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

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

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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 Wu Hai Wu
Gastroenterology
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Do you need a liver transplant in the early stages of cirrhosis?

In the early stages of cirrhosis, liver transplant is not necessary. Early-stage cirrhosis requires timely and comprehensive auxiliary examinations to determine the cause of the cirrhosis. This includes determining whether it is due to viral hepatitis, cholestatic hepatitis, or drug-induced hepatitis, among others. Once a patient exhibits early signs of cirrhosis, it is crucial to treat the specific cause and symptoms actively, and undertake proactive liver protection treatments. It is also essential to prevent complications associated with cirrhosis, such as esophageal and gastric variceal bleeding, primary liver cancer, hepatorenal syndrome, liver disease, and ascites.

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Written by Zhang Jian Kang
Infectious Disease
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Is hepatitis B cirrhosis contagious?

If hepatitis B is not well controlled, it can easily lead to the occurrence of cirrhosis. After the hepatitis B virus infects the human body, it causes repeated inflammatory damage to the liver, with recurring abnormalities in liver function. If during this period there is no formal antiviral treatment or lack of attention, it is very likely to lead to the development of cirrhosis. Once cirrhosis from hepatitis B occurs, it is generally irreversible. Cirrhosis due to hepatitis B is also an infectious disease, and its level of infectiousness mainly depends on the presence of the virus. If the viral load is positive, indicated by a positive HBV-DNA test, then it is infectious. If HBV-DNA is negative, then it is not infectious. Therefore, whether cirrhosis from hepatitis B is infectious primarily depends on the level of HBV-DNA.

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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 the surface of the liver smooth in the early stages of cirrhosis?

In the early stages of cirrhosis, it is not necessarily the case that the liver surface is very smooth; in patients with early cirrhosis, the liver surface can be uneven. Patients in the early stages of cirrhosis also need serious attention. They should undergo regular follow-up examinations, and it is important to identify the cause of the early cirrhosis. Based on different causes, appropriate treatment measures should be taken. For example, if the early cirrhosis is caused by chronic hepatitis B virus, antiviral treatment should be initiated as soon as possible. If it is due to alcohol, leading to early alcoholic cirrhosis, then it is crucial to quit drinking actively, and liver-protective treatments are also needed.