Patients Who Can Be Cured with Medical Management? In liver cirrhosis, complete cure is often not possible through medical management alone. However, the progression of the disease can be slowed down, and symptoms can be managed effectively. Medical management aims to improve the patient's quality of life and prevent further liver damage.
Lifestyle Modification, Including Diet: Lifestyle modifications play a crucial role in managing liver cirrhosis. Patients should consider the following:
Engaging in regular physical activity, as tolerated, can promote overall health and improve well-being. However, exercise recommendations should be individualized based on the patient’s condition and limitations.
Medications prescribed for liver cirrhosis primarily aim to manage symptoms, treat complications, and prevent further liver damage. Some commonly prescribed medicines include.
a. Diuretics: These medications, such as furosemide or spironolactone, help reduce fluid retention and manage ascites (abdominal swelling due to fluid buildup). The dose has to be adjusted as per the requirement and tolerance. Sometime this can cause short term kidney injury.
b. Beta-blockers: Propranolol or nadolol are often prescribed to lower blood pressure in the portal vein, reducing the risk of variceal bleeding.
c. Lactulose: This medication helps manage hepatic encephalopathy, a condition characterized by impaired brain function due to liver dysfunction.
d. Ursodeoxycholic Acid (UDCA): UDCA may be prescribed to improve liver function and alleviate symptoms in certain cases.
It’s important to note that specific medication regimens may vary based on individual patient factors and the severity of cirrhosis. Always follow your liver specialist’s advice and prescriptions.
Liver transplantation is considered when medical management is no longer able to control the symptoms or halt the progression of cirrhosis. Transplantation may be recommended in cases of.
Lifestyle modifications including alcohol abstinence, a healthy diet, hydration, and regular physical activity are vital for managing liver cirrhosis. Medications prescribed for liver cirrhosis aim to control symptoms and prevent further liver damage. However, in cases of advanced liver disease or treatment failure, liver transplantation may be necessary. Work closely with your liver specialist to develop an individualized management plan and monitor your condition effectively.