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> Updates > Cirrhosis of the liver also called as hepatic cirrhosis. It is a slowly developing disease in which healthy liver tissue is replaced and scar tissue. The scar tissue block the flow of blood through the liver and slows the liver’s ability to process nutrients, hormones, drugs and natural toxins. It also reduces the production of protein and other substances made by the liver.Symptoms:Cirrhosis often has no signs or symptoms until liver damage is extensive. When signs & symptoms do occur they may include –•Fatigue•Easily bleeding•Loss of appetite•Nausea – Reduced hormone production•Swelling in your legs, feet or ankles•Weight loss•Itchy skin•Yellow discolouration in the skin & eyes•Fluid accumulation in your abdomen cascites•Redness in the palms of the hands•For women, absent or loss of periods•For men, law of sex drive, breast enlargement or testicular atrophy•Confusion, drowsiness, slurred speech•Dark Urine•Nose bleeds , hand tremorsCAUSES – •Chronic alcohol abuse•Chronic Viral hepatitis•Fat accumulating in the Liver•Iron build up in the body•Cystic fibrosis•Copper accumulated in the liver(Wilson’s disease)•Poor formed bile duct•Alpha -1 antitrypsin deficiency•Inherited disorder of sugar metabolism•Genetic digestive disorder•Destruction of the bile ducts•Infection, such as syptritis or brucellosis•Medications: Medicator including prescription & even the counter drugs like acetaminophen, some antibiotics, some antidepressants can lead to cirrhosisRisk factors:•Drinking too much alcohol – Excessive alcohol consumption is a risk factor for cirrhosis.•Being Overweight – Being obese increases your risk of condition that may lead to cirrhosis, such as non alcoholic fatty liver disease•Having viral Hepatitis – Not everyone and chronic hepatitis will develop cirrhosis, but it’s one of the world’s leading causes of liver disease.Complications –•High blood pressure in the veins that supply the liver •Swelling in the legs and abdomen•Enlargement of the spleen (splenomegaly)•Bleeding (due to decreased clotting proteins)•Infection•Malnutrition•Jaundice•Box disease•Increased risk of liver cancer•Acute – on – chronic cirrhosis•Bruising due to low platelet count & poor clothing•Edema & ascites – liver cancer – kidney failurePrevention - steps to care for liver•Do not drink alcohol if you have cirrhosis. If you have liver disease, you should avoid alcohol•Eat a healthy diet•Maintain a healthy weight. An excess amount of body fat can damage your liver. Talk to your doctor about a weight loss plan if you are obese or over weight.•Reduce your risk of hepatitis sharing needle & having unprotected sex can increase your risk of hepatitis B & C- Dr. Madhu Hooli