Cirrhosis: What You Need to Know

Cirrhosis is a condition in which your liver is scarred and suffers permanent damage. Here’s what you need to know about the condition. 

Causes and Risk Factors

When the liver is damaged, it attempts to repair itself and scar tissue forms. Over time, this scar tissue builds up and makes it difficult for the liver to function. Cirrhosis is the term for late stage damage. Damage can be caused by various conditions and diseases. These include chronic alcohol abuse, syphilis, chronic viral hepatitis, some genetic disorders, and nonalcoholic fatty liver disease. 

Risk factors for cirrhosis include excessive alcohol consumption, having viral hepatitis, and being overweight. Each of these factors can lead to some of the diseases and conditions listed above, which can damage the liver and lead to cirrhosis over time. 

Symptoms of Cirrhosis

There are several potential symptoms of cirrhosis. In the early stages of disease, many people do not experience any symptoms. Symptoms and complications often occur in later stages of disease, when it is more severe. These include severely itchy skin, fatigue, nausea, loss of appetite, jaundice, easily bleeding and bruising, and fluid accumulation on the abdomen. 

Diagnosis

In cases of early-stage cirrhosis, most people do not have symptoms, and diagnosis is likely to be incidental through a routine blood test or doctor’s visit. In general, doctors diagnose cirrhosis through a combination of physical exams, blood tests, medical history, and symptoms. Often, doctors will order additional testing to confirm a diagnosis. They may do this through blood testing, imaging tests, or biopsy. Imaging tests and biopsies can help determine the extent of cirrhosis, and blood testing can help identify the underlying cause of the condition. For example, blood testing may help identify elevated bilirubin levels, creatinine levels, or hepatitis infection. 

Treating Cirrhosis

Treatment approaches for cirrhosis vary based on the extent and cause of liver damage. Typically, treatment will focus on preventing or treating any symptoms and slowing the rate of scar tissue buildup on the liver. If doctors catch cirrhosis early, the underlying cause may be treatable to reduce any further damage. For example, if someone has developed it as a result of chronic alcohol abuse, their doctor will likely recommend they quit drinking. They may be encouraged to join an alcohol addiction program if quitting is difficult.

If hepatitis causes cirrhosis, there are medications that can treat the virus to prevent further liver damage. If it develops due to nonalcoholic fatty liver disease, focusing on weight loss and controlling blood sugar can help. Additionally, there are often medications that can help treat symptoms and complications like pain, itching, and osteoporosis. In late-stage cases, when the liver has too much damage to function, a liver transplant may be the only option. 

Prevention

Preventing and managing cirrhosis entail several lifestyle behaviors. Avoiding alcohol, practicing safe sex, exercising regularly, eating a healthy diet, and using over the counter medicines carefully are good prevention measures. 

Our experienced team at GHP has years of experience treating conditions including cirrhosis. We can help establish the best plan of care for your situation. Contact any of our office locations to learn about the options we offer and schedule an appointment today.

 

What is Jaundice?

Jaundice causes the whites of the eyes, skin, and mucous membranes to turn yellow as a result of heightened levels of bilirubin. Here’s what you need to know about the condition.  

Causes and Risk Factors

Jaundice is ultimately caused by bilirubin levels that are too high. Bilirubin is a yellow chemical in hemoglobin, the part of red blood cells that carries oxygen. The body builds new red blood cells when old ones break down, and the liver processes the old cells. When the liver is unable to process these old cells properly, bilirubin builds up in the blood and deposits in the skin. The yellow color of bilirubin is what causes the yellowing of skin in jaundice. 

Jaundice is relatively common in newborns- many babies develop it in their first week of life, and it often goes away without issue. In adults, jaundice can be a sign of various problems. These include liver diseases (like alcoholic liver disease, cirrhosis, and hepatitis), blood diseases, infections, blocked bile ducts, and viruses. 

Symptoms of Jaundice 

There are several symptoms of jaundice that people can experience at different levels of severity. Some people may not even have any symptoms. Ultimately, the symptoms a person experiences will depend upon underlying causes and the speed at which disease develops. In short-term cases, often caused by infections, symptoms typically include fever, abdominal pain, chills, flu-like symptoms, yellowed skin and eye whites, dark urine, and clay-colored stool. If a case is not caused by infection, symptoms can include weight loss and itchy skin. Abdominal pain is also common when pancreatic or bile duct cancers cause jaundice. 

