Cirrhosis Center - Oakland, CAOakland Gastroenterologist Doctors for CirrhosisType of Physician: Gastroenterologist What is a Gastroenterologist? A subspecialty certification by the Board of Internal Medicine; practitioners focus on the stomach, intestines, colon, liver, and gallbladder (digestive organs). The gastroenterologist treats conditions such as abdominal pain, ulcers, diarrhea, cancer, and jaundice and they consult with surgeons when abdominal operations are indicated. Specialty: Gastroenterology Common Name: GI Doctor Gastroenterologist Doctors in Oakland * Northern California Gastroenterology Consultants  Northern California Gastroenterology Consultants  Northern California Gastroenterology Consultants  Northern California Gastroenterology Consultants  Northern California Gastroenterology Consultants  Kaiser Permanente Oakland Medical Center  Kaiser Permanente Oakland Gastroenterology  Kaiser Permanente Oakland Gastroenterology  Kaiser Permanente Oakland Gastroenterology  Kaiser Permanente Oakland Gastroenterology  Kaiser Permanente Oakland Gastroenterology  Kaiser Permanente Oakland Gastroenterology  Kaiser Permanente Oakland Medical Center  Alameda County Medical Center  Alameda County Medical Center Highland Hospital Campus  Gastroenterology Associates of the East Bay  Gastroenterology Associates of the East Bay  Gastroenterology Associates of the East Bay  Gastroenterology Associates of the East Bay  Northern California Gastroenterology Consultants  Gastroenterology Associates of the East Bay  Gastroenterology Associates of the East Bay  Gastroenterology Associates of the East Bay  Gastroenterology Associates of the East Bay  Gastroenterology Associates of the East Bay  Northern California Gastroenterology Consultants  Northern California Gastroenterology Consultants  Northern California Gastroenterology Consultants  San Francisco Digestive Disease Inc  San Francisco Digestive Disease Inc  San Francisco Digestive Disease Inc  Patrick Y Wong MD  North East Medical Service  Dennis L Hamby MD  SFGH Medicine & Gastroenterology Clinic  Frank S Yang MD  Malin Aubry Gores Wang Haddad & Sankaran  Robert J Elsen MD  Miles F Adler MD  Pacific Heights Medical Group  Interventional Endoscopy Services  California Pacific Medical Center Gastroenterology  California Pacific Medical Center Gastroenterology  California Pacific Medical Center Gastroenterology  Vinod Sawhney MD  California Pacific Medical Center Gastroenterology  Interventional Endoscopy Services  California Pacific Medical Center Gastroenterology  Pacific Internal Medicine Associates  Pacific Internal Medicine Associates  Daniel Conlin MD  Pacific Internal Medicine Associates  Pacific Internal Medicine Associates  PACIFIC INTERNAL MEDICINE ASSOCIATES  Pacific Internal Medicine Associates  Center for Digestive Disorders  Center for Digestive Disorders  Center for Digestive Disorders  California Pacific Medical Center Department of Gastroenterology  Frank J Farrell MD  Womens Health Care Clinic  UCSF The Comprehensive Cancer Center  UCSF Medical Center Gastroenterology  UCSF Medical Center Gastroenterology  UCSF Medical Center Gastroenterology  DR, MARTIN S. LIBERMAN  Stephen C Pardys MD  John C Fletcher MD & William Parmer MD Inc  US & International Medicine Wing K King MD  Doctors Office  Doctors Office  Doctors Office  UCSF Medical Center Gastroenterology  UCSF Medical Center Gastroenterology  UCSF Medical Center Gastroenterology  UCSF Medical Center Gastroenterology  UCSF Medical Center Gastroenterology  UCSF Gastroenterology  Dean L Rider MD  UCSF Medical Center Gastroenterology  H David Watts MD  UCSF Medical Center Gastroenterology  UCSF Medical Center Gastroenterology  UCSF Medical Center Gastroenterology  Gastroenterology Specialists Medical Group  Gastroenterology Specialists Medical Group  Gastroenterology Specialists Medical Group  Lawrence B Lusk MD  Sunset Health Services  VA Hospital  UCSF VA Medical Center  Digestive Disease Medical Group  Digestive Disease Medical Group  Digestive Disease Medical Group  Digestive Disease Medical Group  Digestive Disease Medical Group  Mission Primary Care  Robert H Kubin MD  Kenneth T Roost MD  Gastroenterology Consultants of The Peninsula Oakland, CaliforniaOakland is the eighth-largest city in the U.S. state of California and a major West Coast port city, located on San Francisco Bay about eight miles east of the City of San Francisco. Oakland is a major hub city for the Bay Area subregion collectively called the East Bay, and it is the county seat of Alameda County. Upcoming Local Events2012-06-16
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Cirrhosis (Liver)Read the Cirrhosis (Liver) article » What is cirrhosis?
