Is stool black in the early stages of cirrhosis?

Written by Wu Hai Wu
Gastroenterology
Updated on March 24, 2025
00:00
00:00

In the early stages of cirrhosis, it is generally not common to see black stools. Patients in the early stages of cirrhosis may not experience complications associated with the condition, such as portal hypertensive gastropathy and esophagogastric varices, nor would they likely suffer from peptic ulcers, etc. However, if patients with cirrhosis do not actively seek treatment or undergo regular check-ups, they could develop conditions like peptic ulcers and possibly esophagogastric varices that may rupture and bleed, leading to black stools. If black stools occur, it is important to promptly complete an endoscopic examination to confirm the diagnosis. Under endoscopy, hemostatic treatment should be performed. It is also crucial to actively rehydrate, suppress gastric acid secretion, and protect the gastric mucosa among other treatments.

Other Voices

doctor image
home-news-image
Written by Yang Chun Guang
Gastroenterology
47sec home-news-image

Is it okay not to remove the spleen for cirrhosis with splenomegaly?

Once cirrhosis patients are found to have splenic hyperfunction, in order to reduce the splenic hyperfunction and its phagocytic destruction of red blood cells, white blood cells, and platelets, the spleen must be dealt with. Traditionally, the treatment plan could involve surgically removing the spleen, also known as splenectomy. However, current treatment plans generally involve interventional methods. After multiple interventional embolizations, the spleen undergoes aseptic necrosis and is absorbed, thus improving the condition of splenic hyperfunction. Therefore, now in cases of cirrhosis with splenic hyperfunction, it is possible to treat without removing the spleen, using interventional methods instead.

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
47sec home-news-image

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.

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
38sec home-news-image

Will the platelet count be low in the early stages of cirrhosis?

The early stage of cirrhosis does not cause a decrease in platelets. Patients in the early stages of cirrhosis often have no obvious symptoms and may only exhibit fatigue, weight loss, jaundice, etc. However, once a patient with cirrhosis develops splenic hyperfunction, it can easily lead to a decrease in platelets, where the platelet count may drop to 100,000 per microliter. In such cases, it might be necessary to perform procedures like splenic embolization or splenectomy for antimicrobial treatment, and it is also important to prevent other complications of cirrhosis, such as esophageal and gastric varices, etc.

doctor image
home-news-image
Written by Li Qiang
Intensive Care Unit
1min 5sec home-news-image

Which is more serious, liver failure or cirrhosis?

Liver failure refers to a functional impairment of the liver, which could be acute or chronic damage. For instance, it could be the end stage of chronic liver disease, or an acute condition such as hepatitis, or another acute liver lesion. Other common lesions may also cause a sudden abnormality in liver function, resulting in severe liver dysfunction. At this point, liver cirrhosis is a common cause of liver failure. For example, in the middle and late stages of liver cirrhosis, liver function is completely decompensated, meaning the liver can no longer maintain its basic normal functions, leading to liver failure. Therefore, liver failure is one of the major consequences of liver cirrhosis, but the two are distinct. Liver failure can also be caused by other reasons not related to cirrhosis. For example, acute ischemia in the liver, such as in shock patients, can lead to liver ischemia and subsequently liver failure. Liver cirrhosis is just one of the common causes thereof.

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
51sec home-news-image

Does early-stage cirrhosis exhibit spleen enlargement?

In the early stages of cirrhosis, spleen enlargement may occur, but generally, it is only a mild enlargement of the spleen. If the spleen shows significant enlargement, it generally indicates that the cirrhosis is no longer in the early stages. The main symptoms in the early stages of cirrhosis include an enlarged spleen, as well as denser liver parenchyma echoes and an uneven liver capsule surface. Once these early signs of cirrhosis appear, it is necessary to identify the cause as soon as possible and adopt cause-specific treatment. For example, if the cirrhosis is due to alcohol abuse, then it is necessary to abstain from alcohol. If it is due to chronic hepatitis B virus infection, antiviral treatments such as entecavir should be used. (Please use medication under the guidance of a doctor.)