Liver disease is an umbrella term for many diseases that affect the liver. Your liver is the largest organ your body has other than your skin. It’s found on your right side, just under the bottom of your rib cage. It plays an important role in your survival and you must have a liver to live, although you may be able to live with a partial liver. This is because the liver actually has the ability to regenerate or grow back if not too much of it is damaged or removed.

 

Your liver processes or breaks down (metabolizes) many chemicals including nutrients, alcohol, and many drugs. It also:

  • Makes important proteins
  • Makes, stores, and processes fats and cholesterol
  • Helps fight infections
  • Metabolizes (breaks down) and stores carbohydrates for energy
  • Makes and sends out bile, a greenish liquid that helps your intestine take nutrients from the food you eat

Certain liver diseases, such as cirrhosis of the liver, can increase your risk of developing and infection and sepsis.

Sometimes called blood poisoning, sepsis is the body’s often deadly response to infection or injury. Sepsis kills and disables millions and requires early suspicion and rapid treatment for survival.

Sepsis and septic shock can result from an infection anywhere in the body, such as pneumonia, influenza, or urinary tract infections. Worldwide, one-third of people who develop sepsis die. Many who do survive are left with life-changing effects, such as post-traumatic stress disorder (PTSD), chronic pain and fatigue, and organ dysfunction (organs don’t work properly) and/or amputations.

What is cirrhosis of the liver?

In cirrhosis of the liver, the liver tissue begins to break down or deteriorate. This previously healthy tissue is then replaced with scar tissue. The scar tissue doesn’t allow blood flow through to the still healthy parts of the liver.

In the early stages of the disease, because liver tissue can regrow, the damaged parts may regenerate. However as the damage increases, the liver’s ability to fix itself drops until it can’t do so any longer.

How do you get cirrhosis of the liver?

Cirrhosis of the liver is a chronic (long-standing) liver disease. In North America, the most common causes of cirrhosis of the liver are alcohol abuse and hepatitis C infection. A few of many other causes include:

  • Hepatitis B and Hepatitis D
  • Nonalcoholic fatty liver disease
  • Infections
  • Certain inherited diseases

Symptoms

As with many other illnesses, cirrhosis of the liver doesn’t often show early symptoms, so you could have it in the early stages and not know. Once symptoms do begin, they include:

  • Weakness and fatigue
  • Loss of appetite
  • Nausea, vomiting
  • Weight loss
  • Abdominal pain
  • Bloating in the abdomen
  • Itching
  • Spider-like blood vessels on the skin

Is there treatment?

There is no cure for cirrhosis of the liver but it can be managed if the damage to the liver tissue isn’t too severe. Lifestyle changes may be suggested to prevent further progression of the disease and medications may be prescribed to treat symptoms or complications caused by the cirrhosis.

  • Avoid alcohol and “recreational” drugs, they are metabolized down in the liver
  • Eat a nutritious diet, perhaps with supplements
  • Limit salt intake
  • Avoid medications that are metabolized (broken down) in the liver

Preventing cirrhosis

There are types of cirrhosis of the liver that can’t be prevented, but the type that is caused by long-term alcohol abuse or drug abuse certainly can. In most cases, hepatitis could also be prevented.

Your liver is a very hard working organ. If you drink too much alcohol or take too many drugs that make the liver work too hard, it will start to break down. So, the solution would be to not take illegal/recreational drugs and to limit your alcohol intake.

To avoid developing hepatitis, ensure you have up-to-date vaccinations for hepatitis A and B. Healthcare workers must be vaccinated against hepatitis as they are frequently exposed to body fluids that could be contaminated.

Hepatitis C does not have a vaccine, but can be prevented by taking precautions, such as:

  • Practice safe sex: use condoms each and every time you have sexual relations
  • Don’t share needles at all. Don’t share personal items, such as toothbrushes, particularly if the other person has hepatitis.
  • Use gloves (and dispose of them properly) if handling blood

 

The information here is also available as a Sepsis Information Guide, which is a downloadable format for easier printing.

Would you like to share your story about sepsis or read about others who have had sepsis? Please visit Faces of Sepsis, where you will find hundreds of stories from survivors and tributes to those who died from sepsis.