Is late-stage liver cirrhosis with liver failure easy to control?

Written by Li Qiang
Intensive Care Unit
Updated on April 12, 2025
00:00
00:00

In the late stages of cirrhosis, when the condition has progressed to liver failure, it becomes very difficult to manage. At this stage, due to liver failure, the first issue to arise is abnormal coagulation function, such as easy bleeding in patients. This will lead to severe hypoalbuminemia, causing swelling throughout the body. Additionally, bilirubin levels are very high, leading to various metabolic diseases, such as metabolic encephalopathy, which affects other organs as well.

In the late stages of cirrhosis, there is also a large amount of ascites. At this time, portal hypertension is common, leading to complications such as gastric and esophageal varices rupture, bleeding, and hepatic encephalopathy, making the condition very difficult to control.

If the cirrhosis is a benign lesion, at this time, adjusting liver function through methods such as artificial livers or plasma exchange can improve the condition to a manageable extent. It is critical to act quickly to perform a liver transplant, as there are no other effective treatments besides transplant, and the condition is very difficult to control.

Other Voices

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
44sec home-news-image

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.

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
52sec home-news-image

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.

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
40sec home-news-image

Does fatty liver occur in the early stages of cirrhosis?

Cirrhosis in its early stage does not necessarily involve fatty liver, as there are multiple causes for cirrhosis. Besides fatty liver causing steatohepatitis, which can lead to cirrhosis, other causes include viral hepatitis, drug-induced hepatitis, and autoimmune hepatitis, which can also lead to cirrhosis. Cirrhosis resulting from the above conditions will not involve fatty liver. However, if cirrhosis is caused by steatohepatitis, it is possible that fatty liver occurred in its early stage. Once fatty liver develops, proactive interventions are necessary, such as weight loss and medication, which might reverse fatty liver.

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
45sec home-news-image

Can early-stage liver cirrhosis be cured by surgical resection?

Early-stage liver cirrhosis cannot be cured through surgical resection. Patients with early-stage liver cirrhosis need to clearly identify the cause of the cirrhosis if they wish to be cured. For instance, if the cirrhosis is due to alcohol, it requires actively quitting drinking. If the cirrhosis is caused by viral hepatitis, then active antiviral treatment is necessary for these early-stage patients. To cure the disease, it is essential to actively protect the liver and treat the underlying cause. If a patient with early-stage liver cirrhosis shows signs of liver cancer, then surgical treatment should be undertaken to remove the lesions as soon as possible.

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
48sec home-news-image

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.)