What stage is cirrhosis vomiting blood?

Written by Wu Hai Wu
Gastroenterology
Updated on May 07, 2025
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When patients with cirrhosis experience vomiting blood, it generally indicates that the cirrhosis has entered the decompensated phase, which is a late-stage symptom of cirrhosis. The main reason for vomiting blood may likely be that the cirrhosis has caused a peptic ulcer, or rupture and bleeding of esophageal and gastric varices due to cirrhosis, or bleeding caused by portal hypertensive gastropathy resulting from cirrhosis. If vomiting blood occurs with cirrhosis, the amount of bleeding is generally very large. At this time, it is necessary to go to the hospital as soon as possible for a complete gastroscopy. When necessary, endoscopic treatment may be needed to stop the bleeding.

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Written by Wu Hai Wu
Gastroenterology
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What is good to eat after vomiting in the early stages of cirrhosis?

In the early stages of cirrhosis, after vomiting, one should eat light and easily digestible food. It's necessary to avoid spicy and stimulating food or rough, hard-to-digest food. Meanwhile, patients with cirrhosis should quit smoking and drinking alcohol, and also avoid drinking strong tea, coffee, etc. Once cirrhosis is discovered in a patient, targeted treatment should be administered, and comprehensive tests like color ultrasound and gastroscopy are needed to ascertain whether there are complications caused by cirrhosis, such as ascites or ruptured esophagogastric varices causing bleeding, among others.

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Written by Wu Hai Wu
Gastroenterology
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In the early stages of cirrhosis, is there abdominal bloating and stomach pain?

Early-stage cirrhosis generally does not result in abdominal distension or stomach pain, and individuals in the early stages of liver cirrhosis might not exhibit any discomfort symptoms. However, if liver function reaches an advanced stage, complications like ascites associated with cirrhosis might occur, leading to abdominal distension. There might also be the occurrence of conditions like portal vein thrombosis, which can cause stomach pain, and possibly primary peritonitis, which can induce abdominal pain in patients. It is necessary to promptly identify the cause and adopt appropriate treatment measures. For example, if the stomach pain is caused by primary peritonitis, active anti-infection treatments should be applied.

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Written by Si Li Li
Gastroenterology
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Will early-stage cirrhosis cause lower back pain?

In the early stages of cirrhosis, there are generally no specific symptoms. Some patients may experience symptoms such as fatigue, nausea, vomiting, and aversion to oily foods. Typically, symptoms do not include lower back pain. However, if lower back pain occurs, it is necessary to consider and rule out diseases that frequently cause this symptom. Firstly, conditions such as lumbar muscle strain; secondly, issues like lumbar disc herniation or lumbar spine diseases; thirdly, kidney-related diseases, such as kidney stones, etc. Therefore, it is essential to first determine the cause of the lower back pain, or from the perspective of Traditional Chinese Medicine, whether the pain is related to kidney deficiency? Then, a differential diagnosis can be made, followed by treatment. This approach will ensure more effective therapeutic outcomes.

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Written by Si Li Li
Gastroenterology
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Can the liver regrow after partial removal due to cirrhosis?

First, let us understand the causes of cirrhosis. The most common cause is chronic hepatitis B, which can develop into hepatitis B-related cirrhosis over time. The second is chronic hepatitis C, which can also lead to hepatitis C and cirrhosis in the long term. Another type is alcoholic cirrhosis, which occurs due to long-term excessive alcohol consumption. Cirrhosis involves the hardening of the entire liver, not just parts of it; the whole organ becomes hardened, not just certain sections. Once the entire liver is hardened due to cirrhosis, it is not possible to just remove a part and expect a normal liver to grow back. Thus, unlike what might be suggested in some discussions, it is not feasible to remove a part of a cirrhotic liver with the expectation of regeneration. Liver cirrhosis cannot be partially removed; it is not operable in this way.

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Written by Huang Ya Juan
Gastroenterology
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Early symptoms of cirrhosis

Liver cirrhosis is generally divided into compensated and decompensated stages: The compensated stage is actually an early stage of liver cirrhosis. During this stage, most patients do not show symptoms, or they may experience some mild symptoms such as abdominal discomfort, fatigue, loss of appetite, abdominal bloating, indigestion, diarrhea, etc. Decompensated stage: Early stages often present with fatigue and weakness, and later stages can include weight loss, loss of appetite, aversion to oily foods, abdominal bloating, diarrhea, fever, etc.; The liver is the only site of albumin synthesis, and during cirrhosis, reduced serum albumin can cause edema and ascites; the liver synthesizes most clotting factors, and cirrhosis can lead to coagulation disorders, clinically manifesting as gum bleeding, skin bruising, and nosebleeds; During cirrhosis, there can also be metabolic disorders of bilirubin and bile acids, leading to jaundice; Cirrhosis can also cause hormonal metabolic abnormalities, especially in patients with alcoholic cirrhosis, who may exhibit many characteristics of male dysfunction, including impotence, erectile dysfunction, testicular atrophy, loss of body hair and muscle mass, feminization, etc. Female patients may experience cessation or reduction of menstruation, excessive menstruation, infertility, etc.; Both male and female patients can develop osteoporosis, leading to spontaneous fractures.