirrhosis

Cirrhosis can then also be staged.

Stage 1 & 2 are deemed Compensated and are categorized due to the symptoms present

Stage 1 Cirrhosis - No Varices, No Ascites

Stage 2 Cirrhosis - Varices, No Ascites

Stage 3 & 4 are termed decompensated which is when the liver is stuggling to fulfill it's most important jobs.

Stage 3 Cirrhosis - Ascites, +/- Varices.

Stage 4 Cirrhosis - Bleeding (from varices), +/- Ascites.

If your partner has obvious fluid in his abdomen and oedema in his legs then he's quite possibly more advanced than he's aware or else he has gotten confused. I take it doctors know of his fluid build up at the moment, if not then they need to be made aware URGENTLY especially if the water tablets arn't working (the fact he's on these makes me think he has a slightly more severe diagnosis).

The BLT has a page all about cirrhosis that might prove useful to you in educating yourself about the condition and if you are able to help him at his appointments (or someone is) then that would be very beneficial, it's easy to become confused with all the med speak when you arn't feeling yourself - my hubby can't attend appointments alone because he just can't either make himself understood nor can he understand even simple information sometimes.

britishlivertrust.org.uk/in...

I think you need to get confirmation of where he actually is health wise.

All the best to you both.

Katie