Hepatorenal Syndrome

Advanced liver disease patients are at risk for Hepatorenal Syndrome (HRS) A potentially fatal kidney-related disorder. The two conditions most commonly associated with HRS are severe cirrhosis, or liver scarring, and ascites, an abnormal accumulation of fluid in the abdomen that is frequently linked to liver disease. Acute liver failure, or fulminant hepatic failure, as well as other liver disorders, can also cause the syndrome. There are two categories for the hepatorenal syndrome:

• Type 1 (Acute) kidney failure is characterized by a sharp reduction in kidney function that advances rapidly to potentially fatal kidney failure.
• Kidney function declines more gradually in Type 2.

It is currently unknown what causes Hepatorenal Syndrome (HRS)

It is currently unknown what causes Hepatorenal Syndrome (HRS) specifically and how frequently it occurs in patients with severe liver disease. When the kidneys do not receive enough blood flow, renal functions gradually deteriorate. Hepatorenal Syndrome (HRS) nonspecific symptoms include:

• Fatigue
• Stomach ache
• A sense of unwellness

Additionally, individuals with Hepatorenal Syndrome (HRS) may experience signs of advanced liver disease, such as:

• An excessive amount of bilirubin in the blood that gives the skin or eyes a yellow tinge (jaundice)
• An unusual accumulation of fluid in the abdomen, known as ascites
• The spleen is swollen (splenomegaly)
• A brief deterioration in brain function caused by hepatic encephalopathy, manifesting as confusion and memory loss

For the treatment of hepatorenal syndrome, nephrologist and kidney specialist Dr. Vijay Patel can conduct a variety of tests, do a comprehensive clinical evaluation, and collect a full patient history. He is one of Mumbai's best kidney specialists as well as one of the best nephrologists in South Mumbai.

For those with HRS-2 who are too ill for the procedure, it is not a recommended course of action. Patients who are not candidates for a transplant are frequently advised to undergo renal replacement treatment (hemodialysis) or medications that help improve the blood flow to the kidneys. Dialysis may occasionally be necessary due to kidney problems that still arise after a successful liver transplant. Dialysis is a medical procedure that mimics the actions of healthy kidneys while eliminating waste, excess water, and salt from the body.