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Cirrhosis

Cirrhosis – Know It, Manage It, Live Better

What is Cirrhosis & Why It Happens

  • Cirrhosis is long-term scarring of the liver caused by repeated damage.
  • The liver becomes hard and nodular, making it difficult to perform its normal functions.

Common causes include:

  1. Alcohol-related liver disease 🍺
  2. Fatty liver (NAFLD) 🥓
  3. Chronic viral hepatitis (Hep B & C)🦠
  4. Cryptogenic (unknown cause)
  5. Autoimmune Hepatitis (AIH)🛡️
  6. Wilson’s Disease (copper buildup)🪙
  7. Budd-Chiari Syndrome (BCS) – blocked liver veins🚫
  8. Other rare genetic/metabolic diseases🧬

Compensated vs. Decompensated Cirrhosis

🟒 Compensated Cirrhosis

  • βœ”οΈ Liver is scarred but still functions well.
  • 😌 You may not feel any symptoms.
  • πŸ›‘οΈ Often stable with proper care.

πŸ”΄ Decompensated Cirrhosis

  • ⚠️ Liver function is poor.
  • πŸ€’ Visible symptoms:swelling, confusion, fatigue.
  • 🚨 Needs medical attention and close monitoring.

Complications – What Happens & How They Are Treated

🩺 Complication ❓ What It Is πŸ’‘ Why It Happens πŸ’Š Usual Management
πŸ’§ Ascites Fluid in the belly Increased pressure & low protein Low salt diet, diuretics, fluid removal
🦠 SBP Infection of ascitic fluid Low immunity Antibiotics, hospitalization
🧠 Hepatic Encephalopathy (HE) Confusion, altered sleep Toxin buildup (like ammonia) Lactulose, rifaximin, protein adjustment
🩻 HRS/AKI Kidney failure Blood flow changes Hospital care, special fluids, medications
🩸 Variceal Bleed Vomiting blood or black stools Swollen veins in food pipe Endoscopy banding, medications like carvedilol
🎯 HCC (Liver Cancer) Liver tumor Long-standing liver damage Scans every 6 months, treatment as needed
πŸ›‘οΈ Other Infections UTI, pneumonia, cellulitis Weakened immunity Antibiotics, close monitoring

How Cirrhosis is Managed

Lifestyle & Monitoring

  • Stop alcohol completely
  • Avoid painkillers like diclofenac or ibuprofen
  • Vaccinations: Hepatitis A, B, flu, pneumonia
  • Frequent follow-up: Blood tests, scans, endoscopy

Diet & Daily Care

  • Low salt diet if you have swelling
  • Fluid restriction may be needed if sodium is low
  • Diuretics may be prescribed to reduce swelling
  • Need regular tests for sodium, potassium, and creatinine
  • Check your weight daily – sudden gain may mean fluid buildup

When to Consider Transplant

  • If liver becomes severely decompensated, liver transplant may be necessary
  • It can be life-saving and restore quality of life
Call Us Anytime

+91 8790852233

0891-4800801 / 20562767

sanghamitragastroenterology@gmail.com

KGH: Pentakota Complex, Maharanipeta

MVP: MIG-55, Sector 5, MVP Colony

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