Liver Cirrhosis and Work Capability: Understanding the Impact on Labor Ability

When it comes to liver cirrhosis, determining whether a patient is considered unable to work depends on the specific stage and symptoms of the condition. Here's a detailed breakdown:

Decompensated Liver Cirrhosis: Inability to Perform Physical Labor

Patients diagnosed with decompensated cirrhosis are typically classified as individuals who have lost their ability to work. This phase of the disease is marked by severe symptoms such as persistent jaundice, gastrointestinal bleeding, chronic fatigue, low-grade fever, abdominal distension, and complications like hepatic encephalopathy and ascites. Some patients may even develop hepatorenal syndrome. Blood tests often reveal abnormal liver function, elevated levels of transaminases and bilirubin, coagulation disorders, and a prothrombin activity level usually between 40% and 60%, along with signs of hypersplenism.

Compensated Liver Cirrhosis: Limited Physical Activity May Be Possible

In contrast, individuals in the compensated stage of liver cirrhosis may still be able to engage in light physical activities or part-time work, depending on their overall health and energy levels. However, it's essential to monitor the progression of the disease closely and avoid overexertion.

Assessing Liver Function Through Laboratory Tests

To determine if a patient has entered the decompensated phase, medical professionals rely heavily on laboratory findings. These tests help identify key indicators such as enzyme levels, bilirubin concentration, and clotting factors that point to a decline in liver performance.

Understanding the differences between compensated and decompensated liver cirrhosis is crucial for both patients and employers when evaluating work capacity and making informed decisions about job responsibilities and potential accommodations.