What is Cirrhosis?
Cirrhosis, also known as Chronic Liver Disease (CLD), is a progressive condition where healthy liver tissue is replaced by scar tissue (fibrosis), leading to liver dysfunction. This scarring occurs due to long-term liver damage from infections, fatty liver disease, alcohol abuse, or other chronic conditions. If left untreated, cirrhosis can lead to liver failure, portal hypertension, or liver cancer.

Common Causes of Cirrhosis

Dr. Nadeem Parvez specializes in diagnosing and managing various causes of cirrhosis, including:

• Chronic Hepatitis (B, C, D infections) – Persistent viral infections that damage liver cells.

• Fatty Liver Disease (NAFLD & AFLD) – Liver damage due to obesity, diabetes, or excessive alcohol consumption.

• Autoimmune Liver Diseases – Conditions like Autoimmune Hepatitis and Primary Biliary Cholangitis (PBC).

• Bile Duct Diseases – Primary Sclerosing Cholangitis (PSC) or bile duct obstruction.

• Genetic Liver Disorders – Wilson’s disease, Hemochromatosis (iron overload), and Alpha-1 Antitrypsin Deficiency.

• Chronic Alcohol Abuse – Long-term alcohol consumption leading to liver inflammation and scarring.

Symptoms of Cirrhosis

Cirrhosis often progresses silently, with mild symptoms in the early stages. As the disease advances, patients may experience:

• Fatigue and weakness

• Jaundice (yellowing of skin and eyes)

• Loss of appetite and unintentional weight loss

• Swelling in legs, ankles, or abdomen (ascites)

• Easy bruising or bleeding

• Itchy skin

• Mental confusion (hepatic encephalopathy)

• Dark urine and pale stools

Complications of Cirrhosis

Without timely treatment, cirrhosis can lead to serious complications, including:

• Liver Failure – The liver loses its ability to function properly.

• Portal Hypertension – Increased pressure in the liver’s blood vessels, causing varices (swollen veins) in the esophagus or stomach.

• Variceal Bleeding – Internal bleeding from ruptured varices.

• Hepatic Encephalopathy – Mental confusion due to toxin buildup in the brain.

• Liver Cancer (Hepatocellular Carcinoma – HCC) – Cirrhosis increases the risk of liver tumors.

Diagnosis of Cirrhosis

Dr. Nadeem Parvez uses advanced diagnostic techniques to assess liver health and detect cirrhosis:

• Liver Function Tests (LFTs) – Blood tests to check liver enzymes and protein levels.

• Ultrasound & Fibroscan – Non-invasive imaging to assess liver stiffness and fibrosis.

• CT/MRI Scans – Detailed imaging to evaluate liver structure and blood flow.

• Liver Biopsy – A tissue sample analysis to determine the severity of cirrhosis.

• Endoscopy (Upper GI Endoscopy, ERCP) – To check for varices and bile duct complications.

Treatment Options for Cirrhosis

While cirrhosis cannot be completely reversed, early treatment can slow its progression and prevent complications. Dr. Nadeem Parvez offers personalized treatment plans based on the underlying cause and severity:

• Lifestyle Modifications – Healthy diet, weight management, and exercise to reduce liver stress.

• Medication Management – Antiviral therapy (for Hepatitis B/C), anti-inflammatory drugs, and diuretics to manage symptoms.

• Alcohol Cessation Support – Counseling and medications for patients with alcoholic cirrhosis.

• Endoscopic Treatments – Variceal banding and bleeding control procedures.

• Liver Transplant Evaluation – For advanced cirrhosis and end-stage liver disease.