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Overview

Cirrhosis - Symptom, Treatment And Causes

Cirrhosis is a medical condition where the healthy tissue of the liver is replaced by scar tissues. This makes it difficult for the liver to function properly. The scar tissue slows down the processing of natural toxins, drugs, hormones and nutrients. This occurs due to the blockage of the flow of blood through the liver. It can also slow down the manufacturing of proteins made by the liver. It can even cause death if not treated on time.

What causes liver Cirrhosis?

Liver Cirrhosis is most commonly caused due to alcohol abuse, fatty liver and hepatitis C. Other causes of Cirrhosis in the liver include:

  • Fatty liver which is associated with diabetes and obesity.
  • Acute viral infections of the liver such as hepatitis D, B and C. This is somewhat rare.
  • Blockage of the bile which transfers bile to the intestines. Bile is generally formed in the liver and it helps in digesting food. Blockage of the bile duct can also be caused due to bilary atresia. In this condition, the bile ducts are damaged or absent which causes the bile to stay in the liver. This condition usually affects babies.
  • Continuous bouts of heart failure causing fluid to build up in the liver.
  • Diseases such as cystic fibrosis, glycogen storage disease (inability of the body to process glycogen into sugar), alpha 1 antitrypsin deficiency (absence of a certain enzyme in the liver).
  • Diseases and disorders which are caused by hemochromatosis (excessive iron content is deposited in the liver and other vital organs), Wilson’s disease (unusual storage of copper inside the liver) and abnormal liver functioning.
  • Rare factors like parasitic infections, exposure to environmental toxins and reaction to certain prescription drugs can also contribute to Cirrhosis.

How is Cirrhosis diagnosed?

  • Physical exam- The doctor usually performs a physical exam to see how large your liver is and observes how your liver feels. A liver affected by Cirrhosis might feel irregular and bumpy instead of smooth.
  • CT scan and ultrasound- Tests like ultrasound, computerized tomography (CT scan) and radioisotope scan is performed to analyze Cirrhosis.
  • Biopsy- During a biopsy, a tissue from the liver is taken and tested for diagnosing Cirrhosis of the liver.
  • Surgery- This is usually performed in severe cases, a laparoscope is inserted through an incision inside the abdomen. After the doctor gets an entire view of the liver he performs the surgery.
Treatable by medical professional Require medical diagnosis Short-term: resolves within days to weeks Non communicable
Symptoms
Yellow skin Decreased apetite Nose bleeds Weight loss Itchy skin Weakness Swelling of the legs

Popular Health Tips

A Guide to Living Healthy: Preventing Cirrhosis of the Liver!