Cirrhosis is a complication of many liver diseases that is characterized by abnormal structure and function of the liver. The diseases that lead to cirrhosis do so because they injure and kill liver cells, and the inflammation and repair that is associated with the dying liver cells causes scar tissue to form. The liver cells that do not die multiply in an attempt to replace the cells that have died. This results in clusters of newly-formed liver cells (regenerative nodules) within the scar tissue. There are many causes of cirrhosis; they include chemicals (such as alcohol, fat, and certain medications), viruses, toxic metals (such as iron and copper that accumulate in the liver as a result of genetic diseases), and autoimmune liver disease in which the body's immune system attacks the liver.
Why does cirrhosis cause problems?The liver is an important organ in the body. It performs many critical functions, two of which are producing substances required by the body, for example, clotting proteins that are necessary in order for blood to clot, and removing toxic substances that can be harmful to the body, for example, drugs. The liver also has an important role in regulating the supply to the body of glucose (sugar) and lipids (fat) that the body uses as fuel. In order to perform these critical functions, the liver cells must be working normally, and they must have an intimate relationship with the blood since the substances that are added or removed by the liver are transported to and from the liver by the blood. The relationship of the liver to the blood is unique. Unlike most organs in the body, only a small amount of blood is supplied to the liver by arteries. Most of the liver's supply of blood comes from the intestinal veins as the blood returns to the heart. The main vein that returns blood from the intestines is called the port... Recommended Reading Related to Cirrhosis (Liver)CT Scan (Computerized Tomography) » CT scan facts
What is a CT scan?Computerized (or computed) tomography, and often formerly referred to as computerized axial tomography (CAT) scan, is an X-ray procedure that combines many X-ray images with the aid of a computer to generate cross-sectional views and, if needed, three-dimensional images of the internal organs and structures of the body. Computerized tomography is more commonly known by its abbreviated names, CT ... Other Related Cirrhosis ArticlesEmergency Contact for Oakland
Nearby Oakland Hospitals *Alta Bates Summit Medical Center Summit Campus Kaiser Permanente Medical Center at Oakland Children's Hospital & Research Center Oakland Alameda County Medical Center Highland Campus Alameda Hospital Alta Bates Summit Medical Center Alta Bates Campus Alta Bates Summit Medical Center Herrick Campus Chinese Hospital Saint Francis Memorial Hospital San Francisco General Hospital California Pacific Medical Center Pacific Campus St Luke's Hospital California Pacific Medical Center Davies Campus UCSF Medical Center at Mount Zion Kaiser Permanente San Francisco Medical Center San Leandro Hospital Kindred Hospital San Francisco Bay Area California Pacific Medical Center East Campus California Pacific Medical Center California Campus St Mary's Medical Center John George Psychiatric Pavilion UCSF Medical Center at Parnassus Alameda County Medical Center Fairmont Campus Doctor's Medical Center San Pablo Laguna Honda Hospital & Rehabilitation Center Eden Medical Center San Francisco VA Medical Center Kaiser Permanente Walnut Creek Medical Center Kaiser Permanente South San Francisco Medical Center Seton Medical Center John Muir Medical Center Walnut Creek Campus St Rose Hospital Kaiser Permanente Hayward Medical Center VA Northern CA Healthcare System at Martinez Contra Costa Regional Medical Center Mills Hospital Mills-Peninsula Health Services San Ramon Regional Medical Center Marin General Hospital Kentfield Rehabilitation & Specialty Hospital John Muir Behavioral Health Center John Muir Medical Center Concord Campus San Mateo Medical Center Kaiser Permanente San Rafael Medical Center St Helena Hospital Center for Behavioral Health Kaiser Permanente Redwood City Medical Center ValleyCare Health System Pleasanton Kaiser Permanente Vallejo Medical Center Sequoia Hospital Sutter Solano Medical Center Seton Medical Center Coastside Washington Hospital Fremont Hospital