


This is what an alcoholic cirrhosis liver looks like. It can have micronular or macronodular nodules, or a mixture of both. Acknowledgement to Reddit. It's in our medical library.
A decompensated Cirrhosis liver has one of these conditions:
·
Portal Hypertension: Increased blood pressure in the portal vein, is a hallmark of decompensated cirrhosis.
Complications of Portal Hypertension:
· Ascites: Fluid buildup in the abdomen, causing swelling.
· Varices: Bleeding from swollen veins. These are called varices -
o Esophageal (throat) varices and Stomach varices
o Stomach veins surrounding the belly button.
o Haemorrage veins (inside the rectum)
o Portosystemic varices (around the liver)
·
Hepatic encephalopathy: Brain dysfunction due to the liver's inability to filter toxins.
·
Hepatorenal syndrome: Kidney failure due to liver disease.
· Jaundice: Often seen in yellow eyes.
·
Bacterial infections: In conjunction with Ascites fluid.
· Bacterial infections: Found in ascites fluid.
Spontaneous Bacterial Peritonitis - PMCo
Talk to your GP. The only thing is, that your GP is not licenced to provide liver specialist advice. They may refer you to a liver specialist.
But you may have to wait up to 12 months to see a liver specialist.
What do you do in the meantime?
You could read this book for more information, with links to 20,000 pages of medical studies and 200 hours of videos.

Ascites appears as a large belly, looking like you are pregnant.
Thousands of people all over the world. get to reverse Ascites. Not many doctors tell you that, due to patient confidentiality.
So much for Cirrhosis is not reversible. It may not be, for many. Some have fully reverse Cirrhosis. Some have gone from F4 to F3, which means that there are a lot less complications.
However, there are many Cirrhosis symptoms that are reversible, at least. This becomes "recompensated" Cirrhosis from previously decompensated Cirrhosis.
You can lead a normal life for up to 35 + years.
Ascites can be controlled by parenthesis, which is a draining the belly possibly each week at the hospital. Some patients have been known to drain up to 23 litres in one sitting.
Many Cirrhosis patients have had success with water pills, namely Spironolactone and Furosemide. Talk to your doctor.
The bad news is that the average life expectancy is 2 years if you can't eliminate Ascites and over 12 years if you do. That's a big difference.
Talk to your GP. However, GP's are not allowed to offer specialist liver advice. They normally refer you to a liver specialist.
It may take up to 12 months to see a liver specialist.
More info in the 650 page ebook with links to hundreds of medical studies and videos.

These are small veins with a centre, usually on your upper body.
They have a centre spot with a spider like veins appearance.

From my own patient experience and from 4, 000 hours research, this is definately what a decompensated Cirrhosis patient lmay look like. Talk to your liver specialist.
I have personally reversed ascites and and have rebuilt my own muscles to be very strong now. That's called reversing some Cirrhosis symptoms.
Cirrhosis symptoms include muscle wasting of arms and legs, red palms, Caput medusae (veins around stomach),
jaundice. Edema (swelling of legs)

Again, I can confirm from patient experience, this is what a decompensated Cirrhosis patient often looks like, including ascites.
Cirrhosis symptoms include muscle wasting of arms and legs, red palms, Caput medusae (veins around stomach),
jaundice. Edema (swelling of legs)
I have personally reversed ascites and and have rebuilt my own muscles to be very strong now. That's called reversing some Cirrhosis symptoms.
Talk to your liver specialist. You may need to wait up to 12 months.
Your GP is not licenced to offer specialist liver advice.

This is seen in up to 50% of Cirrhosis patients. An abnomal paraumbilical vein is over 3mm and has flow outward of the liver.
The umbilical vein is a renmant of your umbilical cord.
This is closed at birth, and does not normally recanalize , only in portal hypertension.
It is the body's way of handling increased pressure in the portal vein.
Its all icovered n the 650 page ebook, with links to hundreds of medical studies and links.
All in the one place.
I

Portal vein velocity should normally be between 20-40 cm/s.
So a velocity outside these ranges is considered abnormal.
Portal vein velocity is often low, in Cirrhosis, due to increased fibrosis in the liver parenchyma.
Your portal vein should be no more than 13mm. Talk to your doctor and read the medical studies in the book.
Normal liver cells ae replaced by regenerative nodules.
Talk to your GP. Unfortunately this is not one of the topics that a GP may offer you advice on, being specialist advice
Assessment of the liver is an allround process including blood tests scan images, fibrosity and fat content tests inlcuding Fibroscan.
It also includes Ultrasound, CT, MRI, MRE.
Its all covered n the 650 page ebook, with links to hundreds of medical studies and links.
All in the one place.
On your first visit to the GP, they will take a medical history and vitals. They will then examine you for physical symptoms that you may show outwardly or internally, including pain.
The GP will be able to see the more obvious symptoms as in the above sketches.
They will check for vitals and maybe do a "dullness" test to see if your liver could be enlarged.
They will use their stethoscope to check for any lung problems, which can be caused by the liver!
The first blood tests are ordered by your GP on your first visit to your GP.
The GP should order the 5 basic panels of blood tests. The GP should know quite a few of the other tests for suspected liver damage.
In the book there is over 100 pages dedicated to Cirrhosis and it is covered extensively.
If the GP finds abnormal items on the blood test, then they should do fibrosis calulators like FIB 4 and ELF test.
If these numbers are high, or your symptoms appear obvious, they should refer you to a liver specialist. You may need to wait up to 12 months to see a liver specialist, or any specialist.
The liver specialist will have their own blood tests required for the next review.

This is a great scientific medical article on alcoholic cirrhosis, typical of the medical studies provided in the medical studies library in the book. The Effect of Inflammatory Cytokines in Alcoholic Liver Disease - Kawaratani - 2013 - Mediators of Inflammation - Wiley Online Library
Note that this study in the book leads tinstanlty to another 117 medical studies, providing over 3,500 pages of information with one click of a button ! That's what happens when you read the book !
I am a man who like to see proof. That leads to making a faster liver restoration plan.
" I Iisten to everyone but I believe noone - be your own master" - David Manteit.
There have been some remarkable liver restoration recoveries. They are in the book. Most recoveries of restoration of the liver don't need to be remarkable, just taking choices and determination.
What are the chances to reverse alcoholic cirrhosis? Or alcoholic hepatitis ? Or alcoholic fatty liver?
Its much easier to reverse the earlier stages. Find out in the book.

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