Dr. Anand V Ghiya 85% (10 ratings)
MBBS, DNB ( General Surgery ), MNAMS - General Surgery
Gastroenterologist, Pune
A Guide to Living Healthy: Preventing Cirrhosis of the Liver!
Cirrhosis of liver is slow and gradual replacement of normal healthy liver tissue with scar tissue which results in poor liver function and blockage of flow of blood through liver which comes from intestines. As more scar tissue replaces normal healthy liver, liver begins to fail. What causes cirrhosis? Alcohol: Amount of alcohol which can cause liver damage varies from person to person, however those who consume alcohol for long in significant amount are more prone to develop liver damage. Hepatitis B or hepatitis C: Caused by hepatitis B and C viruses, respectively, which are acquired by contact with contaminated blood (like needlestick injury, blood transfusion, injection drug abuser), sexual contact with infected person and from mother to child during childbirth. Non-alcoholic fatty liver disease (NAFLD): Caused by presence of extra fat in liver (after excluding significant alcohol intake) which causes inflammation and scarring leading to cirrhosis. Usually seen in patients who are overweight or obese, having diabetes, high fat in blood, high blood pressure or metabolic syndrome. Drugs causing liver injury. Others: Autoimmune hepatitis (body`s own immunity acting against liver), Wilson disease (build up of copper in body), hemochromatosis (excess of iron in body), certain bile duct disorders, etc. What are the symptoms of cirrhosis? Early disease can present with nonspecific symptoms like weakness, fatigue (loss of energy), decrease wish to take food, vomiting or nausea, weight loss, etc. Advanced disease can present with fluid accumulation in legs (edema) or abdomen (ascites), facial puffiness, yellowish discoloration of eyes or urine (jaundice), redness of palm (palmer erythema), decrease urine output, small red lesions on skin, easy bleeding following trauma, blood coming out of mouth/anus/other body site, black colored feaces, mental confusion, flapping tremors of hand, etc. In men it can cause impotence, breast enlargement and shrinking of testis. What are the complication of cirrhosis? Portal hypertension: It is a common complication of cirrhosis which is due to increased pressure in portal vein. Portal vein is main blood vessel which carries blood to liver from stomach, intestines, spleen, gallbladder and pancreas. Because of scar formation in liver the normal flow of blood from these organs to liver is hampered. As a result of blockage of blood flow to liver there are few complications which can arise like accumulation of fluid in abdomen (ascites) and legs (edema), formation of enlarged veins (varices) in food pipe (esophagus), stomach, etc., enlargement of spleen (splenomegaly), mental confusion/altered behavior/altered sensorium (hepatic encephalopathy), respiratory discomfort (hepatic hydrothorax or hepato-pulmonary syndrome) or decrease urine output/rise in creatinine (hepato-renal syndrome). Increase risk of infection because of immune system dysfunction. Development of liver cancer (Hepatocellular carcinoma) Easy brusibility or bleeding following light trauma. Gall bladder stone formation Metabolic bone disease What are the stages of cirrhosis? Compensated cirrhosis: Liver damage is damaged but no 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). 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). How cirrhosis is diagnosed? Your doctor will take good history and do proper physical examination. If there is suspicion of cirrhosis then he will subject you to some blood test, ultrasound abdomen, fibroscan/elastography, upper GI endoscopy and if needed CT scan or MRI of abdomen or liver biopsy. Ultrasound of abdomen in cirrhosis may shows coarse liver echotexture, nodular liver surface, dilated portal vein or collateral, enlarged spleen or abdominal fluid (ascites). How to prevent cirrhosis? Best way to avoid development of cirrhosis from predisposing stage of liver illness is to recognize and treat early. Few advices to keep liver healthy are: Dietary modification: Eat healthy balanced diet. Avoid high calorie food or drinks, saturated fat, sugar and refined carbohydrates. Keep yourself hydrated. Lifestyle modification: Maintain healthy body weight. Avoid being overweight or obese. Aerobic exercise (like brisk walk 30-45min/day atleast 5days/week) regularly helps to lower liver fat. Avoid: Avoid use of contaminated needles, sharing of items of personal hygiene (like shaving razors, toothbrush, nail clippers, etc), use of illicit drugs, self medication with over the counter drugs or using drugs beyond doctor`s advice. Practice safe protected sex Alcohol Motivate others: to stop drinking and follow hand hygiene and doctor`s advice. Hand hygiene: Wash hand with soap and water regularly before eating, after going to toilet and after touching dirty objects. Vaccination: For hepatitis A or hepatitis B, if you are not vaccinated or not already infected or unsafe antibody titre. Transmission rate of hepatitis B from mother to child at birth can be reduced with vaccination and immunization of newborn starting within 12 hours of birth as well as by using antiviral drugs (if indicated). Prevent others from getting infected from you if you harbor virus causing liver damage. How to treat cirrhosis? Treatment of cirrhosis is based on cause of cirrhosis and complication of cirrhosis. Main aim of treatment in early stage of cirrhosis is to slow the progression of cirrhosis and prevent complications development Stop alcohol, antiviral drugs for hepatitis b or hepatitis C, proper sugar level if diabetes, steroid or other medications for autoimmune hepatitis, medications to reduce copper from body in patients with Wilson`s disease, etc. Drugs to lower portal pressure (beta-blocker or nitrates), drugs to remove fluid from body (diuretics), drugs to lower ammonia level for encephalopathy (lactulose and others), drugs to improve kidney function (albumin, terlipressin and others). Opt for liver ransplant, If cirrhosis is life threatening or treatment of cirrhosis complication is ineffective. Low salt high protein diet Stop alcohol intake even if you have other cause of cirrhosis. Stop smoking Avoid over the counter drugs (especially pain killers) Vaccinate if not done already or infected
4 people found this helpful

