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Decompensated cirrhosis. Presence of abdominal swelling ( ascites ).blood in vomiting or black/red color feaces ( variceal bleed ).altered behavior/sensorium ( hepatic encephalopathy ).respiratory discomfort ( hepatic hydrothorax or hepato-pulmonary syndrome ) or decrease urine output/rise in creatinine ( hepato-renal syndrome ).

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Tell your doctor right away if any of these unlikely but serious side effects occur. diarrhea.vomiting.muscle cramps/weakness.irregular heartbeat.mental/mood changes.seizures.

Produces osmotic effect.which increases water content in colon and enhances peristalsis. Breakdown products in colon lead to acidification of colonic contents.order duphalac pregnancy of feces.and decreased ammonia absorption from colon to systemic circulation. These effects reduce blood ammonia level order duphalac pregnancy portal-system encephalopathy.

Before using this medication.tell your doctor or pharmacist your medical history.especially of. diabetes.

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