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Cardiac Cirrhosis

At GastroDoxs in Katy, our expert team offers comprehensive cardiac cirrhosis management, blending advanced diagnostics with personalized care to support heart-liver health, ensuring nearby patients receive 24/7 dedicated resources, timely treatment, compassionate guidance, and improved quality of life.

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Bharat Pothuri
Symptoms

What is Cardiac Cirrhosis?

Cardiac cirrhosis, also called congestive hepatopathy, is scarring of the liver that develops when chronic heart problems-most often right-sided heart failure or valve disease-cause blood to back up into the liver. This persistent congestion leads to centrilobular fibrosis (scarring around the central veins of liver lobules) and, over time, impaired liver function.

Common Symptoms

Early on, cardiac cirrhosis may be mild or go unnoticed. As it progresses, you may experience:

  • Low energy or persistent fatigue
  • Sensation of fullness or pressure in the upper right abdomen
  • Swelling in the ankles, feet, or legs
  • Abdominal fluid buildup (ascites) causing a distended belly
  • Shortness of breath, especially when lying flat

Causes

Cardiac cirrhosis arises when the liver is chronically congested by backward pressure from the heart. Key risk factors include:

  • Long-term right-sided heart failure
  • Tricuspid valve disease or regurgitation
  • Chronic arrhythmias or poorly controlled diabetes contributing to heart stress
  • Elevated pressure in the hepatic veins (veno-occlusive pressure)
  • Less common causes: constrictive pericarditis or pulmonary hypertension
Treatment

Treatment Options for Cardiac Cirrhosis in Katy

Treatment includes lifestyle modifications and medical management:

  • Diuretics: Reduce fluid buildup (ascites and edema) and relieve abdominal pressure.
  • Heart medications: ACE inhibitors, beta-blockers or other agents to improve cardiac output and lower liver venous pressure.
  • Low-sodium diet: Limit salt intake to control fluid retention and support both heart and liver health.
  • Fluid monitoring: Daily weight checks and abdominal girth measurements guide diuretic dosing and dietary adjustments.
  • Lab tests & imaging: Regular liver function tests (ALT, AST, bilirubin) and periodic ultrasound or CT scans to monitor congestion and fibrosis.
  • Cardiology referral: Evaluation for valve repair, arrhythmia management or device therapy (e.g., pacemaker) to address underlying heart disease.
  • Leg elevation & compression stockings: Alleviate peripheral edema and improve venous return.
  • Lifestyle modifications: Manage diabetes, maintain healthy weight, quit smoking and engage in gentle, doctor-approved exercise.
  • Advanced therapies: In select cases, pericardiectomy for constrictive pericarditis or targeted treatment for pulmonary hypertension.

Book an Appointment Today

Don't let heart-related liver stress go unchecked. At GastroDoxs in Katy, our multidisciplinary team is ready to develop a personalized treatment plan that addresses both your cardiac and hepatic needs. Call us now at 832-632-4070 or schedule your visit online to take control of your health and start feeling better.

1.5K

Patients Treated

We've successfully 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 is the ICD-9 code for cardiac cirrhosis?

The ICD-9 code for cardiac cirrhosis is 571.8, which covers chronic liver disease not caused by alcohol.

How is cardiac ascites different from cirrhosis-related ascites?

Cardiac ascites typically contains higher protein levels and responds more rapidly to diuretic therapy compared with ascites from other forms of liver cirrhosis.

Can diabetes make cardiac cirrhosis worse?

Yes. Poorly controlled blood sugar and associated heart rhythm disturbances increase venous pressure in the liver and can accelerate liver scarring.

What does a CT scan show in cardiac cirrhosis?

A CT scan may reveal an enlarged, congested liver, fluid accumulation in the abdomen, and dilated hepatic veins or inferior vena cava.

Can fluid in the belly become infected?

Yes, though spontaneous infection of cardiac ascites is less common than in other cirrhosis types. Fever, abdominal pain, or worsening symptoms warrant immediate medical evaluation.

What does a liver biopsy show?

Biopsy usually demonstrates centrilobular fibrosis-scarring around the central veins of liver lobules-with minimal fatty change or inflammation.

Who treats this condition?

Treatment typically involves a multidisciplinary team including a gastroenterologist (liver specialist), a cardiologist (heart specialist), and a dietitian for nutritional support.

Can I manage swelling at home?

Yes. Home management includes adhering to a low-sodium diet, elevating your legs, taking prescribed diuretics, and following your care plan closely.

What's the long-term outlook?

With early detection and optimal management of the underlying heart condition, progression of liver damage can often be slowed-or even partially reversed.

How do I find a specialist in Katy?

GastroDoxs in Katy offers expert evaluation and coordinated care for cardiac cirrhosis. Contact our office to schedule an appointment and start your personalized treatment plan.

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