Cirrhosis of Liver - Ayurveda Treatment

Dr. Mahesh Gupta 90% (281 ratings)
Bachelor of Ayurvedic Medicine and Surgery (BAMS), CERTIFICATE IN OSTEOPATHY, Panchakarma Training
Ayurveda, Udaipur
Cirrhosis of Liver Cirrhosis of the liver is a chronic and progressive condition in which the liver gets damaged and healthy liver tissue is replaced with scar tissue, ultimately causing dysfunction of the liver. Liver damage obstructs the circulation to the liver and also hinders the processing of nutrients, hormones, drugs, toxins as well as the production of proteins and other substances made by the liver. Liver cirrhosis is caused due to hepatitis C, fatty liver, alcohol abuse, viral infections, inherited diseases, and as a toxic reaction to drugs and environmental waste products. The modern management of this condition involves diet modification, reduction in salt intake, total abstinence from alcohol, and avoiding all the causative factors of this condition. Cirrhosis of liver causes multiple symptoms in the body including fluid collection in the abdomen, bleeding varices in the stomach, chronic heart failure, damage to the central nervous system, and various metabolic disorders in the body. Advanced cirrhosis of liver is ultimately fatal. Ayurvedic Treatment It is therefore of prime importance to commence treatment at the earliest possible. It is of utmost importance to treat the known cause of the condition. Ayurvedic herbal medicines have a definite action on the hepatic cells and can effectively treat inflammation within the liver. Ayurvedic medicines can also treat infection as well as metabolic dysfunction of the liver, and protect it from the toxic effects of drugs and environmental wastes. Ayurvedic medicines can therefore be effectively used to treat all the known causes of liver cirrhosis. Liver damage causes healthy cells to be replaced with scar tissue. This is preceded by a process of inflammation, swelling and gradual death of the liver cells. Early institution of Ayurvedic treatment can help dramatically reduce inflammation and swelling and thereby preserve the liver cells and prevent unnecessary damage. Even in the early phase of scar deposition. Ayurvedic herbal medicines can help remove scar tissue, minimize permanent liver damage, and help regenerate damaged or near-dead cells Ayurvedic herbal medicines therefore form a comprehensive treatment therapy for liver cirrhosis. The other symptoms resulting from liver cirrhosis such as ascites, esophageal varices, congestive cardiac failure and metabolic disorders start improving automatically when the obstruction in the liver is treated and removed. However, Ayurvedic medicines can treat these symptoms independently too, if these are observed to be severe in the affected individual and require urgent medical care. Improved functioning of the liver also helps to improve the overall metabolism and nutrition of the body and metabolize toxic substances within the body. Prompt and aggressive Ayurvedic treatment therefore helps comprehensively treat liver cirrhosis and significantly reduce morbidity and mortality resulting from this disease. Cirrhosis can also adversely affect the central nervous system and cause psychotic symptoms and permanent nerve damage. Prompt treatment with Ayurvedic herbal medicines also helps to preserve the brain function and treat the associated symptoms. If required, brain damage can be treated separately with herbal medicines which strengthen the nervous system and help rejuvenate nerve cells. Medicines which act on the nervous system also help improve confidence and self-control and are therefore equally useful in helping the affected individual abstain completely from alcohol, which is a known and predominant cause of cirrhosis. Depending upon the severity of the condition, most individuals affected with cirrhosis require regular and aggressive Ayurvedic herbal treatment for periods ranging from six to eighteen months, in order to obtain significant benefit and a possible complete cure from the condition. Ayurvedic treatment thus has a definite role to play in the management and treatment of cirrhosis.
3 people found this helpful

Choline Deficiency - Signs You Are Suffering From It + Sources Of Choline!!

