What is arthritis?

Arthritis is a disease that causes inflammation in one or more joints. There are many types of arthritis, such as osteoarthritis, rheumatoid arthritis, and septic arthritis. Some types cause inflammation in the joints. Other types wear away the cartilage between joints. This makes the bones of the joint rub together when you move the joint. Your symptoms may be constant, or symptoms may come and go. Arthritis often gets worse over time and can cause permanent joint damage.

What increases my risk for arthritis? 

•     A family history of arthritis

•     Infection, trauma, or injury to the joint

•     Obesity

•     A disease such as diabetes, heart disease, hypothyroidism, or psoriasis

•     An immune deficiency disorder, such as AIDS or lupus

What are the signs and symptoms of arthritis? 

•     Pain, swelling, or stiffness in the joint

•     Limited range of motion in the joint

•     Warmth or redness over the join

•     Tenderness when you touch the joint

•     Stiff joints in the morning that loosen with movement

•     A creaking or grinding sound when you move the joint

•     Fever

How is arthritis diagnosed? 

•     Blood tests are used to measure the amount of inflammation in your body

What causes them?

What can I do about anal fissures?

Anal fissures usually respond to treatment at home. Sitz baths (sitting in warm water) may be all that you need. You can sit in the tub or buy a plastic sitz bath device that fits into a toilet, available at large pharmacies and medical supply stores. Take several 10-15 minute sitz baths daily. If you work outside the home, try taking a sitz bath in the morning, upon your return from work and before bedtime. Be sure to dry the rectal area thoroughly after each sitz bath.

Stool softeners can help reduce pain during bowel movements. Special medicated creams may also be helpful. Once the fissure has healed, it is important to make lifestyle changes. Adding more fiber to your diet, drinking plenty of water, and getting regular exercise will help to prevent constipation, the cause of most anal fissures.

How can I get more fiber in my diet?

High-fiber foods include beans, broccoli, carrots, bran, whole grains and fresh fruits. Ask your doctor for patient handouts on dietary fiber and fiber content of foods. To avoid bloating and gas, add fiber-rich foods gradually over a period of several days. Drinking enough fluids (six to eight cups a day) will help you digest fiber and also help soften stools.

Home Treatments for Anal Fissures

To avoid making anal fissures worse:

What are tension headaches?

Almost everyone has a headache from time to time. Tension headaches are by far the most common kind. People generally describe tension headaches as causing a dull pain in the forehead or at the sides and back of the head. Many people describe a tight feeling, as if a too-small hatband is squeezing the head. Some people also notice tenderness around the head, neck and shoulders. Tension headaches come on gradually and can last for as little as 30 minutes or as long as several hours or even days. The pain is usually mild to moderate. However, tension headaches can lead to other problems such as insomnia, fatigue, irritability, loss of appetite and difficulty concentrating.

What causes tension headache?

The exact cause of tension headache is unknown. In the past, doctors thought that tension headaches were connected to muscle contractions in the face, neck and scalp. They believed that these contractions were caused by tension or stress, thus the name ’tension headache.’ Although stress and lack of sleep are the most frequent triggers of tension headaches, doctors now believe that this kind of headache actually develops from changes in certain brain chemicals such as serotonin and endorphins.

Migraine may trigger tension headaches in people who have both kinds of headaches. Because women are somewhat more likely than men to develop tension headaches, some doctors suspect that there could also be a link with fluctuating estrogen levels. The formal medical name for tension headache is now tension-type headache to show that the connection between tension and these headaches is no longer considered direct.

What can I expect my doctor or nurse to do?

Your doctor or nurse will ask questions about your general health and your family’s health history. Sometimes headaches happen because of other medical problems and your doctor will want to rule out that possibility. You may have a physical exam.

You will also be asked questions about your symptoms - how often you have headaches and what the pain is like. There are three types of tension headaches based on how frequently they occur:

•       Infrequent episodic tension headaches occur one day a month or less and the pain is usually mild

•       Frequent episodic tension headaches occur at least once but no more than 14 days a month and the pain can be mild to moderate

•       Chronic tension headaches occur 15 days or more each month and have been recurring for at least 6 months. The pain may be mild to severe

There are no medical tests to tell you are having tension headaches. The doctor will rely on the physical exam and your description of your symptoms for a diagnosis.

What is the treatment for tension headaches?

