Treatment: If a pancreatic or liver tumor is identified and able to be surgically excised, the skin lesions may normalize for an extended period of time, but because these tumors metastasize (spread to other areas of the body) quickly, surgery is not curative. In cases of end stage liver disease, surgery is not possible, and the goal of therapy is to increase quality of life and decrease uncomfortable skin lesions with supportive care and addressing the nutritional abnormalities. Supportive care includes supplementing protein and necessary minerals and enzymes through the diet and oral supplements or by weekly intravenous amino acid infusions that are performed in the hospital on an outpatient basis until improvement in the skin is noted. Unfortunately, despite the supportive care, the disease will progress.
I just found this site after being discharged from hospitalization for cholecystitis attack 2 days ago. I want to try the flush but I’m still tender all across the upper abdomen. Much imaging found not only gallstones, but left side kidney stones (no pain or symptoms) but 1 stone will be too large to pass should it leave the kidney. Will this flush cause kidney stones to dislodge as well as the gallstones? More info: ER ultrasound confirmed my severe URQ pain was indeed cholecystitis & I was admitted as doubled over in pain and needed IV fluids, morphine & antibiotics. The next day I felt good, no fever so they discharged me but set up additional imaging “for the future”. Reports below. I was released with script for Amox-Clav 850 2/day for 7 days which made me sick so had to stop after taking 2 due to tender gallbladder area with add’ll belly bloating & pain. Now taking Pepcid AC & barely eating & low grade fever is back. All calming slowly. Of note is that I found reports that Amox-Clav 850 can cause cholecystitis so I know why I had a set-back after being sent home! No clue why I was given something known to cause the problem I was admitted for!! The US report says “gallbladder contains multiple echogenic shadowing stones as well as surrounding mobile sludge with wall thickening up to 5 mm. Stones measuring in the 10-15 mm range in size”… liver is normal in size & contour….no intra or extrahepatic bilary ductal dilation. The common duct measures approx 5 mm in caliber. Portal venus flow is appropriately into the liver. Normal portal vein waveform.” The x-ray report says “multiple calcified gallstones”. My CT scan report says “Distended gallbladder with several calcified gallstones. Mild pericholecystic fluid & gallbladder wall thickening. There is no bilary ductal dilatation (dilation?) “Impression: Cholelithiasis with gallbladder wall thickening & pericholecystic fluid, concerning for acute cholecystitis.” Sorry to have written a book, but considering all of the above, especially the kidney stone potential issue, am I a candidate for a flush or two? Thank you!
This is optional, but I’m so happy I discovered this. Fasting sounds
difficult and you’d think it would involve hunger and suffering and a strong
will power, but not so. No need to go hungry. And I’m not even hungry and
don’t suffer but feel great and clearer thinking/more energy in the morning
(even with my risperdal which for years had made me lethargic in the morning)
during my daily intermittent fasting (16 hour fast with coconut oil during
the fast with 8 hours feeding). When the fast is over, I eat normally:
usually 2 meals and a snack during the 8 hour feeding window, sometimes just
2 meals. I’m not ravenous when it’s time to eat, surprisingly. Sure, I’m a
little hungry, but in no hurry to eat and sometimes the fast lasts longer
than 16 hours just because of circumstances. And I exercise during the fast –
no problem with a lack of energy. No longer am I anxious about eating every 4
hours like I used to be while doing the low carb. In fact, I think I have a
much healthier relationship with food – it’s not so important and I know I
can go without it if I need to. Food doesn’t control me anymore. It has
really simplified my life.
Another possible cause of diarrhea is irritable bowel syndrome (IBS), which usually presents with abdominal discomfort relieved by defecation and unusual stool (diarrhea or constipation ) for at least 3 days a week over the previous 3 months.  Symptoms of diarrhea-predominant IBS can be managed through a combination of dietary changes, soluble fiber supplements and medications such as loperamide or codeine . About 30% of patients with diarrhea-predominant IBS have bile acid malabsorption diagnosed with an abnormal SeHCAT test. 
Another possible cause of diarrhea is irritable bowel syndrome (IBS), which usually presents with abdominal discomfort relieved by defecation and unusual stool (diarrhea or constipation ) for at least 3 days a week over the previous 3 months.  Symptoms of diarrhea-predominant IBS can be managed through a combination of dietary changes, soluble fiber supplements and medications such as loperamide or codeine . About 30% of patients with diarrhea-predominant IBS have bile acid malabsorption diagnosed with an abnormal SeHCAT test.