Diagnosis

Jaundice is diagnosed through a few different steps. Doctors first perform physical exams to check for signs of liver disease. These signs include yellowing and bruising of the skin, spider angiomas (blood vessels that collect near the skin surface), and palmar erythema (red coloration in the fingertips and palms). They also perform urinalysis to check bilirubin levels in the urine, which can indicate jaundice. They often perform serum testing to confirm findings from urinalysis as well. Additionally, they may want to pursue imaging of the liver through an MRI, CT, or ultrasonography to further confirm any diagnosis. 

Treatment and Prevention for Jaundice

Treatment for jaundice entails treating the underlying causes and complications of the condition, as well as any symptoms. For instance, if acute viral hepatitis is a cause, it will go away as your liver heals.  Treatment may entail treating the hepatitis symptoms. Surgery can help unblock bile ducts in cases of blocked ducts. A drug called cholestyramine can be used to limit itching if itchy skin is a symptom. 

Preventing jaundice entails preventing the various underlying causes. This means that limiting alcohol intake, avoiding hepatitis infection, and maintaining a healthy weight and cholesterol levels can all reduce your risk. 

Our experienced team at GHP has years of experience treating conditions including jaundice. We can help establish the best plan of care for your situation. Contact any of our office locations to learn about the options we offer and schedule an appointment today.

 

Lowering Your Risk of Liver Disease

Liver disease is a general term used to cover multiple types of diseases that affect the liver and its functions in the body. These diseases include cirrhosis, cancer, infectious hepatitis, and blood flow abnormalities, to name a few. 

The liver has a role in many important bodily functions, including iron storage for red blood cell production, bile production, and generally digesting food and getting rid of toxins. Liver disease can affect these functions negatively and eventually lead to serious outcomes if untreated. 

Liver disease can be caused by a variety of things, come of which are controllable and others which aren’t. Luckily, though, there’s a lot you can do to reduce your risk. Let’s take a look at some key factors you can manage to lower your risk for liver disease. 

Exposure to toxins

A healthy liver helps filter out toxins from the blood. However, when too many toxins are present over time, the liver can become damaged. Chemicals found in household products, pesticides, and the like can cause liver damage over time if ingested. Always read warning labels for any chemicals you use to make sure you are employing proper safety measures and practices. Wash your fruits and vegetables before consumption too. In fact, go for clean produce and fruit when you can- pesticide-free food is the best way to ensure you aren’t overexposed to toxins when you eat. 

Alcohol consumption

Liver injury can occur due to alcohol abuse. When you drink too much over a long period of time, this starts to cause fat accumulation in your liver and can eventually lead to more damage. There are also other coinciding factors that can increase risk, like smoking. 

One key way to lower your risk of liver disease due to alcohol consumption is to decrease use. Abstaining from alcohol is incredibly effective in lessening damage, and in earlier stages of fatty accumulations in the liver may even reverse some damage. Even just reducing your amount of consumption to a healthier level is significant. For reference, moderate drinking is defined as up to 1 drink per day for women and up to 2 drinks per day for men. Heavy drinking is defined as 8 or more drinks per week for women and 15 or more drinks per week for men. 

Infection

Liver disease can also develop as a result of infection, which can occur from viruses or parasites. Viruses causing liver damage may be spread through close contact with an infected person, their blood or semen, or contaminated food and water. It’s important to take precautions to avoid virus exposure, including using protection during sex, avoiding needle sharing if you use drugs, and ensuring clean equipment is used on any tatooing equipment you come in contact with. 

Obesity, Diabetes, and High Cholesterol

Obesity, Diabetes, and High Cholesterol can lead to fatty accumulations in the liver. This can turn into nonalcoholic fatty liver disease, which like other types of liver disease, can become more severe over time. Fortunately, liver health can be improved by cutting simple carbohydrates and adding in more healthy fruits, vegetables, and proteins to your diet. 

Our experienced team at GHP has years of experience helping patients manage and treat liver disease. We can help you establish the best plan of care for your situation. Contact any of our office locations to learn about the options we offer and schedule an appointment today.