Quick summary – cirrhosis
- Cirrhosis is permanent scarring of the liver caused by damage over a long time.
- Cirrhosis is a later stage in many types of liver disease.
- It is a serious condition, but many people don’t know they have it and feel well.
- Many people with cirrhosis will not die from it.
- Cirrhosis is usually diagnosed using blood tests and scans.
- There are different stages of cirrhosis.
- ‘Compensated’ or stable liver cirrhosis is when the liver has permanent scarring but is working OK. Your body is able to cope with the damaged liver.
- People with compensated cirrhosis might not feel ill. You can live for years with compensated cirrhosis.
- ‘Decompensated’ liver cirrhosis means that your body is no longer coping with the scarring, and your liver is not able to function properly.
- Cirrhosis can go from compensated to decompensated in different ways. This can be hard to predict. It can be caused by triggers such as infections or alcohol intake.
- People with decompensated cirrhosis can be very unwell. They may have complications that affect other parts of their body. They often need urgent treatment.
- It is often possible to slow down compensated cirrhosis to stop it becoming decompensated. Usually by stopping or treating whatever is causing the damage.
- It is also possible to reverse decompensation. Usually by treating the cause of the liver damage or the trigger.
- The only cure for cirrhosis is a liver transplant. Not everyone will need or be able to have a transplant.
- Other treatment is focused on helping with symptoms and managing complications.
Causes
The stages of long term liver disease
- What is fatty liver?
- What is hepatitis?
- What is fibrosis?
What causes cirrhosis?
- What causes cirrhosis
- Compensated and decompensated cirrhosis
- Acute on chronic liver failure (ACLF)
- Useful words glossary
Symptoms and diagnosis
Symptoms of cirrhosis
- Red flag emergency symptoms and what to do
- Other cirrhosis symptoms
- Talking to your doctor
Tests and scoring systems
- Questions from your doctor
- Blood tests
- Imaging tests
- Biopsy
- Endoscopy
- Cirrhosis scoring systems
Treatment
Treatment for liver cirrhosis
- Treatments for compensated cirrhosis
- Treatments for decompensated cirrhosis
Screening
- What happens in your liver cancer checks
- Who should have checks?
- Liver disease and liver cancer
Liver transplant
- Liver donors
- Transplant assessment
- Waiting for a liver transplant
- The transplant operation
- Life after liver transplant
- Information for families and carers
Complications and related conditions
Hepatic encephalopathy (HE)
Hepatic encephalopathy can cause memory problems, confusion, and sleepiness.
Find out morePortal hypertension
Portal hypertension is an increase in the pressure in one of the major veins in your liver.
Find out moreAscites
Ascites is a build-up of fluid in your belly (abdomen). It can be very uncomfortable.
find out moreVarices and variceal bleeding
Varices are small veins in your digestive system that have become swollen because of cirrhosis.
find out moreThrombocytopenia
Thrombocytopenia is also called a low platelet level or a low platelet count. Platelets help your blood to clot and stop bleeding or bruising.
find out moreOsteoporosis
Osteoporosis is a condition that weakens your bones. This makes it more likely that you will get a fracture.
find out moreLiver cancer
Sometimes cirrhosis can cause liver cancer. This HCC can be treated if it is found early.
find out moreLiving with cirrhosis
Living with cirrhosis
- Things to ask your medical team
- Cirrhosis when you have other conditions
- Thinking about the future
- More information from The British Liver Trust
- Getting support
Cirrhosis information to download

What is cirrhosis? Important information to download or print
Download
Questions to ask at your doctor if you have cirrhosis
Download
Decompensated cirrhosis - your general health and wellness
Download
Hepatic encephalopathy (HE)
Download
Ascites - swelling of your belly with fluid
Download
Varices and variceal bleeding
DownloadAbout this information
Our information aims to be clear, up-to-date, and useful. We work with people living with liver disease and expert clinicians to make our information.
Everyone’s experience of cirrhosis will be different. Always talk to your specialist medical team for personal advice.
Find our how we make our patient information
If you would like a printed copy of our information please get in touch using the contact details at the end of the page.
Special thanks:
We would like to thank all of the medical specialists, and people with personal experience of cirrhosis who helped us to plan, develop, and review this information.
Including, Dr Vishal Patel, Consultant Hepatologist, Kings College hospital, Dr Victoria Kronsten, Senior Clinical Research Fellow in Hepatology, King’s College Hospital, Katharine Caddick, Consultant Nurse, North Bristol Trust, Maria-Emanuela Maxan, Senior Clinical Research Fellow in Hepatology, King’s College Hospital and Claire Smith, Hepatology Clinical Nurse Specialist.
Publication date: February 2025
Next review: February 2028

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