The treatment your doctor recommends for you will depend on how severe your headaches are and how often you have them. In most cases, over-the-counter (OTC) medicines are the first thing the doctor suggests. You may find fast, effective relief by taking OTC pain relievers such as aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin, Advil), acetaminophen (Tylenol) and naproxen (Naprosyn, Aleve). In some cases, people find more relief with combination medicines such as aspirin or acetaminophen combined with caffeine. People with stomach problems, kidney disease and bleeding conditions should not use aspirin or NSAIDs. 

People with severe chronic tension headaches may require stronger painkillers or preventive medicines to reduce the frequency and severity of headache pain. These include prescription medicines such as isometheptene combinations (Midrin, Duradrin) or butalbital combinations(Fiorinal, Fioricet). In a few cases, the doctor may recommend a group of medicines called triptans, medicines that act on serotonin, one of the chemicals that may be involved in triggering tension headaches.

Doctors sometimes prescribe antidepressants to prevent tension headache, especially the chronic form. These medicines are not painkillers and the doctor is not prescribing them because you are depressed. Instead, certain antidepressants work on headache by stabilizing the levels of brain chemicals such as serotonin, which may be involved in the development of your headaches.

It is important to know that frequent use of some prescription pain relievers could lead to dependency. Using any pain reliever too often may cause a ‘rebound effect’ in which the medicine interferes with the body’s natural painkilling mechanism, causing the pain to return, even stronger than before, once the medicine wears off. Also, some painkillers, prescription and OTC, can interact with other prescription or OTC medicines, so it's a good idea to check with your doctor about the benefits and risks of taking any medicine. Ask your doctor if you are not sure what medicine is right for you.

What can I do to help take care of myself?

Learning a stress management technique, such as meditation or yoga, often helps. Regular exercise is also beneficial. It’s also important to get enough sleep and maintain a healthy diet. Some people find that good posture helps them avoid headaches. Try to avoid sitting, standing or working in one position for long periods of time. Alternative therapies such as biofeedback, relaxation therapy, massage, and acupuncture may also help prevent and/or relieve tension headaches.

When should I call the doctor or nurse?

Seek medical care quickly for a headache that comes on rapidly, is unusually severe, or is far different from other headaches that you have had. Headaches that waken you from a sound sleep, are worse when lying down or worsen over time, come with fever or a stiff neck, follow a head injury, come with disturbed speech, numbness, weakness, blackouts or difficulty remembering things are not typical for a tension headache. Discuss these problems with your doctor promptly.

This document is intended to provide health related information so that you may be better informed. It is not a substitute for your care team’s medical advice and should not be relied upon for treatment for specific medical conditions.

© 2017 The General HospitalCorporation.

Primary Care OfficelnSite

developed by the MGH Laboratory of Computer Science and Division of General Internal Medicine

What is jaundice? 

Jaundice is yellowing of your newborn's eyes and skin. It is caused by too much bilirubin in the blood. Bilirubin is a yellow substance found in red blood cells. It is released when the body breaks down old red blood cells. Bilirubin usually leaves the body through bowel movements. Jaundice happens because your newborn's body breaks down cells correctly, but it cannot remove the bilirubin. Jaundice is common in newborns. It usually happens during the first week of life.

What increases the risk for jaundice in newborns? 

•      Sepsis (blood infection) or a blood disorder, such as the mother and newborn having different blood types

•      Passing through a narrow birth canal and developing a large bruise on the head

•      Not enough breast milk

•      Premature birth that prevents the liver from developing correctly

•      Liver disease, biliary atresia (bile duct disorder), or an infection

How is jaundice diagnosed?

Your newborn's healthcare provider will check your newborn's skin and eyes. Tell the provider how long your newborn has had signs of jaundice. Tell him or her if you or your newborn have a blood disease, different blood types, or if any siblings also had jaundice. Tell the provider if your newborn was bruised during birth or has trouble breastfeeding. Your newborn may also need blood tests to check for bilirubin and to measure red blood cell levels. These tests will show if he or she has jaundice or is at risk for developing it.

How is jaundice treated in newborns? 

