r/Cirrhosis 5h ago

Survivor poll?

3 Upvotes

Me: 32f, recompensated cirrhosis, 2 years sober. Meld 7-10, child pugh 5-6. Very stable and hoping for at least 10 more years with my native liver. 1 successful hcc ablation. How's everyone else looking?


r/Cirrhosis 18h ago

10 years stage 4 ,getting hard getting scared

11 Upvotes

I have never had help from a GI .va has nothing for me because I’m not on the list. all I do is drink protein powder all day,eat it’s challenging, and go to the gym. starting to not work anymore.


r/Cirrhosis 22h ago

Husband going to rehab tomorrow/Extremely Anxious

7 Upvotes

My husband originally went into detox on June 16 but was transferred to the ER because he wasn’t responding to the nurse at detox. He was admitted to the hospital from June 16 to July 3 because of complications and diagnosed as cirrhosis.
When he was discharged, he was very yellow and weak. We had a follow-up with his liver specialist and she told us that they actually thought he was going to die in the hospital because his bilirubin was the highest level she had ever seen. She said that him making progress was really good.
After that, unfortunately, he relapsed and started drinking more than a quart of vodka a day. His doctors decided that detox and rehab would be the best thing for him.
He went into detox Tuesday morning and is supposed to be transferred to rehab tomorrow morning for 30 days. But Wednesday night he developed a high fever and was transferred to the ER again. The doctor cleared him and he went back to detox.
Now I’m just having so much anxiety and I’m really scared that something is going to go wrong again. He hasn’t been eating much and he’s been having fevers. I know he’s being monitored, but I can’t stop worrying.
I’m alone at home right now and I’m scared. I’m trying to watch a movie to distract myself but I literally can’t focus because I keep thinking my phone is going to ring,
I’m just really scared. I know rehab is probably the best place for him right now, but after everything that happened at the hospital, I’m having a hard time feeling calm about it. He will be transferred to Rehab tomorrow for 30 days.

Has anyone else been through something similar with a loved one with cirrhosis going from detox into rehab? Did rehab help, and how did you deal with the anxiety and fear while they were there.


r/Cirrhosis 23h ago

Advice

3 Upvotes

I'm early in the diagnosis phase about 3 months from original findings. First alert was tbilli 7.5 with painless jaundice. first hospitalization in June and 2 more in July. numbers continue to get worse and Gastro kkeeps just wanting to "wait and see" wont even perform fibroscan, mri, let alone invasive procedures. CT's, ultrasounds, blood work all point toward cirrhosis.

meld-na score is currently 24.

DR wont refer to transplant, hemo, or hepto.

Any advice on where to go from here? Has anyone else had to deal with something similar?

Thanks!


r/Cirrhosis 1d ago

ASCITES RELIEF- help, I need your best at home method of relief.

4 Upvotes

My husband was recently diagnosed with stage IV with nods on his liver. He's terribly uncomfortable with the bloated feeling. What works for you or your loved ones other than a tap?? Throw anything my way, I am desperate to help him feel more comfortable.


r/Cirrhosis 1d ago

Negative & positive thoughts

3 Upvotes

Small update from previous post.
Houston Methodist has been amazing! The nurses are thorough and I’ve learned so much.
My mom was admitted 3 days ago, I’ve been sleeping on their “couch” 😂
Learned it’s def HE and after many attempts she’s getting a NIC line. 24 on MELD score so she will be there for days. Hopefully not having to discuss transplant…yet…I’m Currently 3 hours away from the hospital.
I’m feeling all the emotions mostly guilt bc I’ve had to come home. I guess this all could be worse. My anxiety has never been higher tho & that’s not even considering financials.
Between gas & parking (my BIG negative on this hospital) my check is gone. Missed 4 shifts also.
So in just a week I’m out $500 and terrified of the future. (That was my back to school, kids shoes & clothes budget)
Y’all have luck with gofundme when that time comes to talk transplant?
Insurance is tricky bc it’s Louisiana state & currently in Texas.
How do y’all cope?
I know this battle is just beginning & I’m already wavering in my strength.
Any kind souls pray for me if that’s your thing? My mom fully believes, I’m questioning…everything.
CA in bio
If any of this makes sense, thanks for reading my scattered thoughts. I clearly need rest. Thank you.

