What are the first symptoms of cirrhosis of the liver?
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What are the first symptoms of cirrhosis of the liver?

The liver is a silent organ that usually does no harm. In the case of cirrhosis, especially when it develops, symptoms should lead to consultation. Does her stomach hurt? Is the abdomen swollen?

Cirrhosis may develop silently or only cause Mild, non-reminiscent symptoms When you are in the “compensated cirrhosis” stage. The The “first” symptoms of cirrhosis appear when it progresses to decompensation (Decompensated cirrhosis). No longer in the beginner stage.

1. Flatulence

In the case of cirrhosis, the liver is much more fibrous and tough. The fact that the liver is hardened can develop dropsywhich is a fluid that can accumulate in the peritoneum (abdomen).This is due to the so-called Portal hypertensionthis corresponds to Increased blood pressure in the portal vein, due to the hardening of the liver, which slows down the transit of blood through the liver. “concretely, The abdomen is swollen, with fluid inside. This is one of the first signs of cirrhosis“, he continued.

2. Esophageal varices

Another manifestation of cirrhosis of the liver: varicose veins that are located not in the legs but in the esophagus (esophageal varices). “Because of the difficulty of the liver, the blood has a hard time passing through it, and therefore it takes a bypass (another path), which leads to the appearance of varicose veins in the esophagus. These varicose veins can erupt from time to time (ruptured esophageal varices)This may lead to gastrointestinal bleedingSays our expert. The person vomits blood or has black stools.

Hepatitis progression to cirrhosis
Hepatitis progression to cirrhosis © nmfotograf – stock.adobe.com

3. Jaundice

Because there are fewer functioning hepatocytes in cirrhosis, the liver works less well. A liver that does not function well can lead to jaundice (jaundice in medical parlance)“, warns Dr. Hizode. Jaundice is characterized by yellowing of the skin, Yellow discoloration of the whites of the eyes or even dark urine;

4. Loss of focus

The liver is a kind of factory that detoxifies the body of all the bad substances. But when it works less well and fails to metabolize so-called neurotoxic substances (in other words, toxic to the brain), there is a dangerhepatic encephalopathy.The person suffers from drowsiness, difficulty concentrating, and confusion (The act of “responding to the side” or doing inappropriate things). Encephalopathy can, in extreme cases, lead to coma“.

“Cirrhosis can be asymptomatic, when it is uncomplicated and uncompensated”

5. Sudden weight loss

Sudden weight loss and sudden loss of appetite can be a sign of a weak liver such as cirrhosis.

6. Extreme tiredness

Finally, like almost all liver diseases, cirrhosis causes great stress. But fatigue is a common symptom of many diseases, so it’s not particularly suggestive of cirrhosis.

Is cirrhosis of the liver hurt your stomach?

liver silent member Which usually doesn’t hurt. In fact, “The liver is a non-innervated organ, it does not have nerve endings, Responsible for feeling pain‘, makes the identification of our interlocutor. Dropsy can give the sense of blowingIt can be painful during the first attacks due to swelling of the skin. When ascites is chronic or small, there is no real pain.

Can cirrhosis be asymptomatic?

yes.Cirrhosis can be asymptomatic, when it is uncomplicated and not compensated. The liver may simply be harder and slightly larger on palpation or fibroscan. Symptoms will appear at the time of compensation and complications’ concludes our interlocutor.

Thank you to Dr. Christophe Hezod, Medical Director of Hepatology at the Department of International Medical Affairs in Gilead and former Head of the Department of Hepatology at Henri Mondor Hospital and Professor of Hepatology at Paris-East Creteil University.

#symptoms #cirrhosis #liver

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