Liver cirrhosis

Low urgency
-Moderately severe

A disease that progressively damages the liver, causing irreversible scarring of the organ. This leads to serious complications in the body.

The most common causes include chronic hepatitis B and C virus infections, chronic alcohol use, non-alcoholic fatty liver disease, and other liver diseases.

Initially, the disease is asymptomatic, but as it progresses, symptoms such as fatigue, weight loss, anorexia, nausea, vomiting, changes in stool and urine, skin pruritus, and edema of the extremities and abdomen appear.

Diagnosis is made by blood tests, imaging tests such as ultrasound or CT scans, and liver biopsies.

Treatment is aimed at controlling the disease and preventing complications. This includes lifestyle changes, such as avoiding alcohol and eating a balanced diet, and the use of medications to control symptoms. In severe cases, liver transplantation may be a therapeutic option.

Bibliographic references
  1. Ginès P, Krag A, Abraldes JG, Solà E, Fabrellas N, Kamath PS. Liver cirrhosis. Lancet. 2021 Oct 9;398(10308):1359-1376. doi: 10.1016/S0140-6736(21)01374-X. Epub 2021 Sep 17. PMID: 34543610.
  2. Engelmann C, Clària J, Szabo G, Bosch J, Bernardi M. Pathophysiology of decompensated cirrhosis: Portal hypertension, circulatory dysfunction, inflammation, metabolism and mitochondrial dysfunction. J Hepatol. 2021 Jul;75 Suppl 1(Suppl 1):S49-S66. doi: 10.1016/j.jhep.2021.01.002. PMID: 34039492; PMCID: PMC9272511.
  3. Tsochatzis, E.A., Bosch, J. and Burroughs, A.K., 2014. Liver cirrhosis. The Lancet, 383(9930), pp.1749-1761.
  4. Rehm, J., Taylor, B., Mohapatra, S., Irving, H., Baliunas, D., Patra, J. and Roerecke, M., 2010. Alcohol as a risk factor for liver cirrhosis: a systematic review and meta‐analysis. Drug and alcohol review, 29(4), pp.437-445.
  5. Fukui, H., Saito, H., Ueno, Y., Uto, H., Obara, K., Sakaida, I., Shibuya, A., Seike, M., Nagoshi, S., Segawa, M. and Tsubouchi, H., 2016. Evidence-based clinical practice guidelines for liver cirrhosis 2015. Journal of gastroenterology, 51, pp.629-650.
Author
Dra. Maria Eugenia Rodriguez
Copyright
© TeckelMedical 2026

Symptoms

    Yellow tinge to skin and mucous membranes


    Increase in abdominal size


    Upper right abdominal pain


    Feel liver under the last right rib


    Hand-flapping

Symptoms to watch out for

Mental confusion
Dark/black colored stools
Bloody vomit
Change of skin coloration to yellow
Abdominal distention

Self-care

Abstinence from alcohol
It is recommended to follow a balanced diet, consume water-soluble fiber (fruits and vegetables), avoid gas-producing foods (beans, cabbage, cauliflower, broccoli), carbonated beverages with preservatives, synthetic sweeteners and refined sugar.
Rest and sleep for 6 to 8 hours a day.