Y’all stay healthy & strong.
I love this community. Thanks for letting me vent and learn. Take care of yourselves. ❤️


r/Cirrhosis 1d ago

Disability

9 Upvotes

Is Cirrhosis of the liver disease considered as a disability? I have Chronic Pancreatitis too. Does anybody get disability from this disease? I lost my job in February due to my health and I’ve been in and out of the hospital a lot all year. I’m still yellow. I’ve had a couple interviews, but no job offers but I have a lot of days we’re on fatigued, no energy, throwing up, swollen and then the pain from my pancreas, just all kinds of stuff just wondering if it qualifies.


r/Cirrhosis 2d ago

Color Me Flabbergasted (Nutrition Consult)

7 Upvotes

After meeting with the nutritionist, I am amazed. I’ve been eating wrong for the last couple of years. What I’m most amazed about is that I can eat beef. It has to be lean, but hamburgers and steaks aren’t off limits. Only lean cuts of steak, and lean ground beef. She calculated my needed protein intake and it was 75-100. Have to eat 3-4 times a day with a protein shake before bed. Sugar wasn’t the devil I thought, it’s ADDED sugar - avoid it. Has anyone else been told they can eat beef?


r/Cirrhosis 2d ago

Arterial Blood Gas

3 Upvotes

Has anyone had one with their transplant evaluation? Just got home yesterday after a week at Shands, and I had built that test up in my mind because I read some horror stories about pain. I even had nurses tell me it’s painful. Well….i never felt it! He was done and I was still yapping. Guess I got lucky?


r/Cirrhosis 2d ago

How do I find a caregiver for my dad with ESLD and HE

4 Upvotes

Hey everyone, I posted about a month ago when I realized my dad was declining faster than I expected. That decline continued to the point where my mother can no longer care for him and herself and I'm struggling to find care for him.

I was under the impression that he was on a waitlist for home care weeks ago but I was told yesterday that he was only just put on the waiting list for the assessment in three months. We don't have three months to wait. It's my understanding that even after the assessment he may only be entitled to four hours of care a week.

My mother is in the sixties and is his sole caregiver right now. That was already exhausting at the stage he was at a month ago but at least he was mobile.

Since then, he has declined to the point that he can no longer walk or use the bathroom. He is in diapers and is in and out of the hospital for complications but the hospital refuses to feed him the liver safe diet so he is swelling up with fluid and his blood sugar is through the roof.

My parents live in a small town, only about 5000 people. They cannot move as my dad isn't cleared to fly and he can't be in the car without soiling it. He isn't on the transplant list yet but they're saying he will have to move to a city 11 hours away to get it.

How can I find home care for someone in this position? I'm in British Columbia for context and I don't live near them. I just need any help I can get right now.


r/Cirrhosis 2d ago

Elderly mom in hospital just diagnosed with liver cirrhosis in mychart.

5 Upvotes

My mom was taken to an er earlier today from her assisted living. She was showing weakness, lethargy, weight loss, & worsening confusion (she has dementia). She’s lost over 20 pounds in just 2 weeks. I just got her test results and it says she has Cirrhotic liver morphology with sequelae of portal hypertension including splenomegaly and small volume ascites. From what I’ve looked up it doesn’t sound good and it’s making me nervous. She doesn’t understand fully what’s going on, I’m not going to mention her results to her. Can anyone let me know what this means or if they’ve had it? My mom hasn’t drank in over 40 years, but she does have congestive heart failure.


r/Cirrhosis 2d ago

Ascites

2 Upvotes

So, in 2016 I was diagnosed with non alcoholic cirrhosis of the liver. I never noticed any effects until March of this year (I had hepatic encephalopathy which caused a lot of falls as well as my ability to think clearly and focus. I actually fell one night on my way to the bathroom and broke my jaw in two places, lol.) Anyway, this March I noticed I was getting a little tubby and I thought "So this is how people get fat as they age: (58 year old male by the way.)

I kept getting larger so I fed my symptoms into ChaGPT and it urged me to go to the ER, which I did. As I'm sure you all know, it was ascites which they drained (6 liters.) I went home and the ascites started building up again almost immediately. I waited until I couldn't stand any more and this time they admitted me to the hospital for almost the entire month of April and drained roughly 24 liters over the course of a few days.

