Expert Care to Slow Liver Damage and Prevent Complications
Cirrhosis is advanced scarring of the liver that builds up over years of ongoing liver damage. The scarring replaces healthy tissue and gradually reduces how well the liver works. Early cirrhosis can stay stable for a long time, so the goal of care is to protect remaining function and prevent complications.
Common causes include long-term heavy alcohol use, chronic hepatitis B or C, and fatty liver disease (MASLD/NASH). Less common causes include autoimmune and inherited liver diseases. Identifying and treating the cause is central to slowing the disease.
Early cirrhosis often causes few symptoms. As it advances, it can cause fatigue, easy bruising, swelling in the legs or belly (ascites), and yellowing of the skin (jaundice). Emergency signs such as confusion, vomiting blood, or black stools require immediate care.
At Shaya Digestive & Liver Clinic, evaluation begins with a detailed discussion of symptoms, diet, medical history, medications, and lifestyle factors. Diagnostic evaluation may include:
Comprehensive Medical History
Understanding symptom patterns often provides valuable clues.
Blood Testing
Laboratory studies may help identify:
H. pylori Testing
Testing may be recommended when stomach-related symptoms are present.
SIBO Breath Testing
Used to evaluate bacterial overgrowth within the small intestine.
Colonoscopy
May be recommended depending on age, symptoms, family history, and risk factors.
Upper Endoscopy (EGD)
Can help evaluate reflux, gastritis, ulcers, and upper digestive tract disorders.
Dr. Saranya Addepally is a board-certified gastroenterologist with six years of clinical experience, treating a broad range of digestive and liver conditions. She is especially passionate about women’s GI health—areas where patients often feel overlooked or hesitant to seek care.
Her medical journey began in India, where she completed her training before moving to the United States to pursue advanced education in medicine and Gastroenterology at the University of Arkansas.
After several years in practice, she relocated to Houston to continue serving patients in the community. Following two years with a local group, she established her own practice, grounded in the principles and core values she believes are essential to delivering thoughtful, patient-centered care.
Cirrhosis is advanced scarring of the liver from long-term damage. The scarring reduces how well the liver works over time.
Common causes are long-term heavy alcohol use, chronic hepatitis B or C, and fatty liver disease. Autoimmune and inherited conditions can also cause it.
Established scarring is usually permanent, but treating the cause can stop or slow further damage and, in early cases, allow some improvement.
Complications include fluid buildup, bleeding from enlarged veins (varices), confusion, and an increased risk of liver cancer, all of which are monitored.
Care includes regular blood tests, imaging, FibroScan, and screening for liver cancer and varices to catch problems early.
In advanced cirrhosis, when the liver can no longer keep up, a transplant may be considered. Your specialist will guide you on evaluation.
Care focuses on treating the cause, protecting liver function, and preventing complications. After assessing your liver, your specialist builds a plan that may include:
At Shaya Digestive & Liver Clinic, we provide:
There is no single “quick fix” for cirrhosis, but progression can often be slowed or stopped. See a specialist promptly for known liver disease or abnormal tests, and get urgent care for confusion or vomiting blood. At Shaya Digestive & Liver Clinic we focus on protecting your liver and quality of life. To help:
Offering Fast Track GI appointments
Specialized Gastroenterology Appointments Within 3–5 Business Days
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