Menlo Park Surgical Hospital Novato Community Hospital Lucile Packard Children's Hospital Stanford Hospital & Clinics Valley Memorial Hospital Sutter Delta Medical Center VA Palo Alto Health Care System Livermore Division of the VA Palo Alto Healthcare System El Camino Hospital Telecare Solano Psychiatric Health Facility Napa State Hospital NorthBay Medical Center Sonoma Valley Hospital Featured Articles*Provider Directory Terms of Use: The WebMD 'Provider Directory' is provided by WebMD for use by the general public as a quick reference of information about Providers. The Provider Directory is not intended as a tool for verifying the credentials, qualifications, or abilities of any Provider contained therein. Inclusion in the Provider Directory does not imply recommendation or endorsement nor does omission in the Provider Directory imply WebMD disapproval. |
Suggested Reading on Cirrhosis (Liver) by Our Doctors
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Related Diseases & Conditions
34 articles-
Liver Disease
- Liver disease can be cause by a variety of things including infection (hepatitis), diseases such as gallstones, high cholesterol or triglycerides, blood flow obstruction to the liver, and toxins (medications and chemicals). Symptoms of liver disease depends upon the cause; however, common symptoms may include nausea, vomiting, upper right abdominal pain, and jaundice. Treatment depends upon the cause of the liver disease.
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Gallstones
- Gallstones are stones that form when substances in the bile harden. Gallstones (formed in the gallbladder) can be as small as a grain of sand or as large as a golf ball. There can be just one large stone, hundreds of tiny stones, or any combination. The majority of gallstones do not cause symptoms.
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Liver Cancer
- Liver cancer is the fifth most common cancer in the world and the majority of patients with liver cancer will die within one year as a result. Patients with associated cirrhosis caused by chronic hepatitis B or C infections, alcohol, and hemochromatosis are at the greatest risk of developing liver cancer. Many patients with liver cancer do not develop symptoms until the advanced stages of the tumor which usually makes prognosis poor. The combination of an imaging study (ultrasound, CT, or MRI scans) and an elevated blood level of alpha-fetoprotein will most effectively diagnose liver cancer, while a liver biopsy can make a definitive diagnosis. Medical treatments, including chemotherapy, chemoembolization, ablation, and proton beam therapy, are not very effective. Surgical removal of the tumor or a liver transplant may be most effective in certain cases.
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Hepatitis C
- Hepatitis C is an inflammation of the liver due to the hepatitis C virus (HCV), which is usually spread by blood transfusion, hemodialysis, and needle sticks, especially with intravenous drug abuse. Chronic hepatitis C may be treated with interferon, usually in combination with anti-virals.
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Alcoholism
- Alcoholism is a disease that includes alcohol craving and continued drinking despite repeated alcohol-related problems, such as losing a job or getting into trouble with the law.
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Hepatitis B
- The hepatitis B virus is a unique, coated DNA virus belonging to the Hepadnaviridae family of viruses. The course of the virus is determined primarily by the age at which the infection is acquired and the interaction between the virus and the body's immune system. Successful treatment is associated with a reduction in liver injury and fibrosis (scarring), a decreased likelihood of developing cirrhosis and its complications, including liver cancer, and a prolonged survival.
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Ascites
- Ascites, the accumulation of fluid in the abdominal cavity is most commonly caused by cirrhosis of the liver. Some of the other causes of ascites include portal hypertension, congestive heart failure, blood clots, and pancreatitis. The most common symptoms include increased abdominal girth and size, abdominal bloating, and abdominal pain. Treatment depends on the cause of ascites.
