Liver Cirrhosis and Abdominal Pain

Patients with liver cirrhosis who experience abdominal pain may be facing two potential conditions. One possibility is portal hypertensive enteropathy, which occurs due to increased pressure in the portal vein. This elevated pressure can lead to intestinal dilation and impaired blood flow, often resulting in gastrointestinal issues such as chronic gastritis or peptic ulcers. In some cases, patients may also suffer from gallstones or chronic inflammation of the biliary system. It is crucial for individuals experiencing these symptoms to undergo diagnostic imaging like upper abdominal ultrasound or CT scans, along with endoscopic evaluation through gastroscopy.

Another common cause of abdominal discomfort in cirrhosis patients is infected ascites. When fluid accumulates in the peritoneal cavity and becomes infected, it can trigger peritonitis, causing significant pain and discomfort. This condition requires prompt medical attention, including possible paracentesis (abdominal fluid drainage) and antibiotic treatment to manage the infection effectively. Early diagnosis and intervention are essential in preventing further complications related to abdominal pain in liver cirrhosis patients.