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Volume 11 Issue 2 (April-June) 2022

Original Articles

Evaluation of serum sodium levels in liver cirrhosis patients
Dr. Bhoori Singh

Background: This study was carried out to assess the serum sodium levels among subjects suffering from liver cirrhosis. Materials and Methods: All participants over the age of eighteen who were admitted with a diagnosis of liver cirrhosis were included in the study. Those taking thiazide diuretics, having heart failure, or having chronic kidney disease were among the subjects who were excluded. The demographic information of the patients was recorded into a neatly formatted proforma. The Child Pugh Score Classes A, B, and C were used to categorize the severity of cirrhosis. Ascites, hepatic encephalopathy, spontaneous bacterial peritonitis, hepatorenal syndrome, and variceal hemorrhage were among the side effects associated with cirrhosis. It was determined that flapping tremors, personality changes, odd speech patterns, and intellectual difficulties were indicative of hepatic encephalopathy. A medium, severe, or incomplete grade was assigned to it. Results: In this study, one hundred patients were involved in the research. The majority (50%) were in the 41–50 age range, with a mean age of 49 and a range of ages from 30 to 80. Males made up the majority (93%). According to the current study, 45 patients (45%) had hyponatremia (≤130 meq/L). There was no statistically significant difference in the patient demographics between the two groups. Alcoholic liver disease (75, 75%), chronic hepatitis B (15, 15%), and unknown etiology (10 cases, 10%) were among the causative reasons for liver cirrhosis. There was no proof that the patients' salt levels were impacted by the cause of their liver cirrhosis.Eighty-six percent of the patients were classified as Child Pugh C. Hepatorenal syndrome and spontaneous bacterial peritonitis were more common in people with low sodium levels. The results of this investigation show that spontaneous bacterial peritonitis and hepatorenal syndrome are substantially correlated with hyponatremia. Conclusion: Reduced sodium levels have a favorable correlation with the severity of the disease, spontaneous bacterial peritonitis, and hepatorenal syndrome in cirrhosis.

 
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