Cirrhosis of Liver side effect free treatment and various treatment methods

Liver is one of the most important organs of our body. It removes toxins from our blood, produces bile and synthesizes various essential proteins. However, the liver can be damaged due to various factors, and continued damage can lead to serious diseases such as cirrhosis of the liver. Therefore, raising awareness on liver health protection is very important. This blog is written in both Bengali and English, so that it is easy to read and understand.

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The YouTube playlist below provides evidence of successful treatment of several Gastroenterological disorders including Cirrhosis of Liver

What is Cirrhosis of Liver?

Liver cirrhosis is a condition in which healthy liver tissues are gradually replaced with scar tissue due to chronic damage. This scarring impairs the liver’s ability to function properly. Over time, it can lead to severe complications, including liver failure.

How does Cirrhosis of Liver happen?

Liver cirrhosis occurs as a result of prolonged liver damage caused by chronic inflammation, infection, or toxicity. When the liver tries to repair itself, scar tissues form. Over time, excessive scar tissue disrupts the liver’s ability to function normally.

How many types of Cirrhosis of Liver are there?

Liver cirrhosis can be classified into several types:

1. Alcoholic Cirrhosis:
   Caused by excessive alcohol consumption.
2. Post-hepatitis Cirrhosis:
   Results from chronic liver infections like hepatitis B or C.
3. Cryptogenic Cirrhosis:
   The cause is unknown.
4. Primary Biliary Cirrhosis:
   An autoimmune disease affecting the bile ducts in the liver.

What are the causes of Cirrhosis of Liver?

The primary causes of liver cirrhosis are:

1. Excessive Alcohol Consumption:
   Prolonged alcohol abuse damages the liver.
2. Hepatitis Infection:
   Chronic hepatitis B and C infections lead to liver inflammation over time.
3. Autoimmune Diseases:
   When the immune system attacks liver cells.
4. Obesity or Diabetes:
   Associated with Non-Alcoholic Fatty Liver Disease (NAFLD).
5. Toxic Substances:
   Prolonged exposure to harmful chemicals.

Symptoms of Cirrhosis of Liver

The symptoms of liver cirrhosis can be mild in the early stages but become severe as the disease progresses:

1. Fatigue and Weakness:
   Reduced liver function causes constant tiredness.
2. Loss of Appetite and Weight Loss:
   A significant decrease in appetite and unexplained weight loss.
3. Yellowing of Skin and Eyes (Jaundice):
   High bilirubin levels cause yellow discoloration.
4. Swelling in the Abdomen (Ascites):
   Fluid retention due to impaired liver blood flow.
5. Itchy Skin:
   Caused by a buildup of bile salts under the skin.
6. Bleeding or Enlarged Veins:
   Impaired blood clotting leads to easy bleeding and swollen veins.

Progression of Cirrhosis of Liver

Liver cirrhosis progresses through the following stages:

1. Early Stage (Compensated Cirrhosis):
   Liver function remains relatively intact, and there are no noticeable symptoms.
2. Advanced Stage (Decompensated Cirrhosis):
   The liver fails to perform its functions, causing evident symptoms like jaundice, fluid retention, and bleeding.
3. Liver Failure:
   In the final stage, the liver completely stops functioning.

What is the risk of Cirrhosis of Liver and Rix factor? 

1. Excessive Alcohol Consumption:
   Chronic alcohol abuse severely damages the liver.
2. Hepatitis B and C Infections:
   These chronic infections cause liver inflammation and scarring.
3. Obesity and Diabetes:
   Major contributors to non-alcoholic fatty liver disease (NAFLD).
4. Autoimmune Diseases:
   The body’s immune system attacks liver cells.
5. Genetic Factors:
   Hereditary conditions like Hemochromatosis or Wilson’s disease can lead to cirrhosis.

What to do and avoid if you have Cirrhosis of Liver

Do’s:

1. Follow a Healthy Diet:
   Include plenty of vegetables, fruits, and high-protein foods.
2. Reduce Salt Intake:
   Minimize sodium consumption to manage fluid retention.
3. Get Vaccinated Against Hepatitis:
   Protect yourself from Hepatitis A and B with vaccines.
4. Consult a Doctor Regularly:
   Monitor liver health through routine check-ups.

Don’ts:

1. Avoid Alcohol Completely.
2. Do Not Take Unnecessary Medications.
3. Avoid Junk and Fatty Foods.
4. Quit Smoking or Tobacco Products.

