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Cirrhosis
Cirrhosis compromises liver function by replacing healthy tissue with scar tissue, causing jaundice, fluid retention, bleeding, and cognitive changes. At GastroDoxs in Houston, board-certified specialist Dr. Scott provides comprehensive, personalized care-embracing lifestyle adjustments, targeted medications, imaging diagnostics, minimally invasive procedures.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Long-term exposure to certain medications or toxins
Signs and Symptoms
Often none in early stages
Fatigue or generalized weakness
Jaundice (yellowing of skin and eyes)
Swelling in legs (edema) or abdomen (ascites)
Easy bruising or bleeding
Itchy skin
Confusion or difficulty thinking clearly
How Dr. Scott Diagnoses This Condition?
Dr. Scott uses a step-by-step approach:
Medical History and Exam
He will ask you detailed questions about your pain-onset, location in the upper abdomen (epigastrium), severity, relation to meals, and any accompanying symptoms such as nausea, bloating or heartburn. A physical exam checks for tenderness, organ size and signs of complications.
Blood Tests
Routine labs include a complete blood count (CBC) to look for anemia or infection; liver enzymes (AST, ALT), bilirubin and alkaline phosphatase to assess liver function; plus amylase and lipase to rule out pancreatitis.
Imaging Studies
Abdominal ultrasound to evaluate the gallbladder, liver, pancreas and detect gallstones or bile duct dilation.
CT scan or MRI of the abdomen in select cases to further characterize lesions, inflammation or masses.
Advanced Testing (if needed)
If initial studies are inconclusive, Dr. Scott may proceed with an upper endoscopy (EGD) to directly visualize the esophagus, stomach and duodenum for ulcers, gastritis or reflux-related injury. He may also order an H. pylori breath or stool test, or a gastric emptying study if gastroparesis is suspected.
Treatment
Our Team offers a full range of care for cirrhosis of the liver.
1. Lifestyle and Diet Modifications
Stop drinking alcohol completely to halt further liver damage
Follow a low-sodium diet to reduce fluid buildup
Choose fresh foods, lean proteins, and plenty of vegetables
Stay active with light, doctor-approved exercise
2. Medications
Diuretics to relieve swelling in legs and abdomen
Beta-blockers to lower the risk of variceal bleeding
Antiviral drugs if hepatitis B or C is present
Vitamins and supplements to support overall liver health
3. Minimally Invasive or Advanced Procedures
Endoscopic variceal banding to control or prevent bleeding
Transjugular intrahepatic portosystemic shunt (TIPS) to reduce portal pressure
Paracentesis for safe removal of excess abdominal fluid
Referral to a liver transplant center when transplant evaluation is required
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
What is the ICD-10 code for cirrhosis?
The code most often used is K74.60, which covers cirrhosis of the liver without ascites.
How long can someone live with cirrhosis?
With early diagnosis and proper treatment, many patients live for years. Life expectancy depends on disease stage, cause, and how well you follow your care plan.
Can cirrhosis be reversed?
Once scar tissue forms, it cannot be removed. Mild liver damage may improve if the underlying cause is treated, and further scarring can be prevented.
What kind of diet is best for cirrhosis?
A low-sodium, balanced diet rich in lean protein, fresh fruits, and vegetables helps manage fluid buildup and supports liver health. Avoid alcohol and processed foods.
When should I see a liver specialist?
Schedule a visit if you have hepatitis, abnormal liver test results, unexplained fatigue, jaundice, or swelling in your legs or abdomen.
What are signs of late-stage cirrhosis?
Advanced symptoms include ascites (abdominal fluid), hepatic encephalopathy (confusion), easy bruising or bleeding, and kidney dysfunction.
Are there support groups in Houston?
Yes. The American Liver Foundation and many Houston hospitals host patient support and education groups to help you and your family cope.
