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Published on: Aug 30, 2021
2 minute read
By: Dr Rakesh Rai

What Are The Causes Of Liver Cirrhosis?

"What are the causes of liver cirrhosis?"

Several diseases can lead to cirrhosis of the liver, which is characterized by hardening and scarring to the organ's tissue. These include alcoholism, hepatitis C, chronic hepatitis B, and fatty liver disease.

Smoking, drinking too much alcohol, and hepatitis infection. Smoking and excessive drinking can lead to liver cirrhosis because they reduce the amount of oxygen and nutrients delivered to the liver. Smokers also have an increased risk of developing alcoholic hepatitis if they drink as well. Diseases such as chronic pancreatitis, a condition often caused by alcoholism, may also cause cirrhosis. Hepatitis infections are one prime example; people who will contract this type of virus have a greater likelihood of developing the liver disease later in life than those who haven't been exposed to it.

Cirrhosis is a condition that results when healthy cells inside the liver are replaced by scar tissue because of an injury, infection, or chronic disease. This eventually reduces the functionality of the organ and may eventually lead to liver failure, which in many cases can necessitate a transplant. Prevention and early detection for common conditions associated with liver cirrhosis should be pursued such as hepatitis B or C or Wilson’s Disease (a rare genetic disorder). Treatment options vary depending on the severity of cirrhosis but may include alcohol abstinence, medication to promote regeneration of diseased hepatocytes (specialized cells in the lining), surgery to remove any pools of blood/scar tissue from within the abdominal cavity that would otherwise compress other organs.

There are many possible causes, including genetics, diseases of the biliary tract system, drugs, and alcohol abuse. The cirrhotic liver has less elasticity than a typically healthy liver. This can lead to ruptured blood vessels within the organ that will cause bleeding into the cavity of the organ. The result of this bleeding is swelling and destruction of cells in that area; it's also called 'cirrhosis.' As cirrhosis progresses, there are limits to how much your damaged liver can work towards cleansing and detoxifying your body by removing poisons or toxins from the food you eat - because a damaged liver cannot produce enough bile that helps aid digestion.

There are many causes for liver cirrhosis, so it's not as though we can generalize. Some symptoms of liver damage include jaundice (yellowing skin) and frequent urination. Most signs of liver failure occur only in the advanced stages when the organ becomes too large to be compensated for by other organs or systems of the body. One should also note that alcohol is a primary cause of cirrhosis and often comes with other complications such as malnutrition, high blood pressure, and diabetes.

A) Symptoms of liver cirrhosis include jaundice, bruising easily, abnormal swelling in the legs and abdomen.

B) Hepatitis is a potential cause of liver cirrhosis.

C) Liver cancer can also produce symptoms related to liver cirrhosis such as enlarged lymph nodes or fluid buildup in the abdomen.

D) People who have eaten too much alcohol for many years are more likely to develop chronic alcohol abuse which destroys the cells on your liver causing it to stop functioning for good resulting in death. (this answer would be an ideal opportunity for advertising a medical consultation site but just mentioning their name could result in being reported)

E) Long-term exposure to viral hepatitis B or C

There are many causes of liver cirrhosis. Open sores on the skin, inflammation of the liver (cirrhosis), gall bladder problems, heavy drinking/overuse of alcohol, viral hepatitis, or other infections that cause scarring in the liver.

Liver cirrhosis is most often caused by chronic or acute alcoholism, drug abuse, hepatitis C, and other conditions that impair liver function. Liver cirrhosis causes your liver to be enlarged as its cells increase in number and fill up with fat. Liver cells normally work to get rid of any extra substances found in the blood and body fluids because these substances can cause damage to various organs including the liver. As diseased cells accumulate rapidly in the liver, they cannot do their job efficiently leading to additional organ damage such as end-stage renal disease. This whole process exposes you more easily to viruses such as hepatitis B and C which ultimately leads to advanced disease of the lungs called "cryptogenic pulmonary alveolar proteinosis".

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Tuberculosis Symptoms and Treatment: Early Signs, Diagnosis, and Recovery

Tuberculosis (TB) is one of the oldest known infectious diseases and continues to be a major public health concern, especially in developing countries. India accounts for a significant proportion of global TB cases, despite advances in diagnosis and treatment. The good news is that tuberculosis is preventable, treatable and curable when detected early and managed properly.

Understanding tuberculosis symptoms and treatment is critical for reducing disease spread, preventing complications and achieving complete recovery.

What Is Tuberculosis?