What lab tests are required to diagnose Cirrhosis of Liver?

Diagnosing liver cirrhosis requires a combination of lab tests to assess liver function, detect damage, and evaluate overall health. These tests are critical for early detection and treatment.

1. Types of Blood Tests:

1. Liver Function Test (LFT):
   • Measures levels of ALT (Alanine Transaminase), AST (Aspartate Transaminase), ALP (Alkaline Phosphatase), and bilirubin.
   • Helps assess liver function and detect damage to liver cells.
2. Albumin and Protein Levels:
   • Determines if the liver is producing enough proteins.
3. Prothrombin Time (PT):
   • Measures how long it takes for blood to clot.
4. Clotting Factor Test:
   • Cirrhosis reduces the liver’s ability to produce clotting proteins.
5. Complete Blood Count (CBC):
   • Checks levels of hemoglobin, leukocytes, and platelets.
6. Hepatitis Test:
   • Identifies the presence of hepatitis B or C virus.

2. Imaging Tests:

1. Ultrasound:
   • Examines liver size, scar tissue, or fluid buildup in the abdomen.
2. Elastography (Fibroscan):
   • A special type of ultrasound that measures liver stiffness and scarring.
3. CT Scan or MRI:
   • Provides detailed images of the liver to detect tumors or other abnormalities.

3. Biopsy:

• A small sample of liver tissue is collected and analyzed in the laboratory to determine the extent and type of liver damage.

4. Serum Ammonia Level Test:

• Measures the level of ammonia in the blood. High levels indicate liver dysfunction.

5. Viral Load Test:

• Assesses the activity of hepatitis viruses.

What lifestyle should Cirrhosis of Liver patients follow?

Liver cirrhosis patients need to adopt a healthy lifestyle and a carefully planned diet to manage the condition and reduce complications.

Lifestyle Changes:

1. Get Adequate Rest:
   Proper sleep is essential to reduce fatigue and support liver recovery.
2. Engage in Light Exercise:
   Activities like walking or light yoga help keep the body active without putting stress on the liver.
3. Avoid Alcohol Completely:
   Alcohol is the most harmful substance for cirrhosis patients and must be avoided at all costs.
4. Reduce Stress:
   Practice meditation, prayer, or light recreational activities to alleviate stress.
5. Follow Medical Advice:
   Regular health check-ups and following prescribed medication are vital.

What should Cirrhosis of Liver patients eat and avoid?

Foods to Eat:

1. High-Protein Foods:
   Eat lentils, egg whites, fish, and lean chicken for adequate protein.
2. Fiber-Rich Foods:
   Include vegetables (spinach, cabbage, pumpkin), fruits (apples, guavas), and whole grains (oats, brown rice).
3. Antioxidant-Rich Foods:
   Consume berries, lemons, oranges, and vitamin C-rich fruits.
4. Stay Hydrated:
   Drink plenty of water and light fluids like coconut water or warm lemon water.
5. Low-Sodium Foods:
   Choose meals with reduced salt content.

Foods to Avoid:

1. Alcohol and Tobacco Products:
   Avoid alcohol and all forms of tobacco entirely.
2. Processed Foods:
   Stay away from chips, fast food, and processed meats.
3. High-Fat Foods:
   Avoid fried items and foods with excessive oil.
4. Excess Salt:
   Refrain from consuming pickles, packaged foods, and high-sodium items.
5. Caffeine and Soft Drinks:
   Limit or avoid tea, coffee, and sugary sodas.

Exercise and therapy for Cirrhosis of Liver

Patients with liver cirrhosis need to carefully incorporate light exercises and therapies to improve overall well-being, reduce fatigue, and manage complications. Always consult a doctor before starting any exercise routine.

Exercises for Liver Cirrhosis Patients:

1. Light Walking:
   • Walking for 20-30 minutes daily at a slow pace can improve blood circulation and keep the body active.
   • It also helps reduce fatigue and strengthens muscles.
2. Deep Breathing Exercises:
   • Practicing deep inhaling and exhaling can lower stress levels and improve liver function.
3. Yoga:
   • Simple yoga poses like Tree Pose (Vrikshasana) and Easy Pose (Sukhasana) can enhance flexibility and promote relaxation.
   • Yoga also helps improve blood circulation and reduces stress.
4. Stretching Exercises:
   • Light stretches for arms, legs, and back increase flexibility and relieve muscle stiffness.
5. Muscle Strengthening Exercises:
   • Resistance exercises like lifting light weights while seated can help strengthen muscles without straining the body.