Dr. M.P.S Saluja 90% (279 ratings)
MD - Microbiology, House Job Certificate ( SKIN & STD) , MBBS
General Physician, Gurgaon
Choline Deficiency - Signs You Are Suffering From It + Sources Of Choline!!
The human body s ability to manage the fats consumed and the way the liver functions to handle this in the overall metabolism setting are dependent on choline. Choline, which is present mostly in the form of Vitamin B12, is available in plenty in most of the foods consumed by people regularly. The issue arises when the body system fails to absorb choline nutrient from the food consumed. There are also cases where the dietary intake does not possess adequate choline in it. Natural Difficulty in Absorbing Choline There are certain conditions in which the system finds it difficult to absorb choline though the diet may contain the nutrient. People who have just undergone a by-pass surgery or those who have had a kidney transplant done or if there is already a liver problem like cirrhosis face this issue. There are other reasons also which can lead to choline deficiency, such as the prolonged intake of anti-convulsant drugs and so on. How to Detect or What are the Symptoms? Some apparent symptoms can lead the GP to ask for more tests to establish that the person does have choline deficiency. In normal person, even high blood pressure could be caused due to choline deficiency. Then in many cases, a blood test for any other condition might reveal very low levels of VLDL (Very Low-Density Lipoprotein). This substance in the blood is used by the liver to transport fats and naturally, if VLDL is below a certain threshold the person is bound to be suffering from choline deficiency. High level of cholesterol is another symptom. It has to be understood that choline is also essential for the human brain to be functioning at its active best. Deficiency of choline can lead to an early setting in of dementia. Of course, any patient with liver and kidney related condition reaching the doctor will be checked for choline deficiency since these are closely related. Where to Get Choline from? The next obvious question is which foods can get you choline easily and you won t suffer from a deficiency. As mentioned there are plenty of food items of daily consumption which have choline in them. The most frequently recommended are the yolk of the egg. Pastured eggs are recommended and though even one egg can give some 115mgms of choline, you can make a couple of eggs a part of your daily breakfast menu. The other suggestion is raw liver as in beef liver which is quite rich in choline. Those who consume only vegetarian foods can always eat a lot of green vegetables like cauliflower, cabbage and also nuts and legumes (soaked) and milk and yoghurt are all good for choline intake. Choline is an essential nutrient in the human body and is critical to the growth and development of cognitive functions and its deficiency can lead to many serious conditions, including liver impairment and brain disorders. There are plenty of foods rich in choline and should be consumed regularly.
5934 people found this helpful

How Ayurveda Can Help Treat Cirrhosis Of The Liver?