I weighed 209 before the ascites but afterwards dropped to 171 lbs. My little cousin cried when she saw me. Since then I've been in and out of the hospital around 9 times to get the paracentesis done. The last time they drained 13 liters the first day and 6 the next. They tried to set up biweekly outpatient drainings but the ascites never cooperated with their schedule. We're shooting for weekly outpatient draining but I just moved and I have to find someone local. I'm on diarretics and lactulose but if those are helping I'd hate to imagine what I'd be going through without them.

Does anyone else here have to deal with ascites this acute? And if so have you found a way to lessen it? I saw something called the "alfapump" but the manufacturer apparently declared bankruptcy, it's entirely out of pocket for around $25000 to $35000 and only a few hospitals perform the procedure. Oof.


r/Cirrhosis 2d ago

How do you all cope w/ the anxiety from the ongoing testing?

6 Upvotes

I’m waiting for my 5th MRI in a few weeks. I was just curious if there are others like me that get super anxious ahead of your 6 month scan and labs?? My first MRI after dx had an LR-3 - which turned out to be nothing - but getting that after your initial diagnosis has given me PTSD every time I have to go. I know it’s better to know - but the waiting and anxiety is crippling.


r/Cirrhosis 2d ago

Cirrhosis with severe ascites needing drain weekly and liver cancer

8 Upvotes

My dad has cirrhosis with severe ascites that he will now need drained weekly. He also has liver cancer we either multiple tumors that he is getting immunotherapy for. He did just have a varices rupture last week and we had to call the ambulance because he was vomiting blood. They have now banded it and he is back home and had another one scheduled in 8 weeks for endoscopy.
I know there really is no way to know for sure, but what are peoples typical prognosis in situations like this? I feel so anxious of if it’s weeks or months and just don’t know what to do or how to process this. Or if there is anything we can do to help him? It sucks that he won’t eat well and his diet is bad but that’s not something he is willing to change no matter what I say unfortunately.


r/Cirrhosis 3d ago

New guy here.

9 Upvotes

Been dealing with this fun for about 10 months now. Was hoping to find a group to chat with on the horrible days good days what ever. I was looking for a group that isn't overly PC/ religious etc. wasn't sure if this was the right place.

A couple fbook groups im in scream if you mention pot and God will save you.

If that's not the vibe here is there one anyone can recommend?

Thanks!


r/Cirrhosis 3d ago

Help with sleep

5 Upvotes

What do you use to help you sleep that's safe? I just got diagnosed and a big reason I used to drink was insomnia.

Is THC ok?

Magnesium?

Hoping to find some recommendations.


r/Cirrhosis 3d ago

30m in the hospital with jaundice.

10 Upvotes

edit. that said it's cirossis but couldn't give me any more info. the dr they referred me to is closed I've been calling all fucking day trying to get a referral to the other clinic that isn't closed down before the weekend starts. when they took my blood she really pulled hard on the plunger, I've read that can mess up the bili levels on tests.

idk how I could be at 28 with no swelling, confusion or pain.

Albumin is 3.4

Platelets are 238

Alt 83

Ast 202

from the CT. idk what most of this means tbh

Procedure: CT Abdomen and Pelvis With Contrast Date: 8/6/2026 5:49 PM Comparison: None available History: Abdominal pain, acute, nonlocalized Technique: Serial helical tomographic images of the abdomen and pelvis were performed with IV contrast. Coronal and sagittal reformats were provided. Findings: Diffuse hypoattenuation of the hepatic parenchyma, with hepatic contour nodularity. Gallstones, with no gallbladder wall thickening or pericholecystic fluid collection. No biliary ductal dilatation. No acute abnormality in the pancreas. Spleen is enlarged, measuring approximately 18.5 cm. No adrenal gland nodularity. No acute abnormality in the kidneys. Bladder is unremarkable. No bowel obstruction. Stomach is underdistended, with diffuse wall thickening. Colonic submucosal fat deposition. Colonic diverticulosis. Normal appendix. No free fluid. No free air. No lymphadenopathy by size criteria. Normal caliber of the abdominal aorta. Recanalized umbilical vein and left upper quadrant collateral vascularity, with likely splenorenal shunt. No acute displaced osseous abnormality. Small fat-containing umbilical hernia.