Therapies for Liver Cirrhosis Patients:

1. Physical Therapy:
   • Physical therapy can reduce muscle weakness and improve balance.
   • A physiotherapist can guide patients in performing safe and effective exercises.
2. Aromatherapy:
   • Essential oils like lavender or sandalwood can be used to reduce anxiety and promote relaxation.
3. Massage Therapy:
   • Gentle massage can relieve muscle tension and reduce fatigue.
   • However, always consult a doctor before opting for massage therapy.
4. Mental Therapy:
   • Liver cirrhosis can lead to depression or anxiety. Seeking support from a psychologist or counselor can be beneficial.

Allopathic treatment for Cirrhosis of Liver

Liver cirrhosis is a chronic and serious condition. In allopathic treatment, the focus is on managing symptoms, preventing complications, and improving the patient’s quality of life. While cirrhosis cannot be completely cured, proper treatment can help control the condition.

1. Medications for Liver Cirrhosis:

1. Diuretics:
   • Medications like Furosemide and Spironolactone are used to reduce fluid retention (ascites) and swelling in the body.
2. Antiviral Drugs:
   • If cirrhosis is caused by hepatitis B or C, antiviral medications are prescribed. Examples include Entecavir, Tenofovir, and Ribavirin.
3. Lactulose:
   • This medication helps control ammonia levels in the blood, preventing hepatic encephalopathy.
4. Antibiotics:
   • Used to prevent or treat liver infections like Spontaneous Bacterial Peritonitis (SBP).
5. Bleeding Prevention Medications:
   • Beta-blockers like Propranolol or Nadolol are prescribed to reduce the risk of variceal bleeding.
6. Bile Acid Sequestrants:
   • Medications like Ursodiol are used to improve bile flow and reduce liver inflammation.

2. Medical Procedures:

1. Endoscopy:
   • Endoscopic banding or sclerotherapy is performed to control bleeding from esophageal or gastric varices.
2. TIPS (Transjugular Intrahepatic Portosystemic Shunt):
   • This procedure reduces pressure in the portal vein and is effective in managing ascites and variceal bleeding.

3. Liver Transplant:

• In end-stage liver cirrhosis, when the liver is no longer functional, a liver transplant becomes the only viable option.

General Recommendations with Treatment:

1. Alcohol consumption must be completely avoided.
2. Vaccinations for hepatitis A and B are essential.
3. Do not take any medications without consulting a doctor.

Homeopathic treatment for Cirrhosis of Liver

Objectives of Homeopathy in Liver Cirrhosis Treatment:

1. To reduce liver damage.
2. To strengthen the patient’s immune system.
3. To improve liver function.
4. To manage symptoms such as jaundice, ascites, fatigue, and digestive issues.

Effective Homeopathic Remedies for Liver Cirrhosis:

1. Carduus Marianus:
   • Highly effective for liver protection.
   • Used in cases of abdominal pressure, bloating, and liver pain.
   • Controls jaundice and bile-related problems.
2. Chelidonium Majus:
   • Relieves pain in the right side of the liver and bloating.
   • Useful for jaundice, dark-colored urine, and digestive disorders.
3. Lycopodium:
   • Effective for long-term liver damage and digestive issues like gas and acidity.
   • Particularly helpful for patients with loss of appetite.
4. Phosphorus:
   • Used for bleeding complications or vomiting blood due to cirrhosis.
   • Helps improve liver functionality.
5. Natrum Sulphuricum:
   • Helps reduce ascites (fluid buildup in the abdomen) and liver swelling.
6. China:
   • Effective in cases of anemia and weakness.
   • Supports liver strength and recovery.
7. Calcarea Carbonica:
   • Beneficial for patients suffering from obesity and fatigue.

Important Considerations During Treatment:

1. Consult a qualified homeopath before using any remedies.
2. Medication is prescribed based on the symptoms and overall condition of the patient.
3. Incorporate a healthy diet and lifestyle changes alongside the treatment for optimal results.

