Do's and don'ts in living with cirrhosis.

Cirrhosis occurs when due to repeated liver injury, there is irreversible damage in Liver. In early stages Liver can recover from injury, but repeated insult results in cirrhosis. Prevention and early diagnosis, as with so many other illnesses, can make all the difference. Visit Liver Care, one of the best liver transplant canters in Mumbai, for the best liver treatment.

Gaurav Gupta Created on 2nd Jul, 21

Cirrhosis is a late-stage liver condition in which good liver tissue is replaced by scar tissue, causing permanent damage to the liver. Scar tissue obstructs your liver's ability to function normally. Healthy liver cells are injured by a variety of diseases and situations, resulting in cell death and inflammation. This is followed by cell repair and, as a result of the repair process, tissue scarring.


Risk factors for cirrhosis

Cirrhosis is most often caused by chronic hepatitis B or C and a high amount of alcohol consumption. Autoimmune liver disease, fatty liver, and rare genetic diseases like hemochromatosis and Wilson's disease. While cirrhosis means permanent liver damage, a person with early cirrhosis may live a relatively active life for many years. However, they need to receive proper care from a liver specialist in Mumbai. Cirrhosis of the liver, when its advanced or complication of cirrhosis starts, requires a liver transplant. 


What are the things you should follow if you have liver cirrhosis?



A proper plan for adequate treatment, detailed assessment of the liver is required to grade the disease. 


In early cirrhosis, regular liver function testing and follow-up with the doctor are mandatory every 1-3 months. However, in advanced cirrhosis, the patient requires a regular liver function test and follow-ups every 1-4 weeks. A liver specialist will determine the precise time between check-ups based on the symptoms and disease incidence.


In the case of chronic liver disease, a nutritious diet is critical for proper liver function. Except in extreme jaundice cases, digestion remains normal until it is extremely late stages of liver cirrhosis. As a result, the misconception that all causes of liver disease necessitate total avoidance of fatty foods and proteins is wrong. In most cases, this is needless and dangerous, as it leads to malnutrition, weight loss, and faster deterioration of health. Actually, Liver Cirrhosis patients’ needs high Protein and calorie food. On an average Cirrhotic patient will require 1-1.5 gm of protein/Kg of weight/day. Similarly, they will need 30-35 kcal/kg of weight/day.


If the HBV DNA test is positive in cirrhosis caused by Hepatitis B, a patient will require antiviral therapy in consultation with the Mumbai liver specialist.


If the patient suffers from an early stage of cirrhosis due to Hepatitis C, very good oral antiviral therapy is available to cure this disease.



In cirrhosis, one should avoid alcohol entirely at all costs. 

Patients will need to avoid a high salt diet; salt is restricted to just 2 gm /day. All high salt food like pickle, bakery items should be avoided. 


Self-medication is risky since the liver is not functioning properly. It can harm more to the already weakened liver.


Exercise: Another misconception for cirrhosis patients is they need to rest. Actually, keeping one active, doing physical activity and limb and lung exercise is very important. If a cirrhotic patient will not do exercises, he will start losing muscle mass very fast which will make him prone for infections.


Diet for cirrhosis patients: There are some ingredients and liquids that a patient should limit while they are on a cirrhosis diet. In contrast to other diets used to treat medical problems, they will have a greater range of nutritious and delicious ingredients to choose from. These ingredients include organic fruit, whole grains, and plant-based protein.


Fruits and vegetables: Choose fresh produce over frozen kinds, which are also high in salt and sugar. One can add fruit to cereal or oats for added protein, fiber, and natural sweetness. Apples are high in fiber. They are safe and suitable for your health.


Dairy:  Low-fat yogurt, small quantities of low-sodium hard cheese, and plant-based milk such as almond or soy milk are all popular options.


Grains: Instead of processed white flour, use brown rice, whole-grain bread, cereals, and pasta. 


Protein: One should avoid red meat and any canned lunch meat or sausage, which is not allowed on a cirrhosis diet. Small portions of skinless lean meat, some fresh-caught fish varieties (like salmon), and egg whites can be appropriate. High protein diet is very important for Cirrhosis patient.


Desserts: It is safer to skip the packaged desserts like cake, cookies, brownies, etc. They are rich in sugar and salt. Pastries, doughnuts, and muffins all need to be avoided until they can make own low-fat, low-sugar, and low-salt varieties.


Beverages: If a person has liver cirrhosis, they must not drink alcohol—however, plenty of other choices are available for them. Water is the most hydrating choice, so if the patient is on a low-sodium diet, read the labels on bottled water and see if it contains sodium. They can have pasteurized milk and juice also.

Relevant Questions

If a patient has alcohol-related liver injury generally treatment depends upon the degree of liver injury. some of the patients will recover after alcohol-related liver injury but in case of severe alcoholic hepatitis, liver transplant may be needed. 

If you want to know more, you can refer the article on Alcohol Liver Disease.

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If your doctor has told you that you have compensated cirrhosis, this means you are in the early stages of the disease. The cause of cirrhosis in such patients must be thoroughly investigated. These individuals must also be monitored by liver experts on a frequent basis in order to diagnose and treat issues when they emerge. These individuals must also adhere to a rigorous liver-related diet. Diets are usually changed and tailored to the specific needs of each patient. I hope this answers your question, and please contact me if you have any other questions!

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