Cirrhosis of Liver


INTRODUCTION

It is an ongoing diffuse illness, portrayed by annihilation of parenchymal cells, fibrosis and nodular degeneration of the excess and in this manner the liver doesn't work as expected for extended period of time.



TYPES

Portal Cirrhosis
Biliary Cirrhosis
 


CAUSATION

Alcohol: The important cause in all country.

Diet: Deficient in lipotropic components, protein lack, food foreign substances, supported admission of plant and contagious alkaloids.

Serum hepatitis: In 10% cases hepatitis B could also be the cause.

Congestive cardiovascular infection, ongoing aloof clog on account of disappointment, persistent venous surge impediments.

Indian childhood cirrhosis, Primary biliary cirrhosis...
 


SYMPTOMS

Anorexia
Nausea
Vomiting
Flatulence
Gradual weakness and loss of weight
gradual swelling of the abdomen and feet
hematemesis [ Blood vomiting ]
Malena [ Blood during passing stool ]

Others-

Gynecomastia or male breast
Impotency [ male erectile dysfunction ]
There is loss of libido
Sterility [ Difficulties in child birth ]
Amenorrhea [ Absence of Menstruation ]
 


SIGN

Facies: Hepatic facies- Sunken eyes

Another sign is sunken Malar Bone- one among the bone of face just seems like skeleton.

The conjunctiva always yellowish

Muddy complexion of face like dysenteric patients.
Anemia

Jaundice: May be present

The palmar Erythema and spider nevus could also be present

Edema, Pitting type [ means depressed when press by figure ]

The cutaneous hemorrhage [ hemorrhage under skin ] could also be present due to hypo-prothrombinemia [ one among the protein ]

Abdomen Blotted
 


INVESTIGATIONS

Liver Function Test [ LFT ]

Ultra-Sonography of whole abdomen [ USG ]

Routine Examination Blood [ RE Blood ]

Liver Scan

The Ba meal X-ray for Esophageal or Gastric varices.

Ascetic Fluid Aspiration test.

Liver Biopsy.
 


TREATMENT

Rest

Anemia should be corrected. if necessary, blood transfusion is advised.

Manage low salt with nutritious foods.

The drainage of Ascetic fluid should advice if there's cardio-respiratory problem.
 


HOMEOPATHIC MEDICINES

CARDUUS MARINUS: Remember this medicine for liver cancer.

CHINA:  In this medicine,  liver swollen and enlarged with jaundice and filled with gas on palpate.

LYCOPODIUM: This is another good medicine of liver affection and mainly right sided affection. Generally gas in lower abdomen, a little mouthful fills the abdomen 

CHELIDONIUM MAJUS 6X: Any type of liver disease, this medicine is best, generally left sided affection and pain radiating under inner angle of right scapula.

THUJA OC. 30 - Two drops in empty stomach a day for hepatitis to continue. Because it has antiviral effect.


If bleeding occurs

HAMAMELIS VIR 3 - If there is bleeding for esophageal varices, two drops at 6 hours interval until bleeding subsided, because it is a great antihemorrhagic medicine

NB; Doctor's consultation is usually get priority

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