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Published on: Aug 30, 2021
2 minute read
By: Dr Rakesh Rai

What Are The Causes Of Liver Cirrhosis?

"What are the causes of liver cirrhosis?"

Several diseases can lead to cirrhosis of the liver, which is characterized by hardening and scarring to the organ's tissue. These include alcoholism, hepatitis C, chronic hepatitis B, and fatty liver disease.

Smoking, drinking too much alcohol, and hepatitis infection. Smoking and excessive drinking can lead to liver cirrhosis because they reduce the amount of oxygen and nutrients delivered to the liver. Smokers also have an increased risk of developing alcoholic hepatitis if they drink as well. Diseases such as chronic pancreatitis, a condition often caused by alcoholism, may also cause cirrhosis. Hepatitis infections are one prime example; people who will contract this type of virus have a greater likelihood of developing the liver disease later in life than those who haven't been exposed to it.

Cirrhosis is a condition that results when healthy cells inside the liver are replaced by scar tissue because of an injury, infection, or chronic disease. This eventually reduces the functionality of the organ and may eventually lead to liver failure, which in many cases can necessitate a transplant. Prevention and early detection for common conditions associated with liver cirrhosis should be pursued such as hepatitis B or C or Wilson’s Disease (a rare genetic disorder). Treatment options vary depending on the severity of cirrhosis but may include alcohol abstinence, medication to promote regeneration of diseased hepatocytes (specialized cells in the lining), surgery to remove any pools of blood/scar tissue from within the abdominal cavity that would otherwise compress other organs.

There are many possible causes, including genetics, diseases of the biliary tract system, drugs, and alcohol abuse. The cirrhotic liver has less elasticity than a typically healthy liver. This can lead to ruptured blood vessels within the organ that will cause bleeding into the cavity of the organ. The result of this bleeding is swelling and destruction of cells in that area; it's also called 'cirrhosis.' As cirrhosis progresses, there are limits to how much your damaged liver can work towards cleansing and detoxifying your body by removing poisons or toxins from the food you eat - because a damaged liver cannot produce enough bile that helps aid digestion.

There are many causes for liver cirrhosis, so it's not as though we can generalize. Some symptoms of liver damage include jaundice (yellowing skin) and frequent urination. Most signs of liver failure occur only in the advanced stages when the organ becomes too large to be compensated for by other organs or systems of the body. One should also note that alcohol is a primary cause of cirrhosis and often comes with other complications such as malnutrition, high blood pressure, and diabetes.

A) Symptoms of liver cirrhosis include jaundice, bruising easily, abnormal swelling in the legs and abdomen.

B) Hepatitis is a potential cause of liver cirrhosis.

C) Liver cancer can also produce symptoms related to liver cirrhosis such as enlarged lymph nodes or fluid buildup in the abdomen.

D) People who have eaten too much alcohol for many years are more likely to develop chronic alcohol abuse which destroys the cells on your liver causing it to stop functioning for good resulting in death. (this answer would be an ideal opportunity for advertising a medical consultation site but just mentioning their name could result in being reported)

E) Long-term exposure to viral hepatitis B or C

There are many causes of liver cirrhosis. Open sores on the skin, inflammation of the liver (cirrhosis), gall bladder problems, heavy drinking/overuse of alcohol, viral hepatitis, or other infections that cause scarring in the liver.

Liver cirrhosis is most often caused by chronic or acute alcoholism, drug abuse, hepatitis C, and other conditions that impair liver function. Liver cirrhosis causes your liver to be enlarged as its cells increase in number and fill up with fat. Liver cells normally work to get rid of any extra substances found in the blood and body fluids because these substances can cause damage to various organs including the liver. As diseased cells accumulate rapidly in the liver, they cannot do their job efficiently leading to additional organ damage such as end-stage renal disease. This whole process exposes you more easily to viruses such as hepatitis B and C which ultimately leads to advanced disease of the lungs called "cryptogenic pulmonary alveolar proteinosis".

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Asthma Symptoms in Adults: Early Signs, Triggers, and When to Seek Care

Asthma is often perceived as a childhood condition, but a significant number of cases develop or persist into adulthood. In India, adult asthma is increasingly recognised due to rising air pollution, occupational exposure and lifestyle-related risk factors. Unfortunately, asthma symptoms in adults are frequently misdiagnosed as recurrent infections, allergies or age-related breathlessness, leading to delayed treatment.

Understanding adult asthma symptoms is critical for early diagnosis, effective control and prevention of severe attacks.

What Is Asthma?

Asthma is a chronic inflammatory disease of the airways. In asthma, the airways become:

inflamed
narrow
overly sensitive to triggers

This leads to difficulty in breathing, especially during exposure to specific stimuli.

