Cirrhosis: Causes, symptoms and diagnosis

Cirrhosis is a chronic liver disease characterized by progressive scarring and dysfunction of the liver tissue. (Image via Pexels)
Cirrhosis is a chronic liver disease characterized by progressive scarring and dysfunction of the liver tissue. (Image via Pexels)

The causes of cirrhosis are diverse. This chronic liver disease is characterized by progressive scarring and dysfunction of the liver tissue. It presents a significant health concern worldwide, with the potential for various complications.

In this article, we explore cirrhosis's causes, symptoms and diagnostic methods, providing a comprehensive understanding of this complex condition.


Causes of Cirrhosis

Chronic infection with hepatitis B or hepatitis C virus can cause ongoing liver inflammation. (Image via Pexels)
Chronic infection with hepatitis B or hepatitis C virus can cause ongoing liver inflammation. (Image via Pexels)
  • Chronic alcohol abuse: Alcohol consumption is a leading cause of cirrhosis—excessive and prolonged alcohol intake damages liver cells, leading to inflammation and scarring.
  • Viral hepatitis: Chronic infection with hepatitis B or hepatitis C virus can cause ongoing liver inflammation, leading to cirrhosis over time.
  • Non-alcoholic fatty liver disease: Accumulation of fat in the liver, often associated with obesity, insulin resistance and metabolic syndrome, can progress to cirrhosis in some individuals.
  • Autoimmune Hepatitis: In this condition, the body's immune system mistakenly attacks liver cells, triggering inflammation and scarring.

Symptoms of Cirrhosis

The early stages of cirrhosis may be asymptomatic, but as the disease progresses, various symptoms may arise:

  • Fatigue and weakness: Many individuals with cirrhosis experience persistent tiredness and lack of energy.
  • Jaundice: Yellowing of the skin and eyes occurs due to the liver's inability to process bilirubin properly.
  • Abdominal swelling: Cirrhosis can lead to the accumulation of fluid in the abdomen (ascites) and legs (edema) due to impaired liver function.
  • Gastrointestinal symptoms: Digestive issues like nausea, loss of appetite, weight loss and altered bowel movements may occur.
  • Mental and neurological changes: Cirrhosis-related liver damage can lead to hepatic encephalopathy, resulting in confusion, personality changes and impaired cognitive function.

Diagnosis of Cirrhosis

  • Medical history and physical examination: A healthcare provider will assess the patient's medical history, and risk factors, and perform a physical examination to identify signs of liver disease.
  • Blood tests: Liver function tests, hepatitis viral markers and other blood tests can provide valuable information about liver function and potential causes of cirrhosis.
  • Imaging studies: Imaging techniques like ultrasound, computed tomography (CT) or magnetic resonance imaging (MRI) can assess liver structure, identify scarring and detect complications like portal hypertension.
  • Liver biopsy: In some cases, a small sample of liver tissue may be obtained through a biopsy to confirm the diagnosis, assess the extent of scarring, and rule out other liver diseases.

Understanding the causes, symptoms and diagnostic methods of cirrhosis is crucial for early detection and appropriate management.

Cirrhosis can result from various factors, including alcohol abuse, viral hepatitis, fatty liver disease and autoimmune conditions. Recognizing the symptoms and obtaining a proper diagnosi allows for timely intervention and the implementation of effective treatment strategies.

If you suspect cirrhosis or have risk factors, consult with a healthcare professional for accurate diagnosis and personalized care.