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Gastroenterology

Liver Cirrhosis

Liver cirrhosis is the end stage of chronic liver disease, where repeated scarring (fibrosis) replaces healthy liver tissue, impairing the liver's ability to filter toxins, produce proteins, and support digestion. Common causes include chronic hepatitis B or C infection, alcoholic liver disease, and non-alcoholic fatty liver disease (NAFLD). Compensated cirrhosis can be managed medically, but decompensated cirrhosis (with ascites, jaundice, or bleeding) often requires liver transplantation. Iswarya Hospital's Surgical Gastroenterology department, led by Prof. Dr. G. Manoharan, performs both living donor and cadaveric liver transplants with outcomes comparable to international standards.

⚠️ Common Symptoms

  • Jaundice (yellow skin and eyes)
  • Ascites — fluid accumulation causing abdominal swelling
  • Persistent fatigue and weakness
  • Easy bruising or prolonged bleeding from minor cuts
  • Confusion or drowsiness (hepatic encephalopathy)
  • Vomiting blood or black stools (from variceal bleeding)
  • Spider angiomas and palmar erythema (red palms)

🚨 When to See a Doctor

For severe, sudden or rapidly worsening symptoms, do not wait for an appointment callback. Seek emergency care. For a routine concern, our care team can help you choose the appropriate specialist. This page cannot diagnose your symptoms.

🏥 Treatment at Iswarya Hospital

Led by Prof. Dr. G. Manoharan, one of India's most distinguished Surgical Gastroenterologists and Liver Transplant Specialists, specializing in advanced surgeries for gastrointestinal, liver, pancreatic, and biliary disorders.

Liver TransplantationLaparoscopic GI SurgeryPancreatic SurgeryBiliary SurgeryColorectal SurgeryBariatric Surgery
View Surgical Gastroenterology & Liver Transplant Department →

👨‍⚕️ Our Gastroenterology Specialists

Prof. Dr. G. Manoharan
Prof. Dr. G. Manoharan

MBBS, MS, MCh, FICS

30+ Years Experience

Dr. Durai Ravi
Dr. Durai Ravi

MBBS, MS (General Surgery), FIAGES, FMAS, FALS, FARIS, FACS (USA)

15+ Years Experience

Dr. Umashankar U S
Dr. Umashankar U S

MBBS, MD (Gen. Med.), DM (Med. Gastro), PDF (Adv. Therapeutic Endoscopy) Consultant Gastroenterologist, Hepatologist & Therapeutic Endoscopist

11+ Years Experience

ℹ️ This information is for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional for diagnosis and treatment.

Plan your first visit

Not sure which specialist to see? Tell our care team the reason for your visit and we will help you choose.

  • Bring previous prescriptions, relevant test reports or scan images, a medication list and photo ID.
  • If you plan to use insurance, bring your policy details. OPD, tests and admission benefits depend on your individual plan and approval.
  • Your first consultation determines which tests or treatments are needed; not everyone needs every test listed on this page.

Appointments are requests until confirmed. In a medical emergency, call 044 2025 2025 or go to the nearest emergency department.

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