Treatment FAQ

what is the treatment plan for a patient with cirrhosis

by Emmalee Okuneva MD Published 3 years ago Updated 2 years ago
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Your doctor will work to treat any complications of cirrhosis, including: Excess fluid in your body. A low-sodium diet and medication to prevent fluid buildup in the body may help control ascites and swelling. More-severe fluid buildup may require procedures to drain the fluid or surgery to relieve pressure.

What are the managements to cirrhotic patients?

Is there any treatment for liver cirrhosis?

What is the priority in a patient with liver cirrhosis?

What is first line therapy for a patient with cirrhosis of the liver?

How to treat cirrhosis?

The options include: Treatment for alcohol dependency. People with cirrhosis caused by excessive alcohol use should try to stop drinking.

What is the best medicine for liver cirrhosis?

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.

What is a liver biopsy?

Liver biopsy. Liver biopsy. A liver biopsy is a procedure to remove a small sample of liver tissue for laboratory testing. A liver biopsy is commonly performed by inserting a thin needle through your skin and into your liver. People with early-stage cirrhosis of the liver usually don't have symptoms.

How to diagnose cirrhosis of the liver?

People with early-stage cirrhosis of the liver usually don't have symptoms. Often, cirrhosis is first detected through a routine blood test or checkup. To help confirm a diagnosis, a combination of laboratory and imaging tests is usually done .

What is the INR for cirrhosis?

Your international normalized ratio (INR) is also checked for your blood's ability to clot. Based on the blood test results, your doctor may be able to diagnose the underlying cause of cirrhosis. He or she can also use blood tests to help identify how serious your cirrhosis is. Imaging tests.

Can cirrhosis be slow?

Medications may slow the progression of certain types of liver cirrhosis. For example, for people with primary biliary cirrhosis that is diagnosed early, medication may significantly delay progression to cirrhosis. Other medications can relieve certain symptoms, such as itching, fatigue and pain.

What tests are needed for cirrhosis?

If you have cirrhosis, your doctor is likely to recommend regular diagnostic tests to monitor for signs of disease progression or complications, especially esophageal varices and liver cancer. Noninvasive tests are becoming more widely available for monitoring.

Cirrhosis Treatment Options

Cirrhosis is a progressive liver disease. The damage to your liver is irreversible. The goal of treatment is to delay or stop further damage to the liver by:

Cirrhosis Treatment: Liver Transplantation

If you have a severe case of cirrhosis, we may recommend a liver transplant. Learn more about liver transplantation .

What is the name of the disease of the liver?

FACTS: This handbook explains basic facts about the liver and a disease of the liver called cirrhosis (pronounced “sir-o-sis”). It can help you understand the causes and treatments of cirrhosis.

What happens if your liver is working poorly?

If it gets bad, these toxins can even cause a coma. These changes are all symptoms of hepatic encephalopathy. If you have encephalopathy, you may have problems driving, writing, and performing other activities of daily living. Signs of encephalopathy are trembling and hand “flapping.”

What happens if you eat a food tube?

Large blood vessels (varices) in the food tube get bigger and bigger over time and can burst open. When this happens, you may vomit blood or notice your stool is black and tarry . If this happens, you should go to the emergency room immediately to get help and stop the bleeding.

Who can help with cirrhosis?

If you have other dietary needs and preferences your doctor, as well as a registered dietitian or nutritionist, can help you adjust a cirrhosis diet plan to fit your needs.

How to stay nourished with cirrhosis?

If you have cirrhosis, staying adequately nourished can be challenging. You may need to eat more or less of certain foods to ensure your body is getting the energy it needs. It's also important that you pay close attention to your diet so you can avoid more damage to your liver.

Why does my abdomen swell?

Liver ascites or abdominal swelling can occur as a result of cirrhosis, though there are other causes. Excess fluid can build up in the abdomen and make it uncomfortable to move and increase the risk of infection in this area, or it can build up around the chest and lungs, which makes breathing difficult. 18.

What is the function of the liver?

