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Management of Chronic Liver Disease

Chronic liver disease is defined as when symptoms of liver disease like jaundice, tiredness, abdominal distention, leg swelling, vomiting blood or altered behavior are present for more than 6 months. Management consists of identifying the possible cause of liver disease and stopping or treating it. Complete
abstinence from alcohol and medical treatment of viral infections causing the liver disease are some examples of medically treatable causes of chronic liver disease. Patients with chronic liver disease can become seriously ill even with minor infections. Problems like infection of the fluid in the abdomen, bleeding for engorged veins in the food pipe can lead to serious problems like kidney failure, encephalopathy (altered sensorium) and shock.

Identification of complications of chronic liver disease like esophageal varices (abnormal swelling of blood vessels in the food pipe), infection in abdominal fluid, kidney injury due to liver disease (hepatorenal syndrome) and liver tumors is another major priority in managing these patients.

Timely identification of severe complications of liver disease that need liver transplantation is also important as transplantation in right time is likely to give the best outcomes. These patients should be treated in an intensive care facility with specialists from hepatology, intensive care and nephrology for stabilisation of their condition and for recovery.