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Internal Bleeding
- Internal bleeding occurs when an artery or vein is damaged and blood to escapes the circulatory system and collects inside the body. Internal bleeding can be caused by a variety of situations such as blunt trauma, deceleration trauma, medications, fractures, and spontaneous bleeding. Treatment of internal bleeding depends on the cause of the bleeding.
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Enlarged Spleen (Splenomegaly)
- The spleen enlarges if it is asked to do excessive work in filtering or manufacturing blood cells, if there is abnormal blood flow to it, or if it is invaded with abnormal cells or deposits. Symptoms of an enlarged spleen may include weakness and fatigue, easy bleeding, and poor white blood cell function. Treatment of an enlarged spleen is focused toward the cause of the splenomegaly. Surgery may be required to remove the spleen.
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Jaundice
- Jaundice is a yellowish staining of the skin and whites of the eyes (sclerae) with bilirubin, the pigment found in bile. Jaundice can be an indicator of liver or gallbladder disease, or it may result from the rupture of red blood cells (hemolysis).
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Hyponatremia (Low Blood Sodium)
- Hyponatremia is a condition where the level of sodium in the blood is low. Causes of hyponatremia can occur from excess fluid in the body, or a loss of sodium in body fluid. Some of the symptoms of hyponatremia include headache, muscle cramps or spasm, seizures, weakness and confusion. Treatment of hyponatremia depends on the cause.
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Thrombocytopenia (Low Platelet Count)
- Thrombocytopenia refers to a decreased number of platelets in the blood. There are many causes of thrombocytopenia such as decreased platelet production (viral infections for example rubella, mumps, chickenpox, hepatitis C, and HIV); increased platelet destruction or consumption (for example sulfonamide antibiotics, heparin, blood transfusions, and lupus); or increased splenic sequestration (enlarged spleen due to conditions for example liver disease, blood cancers, and more). Treatment of thrombocytopenia depends on the cause.
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Fatty Liver
- Nonalcoholic fatty liver disease (NAFLD) refers to a wide spectrum of liver disease ranging from simple fatty liver (steatosis), to nonalcoholic steatohepatitis (NASH), to cirrhosis (irreversible, advanced scarring of the liver). All of the stages of NAFLD have in common the accumulation of fat (fatty infiltration) in the liver cells (hepatocytes).
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Insulin Resistance
- Insulin resistance is the diminished ability of cells to respond to the action of insulin in transporting glucose (sugar) from the bloodstream into muscle and other tissues. Causes of insulin can include conditions such as stress, obesity, metabolic syndrome, and steroid use. Some of the risk factors for insulin resistance include fatty liver, heart disease, strokes, peripheral vascular disease, high cholesterol, and smoking. Treatment for insulin resistance are lifestyle changes and if necessary, medication.
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Cystic Fibrosis
- Cystic fibrosis is a disease of the mucus and sweat glands. Cystic fibrosis is an inherited disease. The outcome of the disease leaves the body malnourished, bulky and fouls smelling stools, vitamin insufficiency, gas, painful or swollen abdomen, infertility, susceptible to heat emergencies, and respiratory failure. There is no cure for cystic fibrosis, treatment of symptoms is used to manage the disease.
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Hemochromatosis (Iron Overload)
- Hereditary hemochromatosis (iron overload) is an inherited disorder in which there is excessive accumulation of iron in the body. Individuals may have no symptoms or signs, or they can have severe symptoms and signs of iron overload. The most effective treatment for hemochromatosis is therapeutic phlebotomy.
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Liver
- The liver is the largest solid organ in the body, and is actually an gland. The liver has a wide variety of critical functions such as manufacturing proteins and metabolizing fats and carbohydrates. The liver also eliminates harmful biochemical waste products from the body (alcohol, drugs, toxins). The liver secretes bile that aids in digestion. Examples of diseases of the liver include cirrhosis, hepatitis, cancer, and fatty liver. Symptoms of liver disease include bleeding, easy bruising, edema, fatigue, and jaundice.
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Pleurisy (Pleuritis)
- Pleurisy, an inflammation of the lining around the lungs, is associated with sharp chest pain upon breathing in. Cough, chest tenderness, and shortness of breath are other symptoms associated with pleurisy. Pleurisy pain can be managed with pain medication and by external splinting of the chest wall.
