Often, cirrhosis is first found through a routine blood test or checkup. To help confirm a diagnosis, a combination of laboratory and imaging tests is usually done.
When symptoms do occur, they may first include fatigue; weakness and weight loss; nausea; bruising or bleeding easily; swelling in your legs, feet or ankles; itchy skin; redness on the palms of your hands; and spider-like blood vessels on your skin.
The main symptoms of cirrhosis include: tiredness and weakness. feeling sick (nausea) and loss of appetite resulting in weight loss. red patches on your palms and small, spider-like blood vessels on your skin (spider angiomas) above waist level.
A person can remain asymptomatic for years, although 5–7% of those with the condition will develop symptoms every year. Decompensated cirrhosis: People with decompensated cirrhosis already experience symptoms and complications.
There are usually few symptoms in the early stages of cirrhosis. However, as your liver loses its ability to function properly, you're likely to experience a loss of appetite, nausea and itchy skin.
Myth: I might have cirrhosis, but the liver will regenerate and heal itself naturally. Fact: The liver is a highly regenerative organ but only if it's still healthy enough to do so and doesn't have extensive scar tissue. Once cirrhosis is present, your liver's regeneration becomes very limited.
Blood tests
But liver function tests can be normal at many stages of liver disease. Blood tests can also detect if you have low levels of certain substances, such as a protein called serum albumin, which is made by the liver. A low level of serum albumin suggests your liver is not functioning properly.
Ultrasound is routinely used during the evaluation of liver cirrhosis.
Liver biopsy is considered the 'gold standard' to assess the stage of liver fibrosis in people with chronic liver disease and is the definitive method for confirming a diagnosis of cirrhosis.
Gamma-glutamyl transpeptidase test: This test measures the level of gamma-glutamyl transpeptidase (an enzyme that is produced in the liver, pancreas, and biliary tract). This test is often performed to assess liver function, to provide information about liver diseases, and to detect alcohol ingestion.
Pain in your liver itself can feel like a dull throbbing pain or a stabbing sensation in your right upper abdomen just under your ribs. General abdominal pain and discomfort can also be related to swelling from fluid retention and enlargement of your spleen and liver caused by cirrhosis.
Blood tests.
Blood tests are done to determine how well your liver works. A prothrombin time test measures how long it takes your blood to clot. With acute liver failure, blood doesn't clot as quickly as it should.
If cirrhosis progresses and your liver is severely damaged, a liver transplant may be the only treatment option. This is a major operation that involves removing your diseased liver and replacing it with a healthy liver from a donor.
People with cirrhosis of the liver have a life expectancy of between two and 12 years. If you have early-stage cirrhosis, treatment and lifestyle changes can help you live longer. People with advanced cirrhosis of the liver have a much shorter life expectancy.
Alcohol Related Cirrhosis: The most serious form of ALD, it occurs when the entire liver is scarred, causing the liver to shrink and harden. This can lead to liver failure. Usually the damage cannot be reversed. Between 10 to 20 percent of heavy drinkers develop cirrhosis typically after 10 or more years of drinking.
Swollen Belly (Ascites)
If your liver is scarred, it can block blood flow to your liver and raise the pressure in blood vessels around it. This makes fluid seep out and collect in your belly. There may be a little fluid and swelling or a lot. Your belly may get very large and your belly button might push out.