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Doctor insights on: What Sort Of Disease Is Cirrhosis

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What sort of disease is cirrhosis?

What sort of disease is cirrhosis?

Scarred Liver: Liver damage and scarring of the liver from a variety of causes results in what is called cirrhosis of the liver. Alcohol, viral hepatitis, autoimmune liver diseases, inheritedliver disease are some examples of causes of cirrhosis.

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Can you please explain why cirrhosis is not considered a disease found in young people?

Can you please explain why cirrhosis is not considered a disease found in young people?

It could be: It depends on what you consider young. The reason cirrhosis is considered a disease of mid to older age people, is because it goes unrecognized for years. It can be present in your 20's, although much more infrequently. Cirrhosis = scars in the liver and that takes time, occurs because of chronic inflammation (from viral hepatitis, alcohol, metabolic, fatty liver, etc.) if concerned, see a doctor.

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I have cirrhosis and hepatocellular disease.I know that cirrhosis is not reversable, but what exactly is hepatocellular disease?

I have cirrhosis and hepatocellular disease.I know that cirrhosis is not reversable, but what exactly is hepatocellular disease?

Not sure: Cirrhosis is considered the end stage of many different hepatocellular liver diseases (hepatitis, metabolic conditions, infections, alcohol, fatty liver, etc.). "hepatocellular" disease just refers to a disease that affects your liver cells (of which there are many). Whereas cirrhosis is considered irreversible, many "hepatocellular" diseases can be slowed or reversed if treated.

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In cirrhosis does the presence of ascites always indicate decompensation and is this considered a serious complication and stage of the disease?

In cirrhosis does the presence of ascites always indicate decompensation and is this considered a serious complication and stage of the disease?

It is concerning: Ascites- buildup of fluid in the abdominal cavity- can be a sign of serious decompensation in the liver function. This is usually seen in the later stages of liver failure. If this is seen you should let your doctor know right away. This is associated with decreased survival. However if the cause of the liver damage is found early-& treated this can delay progression. Cirrhosis can't be undone.

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How do I know if I have chronic liver disease and cirrhosis?

How do I know if I have chronic liver disease and cirrhosis?

Are you sick?: Cirrhosis (liver scarring) and chronic liver disease may exist, even if the underlying disease (like alcohol use) is over. In this case, the presence of old disease is less important than the risk of progressive disease. Liver tests, viral counts, bipsies etc all help evaluate this risk. Test of current liver function (like Albumin and bleeding) are important to gauge current function.

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Could you have cirrhosis of the liver and fatty liver disease at the same time?

Could you have cirrhosis of the liver and fatty liver disease at the same time?

Yes: Sometimes severe fatty liver can result in liver damage of nash (non-alcoholic steato-hepatitis) or nodular cirrhosis changes of the liver.

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If you have cirrhosis or liver disease, can your enzymes go back to normal levels?

If you have cirrhosis or liver disease, can your enzymes go back to normal levels?

Sometimes: It depends how bad the cirrhosis is. The liver is one of the body's best organs at regenerating. Also, a liver transplant can sometimes restore normal function.

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I have fatty liver and at risk for cirrhosis.Is there a cure for both liver diseases?

I have fatty liver and at risk for cirrhosis.Is there a cure for both liver diseases?

Diet and exercise : A 35 year old woman may have fatty liver due to genetics or be at risk for it from obesity or diabetes. Not all Patients with fatty liver progress to cirrhosis. We worry about patients with fat AND inflammation (NASH). A biopsy is helpful to determine risk of progression. Diet, exercise, wt. loss are recommended. See a liver specialist as other conditions must be ruled out 1st.

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Can severe fatty liver disease not quite cirrhosis be stopped from getting worse with diet and exercise?

Can severe fatty liver disease not quite cirrhosis be stopped from getting worse with diet and exercise?

Liver: You can't get guaranteed improvement with diet and exercise for fatty liver. But you can be pretty sure it will get worse if you don't diet and exercise.

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I have cirrhosis and am experiencing both right and left flank pain. I am decompensated. Is this pain associated with the disease?