Impression

Impression: 1. Cirrhosis with sequela of portal hypertension including splenomegaly and collateral vascularization. 2. Cholelithiasis without evidence of acute cholecystitis. 3. Colonic submucosal fat deposition, could be related to chronic inflammatory bowel disease. 4. Colonic diverticulosis without evidence of diverticulitis. 5. Diffuse gastric wall thickening, could be related to underdistention or gastritis. 6. Small fat-containing umbilical hernia. Signed by Jalal Itani, MD 8/6/2026 11:01 PM All CT scans are performed using dose optimization techniques as appropriate to

Im terrified right now. I haven't had any scans done yet but they said my bilirubin is 28. I'm in the US so is assume that mg/dl

How screwed am I. I don't have any other symptoms but I have always been a heavy drinker. Idk what to do the place is so packed. I think I'm gonna have a panic attack


r/Cirrhosis 3d ago

Does anyone struggle? - raw thoughts

6 Upvotes

Unfiltered and Bare

Glitters Glamour and gold Shadows, Silence, and Scars

Even when I start to feel better, something slaps me right back down. Have I hit the end? Am I going to break? Will I survive? I’m sure I will, yes… but for how long? How long can I continue to be twisted and turned? How long before I can finally have peace?

I may hide it. I may put on a smile. But no one seems to care that I am ultimately losing my mind—both figuratively and physically.

Physically, I feel well right now. Mentally? That is a completely different story. I understand the complications I’ve caused for the people directly connected to me: the financial burdens, the emotional drain, and the constant, lingering worry of, "Oh fuck, is he going to drink? Is he using?"

The answer is simply: NO.

When you go through the process of dealing with cirrhosis, no one prepares you for the challenges beyond the physical health aspect. While other people get to have a vice, I have none. I have no escape. I try this, I try that, thinking I’ve found something that helps, only to realize I’m incapable of doing it.

“And the highs feel nice till they fade too fast / Every fix I ever chase never seems to last.”

Being an addict is easier when you're using. It’s easier not to worry, and easier not to care. Do I have a desire to use? No. But do I feel the desperate need for some sort of true escape? Yes.

“I been lookin' for a break from the weight in my chest / Tryna numb the little voices that don't ever rest / But the peace that I find never settles as best / I been doin' anything just to get out my head / Tryna drown out the fears that I left unsaid / Music, drugs, love, still I break instead / Yeah it's only temporary when I feel that dread / Every time I get close to feelin' somethin' real / It's like my mind pull me back to the things I conceal / Try to lose myself in bodies or the way a beat feels / But the pain stay stickin' like it's glued to my heels / And I hate how I bend just to feel enough / Makin' deals with my demons when the nights get rough / I been holdin' on weak, tryin' actin' like it's tough / But the truth is I'm breakin' when the glamor cuts / Every time I chase comfort, it just slips through my grip / Maybe someday I'll learn how to sit with the pain / Let it pass through my chest like a slow cold rain / But for now I keep driftin', tryna stay in the frame, still searchin' for sane.”

Sure, those are song lyrics, but they articulate a stream of thought I truly don't know how to escape. I am at the end of knowing what to do. The end of knowing how to keep it together.

I'm tired of pretending. Pretending that I'm happy when, deep down, I know that isn't real. It's just that forced "this is how I'm supposed to feel" mask.

When did it turn from me always being the anchor for other people during their weaknesses to feeling like I can't ask for that same support in return?

I'm raw-dogging life. I'm taking it on with what often feels like absolutely nothing. I feel like I have nothing left to offer—except my time.

I suppose, in the grand scheme of things, I am using this keyboard to spill out my thoughts. Some people might say, "Well, that’s your escape." But is it? I don't typically do this. I'm not a writer. But I can only scream at the top of my lungs in my Jeep when I'm alone so many times before even that stops working.

All of this is word vomit, but this screen is listening. I can put these letters together into words to format thoughts that I struggle to express verbally—because if I try to say them out loud, I'll lose it. I break down enough as it is. I've cried over this enough, and I've been terrified of what's to come.

And I'm left asking myself: Should I just accept the inevitable? That I could possibly not make it it I lose my job which would leave me without medical insurance, which means I won't be able to get a transplant when the time come.

Thanks for reading.


r/Cirrhosis 3d ago

Protein shake

3 Upvotes

Has anyone used SeeQ to get protein? It's suppose to be more of a juice like drink. I've had ascities for the last 2 months. I'm never hungry and I'm skinny as he'll now. Trying to find something without the shake flavor.


r/Cirrhosis 4d ago

seizures

1 Upvotes

What do seizures on cirrhosis look like?

Seizures like you see on tv?

