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Suggest Remedy For Memory Loss When Suffering From Liver Cancer

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Posted on Thu, 9 Oct 2014
Question: Sir,
my father is liver cirrohsis patient from last 5 years,using medication and checking for cirrohsis..and liver was stable from last 5 years..diabetic patient from last 3 years using insulin for diabeties..diagnosed with liver cancer three month ago..have done TACE and after that tumour size was reduced from 7.8 cm to 6.5 cm..was unable to do further tace because of too much weakness..from yesterday father is facing memory loss problem..i mean he is unable to tell his date of birth..my whole family is disturbed..please sir suggest me what should i do..what is remedy for memory loss..
doctor
Answered by Dr. Dr.Raju.A.T (3 hours later)
Brief Answer:
Need some more details

Detailed Answer:
Hi,

Thanks for your query.

There are two causes where your father could loose his memory of present with symptoms of brain damage in present condition.

As a side effect of TACE. Here, microemboli aimed at killing liver tumor could have escaped to brain and caused minor ischemia resulting in memory loss.

Second, due to Hepatic encephalopathy due to deteriorating liver function.

I need to see the recent Liver function test report, based on which I could suspect what could be the cause for his memory impairment and what treatment can help.

Waiting for the reports,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.Raju.A.T (38 hours later)
Thank u Sir,
sometimes father is trying to recall and tell right answers but sometimes not able to give right answer..sometimes giving illogical statement and vice-a versa..sir i called to our tace oncology doctor he said give him hepamerg syrup 10 ml thrice a day..if possible do ammonia level checking..but in our city (haldwani)nainital ammonia level can not be checked..please tell me what should be the reason..and what should we do..whether this memory loss problem will increase or will reduce..what to do sir?please help me
doctor
Answered by Dr. Dr.Raju.A.T (12 hours later)
Brief Answer:
Need not worry

Detailed Answer:
Hi,

Thanks for the information.

The memory impairment could most probably be due to liver problem he has.

It is nit permanent, it will surely subside.

Yes, hepamerz will help. You can ask for any brand containing L-ornithine-L-aspartate.

Regards,
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr.Raju.A.T (8 hours later)
Thank u so much for your helpful reply..
some more query sir,
1. Is it neccesarry to check ammonia level?..as it is not possible in our city..
2. How many days we should give hepamerz?from last 2 days we are giving it..
3. Is protien is harmful in this situation?if yes how many days we should avoid protien?
4. How much time it will take to recover from this memory loss problem?as condition is little bit better from last 2 days..
5. Is this problem can be due to too much medication from last 3 month due to tumour TACE procedure and sorafenib tablet 200 mg for tumour?we have stoped the use of sorafenib 200 mg tablet from last 3 days, because it ws giving too much weakness..so should we stop the use of sorafenib or will have to use it after recovery frm memory problem?
6. hands were also shivering but from last 2 days it is little normal..so it also shivering due to memory loss or what?
Thank you so much for your help sir..after seeing your positive reply family is satisfied..and hoping for the best..thnks for your kindly full support ..
doctor
Answered by Dr. Dr.Raju.A.T (13 hours later)
Brief Answer:
Continue Hepamerz

Detailed Answer:
1. Is it neccesarry to check ammonia level?..as it is not possible in our city..

--I do not think so. You have to put him on hepamerz anyway.

2. How many days we should give hepamerz?from last 2 days we are giving it..

--Continue till his symptoms of memory fade.

3. Is protien is harmful in this situation?if yes how many days we should avoid protien?
--yes, it is harmful. It can build up ammonia. Avoid it till his liver parameters are normal.

4. How much time it will take to recover from this memory loss problem?as
condition is little bit better from last 2 days..

-- Cant say, may be days or a week or so. Its subjective, some fast some slow.

5. Is this problem can be due to too much medication from last 3 month due to tumour TACE procedure and sorafenib tablet 200 mg for tumour?we have stoped the use of sorafenib 200 mg tablet from last 3 days, because it ws giving too much weakness..so should we stop the use of sorafenib or will have to use it after recovery frm memory problem?

--I believe its necessary. yes, continue after your father is fine.

6. hands were also shivering but from last 2 days it is little normal..so it also shivering due to memory loss or what?

--No, shivering and memory loss are due to same underlying pathology. If shivering is gone then soon memory problems too will go.

Wish you good health.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr.Raju.A.T

General & Family Physician

Practicing since :2008

Answered : 4933 Questions

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Suggest Remedy For Memory Loss When Suffering From Liver Cancer

Brief Answer: Need some more details Detailed Answer: Hi, Thanks for your query. There are two causes where your father could loose his memory of present with symptoms of brain damage in present condition. As a side effect of TACE. Here, microemboli aimed at killing liver tumor could have escaped to brain and caused minor ischemia resulting in memory loss. Second, due to Hepatic encephalopathy due to deteriorating liver function. I need to see the recent Liver function test report, based on which I could suspect what could be the cause for his memory impairment and what treatment can help. Waiting for the reports,