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Treatment
Treating hepatorenal syndrome is not simple, and the cause has to be corrected. There is a precipitating cause, and the precipitating cause is most commonly an infection. Eliminating such infection can help improve the condition, but there is no guarantee that it won’t recur or that it will return to normal. Usually, this is done through aggressive antibiotic therapy for a certain amount of time, and you will need to be hospitalized for that.
The best treatment of hepatorenal syndrome is early liver transplantation. Hepatorenal syndrome occurred due to activation of the renin-angiotensin system, which was secondary to liver deterioration and hypotension. This cannot be corrected unless a new liver is transplanted, and any other measure is considered symptomatic or palliative. A large number of patients can be candidates for liver transplantation and in those patients, survivability and return to near-normal liver functions -and life- is highly probable. Not all patients, however, are candidates for transplantation, and some can be too frail that the operation is more likely to cause their mortality, and in such cases, only palliative medical and surgical treatment is viable.
