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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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.

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What are the complications of late-stage liver cirrhosis?

Late-stage cirrhosis can lead to many complications, such as bleeding from esophageal and gastric varices, which is one of the more common and severe complications of cirrhosis. Other complications include spontaneous peritonitis, liver cancer, hepatorenal syndrome, hepatic encephalopathy, portal vein thrombosis, and symptoms like ascites, palmar erythema, and spider angiomas. Additionally, there may be symptoms such as dark skin or hyperpigmentation and jaundice. Once cirrhosis is diagnosed, timely intervention and treatment are necessary to delay the progression of the disease.

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Symptoms of decompensated cirrhosis due to hepatitis B

Hepatitis B virus infection repeatedly leads to severe damage to the liver. If chronic hepatitis is not actively controlled, cirrhosis may occur. A symptom of decompensated cirrhosis mainly manifests as ascites, gastrointestinal bleeding, portal hypertension, and some people exhibit symptoms of hepatic encephalopathy. The presence of these complications indicates that the patient has reached the stage of decompensated cirrhosis. Patients in this stage often exhibit distinct jaundice, dark urine, abdominal distension after eating, and the presence of ascites with a positive shifting dullness. Additionally, some patients may experience vomiting blood, black stools, liver coma, and other related symptoms. Once these symptoms appear, it indicates that the prognosis for the patient is relatively poor.

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How to treat splenomegaly and liver cirrhosis?

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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What should I do if cirrhosis causes general weakness?

Liver cirrhosis can lead to general weakness due to electrolyte disorders or severe liver function impairment, causing the symptoms mentioned above. Once general weakness occurs, it is necessary to go to the hospital for comprehensive auxiliary examinations, such as liver function tests, routine blood tests, and electrolyte tests. Additionally, imaging studies of the abdomen should be performed to determine whether conditions like ascites, anemia, or hyponatremia exist. Different treatments are administered based on different disease diagnoses. For instance, if the weakness is due to severe ascites causing dilutional hyponatremia, sodium supplementation might be necessary, along with appropriate ascites drainage.