Hepatorenal syndrome is a condition associated with impairment of kidney functions which affects individuals in advanced stages of liver disease. This condition is usually referred to as functional disorder, since the condition is not associated with any structural pathology to the kidneys.
There are two different types of hepatorenal disorders, Type 1 which is a rapidly progressing condition and Type II which doesn’t have a very rapid course.
As mentioned, hepatorenal syndrome is a condition which is characterized by functional renal disorder which is associated with an advanced liver disease. There is little information about the causes associated with hepatorenal syndrome; however some experts suggest that the pathophysiology is associated with alteration in the arterial lumen.
Experts suggest that blood circulation pattern in individuals with this disorder is altered and abnormal. The arteries that carry oxygenated blood from the lungs to the rest of the body are dilated, while the arteries of the kidney are constricted, which resulted in decrease in blood flow in the kidneys. Further, some individuals may suffer from hypertension, which may be associated with elevated blood pressure among the portal blood vessels.
Symptoms Of Hepatorenal Syndrome
The symptoms associated with hepatorenal syndrome are similar in both the forms of the disorder. There are three characteristic features which include liver damage, altered blood circulation patterns and kidney dysfunction. While in most cases the symptoms become apparent only in advanced stages of the condition, the common symptoms include the following,
- Symptoms associated with liver disorder, which include jaundice, decreased nutrition, abdominal distention and bloating due to ascites and altered mental state.
- Symptoms associated with renal dysfunction include oliguria (i.e. decreased urine volume).
- Abdominal infection due to accumulation of ascites fluid may also be commonly observed. Some patients may suffer from hypovolemic shock, due to extravasation of fluid from the circulatory system.
Diagnosis of hepatorenal Syndrome is based on certain criteria mapping which helps in identifying the major factors and the minor factors that are associated with the condition.
Hepatorenal Syndrome Treatment Options
The treatment of hepatorenal syndrome focuses on restoring renal and liver functions and regularizing the blood circulation patterns. While in most cases, hepatorenal syndrome may require hospitalization and use of intravenous fluids that can aid in enhancing the kidney functions, there are certain home remedies that might prove beneficial in the treatment of hepatorenal syndrome,
- Homeopathic drug Arsenic Alb is often referred to as the homeopathic trocar can be beneficial in restoring renal functions.
- Lycopodium and Bryonia are homeopathic drugs that are beneficial in improving liver functions and management of advanced liver disease. It is recommended to consume these drugs in low potency and repeat them over four times in the day.
- A soft diet with more of fluids is recommended. Fluids help flush the toxins from the body, while a soft diet is usually easier to digest.
- Vitamin K injections may be required to enhance liver functions and prevent internal bleeding.