Liver  Cirrhosis  – Symptoms, Causes and Treatment
By Dr. Sachin wani, G.I. HPB, and GI Onco Surgeon Thane.

Cirrhosis is a severe liver disease which includes serious scarring of the liver, inflammation and also includes very poor functioning of the liver. The structure of the liver is changed due to inflammation in the liver.

Symptoms of Cirrhosis:
Symptoms of the Cirrhosis includes:

Tiredness in patient
Patient becomes very weak
Skin of the patient becomes very itchy
Patient’s skin becomes yellowish in color
The symptoms also includes swelling in the lower leg.
Fluid built-up in the abdomen
Other symptoms includes impotency, excessive bleeding, coma and even death.

Causes of Cirrhosis:
As per Dr. Sachin wani Liver surgeon Thane , the common cause of Cirrhosis is long term intake of alcohol. The amount of excessive alcohol differs from person to person. Obesity is also one of the main cause of Cirrhosis. Disease like hepatitis B, hepatitis C can also cause Cirrhosis. Hepatitis B cause liver inflammation which may lead to cirrhosis in the later stages. Other causes such as liver injury, severe high dose medications including some heavy antibiotics which can cause cirrhosis, liver failure, liver congestions. Other causes includes damage in the bile ducts.

Diagnosis and Treatment:
The diagnosis of the cirrhosis includes studying case history (if any) and physical examination. Doctors studies the complete medical history of the patient suffering from cirrhosis as it may have some previous symptoms of liver damage due to alcohol or hepatitis types. Physical examination includes observing the skin colour of the patient, urine test, visible enlarged liver, redness in palms. Some further test includes blood count, liver function tests, liver cancer tests, endoscopy, ultrasound test of liver, MRI scan, CT scan and liver biopsy.

Treatment depends on the basis of diagnosis done:
Patient suffering from cirrhosis should stop drinking as the amount of alcohol is toxic to body. The weight is suggested to be in control also the sugar levels should be checked regularly. Avoid high power antibiotics. Include low sodium in diet to reduce the formation of fluid in abdomen.
In some cases treatment includes Liver transplantation when all the other treatment fails.

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