Do you need a liver transplant in the early stages of cirrhosis?

Written by Wu Hai Wu
Gastroenterology
Updated on December 19, 2024
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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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Is the pain obvious in the early stages of cirrhosis?

In the early stages of cirrhosis, the pain is not very obvious. Patients in the early stages of cirrhosis may experience vague discomfort in the upper right abdomen, while others may never experience pain at all. Those in the early stages may also have symptoms such as belching, fatigue, acid reflux, jaundice, and dark urine. Further comprehensive auxiliary examinations are needed, such as liver function tests and abdominal imaging studies. At the same time, it is important to identify the cause of early-stage cirrhosis in patients as soon as possible and adopt appropriate treatment measures based on different causes. For instance, if it is caused by alcohol, then treatment should involve abstaining from alcohol.

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Written by Wu Hai Wu
Gastroenterology
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What will happen if someone with cirrhosis occasionally stays up late?

Patients with cirrhosis occasionally staying up late may also exacerbate the extent of liver function impairment, thereby accelerating the progression of cirrhosis and causing some complications such as spontaneous peritonitis, liver failure, hepatic encephalopathy, etc. Therefore, patients with cirrhosis should also not stay up late occasionally. Patients with cirrhosis should pay attention to rest, combine work with rest, avoid staying up late, and avoid eating overly spicy and stimulating food. They should also consume more fresh vegetables and fruits rich in vitamins, regularly check liver function, and take treatments targeting the cause of cirrhosis and liver protection, etc.

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Written by Huang Gang
Gastroenterology
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What should I do about 7 episodes of gastrointestinal bleeding due to cirrhosis?

There are manifestations of cirrhosis, and it is accompanied by upper gastrointestinal bleeding, which occurs frequently. At this time, a gastroscopy should be conducted, in combination with an ultrasound examination of the liver, to determine whether portal hypertension is causing the bleeding. If the condition is serious, surgical treatment, such as disconnection or shunting, may be needed to relieve the pressure on the portal vein and mitigate the bleeding. Alternatively, vascular ligation can also be performed under gastroscopy to ligate the ruptured vessels, which can also stop the bleeding. Otherwise, long-term repeated heavy bleeding can easily lead to hemorrhagic anemia, and in severe cases, it can cause hemorrhagic shock, posing a life-threatening risk.

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Written by Si Li Li
Gastroenterology
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What foods are good for cirrhosis?

The usual diet plays a crucial role for patients with cirrhosis, and it has been confirmed that nutritional therapy is very important for reducing mortality and disability rates in patients with cirrhosis. Generally speaking, easily digestible, high-vitamin nutritional foods should be the main source of food, alcohol must be strictly prohibited, and consumption of vegetables and fruits should be increased. Salt intake can be controlled, and adjustments should be made according to different changes in the condition. Another point to note is that patients with esophageal and gastric varices must avoid consuming hard and rough food, as this could lead to rupture of the varices and cause severe bleeding.

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Written by Wu Hai Wu
Gastroenterology
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What is the cause of a gurgling stomach in cirrhosis?

Cirrhosis patients experiencing gurgling noises in the abdomen may suffer from functional dyspepsia due to cirrhosis, leading to accelerated intestinal motility and the mentioned symptoms. It is also possible that patients with cirrhosis may concurrently have acute enteritis, causing these symptoms. If these symptoms occur, further comprehensive stool tests are necessary to determine whether the symptoms are caused by a viral or bacterial infection. Depending on the cause, different treatment measures should be adopted. Consider using montmorillonite powder to stop diarrhea and using Bacillus cereus, composite lactic acid bacteria, etc., to regulate the intestinal flora. Given the patient's cirrhosis, proactive liver treatment is essential. (Please use medications under the guidance of a doctor.)