Dr. Mayur Surana 87% (562 ratings)
MD, DYA, PGDCR
Ayurveda, Nashik
How Ayurveda Can Help Treat Cirrhosis Of The Liver?
Nobody prefers to suffer from ailments such as Cirrhosis of liver. After all, it is difficult for a person, if his or her liver is not functioning properly. However, if in case a person is suffering from such kind of chronic ailment, then one can opt for Ayurvedic remedies, which do not have any side effects. Why it occurs? In order to know how it is treated, it is essential to understand what causes cirrhosis of the liver and what it means to have this dreaded condition. While there is a range of causes for the chronic disease, fatty liver disease along with hepatitis B and hepatitis C are the most common causes of Cirrhosis of the liver. Alcohol consumption on an excessive level also bears its fair share of responsibility. As a matter of fact, Cirrhosis of the liver is caused on account of this sort of alcohol consumption and is responsible for more deaths than any other type. Detoxifying your liver with Ayurveda When it comes to the Ayurvedic way to treat this serious issue that is liver Cirrhosis, the main focus is on the complete and effective detoxification of the liver. One of the first things that is involved in this sort of treatment is a radical overhaul of the habits of the person whose quality of life is being seriously impinged on due to this disease. De-addiction is a very important starting point. After all, it can be said to be only logical, that the treatment of a disease, which has been brought upon by the indulgence in a bad habit begins with the cessation of the habit. Diet restrictions are also part and parcel of getting liver cirrhosis treated by making use of Ayurveda s deep and ancient body of knowledge. In many cases, doing so does mean giving up consumption of meat. In addition to this, other things, which are to be done from the point of view of dietary changes include, but are not limited to, avoiding hot and oily food which tends to be heavy on the digestive system of the person who is undergoing treatment. With the body under so much pressure in any case, it makes no sense at all to add more load. While all this may seem to be very cumbersome, it is to be kept in mind what wonders Ayurveda can accomplish and how does it work in repairing the damaged liver of the patient who is undergoing this course of treatment. The end result makes all the sacrifices worth the effort.
6222 people found this helpful

Gallstones In Women - Symptoms, Causes And Treatment

Dr. Bharat Kumar Nara 90% (72 ratings)
MBBS, M.S (Gen Surg), M.Ch ( Surgical Gastro)
Gastroenterologist, Hyderabad
Gallstones In Women - Symptoms, Causes And Treatment
Gallstones are bits of solid material that may be formed in the gall bladder. The gallbladder is a little organ located under the liver. You won't not know you have them until they've block your bile duct, causing pain that will need immediate medical intervention, and even hospitalisation in some cases.They may comprise of cholesterol, salt, or bilirubin, which consists of red platelets. Gallstones vary in size. They can be as little as a grain of sand or as even the size of an apricot in many cases. Women are more likely to develop gallstones than men. Read on to know more: Causes: There are a number of causes for this condition, especially in women. These causes are as follows: Intake of anti-conception medication pills, hormone trade treatment for menopause side effects, or pregnancy Fasting Malfunctioning of the gall bladder High cholesterol levels Gallstones may be created when there is excessive amount of cholesterol in the bile discharged by the liver. This bile normally separates the cholesterol and helps in the normal functioning of the liver and other digestive organs of the body. Bilirubin: Bilirubin is a substance created when your liver wrecks old RedBlood Cells. A few conditions, like cirrhosis of the liver and certain blood issues causes the liver to create more bilirubin than it ought to. This can lead to complicated conditions like gallstones. Bile: Your gallbladder needs to exhaust bile to be sound. In the event that it discharges its bile content, the bile turns out to be excessively thick which causes stones to shape. Weight: Being overweight or underweight can also cause a malfunction which can lead to the appearance of such stones. The diet also has a bearing in such cases. Symptoms: Fever A yellowish tint in your skin or eyes, which can demonstrate jaundice Sickness or retching Clay coloured stools Pain in the right upper quadrant of your stomach area Nausea Vomiting Other digestive issues Treatment: Numerous individuals with gallstones may be asked to go through surgery to remove the gallbladder. These include the following: Laparoscopic cholecystectomy: The specialist passes instruments, a light, and a camera through a few little cuts in the midsection. Open cholecystectomy: The specialist makes bigger cuts in the belly to expel the gallbladder. You may have to spend a couple days in the hospital after the operation. Without getting operated: If you have a mild condition and your specialist feels you shouldn't have an operation, he may recommend medicines like chenodiol, ursodiol, or both. These medications work by dissolving cholesterol stones. One may experience mild loose motions as a side effect.
2339 people found this helpful

Popular Questions & Answers

My mother suffering with Lever cirrhosis and she had Type 2 sugar. Lever cirrhosis happen due to HCV HEPATITIS C VIRUS. And after 6 months course HCV came to negative but after that also blood vomiting carried for 4 times and Banding has been done. Is there any solution and also suggest diet to avoid repeated problem. My mother age is 60 years from south india please help.