Why Adult Asthma Is Often Missed

Adult asthma symptoms may:

appear gradually
vary in severity
mimic common respiratory conditions

According to Indian Council of Medical Research and WHO data, many adults remain undiagnosed for years, increasing the risk of complications.

Common Asthma Symptoms in Adults

Wheezing

A high-pitched whistling sound while breathing, especially during exhalation, is a classic asthma sign.

Shortness of Breath

Adults with asthma often feel:

breathless during routine activities
difficulty taking deep breaths

This may worsen at night or early morning.

Chest Tightness

Many describe a sensation of pressure or tightness in the chest, which can be mistaken for heart-related issues.

Chronic Cough

A persistent cough, especially:

at night
early morning
after exercise

is a common but overlooked asthma symptom.

Symptoms That Worsen With Triggers

Asthma symptoms often intensify after exposure to specific triggers.

Air Pollution and Smoke

Urban pollution, vehicle emissions and indoor smoke significantly worsen asthma symptoms in adults.

Allergens

Dust mites, pollen, mould and pet dander are common triggers.

Respiratory Infections

Viral infections can trigger asthma flare-ups or reveal undiagnosed asthma.

Physical Activity

Exercise-induced asthma causes breathlessness and wheezing during or after physical exertion.

Weather Changes

Cold air, humidity and sudden temperature changes can aggravate symptoms.

Adult-Onset Asthma

Adult-onset asthma differs from childhood asthma.

Characteristics include:

onset after age 20–30
less association with childhood allergies
more persistent symptoms
higher likelihood of severe disease

Occupational exposure and hormonal changes contribute to adult-onset asthma.

Risk Factors for Asthma in Adults

Several factors increase asthma risk:

long-term exposure to pollution
smoking or passive smoking
occupational chemicals or dust
obesity
family history of asthma
chronic sinusitis or allergies

Women may experience asthma onset or worsening during hormonal changes.

When Asthma Symptoms Become Serious

Seek immediate medical attention if experiencing:

severe breathlessness
difficulty speaking in full sentences
bluish lips or fingertips
rapid worsening of symptoms
poor response to usual inhalers

These signs indicate a potentially life-threatening asthma attack.

How Adult Asthma Is Diagnosed

Diagnosis includes:

detailed symptom history
physical examination
lung function tests (spirometry)
response to bronchodilators

Early diagnosis improves long-term outcomes.

Impact of Untreated Asthma

Untreated asthma can lead to:

frequent attacks
reduced lung function
sleep disturbances
missed workdays
reduced quality of life

According to Lancet respiratory studies, uncontrolled asthma increases hospitalisation risk.

Managing Asthma Symptoms in Adults

Effective asthma management focuses on:

identifying and avoiding triggers
using prescribed inhalers correctly
monitoring symptoms regularly
maintaining follow-up care

Asthma action plans help patients recognise worsening symptoms early.

Role of Preventive Healthcare

Preventive healthcare helps:

detect asthma early
assess lung function
guide lifestyle modifications

Regular health checkups are especially important for individuals with respiratory symptoms or occupational exposure.

Lifestyle Measures That Support Asthma Control

Helpful practices include:

avoiding smoking
improving indoor air quality
wearing masks in polluted environments
maintaining healthy weight
regular, moderate exercise

Lifestyle support complements medical treatment.

Mental Health and Asthma

Stress and anxiety can worsen asthma symptoms.

Stress management:

reduces symptom frequency
improves medication response

Holistic care improves asthma outcomes.

Importance of Medication Adherence

Asthma medications work best when:

taken regularly as prescribed
inhaler technique is correct

Skipping treatment increases flare-up risk.

Long-Term Outlook for Adults With Asthma

With proper management:

symptoms are well controlled
severe attacks are preventable
normal activity levels are achievable

Most adults with asthma lead active, productive lives.

Conclusion

Asthma symptoms in adults are often subtle, variable and easily mistaken for common respiratory problems. Wheezing, breathlessness, chest tightness and chronic cough should not be ignored, especially when triggered by pollution, exercise or weather changes. Early diagnosis, trigger control and consistent treatment are essential to prevent severe attacks and preserve lung health. Recognising adult asthma early empowers individuals to manage symptoms effectively and maintain a good quality of life.

References

Indian Council of Medical Research (ICMR) – Respiratory Disease and Asthma Studies
World Health Organization (WHO) – Asthma Management and Prevention Guidelines
National Family Health Survey (NFHS-5) – Respiratory Health Indicators
Lancet Respiratory Medicine – Adult Asthma Outcomes and Management
NITI Aayog – Air Pollution and Respiratory Health Reports
Statista – Global Asthma Prevalence and Trends

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