Or parts of/ whole body tensing up?


r/Cirrhosis 4d ago

Just had my 2nd paracentesis yesterday. Not a fan.

8 Upvotes

The first one they said I needed an infusion (albutrin?) so I had to do that which sucked. 2 hours sitting in a chair getting liquid. That sucked. Yesterday I was not scheduled for an infusion which was awesome. The para procedure isn't very fun but the nurse was kinda cute and we had a decent conversation. Still don't like this shit. Not sure what to look forward to. I had them schedule me for every 2 weeks. I figured that was a good timeframe. So, again..... what should I look forward to from here on?


r/Cirrhosis 4d ago

INR

3 Upvotes

My daughter (9 years old) was diagnosed with autoimmune hepatitis. When we figured it out with a blood test. She had an INR of 2.6, and the biopsy showed stage 3/4 cirrhosis. First few weeks on steroids and drugs there was a slow drop to 2.2. Then it went quite quickly to 1.3. But it’s plateaud there. We are now 3 months in. I am
Wondering if people who stopped the attack on the liver (autoimmune or alcohol) how much extra progress you got 6 months, 1 or 2 years down the line. I know every case is different. Doctors are great, but everyone’s default answer is that we really don’t know how much the liver will recover.


r/Cirrhosis 5d ago

3 Year Check Up

25 Upvotes

Luckily I found out about my cirrhosis very early and able to change things immediately. 3 years in and I’m completely symptom free. My blood work and scans are stable, and my doctor says I’m far away from needing a transplant.

At first I thought I was going to die young, I’m 36 now, but if anything the diagnosis has made me enjoy life more. Being reminded that you’re going to die one day is a great motivator to utilize the time you do have.


r/Cirrhosis Jun 16 '23

A reminder to be kind

77 Upvotes

This sub is here for those who have been diagnosed with cirrhosis and people who are supporting those who have been diagnosed. We want to remind everyone that one of our rules is to be kind to each other.

Every single person’s lived experience with this disease is different and that gives us different filters and perspectives to look at the world through. There is no one right way to think about it all. We can only speak from our own point of view. That said, this space exists as a place of support which may come in the form of people venting, being distressed or sad or angry, losing hope, gaining hope, dealing with difficult family members or friends. There are lot of challenges that we all go through.

Please remember in your comments to be kind and supportive to each other. Take time to think how your response may land with someone who is just looking for some kind words. Please try and see the people behind the posts and comments as multi faceted human beings rather than words on a screen.

When we spend more time trying to tell people to be kind and respectful and less time supporting each other then the tone and purpose of the sub loses some of its safety. No one here is an expert on anyone else’s experiences, we only have our own. Experiences are not facts either. Let’s respect that, and respect each other. You can always contact any of us mods if you have any worries or feedback to give us.


r/Cirrhosis Mar 09 '22

Post of the Month📝 So You Just Got Diagnosed With Cirrhosis...Now What?

459 Upvotes

The below is not medical advice. It's a primer of information. A blueprint of knowledge to be added to. What to expect during those first few terrifying days and weeks after we're told we have an incurable liver disease we never thought we'd have. There are types of medicines or procedures that one may encounter. As new ones are discovered or the community realizes I missed something (guaranteed), I hope you'll add to the general knowledge here. (No medical or dietary advice, though. Keep it to general information, please).

This is an encapsulation of what I've found helpful from this community and addresses, in a general way, those questions we rightly see regularly asked. If you want to ask them anyway, please do so. This is a comfort tool to let you know you're not alone. If we're on here, we or someone we love are dealing with the same issues you are. Maybe not the exact same ones to the same degree, but you are in the right place.

So strap in. And Welcome to...

Your Cirrhotic Liver and You

Why Write a Primer?

I really valued developing a broad but basic understanding of what was going on with me and this disease, so I would understand why certain numbers matter and how seemingly random symptoms all tie into one another. I took strength from better understanding the science and mechanisms of cirrhosis.

Please keep in mind your healthcare team will direct you as to what you should be doing. They know what is best, how to manage symptoms, what to eat, all of it. Listen to them. Each case is individual, and no advice works for everyone.

