Cirrhosis of Liver
Cirrhosis is a complication of chronic liver damage caused by chronic liver disease. It is characterized by abnormal structure and function of liver.
The disease injures kills liver cells. Scarring of liver occurs as a result of inflammation and repair of dying liver cells. Healthy liver cells multiply in order to replace the dead cells. The newly formed liver cells results in clusters within the scar tissue.
The liver is the largest gland in the body. It has three surfaces (superior, inferior and posterior) and two lobes (right and left).It is situated in the upper and right parts of the abdominal cavity, occupying almost the whole of the right hypochondria, In the male it weighs from 1.4 to 1.6 kg., in the female from 1.2 to 1.4 kg. It is relatively much larger in the fetus than in the adult.
The new liver cells interfere with the liver’s ability to add or remove substances from the blood. The scarring within the liver obstructs the flow of blood through the liver and to the liver cells resulting in blood “backs-up” in the portal vein, and the pressure in the portal vein increases, a condition called portal hypertension. Blood in the portal vein seeks other veins to return to the heart.
In cirrhosis the liver does not eliminate toxic substances normally, and they can accumulate in the body. Intestine also gets involved there by reducing the digestion.
Mortality rate in cirrhosis of liver
The disease has a high mortality rate.
The most common causes of cirrhosis include:
• Long term alcohol abuse.
• Chronic viral hepatitis.
• Autoimmune hepatitis.
• Nonalcoholic fatty liver disease.
• Certain drugs and toxins.
• Inherited disorders like:
– Wilson’s disease.
– Cystic fibrosis.
– Alpha-1 antitrypsin deficiency.
• Conditions affecting the biliary system:
– Primary sclerosing cholangitis.
– Primary biliary cirrhosis.
– Congenital biliary atresia.
• Infections with parasites (Schistosomiasis).
• Chronic heart failure – results in a condition called ‘cardiac cirrhosis’.
• Cryptogenic cirrhosis – cirrhosis due to unidentified causes.
At an early stage, there may be no symptoms. At later stage liver cirrhosis presents with following symptoms:
• Yellow discoloration of the skin, mucus membranes, or eye.
• Impotence and breast development in men.
• Loss of appetite.
• Nausea and vomiting.
• Pale stools.
• Spider naevi- Small, red spider-like blood vessels on the skin.
• Weakness, fatigue and irritability.
• Sudden weight loss or weight gain.
• Nosebleeds or bleeding gums.
• Delayed healing of wounds.
• Easy bruising.
• Weak memory.
The doctor will perform a physical examination. The following tests may be done to evaluate the liver condition:
• CT scan.
• Liver biopsy may be done to confirm the diagnosis.
• Portal hypertension.
• Congenital hepatic fibrosis.
It is difficult to return the liver cirrhosis to normal condition. it lead to many complications.
• Edema and ascites.
• Bleeding from esophageal varices.
• Mental confusion or coma.
• Hepatopulmonary syndrome.
• Enlargement of spleen.
• Liver cancer.
Remedies that may be recommended for alcoholism: Nux vomica: Staphysagria: Belladonna: Stramonium: Chelidonium: Zincum: Carduus marianus
Remedies that may be recommended for hepatitis: Aconitum: Belladonna: Chelidonium: China: Lycopodium; Mercurius: Phosphorus
• Avoid alcohol.
• Limit the intake of salt in diet.
• Avoid fatty food.
• Preferably consume vegetarian diet.
• High protein from vegetables like beans, tofu, etc.
• Eat small meals at short intervals.
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