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Guides Hepatitis C for people living with HIV

Management of cirrhosis

PatternA damaged liver can still function, but people who have developed cirrhosis are at risk for liver failure and other serious, life-threatening complications.

People with compensated cirrhosis should be screened for liver cancer, and monitored regularly for decreasing liver function and varices. These are stretched and bursting veins resulting from liver scarring that obstructs the flow of blood through the portal vein and increases blood pressure.

Drugs called beta-blockers can help to prevent varices. Variceal bleeding is managed with medication and surgery.

Changing your diet can help to manage some of the complications of cirrhosis.

Cutting down on salt, eating many small light meals per day with protein from vegetables and dairy products rather than meat can help address nutritional imbalances. A nutritionist and your doctor can help you plan a healthy diet.

Hepatic decompensation (decompensated cirrhosis) occurs when the liver cannot compensate for damage, and liver function has deteriorated. After hepatic decompensation, a liver transplant is necessary.


March 2009

Decisions relating to your treatment should always be taken in consultation with your doctor. Information in this guide is intended to support those discussions.

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