KPa score 44.2 CAP score 309

[Jopaul]

Afternoon,

My partner has been diagnosed with cirrhosis and had a second fibro scan on the 02/11 - his previous and first fibroscan KPa result was 29 it has risen to 44.2 in a matter of months - i am not sure what his previous CAP score was - does anyone know what stage of liver disease this is?

[nash2 Partner]

Hi Jopaul

That is a very big change in a short time. I hope you are in the care of a hepatologist as those scores can indicate a stage 4 disease. A lot of things can affect that test and you will need more information to know for sure what is happening but having specialist care is important if you can.

Wayne

[Jopaul in reply to nash2]

Hi Wayne,

Thank you for your reply. My partner is under a hepatologist - though his next appointment is not until May next year so is that a good sign? He is an alcoholic and drinks at least a half bottle of vodka everyday at weekends considerably more. He was in hospital in July due to bleeding and has since suffered with swollen ankles, yellowing of the eyes and terrible pain under his ribs on the right hand side on a daily basis. When he is drinking his personality changes and becomes very aggressive and paranoid, he doesn't sleep well either. The problem is he doesn't admit to the doctor how much he drinks. Is stage 4 end stage? Sorry for all the information.

Thanks Jo

[Jopaul in reply to Jopaul]

Also to add when he had his fibroscan in November the radiographer said he it is 50/50 that he will end up in liver failure if he continues to drink they have said he needs to be totally abstinent which he is no where near that. I know it may sound a stupid question and one that is not answerable but if he continues to drink as he is, will this reduce his life expectancy dramatically and quickly.

[nash2 Partner]

So sorry for you. It is terrible to watch a partner do that. His liver is very badly damaged and the alcohol is making it worse. If you can, please see a counselor or find other support for yourself as he is likely to have a crisis and be in the ICU soon. Be prepared to get him to the ER as things can deteriorate very quickly with binge drinking. It makes me sad to say it but you need to prepare yourself for difficult end times. Alcohol is not a benign substance.