What Is Cardiac Cirrhosis?
Cardiac cirrhosis is liver damage that develops when chronic right-sided heart failure causes blood to back up in the liver, increasing pressure, leading to scarring, stiffness, and impaired liver function.
Common Causes and Risk Factors
- Right-sided heart failure
- Tricuspid valve disease or regurgitation
- Pulmonary hypertension (high lung pressure)
- Congenital heart defects
- Chronic fluid overload
- Anemia or thyroid disorders that overwork the heart
Signs and Symptoms
- Belly pain or a feeling of fullness
- Swelling in legs or ankles
- Jaundice (yellowing of the skin and eyes)
- Fatigue and decreased energy
- Ascites (fluid buildup in the abdomen)
- Enlarged liver detectable on exam
Expert Treatment for Cardiac Cirrhosis by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He reviews your symptoms of epigastric pain-onset, duration, triggers-and asks about medications, alcohol use, ulcers or reflux history.
Blood Tests
We check complete blood count (CBC) for anemia, liver enzymes, pancreatic enzymes (amylase/lipase), and H. pylori antibodies.
Imaging Studies
- Abdominal ultrasound to evaluate gallbladder, pancreas, liver and rule out gallstones.
- Upper endoscopy (EGD) to visualize the esophagus and stomach lining for ulcers, inflammation or hiatal hernia.
- CT scan of the abdomen when more detailed cross-sectional imaging is needed to assess organs and vessels.
Advanced Testing (if needed)
In refractory cases, gastric emptying studies or 24-hour pH monitoring may be performed to evaluate motility disorders or acid exposure.
Frequently Asked Questions
What's the difference between cardiac and alcoholic cirrhosis?
Cardiac cirrhosis results from long-term heart failure causing blood to back up and scar the liver. Alcoholic cirrhosis comes from chronic alcohol use directly injuring liver cells.
When should I see a liver specialist?
If you have known heart failure and develop belly swelling, jaundice, fatigue or unexplained weight gain, schedule an evaluation early. Prompt care can slow liver damage.
What tests confirm the diagnosis?
We use blood tests for liver function, imaging (ultrasound or CT scan) to look for congestion and scarring, and an echocardiogram to assess heart pumping and pressures.
Can cardiac cirrhosis be reversed?
Early intervention to manage heart failure and reduce congestion can improve symptoms. Existing scar tissue may not fully disappear but further damage can be minimized.
What is the ICD-10 code for this condition?
The code is K76.81, used for billing and medical records to identify cardiac cirrhosis.
Can a better diet help my liver?
Yes. A low-salt, balanced diet reduces fluid retention and eases stress on your liver. Avoiding alcohol and unhealthy medications is also important.
Do you treat children?
No. Dr. Pothuri treats adults only. Pediatric patients should be referred to a pediatric liver specialist.