ADVANCED SCARRING OF THE LIVER

Liver Cirrhosis

An advanced stage of chronic liver damage with extensive scarring, reducing liver function and leading to serious complications. Managed with specialist long-term care.

Liver cirrhosis evaluation and advanced care in Hyderabad
Advanced Disease OF THE LIVER
Many Causes NEED CAREFUL WORKUP
Specialist Care ESSENTIAL

ABOUT THIS CONDITION

What is Liver Cirrhosis

Liver cirrhosis is an advanced stage of chronic liver damage in which normal liver tissue is progressively replaced by scar tissue, leading to reduced liver function and disturbances in blood flow through the liver. Common causes include chronic hepatitis B and C, long-term excessive alcohol intake, non-alcoholic fatty liver disease and a number of other less common causes. Early cirrhosis may have no symptoms (compensated cirrhosis), while advanced cirrhosis (decompensated) presents with jaundice, fluid build-up in the abdomen (ascites), confusion (hepatic encephalopathy), bleeding from varices, and increased risk of infections and liver cancer. Diagnosis is based on clinical features, liver function tests, imaging including ultrasound and elastography, and sometimes liver biopsy. Treatment focuses on managing the underlying cause, preventing and treating complications, regular screening for liver cancer and, in selected patients, liver transplantation. Dr. Patnam Pravallika Reddy provides comprehensive cirrhosis care in coordination with specialist hepatology at Lux Hospitals, Hyderabad.

SIGNS TO WATCH

Common Symptoms

⚠️

Symptoms that need attention

Often no symptoms in early (compensated) cirrhosis Tiredness, weakness and reduced appetite Yellowing of the skin and eyes (jaundice) Swelling of the abdomen due to fluid (ascites) Swelling of the legs Confusion or changes in behaviour (hepatic encephalopathy) Bleeding from varices — vomiting blood or black stools

WHY IT HAPPENS

Causes & Risk Factors

CLINICAL DETAILS

KeyFacts

Diagnosis

Clinical features, liver function tests, ultrasound, elastography and sometimes biopsy

Stages

Compensated (no major complications) · Decompensated (with complications)

Treatment

Managing the underlying cause and treating complications

Complications

Ascites, bleeding varices, hepatic encephalopathy, infections and liver cancer

Cancer screening

Regular ultrasound and blood tests are essential

Hospital

Available at Lux Hospitals, Hyderabad — co-managed with specialist hepatology

HOW WE TREAT IT

Treatment Approach

Cause Treatment with Complication Management

The most effective approach combines treatment of the underlying cause (such as antiviral therapy for hepatitis B or C, alcohol cessation, weight loss for NAFLD), prevention and management of complications, regular liver cancer screening, and consideration of liver transplantation in selected patients.

  1. 1

    Consultation & Assessment

    Dr. Pravallika reviews symptoms, examines for signs of liver disease and arranges liver function tests, imaging and other relevant investigations.

  2. 2

    Treatment Planning

    A personalised plan is created in coordination with hepatology, including cause-specific therapy and complication management.

  3. 3

    Medical Management

    Treatment of underlying cause, management of ascites and other complications, prevention of infections and regular liver cancer screening.

  4. 4

    Recovery & Follow-up

    Long-term follow-up with regular blood tests, imaging and assessment, with referral for liver transplantation evaluation when appropriate.

AVAILABLE TREATMENTS

Treatment Options

Treatment of Underlying Cause

Antiviral therapy for chronic hepatitis B or C, alcohol cessation support, weight loss for NAFLD and treatment of other specific causes can significantly slow or halt progression.

Management of Ascites

Salt restriction, diuretic therapy and selected procedures help control fluid build-up in the abdomen.

Prevention and Treatment of Variceal Bleeding (Referral for gastroenterology)

Regular endoscopic screening and specific medical and procedural therapies prevent and treat bleeding from varices.

Management of Hepatic Encephalopathy

Specific laxative therapy and identification of triggers manage confusion and behavioural changes due to liver dysfunction.

Liver Cancer Screening and Transplant Consideration (Referral for hepatology / transplant evaluation)

Regular liver cancer screening with ultrasound and blood tests, and consideration of liver transplantation in selected patients.

COMMON QUESTIONS

Frequently Asked Questions

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