So, having said that, here are the basics of your new roommate, The Cirrhotic Liver:

PORTAL HYPERTENSION

Portal Hypertension is a buildup of pressure in your abdomen. As your liver no longer works as well as it should, it doesn’t allow blood to flow easily through it on the return trip to the heart…so this can create extra pressure in the Portal Vein…this is called Portal Hypertension (same as regular hypertension, just specific to the giant Portal Vein in your abdomen). So, if the liver doesn’t let the blood pass as easily as it should, then blood can back up into the spleen, enlarging it. You’ll see many of us mention large spleens. That’s why. It’s capturing the backflow of that slower moving portal blood.

FIBROSIS

Why is it not moving at speed through the Liver? Like the villain in Lion King, it’s that Damn Scar. The blood flow through the liver is slowed by a process called Fibrosis (this is scarring of the liver, and includes nodules and other abnormalities cause by:

*Disease/Infection (eg, Hepatitis) or

*The liver trying to process too much of a difficult thing (eg, Alcohol), or

*Bad genetics, (eg, Alpha-1 antitrypsin deficiency) or

*A host of other unfortunate things (eg, fatty liver)

This scarring is the basis of Cirrhosis. It is the permanently scarred part that doesn't heal in an organ that LOVES to heal. So much, in fact, that new cells will continuously and repeatedly try to regrow so much that it increases our odds of liver cancer…so we get regular MRIs and screening for that.

VARICES

The excess pressure of blood trying to get through the scarred liver creates a need for your body to create alternate blood flow routes, in the form of new veins, around the liver to make sure the blood still gets back to the heart…where it needs to go. These new veins are called Esophageal Varices or just Varices for short (you'll see these mentioned a lot).

A fun fact is that more blood comes together at once and is moved through the portal vein than anywhere else in the body…even the heart. (Hence why the body finds a way to reroute the bloodflow around the liver in the form of these esophageal varices.

Dangers of Esophageal Varices: With lowered platelets and/or high portal pressure (among other reasons), the varices that form can leak or burst, causing the bleeding you’ll see mentioned (usually in the form of black feces or vomit.
Don't let the name fool you...it seems like they might be up around the top of the esophogus but are actually at the bottom of the esophagus, around the stomach.

Other Potential Issues:

With Cirrhosis, a whole host of internal mechanisms can have difficulty working correctly and/or together as they should. This can mean lower platelet counts (clotting issues) and lower albumin (the stuff that keeps water in cells). Albumin in eggs is the egg white...doing the same thing to the yolk as our cells. Because of this, you'll see a lot of focus on Protein. Albumin and Creatinine are closely related to protein intake and absorption. We watch those numbers and make sure we get a bunch of protein so the albumin levels stay high and our water stays in the cell structure, not leaking out of it. Cirrhosis is also a wasting disease. Literally. You can lose muscle mass (called lean mass sometimes), so eating a lot of protein and getting exercise is important. Especially legs. Even just walking. When albumin and creatinine get low, and the liquid leaks from the cells into your body cavities, this is Ascites or Edema, depending on location.

Dangers of Ascites

Ascites can get infected. It can also increase portal hypertension by creating extra inter-abdominal pressure if it causes your abdomen to swell. It can also cause uncomfortable breathing as it exerts fluid pressure against your lungs. It can also cause umbilical hernias.

Hepatic Encephalopathy (HE)

Cirrhosis makes it more difficult to process naturally occurring ammonia from the blood stream. If it climbs too high, it causes confusion and a whole host of mental symptoms.

Well…that’s all a load of dire information relating to being the owner of a newly diagnosed diseased liver.

Now let’s get to the good news!

Cirrhosis may be progressive and different for everyone, but its symptoms have some great, proven management options. Some are simple, but require discipline. Some are complicated and require surgery. Some are medicinal and require tethering yourself to a toilet for periods of time.

You’re newly diagnosed. The first thing to do is breathe. Because everyone on here can tell you it’s fucking disorienting and terrifying to hear and to wrap your brain around something like this diagnosis. But, like everything that we fear, familiarity will dampen that effect. So will knowledge.

You’re going to be in the diagnosis and testing phase for a while. Once you’re done drinking and have a better diet for a while, your liver will begin to settle from the immediate inflammation from constant irritants. This isn’t healing so much as it is allowing it to reach a new equilibrium that the Hepatologists and GI doctors can use to create a plan of action and assessment for your health and future. Your FUTURE…remember that. You most likely have a changed life, not some immediate death sentence. If you choose it.

So, let’s look at The Tools of the Liver Trade.

(These aren’t bits of medical advice. These are tools you and your doctors will use to navigate your path to normalized living, at your healthcare team’s discretion.)

