Emergency? Go to the nearest hospital emergency departmentEmergency? Go to the nearest hospital

Chronic liver disease

Cirrhosis and chronic liver disease

Cirrhosis means the liver is scarred. It does not mean the end of the road. With the cause under control and regular monitoring, many people stay well for years.

Can cirrhosis be reversed?

Established scarring generally cannot be undone, but it can be stopped from getting worse. Treating the cause, antivirals for hepatitis B, a cure for hepatitis C, weight and sugar control for fatty liver, plus a six-monthly ultrasound and blood check, keeps many people well for years.

What ongoing care looks like

First, treat whatever caused the damage: antivirals for hepatitis B, a cure for hepatitis C, weight and sugar control for fatty liver, stopping alcohol. Then a rhythm of check-ups to catch the complications of cirrhosis early, when they are easiest to manage: fluid in the abdomen, swollen veins in the food pipe, and changes in the blood that need watching. An ultrasound every six months also screens for liver cancer, which is far more treatable when found small.

Signs that need a hospital, not a chamber

Vomiting blood or passing black, tarry stools. Sudden confusion, drowsiness or a change in personality. A rapidly swelling abdomen with fever or pain. Severe breathlessness. These are emergencies. Go to the nearest hospital emergency department and let us know afterwards.

Before you come

  • Hospital discharge papers and recent reports
  • Your full medicine list, including diuretics and painkillers
  • A family member who knows your history

Common questions

Can cirrhosis be reversed?

Established scarring generally cannot. But treating the cause can stop it getting worse, and the liver has a remarkable ability to keep working if it is not under constant attack.

Should I stop all my medicines?

No. Some medicines need adjusting in cirrhosis, and some should be avoided, but never stop prescribed treatment without asking.

Sources: NIDDK: Cirrhosis

This is general health information, not personal medical advice. Talk to a clinician about your own reports and symptoms.

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