Can People with End Stage Liver Cirrhosis Work?

End stage liver cirrhosis, also known as decompensated cirrhosis, is a severe condition that significantly impacts overall health and daily functioning. Patients in this stage often experience symptoms such as persistent jaundice, extreme fatigue, loss of appetite, weight loss, recurrent gastrointestinal bleeding, and ascites. Additionally, complications like hepatic encephalopathy may occur, further impairing cognitive function. Given these challenges, it is strongly advised that individuals with advanced liver disease avoid work and focus on medical care.

Proper treatment depends on the underlying cause of cirrhosis. For patients with hepatitis B, antiviral therapy is essential to slow disease progression. Similarly, those with hepatitis C should undergo antiviral treatment. Alcohol-related cirrhosis requires complete abstinence from alcohol, along with liver-protective medications.

In more severe cases, hospitalization may be necessary. Patients suffering from low protein levels, fluid buildup, or frequent bleeding episodes often require intravenous albumin, diuretics, and blood transfusions. Gastrointestinal bleeding is typically managed with medications to lower portal pressure and stop the bleeding. Hepatic encephalopathy demands interventions such as laxatives and ammonia-lowering therapies.

Secondary infections and hepatorenal syndrome are serious concerns for these patients. Infections must be treated aggressively with antibiotics when appropriate. When kidney function declines due to liver disease—known as hepatorenal syndrome—treatment may involve paracentesis, protein supplementation, and diuretics.

In summary, working with end stage liver cirrhosis is not advisable due to the severity of symptoms and the need for intensive medical management. Early intervention and adherence to medical advice can help improve quality of life and potentially extend survival.