Do I need to take liver-protective medicine in the early stages of cirrhosis?

Written by Wu Hai Wu
Gastroenterology
Updated on December 09, 2024
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As for whether it is still necessary to take liver-protective medication in the early stages of cirrhosis, it depends on whether there is liver function impairment in patients with early-stage cirrhosis. If there is liver function impairment, such as elevated transaminases and bilirubin, then it is necessary to take some liver-protective medications. If liver function is normal, then it is sufficient to treat only the cause of the disease. For example, if cirrhosis is caused by chronic hepatitis B virus infection, but the patient's liver function is normal, then antiviral treatment alone is sufficient. If the cirrhosis is due to alcohol abuse, then strict abstinence from alcohol is required, and the condition can generally be stabilized.

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Written by Wu Hai Wu
Gastroenterology
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Does early-stage liver cirrhosis cause petechiae on the skin?

In the early stages of cirrhosis, it generally does not cause petechiae on the skin. However, if the disease progresses to a later stage, the decline in coagulation function and reduction in platelets may lead to skin manifestations such as petechiae and ecchymosis. Therefore, if a patient with cirrhosis experiences petechiae in the early stages, it is important to seek further consultation at a reputable hospital's department of gastroenterology and hepatology. When necessary, a consultation at the dermatology department may also be required to complete coagulation function tests and a routine blood examination to assess the patient's condition. If the patient's condition, including the symptoms mentioned above, is due to cirrhosis, further comprehensive evaluations are needed, including gastroscopy and imaging studies of the liver, to rule out the occurrence of liver complications.

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Written by Wu Hai Wu
Gastroenterology
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What causes stomach pain in the early stages of cirrhosis?

Early stages of cirrhosis may present with stomach pain, likely due to erosion in the stomach caused by the cirrhosis. It is recommended to promptly complete a gastroscopy to rule out the presence of portal hypertensive gastropathy or esophagogastric varices, while also testing for Helicobacter pylori infection. If the diagnosis is confirmed, treatment should be based on the underlying cause. Consider using proton pump inhibitors to suppress stomach acid secretion, or using antacids like aluminum magnesium carbonate to protect the stomach lining. (Please use medication under the guidance of a doctor.)

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Written by Wu Hai Wu
Gastroenterology
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Do you need a liver transplant in the early stages of cirrhosis?

In the early stages of cirrhosis, liver transplant is not necessary. Early-stage cirrhosis requires timely and comprehensive auxiliary examinations to determine the cause of the cirrhosis. This includes determining whether it is due to viral hepatitis, cholestatic hepatitis, or drug-induced hepatitis, among others. Once a patient exhibits early signs of cirrhosis, it is crucial to treat the specific cause and symptoms actively, and undertake proactive liver protection treatments. It is also essential to prevent complications associated with cirrhosis, such as esophageal and gastric variceal bleeding, primary liver cancer, hepatorenal syndrome, liver disease, and ascites.

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Written by Wu Hai Wu
Gastroenterology
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Does early-stage cirrhosis cause leg swelling?

Generally, in the early stages of cirrhosis, there is no swelling in the legs. However, if a patient with cirrhosis reaches the advanced stage and develops hypoalbuminemia, swelling in the feet can easily occur. At the same time, there is also the possibility of complications such as ascites, portal hypertensive gastropathy, and esophagogastric varices, among others. If swelling of the legs occurs in patients with cirrhosis, it indicates that the patient has entered the decompensated stage. At this point, it is necessary to go to the hospital as soon as possible to complete the relevant examinations to determine the cause of the cirrhosis, so that targeted treatment can be administered based on the cause as soon as possible.

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Written by Wu Hai Wu
Gastroenterology
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Can early-stage cirrhosis cancer be cured?

Whether early-stage liver cirrhosis cancer can be cured depends on a detailed analysis of the specific situation. Firstly, if a patient with early-stage liver cirrhosis develops cancer, it is crucial to promptly combine the patient’s physical condition with aggressive surgical treatment. The specific surgical approach and procedure are determined by clinical doctors. Moreover, for patients with early-stage cancer, targeted etiological treatment should be administered. For instance, if the early-stage liver cancer is caused by alcoholic liver cirrhosis, active intervention is necessary. If it is due to viral hepatitis, such as chronic hepatitis B leading to liver cirrhosis and progressing to early-stage cancer, active antiviral treatment is required.