Liver cirrhosis is an irreversible process of transformation of liver cells to scar tissue. So it is the destruction of normal liver tissue. This causes the liver capacity to decrease. The most common cause of liver cirrhosis in the Western world is alcohol abuse. The only treatment for liver cirrhosis is a liver transplant.
Heavy drinkers are at risk of developing liver cirrhosis in the long term. Other causes are chronic liver infections, such as hepatitis B and C or iron deposit (hemochromatosis). Additionally, liver cirrhosis can sometimes also be the result of other conditions that may or may not be hereditary. Less common are the cases of liver cirrhosis which are a consequence of severe responses to medications. Prolonged exposure to toxins, such as arsenic, can also cause liver cirrhosis. Some people develop liver cirrhosis without a plausible reason at first sight. In these special cases, it will be extremely difficult to recognize liver cirrhosis as such.
In the initial stage, there are no symptoms that suggest liver cirrhosis. The following signs and symptoms indicate liver cirrhosis in an advanced stage:
The doctor will first perform a general examination, including asking questions about lifestyle, drinking behavior, diseases in the family, etc. When suspecting liver cirrhosis, radiographic examination (ultrasound, CT scan and/or MRI scan) will be performed. This will tell whether there is indeed liver cirrhosis and to what extent the liver has been damaged. In order to determine the final diagnosis, the doctor may perform a liver biopsy. Here, a piece of the liver is tested for the presence of liver cirrhosis.
Liver cirrhosis cannot be cured, the damage to the liver is irreversable. The liver is a large organ, with plenty of spare capacity. It’s therefore of great importance to bring the process of liver cirrhosis to a halt. When a portion of the liver is and remains healthy, the patient may well live on. This is, of course, depending on how large the remaining, healthy part of the liver is. When the cause of the liver cirrhosis is known, the doctor can treat this cause. For example, treatment of hepatitis B or C with medicines. If this disease cures, the development of new scar tissue stops.
When a too large portion of the liver has been damaged, a liver transplant is the only option. This is, however, a major operation, with a high risk of complications.
It is sometimes possible to treat complications resulting from liver cirrhosis. This can reduce the symptoms:
The prognosis for liver cirrhosis depends on the extent to which the liver is affected. The prospects may therefore be highly variable. If the condition is mild, people can still live for many years.
The following tips can ensure to keep the liver in shape as well as possible: