Confusion, drowsiness and slurred speech (due to hepatic encephalopathy)
Spider-like blood vessels on your skin
When to see a doctor?
Visit your doctor if you have any of the signs or symptoms.
There are several causes of cirrhosis.
Liver, after every injury, repairs itself. On repeated and prolonged injury, normal tissues are replaced by fibrous or scar tissues leading to cirrhosis.
As cirrhosis progresses, your liver loses its ability to function properly. Liver cirrhosis occurs secondary to some underlying causes. So, early detection and treatment of these causes can prevent liver damage.
Generally, no symptoms are experienced at early stage of cirrhosis. Most cases of cirrhosis are revealed during routine blood test or check up.
Your doctor may perform following tests
Laboratory tests: Your blood is checked to determine how you liver is functioning. Liver damage is indicated by higher amount of bilirubin and certain enzymes in blood.
Kidney function: Your kidney function is determined by measuring creatinine level of blood is checked.
Tests for hepatitis B and C: Blood test reveals if you are infected by the hepatitis viruses.
Clotting: Your international normalized ratio (INR) is checked to assess your clotting time.
Imaging tests: Magnetic resonance elastography (MRE) is non-invasive and sophisticated imaging test used to check whether the liver has hardened or stiffened. Other imaging tests: MRI, CT and ultrasound are used to obtain image of the liver.
Biopsy: A tissue sample (biopsy) of liver may be used to diagnose the severity, extent and cause of liver damage.
The choice of treatment for cirrhosis depends upon the cause and extent of liver damage.
Treatment is focused on delaying scarring of the tissues in your liver as well as preventing or treating symptoms and complications of cirrhosis. If your liver is severely damaged hospitalization is necessary.
The various treatment approaches are:
Treatment of cause of cirrhosis
Diagnosis cirrhosis in the early stage can decrease liver damage by treating the cause of cirrhosis.
Treatment for alcohol dependency: Excessive alcohol intake can cause cirrhosis. So, you should avoid alcohol. Your doctor may suggest treatments that help you quit alcohol.
Weight loss: Nonalcoholic fatty liver, a cause of cirrhosis can be managed by losing weight and reduing blood sugar.
Medications to control hepatitis: Medications are given to control liver damage due to hepatitis B or C.
Medications to control other causes and symptoms of cirrhosis: Medications may delay the progression of certain types of liver cirrhosis. Other medications can be given to provide relief from certain symptoms, such as itching, fatigue and pain.
To correct malnutrition and prevent osteoporosis (weakening of bones) caused by cirrhosis, nutritional supplements can be recommended.
Treatment of complications of cirrhosis
Your doctor will treat complications of cirrhosis such as:
Excess fluid in your body: Edema or ascites are controlled by limiting sodium intake and medication to prevent accumulation of fluid in the body. You may require processes for drainage of fluid or surgery to reduce pressure if there is excess fluid accumulation.
Portal hypertension: Blood pressure medications are prescribed to treat high pressure in the veins supplying the liver (portal hypertension) and reduce severe bleeding. Portal hypertension can also cause enlarged veins in esophagus or stomach (varices). Frequent examination can help detect any such varices.
Infections: If you are suffering from infections, antibiotic or similar treatments may be prescribed. Your doctor can suggest you to get immunized against influenza, pneumonia and hepatitis.
Liver cancer: Regular blood tests and ultrasound examination may be performed to check if there are any indications of liver cancer.
Hepatic encephalopathy: You may be prescribed medications that eliminate toxins from your blood since liver is unable to function efficiently.
Liver transplant surgery: When your liver damage is severe, replacing the diseased liver with a healthy liver from a donor is the ultimate option. A person undergoing surgery should have good health and refrain from alcohol 6 months prior to surgery.
You can prevent cirrhosis of liver by taking care of it properly. Following tips can help to minimize your risk of developing cirrhosis
Drink in moderation: If you drink, drink no more than the safe limits. Talk to your to know how much is safe for you.
Follow a healthy diet that is rich in fruits and vegetable, whole grains and lean sources of protein. Avoid fatty and fried foods.
Maintain a healthy weight: Being obese or overweight can increase your risk of liver damage. Follow a healthy diet and exercise regimen to keep weight in check.
Don’t share needles and indulge in unprotected sexual contact
Immunize with hepatitis vaccines
7 Alternative and Homeopathic Remedies
Consult with your physician before starting any alternative and homeopathic remedies for cirrhosis.
A wide variety of alternative medicines for treatment of liver diseases are available.
Milk thistle (silymarin) is common and extensively studied substance.
Herbs like licorice root (glycyrrhizin), schisandra and astragalus are also used.
8 Lifestyle and Coping
There are different ways to adapt your lifestyle in coping with cirrhosis.
If you have cirrhosis, be careful to avoid further liver damage. Following measures could be helpful:
Don’t drink: Alcohol causes further liver damage.
Limit sodium intake: Fluid retention due to excess can promote swelling of your abdomen and legs.
Follow a healthy diet: Take a diet rich in fruits and vegetables, lean protein, such as legumes, poultry or fish to treat cirrhosis associated malnutrition. Eating raw seafood may be harmful.
Avoid infections: Cirrhosis weakens your disease-fighting capacity. Properly wash your hands several times a day with soap and water and stay away from possible sources of infection.
Use over-the-counter medications carefully: Liver is the major organ involved in drug metabolism. Reduced liver function due to cirrhosis can cause extra load on the liver. Consult your doctor to know if some medications are safe for you. Aspirin, acetaminophen and ibuprofen should be avoided or used in low doses.
9 Risk and Complications
There are several complications associated with cirrhosis.
Complications related to blood flow:
Portal hypertension (Increased blood pressure in the veins supplying the liver): It is caused due to impaired blood flow from intestines to your liver.
Swelling in the legs and abdomen: Fluid buildup in legs may occur due to portal hypertension. Reduced production of blood protein, albumin, by your liver can also cause edema and ascites.
Splenomegaly (enlarged spleen): Portal hypertension can cause enlargement of the spleen.
Bleeding: Smaller veins may burst due to portal hypertension and result in serious bleeding. Veins may also be enlarged due to high blood pressure causing fatal bleeding in the esophagus (esophageal varices) or the stomach (gastric varices). Cirrhosis can also result in reduced production of chemicals that help the blood to clot during injury.
Some other complications are:
Infections: Cirrhosis can weaken your immunity. Fluid collected in your stomach can lead to a serious infection, bacterial peritonitis.
Malnutrition: Reduced nutrient production and impaired digestion can result in loss of weight and physical weakness.
Hepatic encephalopathy: Due to reduced ability of your liver to clear toxins from the body, the toxins may accumulate in the brain causing mental confusion and concentration problems. Of not treated, hepatic encephalopathy can advance to coma.
Jaundice: Jaundice may occur due to accumulation of bilirubin, a waste product of blood, in your body.
Bone disease: Bones can become weak and prone to fracture due to cirrhosis.
Gallstones and bile duct stones: Impaired bile flow can cause stones in your gall bladder or bile ducts.
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