1  If your liver is damaged from cirrhosis, it is not able to efficiently perform one of its most important tasks: helping your body get nutrition from the food you eat.

What are the complications of cirrhosis?

You may need to adapt your diet if you develop complications from cirrhosis, such as ascites, hypoglycemia, and encephalopathy. 13  If you develop one or more of these conditions, your doctor may recommend you make additional changes to your diet, including limiting salt, sugar, and protein.

Can you drink alcohol with liver cirrhosis?

Beverages: You cannot drink alcohol if you have liver cirrhosis , but you'll have plenty of other options. Water is the most hydrating choice, but if you are on a low-sodium diet, you’ll want to check the labels on bottled water as some contain sodium. Milk and juice should only be consumed if pasteurized.

What is ascites in cirrhosis?

Ascites is the accumulation of large amounts of fluid in the abdomen. Doctors usually require a strict no-salt diet for people who have cirrhosis with ascites, as a high-sodium diet can make the condition worse. 14 

What is the best treatment for biliary cirrhosis?

The main treatment for primary biliary cirrhosis is to slow liver damage with the drug ursodiol ( Actigall, Urso). Ursodiol can cause side effects like diarrhea, constipation, dizziness, and back pain. Know more about the treatment options for primary biliary cirrhosis. Treatments for Cirrhosis Complications.

How to protect yourself from cirrhosis?

Protect yourself by getting vaccinated against hepatitis A and B, the flu, and pneumonia. Be careful when you take medicine. Cirrhosis damage makes it harder for your liver to process and remove medicines. Ask your doctor before you take any over-the-counter drug, including herbal remedies.

How to protect liver from alcohol?

To protect your liver, you must stop drinking. That can be hard to do, especially if you've become dependent on alcohol. Ask your doctor about things you can try that may help you stop drinking, such as: 1 12-step and other support programs like Alcoholics Anonymous (AA) 2 One-on-one counseling with a therapist 3 Support groups to help you manage the factors that make you drink 4 Inpatient rehab programs 5 Prescription medicines like naltrexone ( Revia, Vivitrol) and acamprosate ( Campral)

What are the main causes of cirrhosis?

Doctors have two main goals in treating this disease: Stop the damage to your liver, and prevent complications. Alcohol abuse, hepatitis, and fatty liver disease are some of the main causes. Your doctor will personalize your treatment based on what caused your cirrhosis, and the amount of liver damage you have.

How does cirrhosis affect the brain?

To prevent this complication, your doctor will give you medicines to lower the amount of toxins in your blood. Cirrhosis can damage your liver to the point where it no longer works. This is called liver failure.

What is NASH in medical terms?

NASH is nonalcoholic steatohepatitis which is non-alcoholic fatty liver disease (NAFLD). It can cause liver scarring and lead to cirrhosis. While there is no medication to reverse the fatty buildup, controlling the conditions that may contribute to it can help stop the liver damage.

How to keep liver healthy?

To keep your liver as healthy as possible, make a few changes to your lifestyle: Eat a liver-friendly diet. Cirrhosis can rob your body of nutrients and weaken your muscles. To combat these effects, eat lots of healthy foods like fruits, vegetables, and lean protein from poultry or fish.

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Diagnosis

Treatment

  • Treatment for cirrhosis depends on the cause and extent of your liver damage. The goals of treatment are to slow the progression of scar tissue in the liver and to prevent or treat symptoms and complications of cirrhosis. You may need to be hospitalized if you have severe liver damage.
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Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Lifestyle and Home Remedies

  • If you have cirrhosis, be careful to limit additional liver damage: 1. Don't drink alcohol.Whether your cirrhosis was caused by chronic alcohol use or another disease, avoid alcohol. Drinking alcohol may cause further liver damage. 2. Eat a low-sodium diet.Excess salt can cause your body to retain fluids, worsening swelling in your abdomen and legs...
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Alternative Medicine

  • 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 alt…
See more on mayoclinic.org

Preparing For Your Appointment

  • 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.
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