Cirrhosis

Cirrhosis is a progressively worsening condition that damages liver cells and leads to their replacement with scar tissue, significantly impairing liver function. This scarring disrupts the liver’s ability to manage blood flow, process toxins and perform other vital functions, potentially resulting in serious health issues like excessive bleeding, impotence, blood poisoning and even death if not addressed in time. Despite the liver’s unique capacity for regeneration, severe and prolonged alcohol abuse can lead to cirrhosis, highlighting the importance of addressing substance abuse early on.

Within the sphere of addiction recovery, cirrhosis is acknowledged as a severe risk associated with long-term substance misuse. Recognising the grave consequences of substance abuse, including the risk of developing cirrhosis, is essential for individuals in addiction to seek help and commit to recovery.

Historically, cirrhosis has been recognised for centuries with its understanding significantly advancing in the 19th century as medical science progressed. While alcohol abuse is a leading cause of cirrhosis in the context of addiction treatment, it’s important to note that other factors like viral hepatitis, fatty liver disease and genetic conditions can also cause cirrhosis.

Cirrhosis leads to diminished liver function, risking liver failure—a dire health emergency. Symptoms can include fatigue, jaundice, abdominal pain, swelling and confusion. Awareness of these risks is fundamental for those seeking addiction treatment, as medical professionals specialising in addiction recovery can offer valuable support and treatment strategies.

Alcohol, drugs, including illicit, prescription and over-the-counter medications, can also harm the liver, leading to conditions like drug-induced hepatitis and cirrhosis. The liver plays a critical role in detoxifying the body, processing drugs and maintaining overall health but substance abuse can overwhelm and damage this vital organ.

Drug-induced liver diseases vary but commonly include hepatitis and cirrhosis with symptoms ranging from stomach pain and jaundice to more severe conditions like hepatic encephalopathy and hepatorenal syndrome. Recognising the importance of treating drug addiction is paramount to preventing liver diseases and ensuring overall health.

Alcoholic Cirrhosis

Alcoholic cirrhosis is the formation of scar tissue in the liver as a consequence of alcohol being metabolized. This scarring diminishes the liver’s functionality by obstructing its ability to process substances and clean the blood.

Despite the liver’s remarkable capacity for resilience and ability to function with damaged cells, cirrhosis can progress silently with individuals remaining unaware until the condition advances.

There are two key phases of cirrhosis based on liver functionality: compensated cirrhosis, where the liver still functions adequately despite scarring and decompensated cirrhosis, where the scarring is extensive enough to severely impair liver function.

Cirrhosis represents the final phase of alcohol-induced liver damage, following stages of inflammation and fibrosis. Cirrhosis progresses through four stages:

  1. Compensated Cirrhosis: Minimal scarring with no loss in liver function, typically presenting no symptoms.
  2. Portal Hypertension Worsening: Increased pressure in the portal vein leading to complications.
  3. Decompensated Liver: Significant inflammation and scarring lead to impaired liver function.
  4. End-stage Liver Disease: The liver is extensively damaged, potentially necessitating a transplant to avoid fatal outcomes.

Treating alcoholic cirrhosis focuses on halting disease progression, as there is no cure. Key treatment strategies include:

  • Ceasing Alcohol Consumption
    Essential for halting further scarring. Alcohol cessation should be medically supervised, particularly for those with an addiction to safely manage withdrawal symptoms.
  • Nutritional Support
    Given the common issue of undernutrition in cirrhosis patients, dietary guidance is fundamental for regaining a healthy weight and combating potential complications like brain disease from toxins.
  • Medication
     Various drugs, such as antioxidants, calcium channel blockers, corticosteroids, insulin and S-adenosyl-L-methionine (SAMe), may be prescribed to manage symptoms and complications.
  • Liver Transplant
    For those who have sustained abstinence from alcohol, a liver transplant represents a potential, albeit challenging due to waiting lists, solution for advanced cirrhosis.

At specialised treatment centers, comprehensive addiction treatment programs are available to support individuals in overcoming substance abuse, addressing the root causes of addiction and mitigating the risks of liver diseases such as cirrhosis. These programs aim to provide the necessary tools for recovery, highlighting the importance of medical and professional support in overcoming addiction and protecting liver health.Implementing these treatments requires a comprehensive approach, including professional medical and nutritional support to effectively manage cirrhosis and improve quality of life.

Understanding Cirrhosis: Addiction Guide on the Disease

The causes, symptoms and treatments for cirrhosis in our comprehensive addiction guide. Get educated and take control of your health today. Get help from qualified counsellors.

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    Founded in 2008, WeDoRecover has evolved from an advisory service for addiction treatment into a comprehensive provider of care, following its 2019 merger with Changes Addiction Rehab in Johannesburg. Specialising in connecting patients to top-tier addiction treatment centers in the UK, South Africa and Thailand, WeDoRecover supports individuals globally, including those from the United Arab Emirates and Europe. Accepting both South African medical aid and international health insurance our organisation facilitates access to high-quality treatment for substance and alcohol use disorders, offering individualised care that addresses the physical, mental and social needs of patients.



    Our team, led by Gareth Carter, offers empathetic and professional support, guiding you through every step of the treatment process. Whether you're in South Africa or abroad, our acceptance of various insurance plans makes quality care accessible, providing a platform for lasting recovery and a healthier future.


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    Rehab care is a good option if you are at risk of experiencing strong withdrawal symptoms when you try stop a substance. This option would also be recommended if you have experienced recurrent relapses or if you have tried a less-intensive treatment without success.

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    If you're committed to your sobriety but cannot take a break from your daily duties for an inpatient program. Outpatient rehab treatment might suit you well if you are looking for a less restricted format for addiction treatment or simply need help with mental health.

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    Therapy can be good step towards healing and self-discovery. If you need support without disrupting your routine, therapy offers a flexible solution for anyone wishing to enhance their mental well-being or work through personal issues in a supportive, confidential environment.

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    Are you having persistent feelings of being swamped, sad or have sudden surges of anger or intense emotional outbursts? These are warning signs of unresolved trauma mental health. A simple assesment by a mental health expert could provide valuable insights into your recovery.


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