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What is the treatment for cirrhosis?

Liver disease: Cirrhosis treatments
Average rating: 3 out of 5 star rating

Cirrhosis tends to get progressively worse if the underlying cause persists. In general, once the 'damage is done' the scarring cannot reverse. Therefore, the aim of treatment is, if possible, to prevent further liver scarring, or to slow the progression of the scarring process. Treatments that may be advised include the following.

Stop drinking alcohol

Whatever the cause of cirrhosis, you should stop drinking alcohol completely. Drinking alcohol will increase the rate of progression of cirrhosis from whatever cause.

Be cautious when taking drugs

Always tell your doctor or pharmacist that you have cirrhosis if you take any prescribed or 'over the counter' drug. Some drugs that are processed in the liver may need their dose adjusted if you have liver problems, or even not be used at all.

Treatment for underlying causes

Some underlying causes can be treated which may slow down or halt the progression of cirrhosis. For example:

  • Not drinking alcohol if alcohol is the cause.
  • Interferon and other medication may be used to treat viral hepatitis.
  • Steroid drugs or other immunosuppressant drugs may be used to treat autoimmune diseases causing liver damage.
  • Regular removal of a pint or so of blood can remove excess iron which occurs in haemochromatosis.
Treatment to ease symptoms and prevent complications? Various treatments may be advised, depending on the severity of the cirrhosis and the symptoms that develop. For example:

  • A low-sodium diet or diuretics ('water tablets') to reduce fluid accumulating in the body.
  • Drugs to reduce itch.
  • Drugs may help to reduce portal hypertension.
Treatment of bleeding varices ?A bleed from varices (described above) is a medical emergency. Seek medical help immediately if you have cirrhosis and you vomit blood, or pass blood in your faeces, or if your faeces become black. Various surgical techniques can be used to stop the bleeding and to help reduce the risk of further bleeds.

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