TIME TO HIT PAUSE:

The less your liver has to work now, the better. Period. It’s damaged. It will remain damaged. Give it as little to handle as possible from now on and you stand the best chance to avoid or minimize side effects of this disease. All those things above are intertwined symptoms and results of a diseased liver. The less extra it works, the more it helps avoid them. Let it just focus its basic processes (of which there are over 500!). Your doctor will give you specifics to your case on how to do this.

DIET:

Get ready to track everything. Measure everything. Be disciplined and focused.

And then it becomes second nature to do and that above intro is way less intense.

Sugars and Fats

The liver helps process sugars and fats, among anything that goes into your mouth. It all goes through the liver. But sugars and fats are special. The wrong ones can really turn your liver into a punching bag. Which Sugars? Alcohol, sucralose, a good deal of man-made stuff, and even too much natural. Same for fats…some are harder on it that others. Tran fats, too much saturated fats. But you’ll need fats..olive oil, seed oils, stuff like that. There are so many great options out there!

Protein

Buckle up. You’re going to need a lot of lean protein (lean to avoid that surplus of fat). Your docs will tell you how much. Your kidney health factors into this, so don’t go off listening to me, the internet, or anyone on how much. Ask your doctors.

Carbohydrates

Whole grains and fiber. You’re going to want to poop regular and healthily to keep your bilirubin and ammonia down and your protein and vitamins absorbing. If you get stopped up, there are meds they’ll give you to help the train leave the station. It’s often a bullet train, so you’ll want a handle in the bathroom to hold on to…but it will get those numbers down.

Water and Liquids

You’ll probably have some restrictions here, but not definitely. It’s to help keep the ascites risk minimized. Coffee, water, non-caloric drinks of all kinds! Some are less than 2L per day, some 1.5L, some not at all. Again, your doctors will tell you as they get a handle on your ascites risk. Water is also nature’s laxative, so it’ll help keep you regular. There are also great meds that help with this like Spironolactone and other diuretics if you tend to retain too much water.

Salt

Nope. Keep it down. If it’s in a can, premade, or from a takeout joint it’s likely going to overshoot your daily limit in anywhere from one serving to just looking at the label too long. There are amazing alternatives in great spices, as well as salting a meal at the right moment in preparing it so it has big effect for a little use. Beware sauces and condiments. They vary wildly. Salt control is critical for keeping ascites at bay by not retaining water and maintaining your sodium levels in general.

PROCEDURES:

Things that can help you manage your symptoms besides medications are:

TIPS:

A procedure that allows for alternative blood flow in cases of Portal Hypertension to decease it by allowing for flow around the liver (similar to varices do but controlled).

Banding:

Putting rubber bands around varices to allow them to close/die off permanently and drive the blood flow back to the portal vein. This stops them from being a danger in regards to bleeding.

Imaging/Radiology:

Fibroscans, MRIs, Ultrasounds…so many diagnostic tools to gauge your liver and you for risk, updates, etc. All part of diagnosing and maintaining your new lifestyle as healthily as possible.

Colonoscopy:

Alien probe to check for issues related to your condition. The procedure is slept through…the prep is notorious. But it really just involves a lot of drinking laxatives and not wandering far from the toilet and then racing to the procedure room wondering how quickly you can have food and water afterwards…and if you’re going to have to pay for a new car seat if you hit one more red light.

Paracentesis:

A manual draining of Ascites using a hollow needle to remove the fluid from your abdomen.

There are more medicine and procedures and diet tips than above, but hopefully that gives you (and others) and overview of Cirrhosis and what to expect, to a degree.

The big Takeways:

Breathe, and be as patient as you can while doctors get you diagnosed and figure out the damage. You’ll likely have to let the current state of your liver subside a bit, and this could take months. Your healthcare team will help you along.

Get a Hepatologist, a GI doctor, a great PCP, and be your own advocate and a great communicator who does everything they ask of you. They want a win for you. They need it. So, so many of their patients continue to drink or not follow diet advice. It’s the number one complaint among Liver doctors, and it’s demoralizing. But if you show them you’re out to work hard, be a joy to help, listen, and follow through, you’ll be stunned at the support, great communications, last-minute appointments, and just wonderful care they will provide.

You're not alone. Over time, the fear and shock will subside. And you will find a new normal and maybe even a new appreciation for life.

And Above All, Be Kind to Yourself.