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Cardiac Cirrhosis

Cardiac cirrhosis arises when heart failure, particularly on the right side, backs up blood flow into the liver, causing scarring and dysfunction. At GastroDoxs in Houston, Dr. Bharat Pothuri offers diagnosis and treatment to protect your liver and heart health.

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Texas Medical Board
Harris County Medical Society
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Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

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.

Bharat Pothuri
Treatment

Our Team offers a full range of care for cardiac cirrhosis.

1. Lifestyle and Diet Modifications

  • Eat less salt to limit fluid buildup
  • Weigh yourself daily to track swelling
  • Stay active with gentle, heart-safe exercise
  • Avoid alcohol and any medications harmful to liver or heart

2. Medications

  • Diuretics to remove excess fluid
  • ACE inhibitors, beta-blockers or ARBs to support heart function
  • Vasodilators or pulmonary hypertension drugs if lung pressure is high

3. Minimally Invasive or Advanced Procedures

  • Paracentesis to safely drain ascitic fluid
  • Valve repair or replacement surgery when indicated
  • Right-heart catheterization to measure and manage pressure levels
1.5K

Patients Treated

Dr. Pothuri has treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

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.

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