Herbal treatment for Cirrhosis of Liver

Effective Herbs for Liver Cirrhosis:

1. Milk Thistle:
   • Milk thistle helps repair damaged liver cells.
   • Contains silymarin, which aids in liver detoxification.
   • Reduces inflammation and improves liver function.
2. Bhringraj:
   • Bhringraj helps eliminate toxins from the liver.
   • It is rich in hepatoprotective properties and improves digestion.
3. Aloe Vera:
   • Aloe vera reduces liver inflammation and supports cell regeneration.
   • It also improves digestion and detoxifies the body.
4. Punarnava:
   • Punarnava is beneficial in managing ascites (fluid accumulation in the abdomen).
   • Acts as an anti-inflammatory and diuretic.
5. Turmeric:
   • Turmeric contains curcumin, which reduces liver inflammation and acts as an antioxidant.
   • Helps in detoxifying the liver.
6. Giloy (Tinospora Cordifolia):
   • Giloy strengthens the immune system and protects the liver.
   • Helps eliminate toxins and free radicals.
7. Kasni (Chicory):
   • Kasni improves liver function.
   • It is helpful in hepatitis and other liver-related conditions.

Herbal Drinks or Remedies for Liver Cirrhosis:

1. Milk Thistle Tea:
   • Drinking milk thistle tea daily can enhance liver functionality.
2. Turmeric Water:
   • Mix one teaspoon of turmeric in warm water and drink it daily to detoxify the liver.
3. Aloe Vera Juice:
   • Consuming aloe vera juice in the morning promotes liver cell regeneration.
4. Punarnava Decoction:
   • Boil Punarnava leaves in water to make a decoction that helps reduce ascites.

Important Advice for Herbal Treatments:

1. Always consult a qualified herbal specialist before starting any treatment.
2. Maintain a healthy diet and lifestyle along with herbal remedies.
3. Avoid alcohol and processed foods completely.

What will be the cooking materials and environment in patients with Cirrhosis of Liver?

Cooking Ingredients:

1. Use Low-Sodium or No Salt:
   • Replace regular salt with low-sodium alternatives.
   • Excess salt in the diet can worsen water retention (ascites) in the body.
2. Choose Healthy Cooking Oils:
   • Use oils like mustard oil, olive oil, or sunflower oil for cooking.
   • Avoid oils high in trans fats or saturated fats.
3. Include Fiber-Rich Ingredients:
   • Add vegetables like spinach, bottle gourd, and okra; fruits like apples and guavas; and whole grains like brown rice and oats.
   • Fiber aids digestion and improves liver detoxification.
4. Opt for Lean Protein Sources:
   • Select chicken, fish (e.g., rohu or katla), and legumes.
   • Avoid red meat and fatty protein sources.
5. Avoid Spices and Preservatives:
   • Minimize the use of spicy masalas, chemical preservatives, and processed foods.
6. Incorporate Natural Detoxifying Ingredients:
   • Use turmeric, ginger, and garlic in cooking to reduce inflammation and boost liver function.

Cooking Environment:

1. Maintain Cleanliness:
   • Keep the kitchen clean and regularly disinfect all utensils and tools.
   • Ensure proper handwashing before and after preparing food.
2. Use Fresh and Organic Ingredients:
   • Always opt for fresh vegetables and fruits. Avoid foods with pesticides or harmful chemicals.
3. Create a Smoke-Free Cooking Space:
   • Ensure the kitchen is well-lit and properly ventilated to reduce smoke.
4. Prioritize Boiled and Grilled Foods:
   • Choose boiling, steaming, or grilling over frying for healthier meals.
5. Avoid Overuse of Oil and Salt:
   • Ensure minimal use of oil and salt while cooking.

How about skin creams, lotions, oils and soaps for Cirrhosis of Liver patients?

Skin Cream & Lotion:

1. Moisturizing Cream for Dry Skin:
   • Use creams containing ceramides and hyaluronic acid to deeply moisturize the skin.
   • Examples: Cetaphil Moisturizer or Aveeno Daily Moisturizer.
2. Anti-Itching Lotion:
   • To reduce itching, apply calamine lotion or oatmeal-based lotions for soothing effects.
3. Sunscreen Lotion:
   • If stepping out in sunlight, use a sunscreen with SPF 30 or higher to protect the skin.

Oils:

1. Coconut Oil:
   • Works as a natural moisturizer for dry and flaky skin.
2. Jojoba Oil:
   • Provides deep hydration and reduces skin inflammation.
3. Olive Oil:
   • An effective natural oil to reduce skin dryness in liver cirrhosis patients.
4. Argan Oil:
   • Rich in antioxidants and vitamin E, it helps maintain skin elasticity.