Jaundice often goes away on its own. If it continues or becomes severe, your newborn may need treatment. This may happen at home or in the hospital. You will be able to stay with him or her in the hospital so you can continue to breastfeed. Treatment for jaundice includes the following:

•      Phototherapy is a procedure that uses light to turn bilirubin into a form that your newborn's body can remove. One or more lights will be placed above your newborn. He or she will be placed on his or her back to absorb the most light. Your newborn may also lie on a flexible light pad, or his or her healthcare provider may wrap him or her in the light pad. Eye covers may be used to protect his or her eyes from the light. Do notput your newborn in direct sunlight. He or she may get a sunburn or become dehydrated. The only light therapy your newborn should have is phototherapy guided by a healthcare provider

•      Exchange transfusion is a procedure used to replace part of your newborn's blood with blood from a donor. This will be done in the hospital and may be used if your newborn has severe jaundice

How can I help decrease my newborn's risk for jaundice? 

Breastfeed your newborn as early and as often as possible. Talk to your newborn's healthcare provider about using formula along with breast milk if you do not produce enough breast milk alone. Look for signs of thirstin your newborn, such as lip smacking and restlessness. Try to breastfeed 8 to 12 times daily for the first few days to boost your milk supply. Ask your healthcare provider for help if you have trouble breastfeeding.

When should I seek immediate care? 

•      Your newborn has a fever

•      Your newborn is limp (too weak to move)

•      Your newborn moves his or her legs in a cycling motion

•      Your newborn changes his or her sleep patterns

•      Your newborn has trouble feeding, or he or she will not feed at all

•      Your newborn is cranky, hard to calm, arches his or her back, or has a high-pitched cry

•      Your newborn has a seizure, or you cannot wake him or her

When should I contact my newborn's pediatrician? 

•      Your newborn has new or worsened yellow skin or eyes

•      You think your newborn is not drinking enough breast milk, or he or she is losing weight

•      Your newborn has pale, chalky bowel movements

•      Your newborn has dark urine that stains his or her diaper

CARE AGREEMENT:

You have the right to help plan your baby's care. Learn about your baby's health condition and how it may be treated. Discuss treatment options with your baby's caregivers to decide what care you want for your baby. 

© 2017 Truven Health Analytics LLC All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

What is an insulin pen? 

An insulin pen is a device used to inject insulin. The pen contains a cartridge of insulin. The pen may be reusable or disposable. You may need a different pen for each type of insulin you use. 

How do I get the insulin ready to use? 

•      Check the label and color of the insulin. Check that you have the correct type and strength of insulin. Insulin pens are available as U100 and U500 strengths. Also check the expiration date on the label. Use a new cartridge or pen if the expiration date has passed. Short or rapid-acting insulin should be clear, colorless, and free of particles or clumps. Use a new cartridge or pen if the insulin does not look right. Follow the pen manufacturer's instructions for inserting a new cartridge into a reusable pen

•      Mix cloudy insulin. Gently roll the pen back and forth between the palms of your hands. Repeat this 10 times. Do not shake the pen. This can make the insulin clump together. Next, gently tip the pen up and down 10 times. Do not use the insulin if there are clumps in it after you mix it

How do I get the pen ready to use? 

•      Remove a new pen from the refrigerator 30 minutes before you use it. Insulin should be injected at room temperature

•      Wash your hands. Use soap and water or an alcohol-based hand rub. This will help decrease your risk for an infection

•      Remove the cap from the pen. Wipe the needle attachment area with an alcohol swab

•      Attach a needle to the pen. Remove the tab from the needle. Do not remove the outer cap on the needle. Push the needle straight onto the pen. Turn the needle clockwise until you cannot turn it more. Make sure the needle is straight

•      Remove the needle caps. Remove the outer cap and save. Remove the inner cap and throw it away

•      Remove air from the pen. Air may cause pain during injection. Turn the dial to 2 units. For most insulin pens, you will hear a click for each unit of insulin that you dial. Hold the pen and point the needle up. Gently tap the pen to move air bubbles to the top of the pen. Press the injection button. You should see a drop of insulin on the tip of the pen. If you do not see a drop, change the needle and repeat this step. If you do not see a drop after you repeat this step 3 times, use a new pen

•      Select the correct dose on the pen. Turn the dial to the number of units you need to inject. The pointer on the side of your pen should line up with your dose. The dial can be turned in either direction to choose the correct dose. You cannot choose a dose larger than the number of units left in the cartridge. Insert another cartridge or use another disposable pen if there is not enough insulin. Instead you can inject part of your dose with the insulin that is left. Next, you can use a new cartridge or pen to inject the rest of your dose

Where do I inject insulin? 

