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Get The Best Liver Cirrhosis Treatment India
A French Chest specialist by the of Rene Laennec is most famously known for having invented the stethoscope. However, he also had a keen interest in pathology and gave the name ‘ Cirrhosis ‘ to a chronic scarring of the liver due a variety of causes. Hence Liver Cirrhosis is also called Laennec’s Cirrhosis.
Long standing liver damage due to alcohol, viruses like Hepatitis B or C or a variety of reasons may lead to Liver Cirrhosis. This may lead to many problems :
- Cirrhosis alters the structure of the liver ( small, shrunken, nodular liver ).
- Liver functions are affected ( less protein synthesis, impaired clotting mechanisms etc ).
- The smooth flow of blood through the liver is blocked leading to back pressure effects ( portal hypertension, enlaged spleen, large dilated veins or varices in the food pipe which may bleed ).
- Build of toxins like ammonia in the blood which the liver is unable to filter out. Ammonia causes drowsiness, confusion , disorientation and even coma ( Hepatic encephalopathy ).
Liver Cirrhosis Operation Cost in India
However, if it starts causing problems which the patient can feel , it has usually become Decompensated Liver Cirrhosis. With Decompensated disease, patients may be sufferng from one or more of the following :
Fluid in your tummy or the abdomen.
Spontaneous Bacterial Peritonitis , refers to bacterial infection of the fluid in your tummy ( Infected ascites ) causing pain / fever.
Eyes and skin become yellow.
Red vomit or black stools mean Gastro Intestinal ( G I ) bleed
Hepatic Encephalopathy ( HE ) means the toxins in the blood are not being filtered by the liver and are reaching the brain. One becomes forgetful, sleepy, disoriented or unconscious. This is quite sinister. Hepato Renal Syndrome ( HRS ) implies that long standing liver disease is temporarily affecting the functioning of the kidneys. The spectrum of problems caused due to Liver Cirrhosis is often referred to as Chronic Liver Disease( CLD ) or End Stage Liver Disease ( ESLD ). The severity of CLD or ESLD may be assessed by the Child Pugh Turcottee ( CTP ) score or simply the Child score. Liver Cirrhosis is a condition where your normal healthy liver tissue is replaced by scar tissue. This process of scarring is slow and usually happens over many years, often decades.
Cirrhosis is the result of a number of possible reasons / diseases :
- Regular alcohol consumption.
- Viral infections like Hepatitis B, C ( Sometimes even Hepatitis D can contribute ).
- Non Alcoholic Fatty Liver Disease ( NAFLD ) or Non Alcoholic Steato Hepatitis ( NASH ) – often associated with Diabetes, Obesity, high Blood Pressure and high Cholesterol levels.
- Autoimmune Hepatitis.
- Primary Sclerosing Cholangitis ( PSC ) or other diseases of the bile ducts.
- Childhood Liver Diseases.
The scar tissue makes the liver nodular ( Lumpy ) and hard; slowly the organ begins to fail. The liver is unable to produce the proteins like albumin . The scar tissue also blocks the smooth flow of blood through the liver. This builds up pressure in the portal vein leading to back pressure effects ( Portal hypertension ) . There’s no cure for cirrhosis except a liver transplant, but you can often slow down the process by treating whatever is causing it.
Stages of Cirrhosis
There are two main stages — compensated and decompensated. In compensated cirrhosis, you won’t have any symptoms. There are still enough healthy liver cells to meet your body’s needs. They compensate, or make up for, the damaged cells and scarred tissue. If you don’t get treatment for the cause of your cirrhosis, it’ll get worse and over time, the healthy liver cells won’t be able to keep up. Nor will your liver be able to get rid of toxic substances in your body like ammonia. Decompensated cirrhosis causes symptoms. It can lead to problems like these:
- You bleed from large blood vessels in your esophagus (bleeding varices).
- Fluid builds up in your belly (ascites, pronounced “ah-SIGH-tees”).
- Toxins build up in your blood that can cause confusion (encephalopathy).
- Your eyes and skin are yellow (jaundice).
- You get gallstones.
- You bruise and bleed easily.
Frequently Asked Questions
Jaundice is a sign of liver, gallbladder, and certain blood disorders. Bilirubin, normally removed from the blood by the liver and excreted in bile and stool, increases in the blood. The skin and the eyes become yellow due to the buildup of bilirubin in the skin and in the "whites" of the eyes (sclera). The urine becomes dark from the excretion of bilirubin in the urine, and the stool becomes clay-coloured due to the absence of bilirubin.
Acetaminophen in excess can cause liver failure that often is permanent and results in death. Numerous antibiotics and statins (cholesterol-controlling medications) may cause liver inflammation and failure. Excessive amounts of vitamin A can cause hepatitis, cirrhosis, and liver failure. Additionally, many mushrooms are poisonous to the liver, and eating unidentified mushrooms gathered in the woods can be lethal due to liver failure.
The term hepatitis means "inflammation of the liver," and liver cells can become inflamed for many reasons, including alcohol, drugs, toxins, and infections. Liver disease is any abnormal process that affects the liver.
Cirrhosis is a late-stage liver disease. Diseases that lead to cirrhosis injure and kill liver cells. Inflammation and repair associated with the dying liver cells cause scar tissue to form. Progressive scarring leads to cirrhosis.
Liver biopsy, in which a sample of liver tissue is removed and analyzed under the microscope, is the only test that can confirm a diagnosis of cirrhosis.
It is passed from person to person sexually, and by sharing used, infected needles or other drug equipment to inject drugs. It also may be passed from mother to infant at the time of birth. Hepatitis B is the second-most common cause of chronic hepatitis. Hepatitis D is a chronic viral infection of the liver but occurs only in a small proportion of individuals with chronic hepatitis B. Hepatitis A and E cause primarily acute hepatitis and not chronic hepatitis.
The liver is a critical organ for many bodily functions. Interference with the liver function results in excessive bleeding, jaundice, sensitivity to the effects of drugs, and toxic effects on the brain (encephalopathy). Interference with the production of blood proteins and the elimination of water and salt results in the accumulation of fluid in the tissues of the body referred to as edema.
The liver performs various important functions in the body that include:
(i). Extraction of nutrients that the body's digestive system absorbs from blood and processing it later for use
(ii). Making of bile for delivering it to the digestive system and thus aiding in absorbing certain vitamins and fat
(iii). Removal of toxic waste and medications from blood and excreting these to the bile
(iv). Perform the role of being an important part of proteins in blood; including those responsible for the correct functioning of blood clotting
(v). Cirrhosis scars the liver resulting in abnormal functioning and leads to chronic injury to the liver. It is a major ailment for death across the globe.
Charges of tests for diagnosing Cirrhosis may vary depending on the city you reside in, the type of diagnostic centre, or the hospital from where you get the tests done. You can find the prices of tests in various Indian cities here.