Liver cirrhosis is common in alcoholics and patients suffering from hepatitis B. The first stage is extremely mild. In this stage, it is often difficult to detect any damage to the liver despite the presence of severe liver damage. In stage 1 liver cirrhosis, patients often suffer from fatigue and extreme lack of energy. The liver presents as inflamed, and because of the inflammation, it will work to heal itself, causing more swelling. In this stage, not enough scar tissue has been developed to show the clinical sign of liver cirrhosis.
At this point in its progression, cirrhosis of the liver is still reversible and normal liver function can be recovered. The second stage of liver cirrhosis shows an increase in blood pressure within the system of veins present in the liver. This is called portal hypertension.
Once a patient has reached stage 2 liver cirrhosis, a significant level of portal hypertension has been realized in the liver. The liver begins to cause oesophageal varices , which are veins around the stomach or esophagus that become dilated or ballooned. The ballooned veins restrict blood flow to the liver, resulting in portal hypertension , which in turn creates an increase in the amount of scar tissue that is replacing the healthy liver cells.
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Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. A number of alternative medicines have been used to treat liver diseases. Milk thistle silymarin is the most widely used and best studied. However, there is not enough evidence of benefit from clinical trials to recommend use of any herbal products to treat liver cirrhosis. In addition, some alternative medications may harm the liver. Talk with your doctor if you're interested in trying alternative medicine to help you cope with cirrhosis.
If you have cirrhosis, you may be referred to a doctor who specializes in the digestive system gastroenterologist or the liver hepatologist. Here's some information to help you get ready for your appointment and what to expect from your doctor.
Preparing a list of questions can help you make the most of your time. Some basic questions to ask your doctor include:. Cirrhosis care at Mayo Clinic. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version.
This content does not have an Arabic version. Diagnosis Liver biopsy Open pop-up dialog box Close. Liver biopsy A liver biopsy is a procedure to remove a small sample of liver tissue for laboratory testing. The NIDDK translates and disseminates research findings to increase knowledge and understanding about health and disease among patients, health professionals, and the public. How do doctors treat the causes of cirrhosis? How do doctors treat the complications of cirrhosis?
What can I do to help keep my cirrhosis from getting worse? When do doctors consider a liver transplant for cirrhosis? How do doctors treat cirrhosis? Alcoholic liver disease If you have alcoholic liver disease , your doctor will recommend that you completely stop drinking alcohol. Nonalcoholic fatty liver disease If you have nonalcoholic fatty liver disease , your doctor may recommend losing weight. Chronic hepatitis C If you have chronic hepatitis C , your doctor may prescribe one or more medicines that have been approved to treat hepatitis C since Autoimmune hepatitis Doctors treat autoimmune hepatitis with medicines that suppress, or decrease the activity of, your immune system.
Diseases that damage, destroy, or block bile ducts Doctors usually treat diseases that damage, destroy, or block bile ducts with medicines such as ursodiol Actigall, Urso. Inherited liver diseases Treatment of inherited liver diseases depends on the disease. Long-term use of certain medicines The only specific treatment for most cases of cirrhosis caused by certain medicines is to stop taking the medicine that caused the problem.
Portal hypertension Doctors treat portal hypertension with medicines to lower high blood pressure in the portal vein. Treatments for the complications of portal hypertension include Enlarged veins in your esophagus or stomach, called varices. Your doctor may prescribe medicines to lower the pressure in the veins of your esophagus or stomach. This lowers the chance that the veins become enlarged and burst, causing internal bleeding. If you vomit blood or have black or bloody stools go to a hospital right away.
Doctors may perform procedures during upper GI endoscopy or use surgical procedures to stop the internal bleeding. How can I cope with a cirrhosis diagnosis? The bottom line. Read this next. Battling the Stress of Living with Chronic Illness. Medically reviewed by Timothy J. Legg, Ph. Decompensated Cirrhosis. Binge Drinking Causing Increase in Liver Disease Among Millennials Experts say the excessive drinking among younger adults can also damage their pancreas, heart, and brain.
Child-Pugh Score. Medically reviewed by Saurabh Sethi, M. Medically reviewed by Debra Sullivan, Ph.
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