Conversation: The conversation between human and AI assistant.
[|Human|] Hi! my name is Nisar. I am 57 years old. I am suffering from hepatitus C since 26 feburary 2009. I am suffering from following symptoms: Fluid retention causing swelling of the belly ( ascites ), legs ( edema ), or whole body (anasarca) Persistent jaundice Fatigue Disturbances in sleeping Itchy skin Loss of appetite, weight loss , wasting Vomiting with blood in the vomit Mental disturbances such as confusion, lethargy, extreme sleepiness, or hallucinations ( hepatic encephalopathy ) please help me
[|AI|]  It seems you have all the complications from cirrhosis due to your hepatitis C. You probably have had the virus for much longer than 2009. You should be seen at a transplant center for evaluation and consideration for liver transplantation, since you won't be a candidate for hepatitis C treatment with all these problems (the antiviral therapy could precipitate acute liver failure in your case). You need to be on diuretics (such as furosemide plus Gladstone) for your fluid overload. Furthermore, you should be on lactulose or rifaximin for your encephalopathy. Furthermore, you should get an upper endoscopy to check if you have esophageal varices. Furthermore, you should get a liver ultrasound or CT scan to check for liver cancer. In conclusion please see a liver specialist as soon as possible!