Dr. Mahesh Kumar Gupta 90% (281 ratings)
Bachelor of Ayurvedic Medicine and Surgery (BAMS), Certificate In Osteopathy, Panchakarma Training
Ayurveda, Udaipur
Liver cirrhosis can be treated with ayurveda very effectively. You can give ayurveda medicines with modern medicine. We have speciality in treating liver cirrhosis patients. You can consult with us. Indian cow milk is good for your mother. Thanks.

Hello sir I am facing the liver problems I mean I am a fully addicted to alcohol 4 months back I am getting jaundice and now I am taking alcohol again from past 3 weeks now I am getting digesting problem and feeling like vomit and I am getting very tired and getting fever some times I can not sleep without alcohol now I am afraid of cirrhosis of liver I did not test anything yet pls what I do now I need some medicine suggest and I am a psychiatric problem psychiatric doctor said I have panic disorder problem and he suggest lonazep and walbeta la 25 and nexito 10 but after I am taking that medicine I am feeling very fast heart beet and sweating and body shivering but I am feeling very afraid of cirrhosis of liver but I can not sleep without alcohol pls suggest me sir.

Dr. Sajeev Kumar 90% (22014 ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Only strong will power, determination, attending AA meetings and diverting mind when tempted will help you stop alcohol or may need professional help from a psychiatrist or de addiction centre. Try to do meditation and yoga. Read good books and listen to music and if you are believer attend Bhajans Alcohol causes 7 types of cancer, including breast, mouth and bowel cancers. When you drink alcohol, cancer-causing chemicals are formed. Alcohol also affects hormone levels and makes cells even more likely to be damaged by smoking. The less alcohol you drink, the lower the risk of cancer. No type of alcohol is better or worse than another, it is the alcohol itself that leads to the damage, regardless of whether it is in wine, beer or spirits. And drinking and smoking together are even worse for you. Not everyone who drinks alcohol will develop cancer. But on the whole, scientists have found that some cancers are more common in people who drink more alcohol than others. Every year, alcohol causes 4% of cancers .Tips to cut down on alcohol. There are lots of simple ways to cut down on the amount of alcohol you drink. It can help to work out if there are particular times or situations when you tend to have a drink, whether that’s a bad day at work or a weekly pub quiz tradition, and plan what you’ll say and do differently next time. Have more alcohol-free days a week. For liver health it’s best to have at least 2 days off alcohol in a row each week. Try agreeing on certain days with your partner or a friend and help each some wi other and stick to it. If you are planning to drink alcohol, decide on a limit in advance and make sure you don’t go over it. Swap every other alcoholic drink for a soft one – starting with your first drink. Try shandy instead of a pint of beer, or swap ne for soda and have a spritzer. Don’t stock up on beer, wine or spirits at home. Finish one drink before pouring another, because topping up drinks makes it harder to keep track of how much you’ve had and when you planned to stop. Avoid buying drinks in rounds, that way you don’t have to keep pace with anyone. Tell a friend or partner that you’re cutting down on alcohol, they can support you – or even join you. You have to do counselling and do tests to determine that you have cirrhosis and fully stop alcohol.
2 people found this helpful

Fibroscan result median stiffness-25.7 kpa IQR-1.2kpa IQR/med-5% Valid measures-11 success rate 100% Is it normal or cirrhosis occurred.

Dr. Jyoti Goel 91% (6133 ratings)
MBBS, cc USG
General Physician, Gurgaon
In cirrhotic patients, liver stiffness measurements range from 12.5 to 75.5 kPa, report showing stiffness in this range indicating early cirrhosis.
Having issues? Consult a doctor for medical advice