### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Good Morning to you all, This is re-my mom, diagnosed four years since,with chronic liver disease and portal hypertension,Spleen enlarged to about 15.9cms,gall bladder epidematous,both kidneys are normal,pancreas are normal,intra hepatic vascular bilary radicals are normal ,portal vein patent,no evidence of focal leisions in the parenchyma,Liver apprears hyperechoic and coarse with irregular surface.Span: 10.9cms, ascites.At times irrevlevant talks. Like to have enough of food but unable.At preset admitted to a hospital just a day before.Already on im inj.maxipime antobiotics.I would like to have your good advice on this subject.Anything to do in medical sciences?

### output:

Hi, I am so sorry to hear about your Mom. Your mom is presenting with features of Liver cirrhosis and portal hypertension with hepatic encephalopathy (ire-relevant talk). Liver cirrhosis is divided into two stages clinically 1. Compensated - where the patient has cirrhosis but absolutely no symptoms and 2. Decompensated - (your Mother) where symptoms of liver disease begin to appear - like jaundice, ascites (fluid in the belly), venereal bleed (omitting blood) or hepatic encephalopathy (irrelevant talk, sleepiness). Most patients with early decompensated cirrhosis can be managed with medications which includes blood pressure pills to prevent bleeding, water pills to prevent fluid accumulation and lactulose to prevent encephalopathy. But as liver disease progresses, it becomes more and more difficult to manage the symptoms and at this stage the best option would be to proceed with a liver transplant. This will not only remove all problems associated with the cirrhotic liver, but also replace it with a new healthy one. Of course Liver transplant is not offered to everyone and will depend on multiple factors like age of the patient, cause of liver cirrhosis, social support of the family and so on. Hope this helps, and please do not hesitate to contact me for further details - rxsuresh@gmail.com