Can severe cirrhosis be cured?

Written by Si Li Li
Gastroenterology
Updated on December 11, 2024
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Severe cirrhosis is understood to refer to the decompensated stage of cirrhosis, which is the later stage of the condition, primarily characterized by the hardening of the liver.

Additionally, it presents a series of bodily complications such as ascites, as well as esophageal and gastric varices caused by portal hypertension. Sometimes, because of these varices, accidental rupture can occur during eating, leading to severe bleeding, which is a major upper gastrointestinal hemorrhage — a very dangerous complication. If this bleeding is not controlled, it can become life-threatening. Moreover, the skin may display spider nevi, and palmar erythema can appear on the hands; these are common manifestations and complications during the decompensated phase of cirrhosis.

Thus, cirrhosis is not curable. Treatment focuses on symptomatic relief to minimize discomfort caused by the symptoms, but the disease itself cannot be cured.

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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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Is it serious if someone with cirrhosis doesn't have bowel movements?

Cirrhosis without bowel movements does not necessarily mean that the condition is very severe. Patients with cirrhosis who have no bowel movements might be experiencing poor digestion, leading to slow intestinal movements and subsequently constipation. However, constipation can potentially trigger hepatic encephalopathy, thus it requires proactive treatment. Oral lactulose can be used for bowel movement, or an enema with white vinegar to acidify the intestines can also be administered. Patients with cirrhosis who develop hepatic encephalopathy, upper gastrointestinal bleeding, or primary peritonitis are experiencing severe conditions and need to actively undergo corresponding treatment measures. (Please use medications under the guidance of a doctor.)

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Written by Wu Hai Wu
Gastroenterology
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Is stool black in the early stages of cirrhosis?

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.

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Written by Si Li Li
Gastroenterology
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Does early-stage cirrhosis hurt when pressed?

The anatomical location of the liver is covered by the ribs, so generally, the liver cannot be felt below the lower edge of the ribs, and since it is covered by the ribs, the liver cannot be pressed, hence there is no such thing as pain upon pressing. When we generally check for liver pain, we use percussion pain. By percussing the area of the liver, which is under the rib area, pain can be elicited in the liver, this is called percussion pain. The liver generally does not have tenderness because it simply cannot be pressed. Early stages of liver cirrhosis usually exhibit little to no pain sensation. However, some symptoms might appear during the decompensated phase, such as fatigue, weight loss, dull complexion, reduced urine output, edema, and spider angiomata, among other symptoms.

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Written by Wu Hai Wu
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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.)