Soap:

1. Mild and Glycerin-Based Soap:
   • Use soaps like Dove, Cetaphil, or glycerin-based soaps to retain natural skin moisture.
2. Sulfate and Perfume-Free Soap:
   • Avoid soaps with harsh chemicals or added perfumes, as they can make the skin drier.
3. Oatmeal or Aloe Vera Soap:
   • Soaps containing oatmeal or aloe vera can help reduce itching and inflammation.

Special Care Tips:

1. Keep Skin Hydrated:
   • Apply lotion or oil immediately after bathing to lock in moisture.
2. Use Lukewarm Water:
   • Avoid using very hot water as it can make the skin even drier.
3. Wear Comfortable Clothes:
   • Choose soft cotton fabrics that are gentle on the skin.

What will be Aromatherapy cosmetic and aromatherapy treatment for Cirrhosis of Liver patients?

Aromatherapy Cosmetics:

1. Essential Oils for Skin Care:

1. Lavender Oil:
   • Reduces dryness and inflammation of the skin.
   • Helps relieve itching and discomfort.
2. Jojoba Oil:
   • Deeply hydrates the skin and restores its natural glow.
3. Sandalwood Oil:
   • Effective in reducing skin redness and itching.
   • Promotes mental relaxation and enhances skin brightness.
4. Rose Oil:
   • Improves skin elasticity and provides a soothing aroma.

2. DIY Aromatherapy Cosmetic Products:

1. Aromatherapy Moisturizer:
   • Mix 2-3 drops of lavender oil with coconut oil or jojoba oil and apply on the skin.
2. Aromatherapy Face Mist:
   • Combine rosewater with a few drops of lavender oil to create a refreshing face mist.
3. Aromatherapy Body Oil:
   • Blend sandalwood oil with olive or argan oil for a relaxing body massage.

Aromatherapy Treatment:

1. Stress Reduction with Aromatherapy:

1. Use a Lavender Oil Diffuser:
   • Promotes relaxation and improves sleep quality.
2. Eucalyptus Oil:
   • Clears respiratory passages and provides a calming effect.
3. Peppermint Oil:
   • Helps reduce headaches and nausea.

2. Detoxification with Aromatherapy:

1. Aromatherapy Bath:
   • Add 5-6 drops of lavender or rosemary oil to bath water to aid in detoxification.
2. Foot Soak:
   • Mix lemongrass or tea tree oil with warm water for a soothing foot soak.

3. Reducing Skin Inflammation with Aromatherapy:

1. Oil Compress for Inflamed Skin:
   • Mix sandalwood oil with coconut oil and apply to the inflamed area.
2. Cold Aroma Pad:
   • Dip a cloth in rose oil mixed with cold water and apply it to the skin.

Special Recommendations:

1. Always perform a patch test before using aromatherapy products on your skin.
2. Avoid using excessive essential oils without consulting a healthcare professional.
3. Ensure the oils you use are pure and natural.

A few famous Cirrhosis of Liver-related journals and web links

Famous Journals on Liver Cirrhosis and Their Web Links

1. Journal of Hepatology

• Description:
  This is one of the most prestigious journals focusing on liver diseases, particularly cirrhosis.
• Web Link:
  Journal of Hepatology

2. Hepatology (American Association for the Study of Liver Diseases – AASLD)

• Description:
  A leading journal dedicated to the treatment and research of liver diseases.
• Web Link:
  Hepatology Journal

3. Liver International

• Description:
  A world-class journal that covers liver health, hepatitis, and diseases like cirrhosis.
• Web Link:
  Liver International

4. Clinical Gastroenterology and Hepatology (CGH)

• Description:
  This journal plays a vital role in the diagnosis and treatment of gastroenterology and hepatology diseases.
• Web Link:
  CGH Journal

5. World Journal of Gastroenterology (WJG)

• Description:
  Publishes comprehensive research on liver cirrhosis and gastroenterology.
• Web Link:
  World Journal of Gastroenterology

Conclusion

Cirrhosis of the liver is a preventable and controllable disease, if timely awareness is adopted. Being aware of this disease and following a healthy lifestyle is the only way. Take care of your liver and live a healthy life.