I have cirrhosis and am experiencing both right and left flank pain. I am decompensated. Is this pain associated with the disease?

Possibly : Two common things that could cause bilateral flank pain in decompensated cirrhosis are ascities and spontaneous bacterial peritonitis (sbp). The latter is a more pressing concern and usually presents with fevers/chills, but not always, and requires medical attention as soon as possible.

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What can I do if my dad has end-stage liver disease/ liver failure (cirrhosis) how long does he have?

What can I do if my dad has end-stage liver disease/ liver failure (cirrhosis) how long does he have?

Difficult to predict: Future, but these are serious conditions. A lot depends on cause of his liver disease and if it is treatable and his response to treatment. I have long since given up on trying to predict future transplant is option if it is not malignancy. Best of luck.

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I need information on primary biliary cirrhosis I am a 69 year female was diagnosed in 2010. What is the best test to confirm the disease. And where would be the best place for a second opinion? What should I look for as signs of progessing in the dise

I need information on primary biliary cirrhosis I am a 69 year female  was diagnosed in 2010.  What is the best test to confirm the disease.  And where would be the best place for a second opinion? What should I look for as signs of progessing in the dise

Liver biopsy: Is the gold standard, and a diagnosis cannot really be made without it, although blood tests, scans and medical history/family history can strongly suggest it. Most major medical centers. Like emory university hospitals in atlanta, have liver specialists who further sub-specialize in primary biliary cirrhosis. Increasing fatigue is most common symptom of progression, with jaundice and itching.

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Is cirrhosis the only liver disease that can cause spider nevi?

Is cirrhosis the only liver disease that can cause spider nevi?

Cirrhosis: Cirrhosis is scarring of the liver that is a result of some inflammatory process like Hepatitis (viral, alcoholic, fatty liver, and so on). The spider nevi are a manifestation of some of the changes which occur when the liver malfunctions, does not detoxify estrogens and creates portal hypertension. You can also get it with other sources of high estrogen levels.

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What is chronic liver parenchymal disease with cirrhosis; varices and ascites?

What is chronic liver parenchymal disease with cirrhosis; varices and ascites?

This sounds serious: To translate, you have liver cell damage and scarring (cirrhosis), which caused abnormally elevated portal vein pressures which caused venous distention in esophagus (varices). You also developed fluid in abdominal cavity, because of the high portal vein pressure. This imaging study is showing advanced stage of liver disease. You must get a specialist to treat you.

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Is gallbladder removal more high risk if liver disease/ cirrhosis is present?

Cirrhosis: Patients who are cirrhotic are at increased risk of numerous things because liver function is impaired. Whether the risk of cholecystectomy is substantially increased depends upon the type of surgery, duration of anesthesia, skill of the surgeon, and so on. The better question is whether the benefit of the procedure outweighs the added risk. Good luck.

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I have chronic liver disease and cirrhosis. Am I eligible for transplant on medicare?

I have chronic liver disease and cirrhosis. Am I eligible for transplant on medicare?

Maybe: It depends on your degree of cirrhosis. The cause of the disease, your other health factors, and if it iscirrhosis from alcohol you most prove a certain length of sobriety.

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Can father doner liver for your son with liver cirrhosis but father carry this disease ?

Can father doner liver for your son with liver cirrhosis but father carry this disease ?

Not contagious: If tissue matches father can donate , part of his healthy liver to the son , of course he should have non cirrhotic liver , cirrhosis is not transmitted genetically , and not contagious.

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Will liver disease or cirrhosis show up on an ultrasound? My US came back normal, I am having RUQ discomfort. Possible Hida scan next.

Will liver disease or cirrhosis show up on an ultrasound? My US came back normal, I am having RUQ discomfort. Possible Hida scan next.

Most of the time: Ultrasound can detect many of the morphologic changes of cirrhosis, but is not 100%. In one study, ultrasound detected those findings in about 90% of patients with known cirrhosis. Early liver disease may not show up on imaging, however. If you are getting a HIDA scan, they are probably looking at your gallbladder and biliary system specifically.