How to treat splenomegaly and liver cirrhosis?

Written by Yang Chun Guang
Gastroenterology
Updated on September 04, 2024
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Once liver cirrhosis is detected, accompanied by an enlarged spleen and hyperactive spleen function, this condition can be addressed through interventional methods to resolve issues of spleen enlargement and hyperfunction. This reduces the destruction of red blood cells, white blood cells, and platelets. The interventional approach primarily involves sterile necrosis and absorption of the spleen, thus resolving spleen issues. As for treating liver cirrhosis, it is primarily important to understand the causes of the cirrhosis. If the cirrhosis is caused by a virus, antiviral treatment is needed. There are corresponding antiviral medications for cirrhosis caused by hepatitis B and C. If the cirrhosis is caused by alcohol, it is essential to abstain from alcohol as part of the treatment. In addition, medications that combat liver cirrhosis should be used.

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Written by Wu Hai Wu
Gastroenterology
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What is the difference between the symptoms of cholecystitis and the symptoms of cirrhosis?

The symptoms of cholecystitis differ significantly from those of cirrhosis. The symptoms of cholecystitis mainly manifest as pain in the upper right abdomen, along with chills and fever, while the symptoms of cirrhosis primarily include fatigue, poor appetite, and may also present with jaundice, abdominal distension, and swelling of the lower limbs. To determine whether a patient has cholecystitis or cirrhosis, it is recommended to visit the gastroenterology department of a standard hospital as soon as possible for a comprehensive examination. This should include abdominal imaging, liver function tests, complete blood count, among others, to further clarify the diagnosis and adopt corresponding treatment measures.

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Written by Si Li Li
Gastroenterology
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What are the gastrointestinal symptoms of cirrhosis?

In the early stages of cirrhosis, many patients do not exhibit any symptoms, but some may experience fatigue, nausea, vomiting, poor appetite, and indigestion. Some patients might also suffer from portal hypertensive gastropathy due to cirrhosis, leading to symptoms such as pain and bloating in the upper abdomen, acid reflux, and belching. If the disease progresses to the decompensated stage of cirrhosis, portal hypertension can cause varices in the esophagus and stomach, which may lead to severe upper gastrointestinal bleeding if hard food is consumed. Symptoms can include vomiting dark red blood or fresh blood, dizziness, fatigue, and cold sweats. In such cases, it is advised to seek immediate medical attention for emergency treatment.

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Written by Yang Chun Guang
Gastroenterology
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Can alcoholic liver cirrhosis be cured?

Cirrhosis caused by alcohol can be treated clinically. The first and foremost treatment for alcoholic cirrhosis is abstinence from alcohol. If one cannot abstain, no treatment will achieve the desired effect or be of much use. Once cirrhosis has developed, the condition cannot be reversed; it can only be managed with medications to slow the progression of the cirrhosis and reduce the occurrence of complications. If financial circumstances allow, a liver transplant can be considered for treatment. Naturally, alcoholic cirrhosis can also be treated with a liver transplant. Thus, alcoholic cirrhosis is a treatable condition.

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Written by Huang Gang
Gastroenterology
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Can early cancerous changes in cirrhosis be cured?

If the patient has early-stage cirrhosis and develops cancerous changes, there are currently many treatment methods for liver cancer due to advanced science, so there is no need for immediate worry. The treatment for liver cancer can generally involve methods like microwave therapy, anhydrous alcohol injections, or surgery, including liver transplantation. One can choose the specific treatment method based on their individual medical condition. However, if suffering from hepatitis B or C-induced cirrhosis, it is recommended to take antiviral medications while treating liver cancer. This can help control the condition and delay its progression. It is also important to closely monitor the condition with frequent check-ups. If there is a possibility of recurrence of the liver condition, it is advisable to consider surgery or a liver transplant at an early stage.

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Written by Si Li Li
Gastroenterology
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What should be noted in the early stages of cirrhosis?

Cirrhosis is a disease characterized by diffuse fibrosis of the liver tissue, pseudolobules, and regenerative nodules. In China, it is mostly caused by chronic hepatitis B, with a small portion caused by chronic hepatitis C and alcoholic liver disease. What should be noted if someone has cirrhosis? Firstly, alcohol consumption should be restricted; regardless of whether the cirrhosis is alcohol-related, abstaining from alcohol is critical as it can further damage the liver cells; Secondly, a low-sodium diet is advised, meaning that salt intake should be reduced. Excessive salt can lead to fluid retention, resulting in ascites or edema; Thirdly, increase the consumption of vegetables and fruits and intake some high-quality proteins, such as beans or fish, but avoid raw seafood; Lastly, be cautious with the use of various medications. Drugs that cause liver damage should be avoided to prevent exacerbating cirrhosis.