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Gynecomastia
- Gynecomastia, an enlargement of the gland tissue in the male breast is the caused by an imbalance of hormones. Certain medical conditions may also lead to gynecomastia such as cirrhosis, malnutrition, disorders of the male sex organs, kidney failure, thyroid disorders, and medications. Gynecomastia is generally treated with medication, and if necessary surgery.
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Encephalopathy
- Encephalopathy means brain disease, damage, or malfunction. Causes of encephalopathy are varied and numerous. The main symptom of encephalopathy is an altered mental state. Other symptoms include lethargy, dementia, seizures, tremors, and coma. Treatment of encephalopathy depends on the type of encephalopathy (anoxia, diabetic, Hashimoto's, hepatic, hyper - hypotensive, infectious, metabolic, infections, uremic, or Wernicke's) are examples of types of encephalopathy.
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Pleural Effusion
- Pleural effusion is an excess fluid between the two membranes that envelop the lungs. There are two classifications of causes of pleural effusion; transudate and exudate. The treatment of pleural effusion depends on the cause.
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Viral Hepatitis
- Hepatitis is most often viral, due to infection with one of the hepatitis viruses (A, B, C, D, E, F (not confirmed), and G) or another virus (such as those that cause infectious mononucleosis, cytomegalovirus disease). The main nonviral causes of hepatitis are alcohol and drugs. Many patients infected with hepatitis A, B, and C have few or no symptoms of illness. For those who do develop symptoms of viral hepatitis, the most common are flu- like symptoms including: loss of appetite, nausea, vomiting, fever, weakness, tiredness, and aching in the abdomen. Treatment of viral hepatitis is dependant on the type of hepatitis.
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Metabolic Syndrome
- The main features of metabolic syndrome include insulin resistance, hypertension (high blood pressure), cholesterol abnormalities, and an increased risk for clotting. Patients are most often overweight or obese. Lifestyle modification such as the Mediterranean diet, exercise, and quitting smoking are the preferred treatment of metabolic syndrome.
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Primary Biliary Cirrhosis
- Primary Biliary Cirrhosis is a chronic disease characterized by progressive inflammation and destruction of small bile ducts within the liver. The bile ducts transport bile from the liver to the intestine for the absorption of fat and elimination of waste products. The causes of Primary Biliary Cirrhosis may involve autoimmunity, infection, or genetic predisposition, acting alone or in combination. There are many medications and treatment options available for those with this and other associated diseases of Primary Biliary Cirrhosis.
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Male Breast Cancer
- Male breast cancer accounts for 1% of all breast cancers, and most cases are found in men between the ages of 60 and 70. A man's risk of developing breast cancer is one in 1,000. Signs and symptoms include a firm mass located below the nipple and skin changes around the nipple, including puckering, redness or scaling, retraction and ulceration of the nipple. Treatment depends upon staging and the health of the patient.
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Portal Hypertension
- Portal hypertension is most commonly caused by cirrhosis, a disease in which results from scarring of a liver injury. Other causes of portal hypertension include blood clots in the portal vein, blockages of the veins that carry the blood from teh liver to the heart, and a parasitic infection called schistosomiasis.
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Coma
- Coma is the inability to waken or react to the surrounding environment. The Glasgow Coma Scale is frequently used to measure the depth of coma. Causes of coma include trauma, bleeding, edema, lack of oxygen, poisoning, or hypoglycemia. Prognosis for a patient in a coma depends on the cause of the coma.
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Primary Sclerosing Cholangitis (PSC)
- Primary sclerosing cholangitis (PSC) is a chronic, progressive disease of the bile ducts that channel bile from the liver into the intestines. There is an association between primary sclerosing cholangitis and ulcerative colitis and Crohn's disease. Symptoms of primary sclerosing cholangitis include abnormal liver blood tests, itching, fatigue, and jaundice. Primary sclerosing cholangitis is treated with medications and in some cases, liver transplant.
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The Digestive System
- Digestion is the complex process of turning food you eat into the energy you need to survive. The digestive process also involves creating waste to be eliminated, and is made of a series of muscles that coordinate the movement of food.
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