Overview
Cirrhosis of the liver is late stage liver disease, in which healthy liver tissue has been gradually replaced with scar tissue. This is a result of long-term, chronic hepatitis. Hepatitis is inflammation in your liver, which has many causes. When inflammation is ongoing, your liver attempts to repair itself by scarring. But too much scar tissue prevents your liver from working properly. The end stage is chronic liver failure.
Are there stages of cirrhosis?
Cirrhosis is a progressive condition that worsens as more and more scar tissue develops. In the beginning, your body adjusts to compensate for your reduced liver function, and you might not notice it too much. This is known as compensated cirrhosis. Eventually, though, as your liver function declines further, you will begin to experience noticeable symptoms. This is known as decompensated cirrhosis.
How does cirrhosis affect my liver and body?
Scarring in your liver blocks the flow of blood and oxygen through your liver tissues. This slows your liver’s ability to process your blood, metabolize nutrients and filter out toxins. Cirrhosis reduces your liver’s ability to produce bile and essential blood proteins. Scar tissue can also compress blood vessels running through your liver, including the important portal vein system, leading to a condition called portal hypertension.
How common is cirrhosis?
Cirrhosis is relatively common and is a significant cause of hospitalization and death, especially after middle age. That’s because it develops gradually over time. In the United States, cirrhosis affects about 0.25% of all adults and about 0.50% of adults between the ages of 45 and 54. Each year, about 26,000 deaths in the United States are attributed to cirrhosis, and these rates are rising. Cirrhosis is a global health concern.
Symptoms
When to see a doctor
Complications
- High blood pressure.
- Diabetes.
- Heart failure.
- Some types of heart valve disease.
Prevention
- Control high blood pressure, high cholesterol and diabetes.
- Don't smoke or use tobacco.
- Eat a diet that's low in salt and saturated fat.
- Exercise at least 30 minutes a day on most days of the week unless your health care team says not to.
- Get good sleep. Adults should aim for 7 to 9 hours daily.
- Maintain a healthy weight.
- Reduce and manage stress.
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