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. It primarily affects the lungs (pulmonary TB) but can also involve other parts of the body such as:

lymph nodes
bones and joints
kidneys
brain

TB spreads through the air when an infected person coughs, sneezes or speaks.

Why Tuberculosis Remains a Major Health Issue

According to the World Health Organization and ICMR data:

millions of new TB cases are reported annually
delayed diagnosis increases transmission
incomplete treatment leads to drug resistance

Early detection and treatment are key to TB control.

Common Tuberculosis Symptoms

TB symptoms often develop gradually and may be mild in the early stages, leading to delayed diagnosis.

Persistent Cough

A cough lasting more than two to three weeks is a hallmark symptom of pulmonary TB.

The cough may:

be dry or productive
worsen over time
sometimes produce blood

Fever and Night Sweats

Low-grade fever, especially in the evenings, is common.

Night sweats that soak clothing or bedding are a classic TB sign.

Unexplained Weight Loss

TB increases metabolic demand and reduces appetite, leading to significant weight loss.

Fatigue and Weakness

Persistent tiredness and reduced stamina occur due to chronic infection.

Chest Pain

Chest discomfort or pain may occur during coughing or breathing.

Symptoms of Extra-Pulmonary TB

When TB affects organs outside the lungs, symptoms depend on the site involved and may include:

swollen lymph nodes
bone or joint pain
headaches or neurological symptoms
urinary issues

Why TB Symptoms Are Often Ignored

Many TB symptoms resemble common infections or general weakness.

This leads to:

delayed medical consultation
prolonged transmission
disease progression

Awareness improves early detection.

How Tuberculosis Is Diagnosed

Diagnosis involves a combination of:

sputum tests
chest X-ray
molecular tests such as CBNAAT
blood tests and imaging for extra-pulmonary TB

Early and accurate diagnosis is essential for effective treatment.

Tuberculosis Treatment Explained

TB treatment involves a combination of antibiotics taken over a fixed duration.

Standard TB Treatment

For drug-sensitive TB, treatment typically lasts:

6 months

The regimen includes multiple antibiotics taken in phases to ensure complete bacterial clearance.

Importance of Treatment Adherence

TB bacteria are slow-growing and resilient.

Stopping treatment early can result in:

incomplete cure
relapse
drug-resistant TB

Completing the full course is essential.

Drug-Resistant TB

If TB bacteria become resistant to standard drugs, treatment becomes longer and more complex.

Drug-resistant TB requires:

specialised medications
longer treatment duration
close medical supervision

Prevention of resistance depends on correct treatment from the start.

Side Effects of TB Treatment

Some individuals may experience side effects such as:

nausea
loss of appetite
mild liver enzyme changes

Most side effects are manageable with medical guidance and do not require stopping treatment.

TB and Public Health

TB is not just an individual health issue but a community concern.

Effective TB control requires:

early diagnosis
treatment adherence
contact tracing
public awareness

India’s national TB elimination programmes focus on these strategies.

Preventing Tuberculosis

Preventive measures include:

early detection and treatment of active TB
improving nutrition and immunity
adequate ventilation in living spaces
screening close contacts

BCG vaccination offers partial protection, especially in children.

Living With and Recovering From TB

With proper treatment:

symptoms gradually improve
infection becomes non-contagious
normal life can be resumed

Regular follow-up ensures complete recovery.

When to Seek Medical Help

Consult a healthcare provider if experiencing:

cough lasting more than two weeks
unexplained weight loss
persistent fever or night sweats
blood in sputum

Early action saves lives and prevents spread.

Long-Term Outlook After TB Treatment

Most individuals who complete treatment:

recover fully
regain normal lung function
return to daily activities

Long-term complications are rare with timely care.

Conclusion

Tuberculosis symptoms and treatment must be understood clearly to combat this preventable and curable disease. Persistent cough, fever, night sweats and weight loss should never be ignored. Early diagnosis, complete treatment adherence and regular follow-up are essential for curing TB and preventing transmission. With proper medical care and public awareness, tuberculosis can be effectively controlled and eliminated as a public health threat.

References

Indian Council of Medical Research (ICMR) – Tuberculosis Epidemiology and Treatment Guidelines
World Health Organization (WHO) – Global Tuberculosis Report
National Tuberculosis Elimination Programme (NTEP) – Government of India
Lancet Infectious Diseases – TB Diagnosis and Treatment Outcomes
National Family Health Survey (NFHS-5) – Infectious Disease Indicators
Statista – Global Tuberculosis Burden and Trends

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