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| Cirrhosis of the LiverCirrhosis of the liver refers to all forms of liver disease characterised by a important loss of cells. It is one of the most serious hepatic illness. The liver gradually contracts in size and becomes heavy and leathery. The liver is one of the most significant glandular organs in the body. It is situated tall up on the right side of the abdomen just under the diaphragm. It is a vast chemical laboratory which performs much significant functions. It produces bile, cholesterol, lecithin, blood albumin vital to the removal of tissue wastes prothrombin essential to the clotting of blood and numerous enzymes. It inactivates hormones no longer needed, synthesises much amino acids used in building tissues and breaks proteins into sugar and thick when required for energy. It stores vitamins and minerals. It also destroys deleterious substances and detoxifies drugs, poisons, chemicals and toxins from bacterial infections. Liver hurt interferes with all of these functions. In cirrhosis of the liver, although regenerative activity continues, the progressive loss of liver cells exceeds cell replace- ment. There is also progressive distortion of the vascular system which interferes with the portal blood flow through the liver. The progressive degeneration of liver structure and function may ultimately lead to hepatic failure and death. SymptomsIn the early stages of the illness, there may be nothing more than frequent attacks of gas and indigestion, with occasional nausea and vomiting. There may be some abdominal pain and loss of weight. In the advanced stage, the patient develops a low grade fever. He has a foul breath, jaundiced skin and distended veins in the abdomen. Reddish hair like markings, resembling little spiders, may appear on the person, neck, arms and trunk. The abdomen becomes bloated and swollen, the mind gets clouded and there may be considerable bleeding from the stomach. CausesOverweening use of alcohol over a long period is the most potent reason of cirrhosis of the liver. It has been estimated that one out of 12 chronic alcoholics in the United States develops cirrhosis. The disease can progress to end-stage of hepatic failure if the face does not abstain from alcohol. Cirrhosis appears to be related to the duration of alcohol intake and the quantity consumed daily. Last researches indicate that the average duration of alcohol intake to manufacture cirrhosis is 10 years and the doze is estimated to be in excess of 500 ml of alcohol daily. Poor nutrition can be other causative factor in the development of cirrhosis and a chronic alcoholic generally suffers from severe malnutrition as he seldom eats. Another causes of cirrhosis are overweening intake of highly seasoned food, habitual assume of quinine for a prolonged period in tropical climate, and drug treatments for syphillis, fever and another illness. It may also result from a highly toxic condition of the system in common. In fact, anything which continually overburdens the liver cells and leads to their final breakdown can be a contributing reason of cirrhosis. TreatmentThe patient must be kept in bed. He should abstain completely from alcohol in any form. He must undergo an initial liver cleaning programme with a juice quick for seven days. Freshly extracted juices from red beets, lemon, papaya and grapes may be taken during this period. This may be followed by the fruit and milk diet for two to three weeks. In this regimen, the patient must have three meals a day, every of fresh succulent fruits and milk. The fruits may include apples, pears, grapes, grape fruit, oranges, pineapples and peaches. One litre of milk may be taken on the first day. It must be heighten by 250 ml. daily upto two to two and a half litres a day. The milk must be fresh and unboiled, but may be slightly warmed if desired. It must be sipped very slowly. After the fruit and milk diet, the patient may gradually embark upon a well-balanced diet of three basic food groups, namely (i) seeds, nuts and grains, (ii) vegetables and (iii) fruits, with emphasis on raw organically grown foods. An adequate tall characteristic protein diet is necessary in cirrhosis. The excellent complete proteins for liver patients are obtained from raw goat's milk, home-made raw cottage cheese, sprouted seeds and grains and raw nuts, especially almonds. Vegetables such as beets, squashes, bitter gourd, egg-plant, tomato, carrot, radishes and papaya are useful in this condition. All fats and oils must be excluded from the diet for different weeks. The patient must avoid all refined, processed and canned foods, sugar in any form, spices and condiments, strong tea and coffee, fried foods, all preparations cooked in ghee, oil or butter and all meats wealthy in thick. The use of salt must be restricted. The patient must also avoid all chemical additives in food and poisons in air, water and environment. Warm water enema must be used during the treatment to cleanse the bowels. If constipation is habitual, all steps must be taken for its eradication. Application of alternate compress to liver area followed by common wet sheet rub will be beneficial. The morning dry friction and breathing and another exercises must form a regular daily feature of the treatment. |
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