Doctor insights on:
What Sort Of Disease Is Cirrhosis
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read moreSee 1 more doctor answer
How common is nonalcoholic fatty liver disease in the general population and how often does it develop into cirrhosis in the non drinker?
NAFLD: Fairly common. Unlikely to result in cirrhosis without additional injury. ...Read more
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. ...Read moreSee 1 more doctor answer
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. ...Read moreSee 1 more doctor answer
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