•      You can inject insulin into your abdomen, upper arm, buttocks, hip, and the front or side of the thigh. Insulin works fastest when it is injected into the abdomen

•      Do not inject insulin into areas where you have a wound or bruising. Insulin injected into wounds or bruises may not get into your body correctly

•      Use a different area within the site each time you inject insulin. For example, inject insulin into different areas in your abdomen. Insulin injected into the same area can cause lumps, swelling, or thickened skin

How do I inject insulin with a pen? 

•      Clean the skin where you will inject the insulin. You can use an alcohol pad or a cotton swab dipped in alcohol. Let the area dry before you inject. This will decrease pain

•      Grab a fold of your skin. Gently pinch the skin and fat between your thumb and first finger

•      Insert the needle straight into your skin. Do not hold the syringe at an angle. Make sure the needle is all the way into the skin. Let go of the pinched tissue

•      Push the injection button to inject the insulin. Continue to press on the injection button. Keep the needle in place for 10 seconds

•      Pull out the needle. Replace the needle cap. Press on your injection site for 5 to 10 seconds. Do not rub. This will keep insulin from leaking out 

•      Remove the needle from the pen.Twist the capped needle counter clockwise. Place the needle in a heavy-duty laundry detergent bottle or a metal coffee can. The container should have a cap or lid that fits securely

•      Replace the pen cap. Store the pen as directed

What should I do with my used needles? 

Ask your local waste authority if you need to follow certain rules for getting rid of your needles. Bring your used needles home with you when you travel. Pack them in a plastic or metal container with a secure lid. 

How do I store an insulin pen? 

Do not store your pen with a needle attached. Follow the storage directions on the label or package insert that came with the insulin. Unopened pens can be stored in the refrigerator until you are ready to use them. Most insulin pens can be opened and kept at room temperature. Store your pen in a cool, dry place. Do not keep your pen in direct sunlight or in your car. Throw away pens that have been frozen or exposed to temperatures above 85° F (30° C). If you travel, keep the pen in a cool pack. 

When should I contact my healthcare provider? 

•      You feel or see hard lumps in your skin where you inject your insulin

•      You think you gave yourself too much or not enough insulin

•      Your injections are very painful

•      You see blood or clear fluid on your injection site more than once after you inject insulin

•      You have questions about how to give the injection

•      You cannot afford to buy your diabetes supplies

•      You have questions or concerns about your condition or care

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

© 2017 Truven Health Analytics LLC All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

What is a fever?

A fever is an increase in your body temperature. Normal body temperature is 98.6°F (37°C). Fever is generally defined as greater than 100.4°F (38°C).

What are common causes of a fever? 

The cause of your fever may not be known. This is called fever of unknown origin. It occurs when you have a fever above 100.9˚F (38.3°C) for 3 weeks or more. The following are common causes of fever:

•  An infection caused by a virus or bacteria

•  An inflammatory disorder, such as arthritis

•  A brain infection or injury

•  Alcohol or illegal drug use, or withdrawal

What other signs and symptoms may I have?

•  Chills and shivers

•  Muscle stiffness

•  Weight loss

•  Night sweats

•  Fever that comes and goes

•  Fever that is higher in the morning

How is the cause of a fever diagnosed? 

Your healthcare provider will ask when your fever began and how high it was. He or she will ask about other symptoms and examine you for signs of infection. He or she will feel your neck for lumps and listen to your heart and lungs. Tell your provider if you recently had surgery or an infection. Tell him or her if you have any medical conditions, such as diabetes or arthritis. You may also need blood or urine tests to check for infection. Ask about other tests you may need if blood and urine tests do not explain the cause of your fever.

How is a fever treated? 

You may need any of the following, depending on the cause of your fever:

•  NSAIDs, such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask if NSAIDs are safe for you. Always read the medicine label and follow directions. Do not give these medicines to children under 6 months of age without direction from your child's healthcare provider

•  Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to take and how often to take it. Follow directions. Read the labels of all other medicines you are using to see if they also contain acetaminophen, or ask your doctor or pharmacist. Acetaminophen can cause liver damage if not taken correctly. Do not use more than 4 grams (4,000 milligrams) total of acetaminophen in one day

•  Antibiotics may be given if you have an infection caused by bacteria

What can I do to be more comfortable while I have a fever?

What is chronic diarrhea?

Diarrhea that lasts less than two weeks is called acute. Diarrhea that lasts between 2 and 4 weeks is called persistent. Diarrhea that lasts for one month or more is considered to be chronic.

What causes chronic diarrhea?

Chronic diarrhea has many different causes. Some common causes are:

•    Celiac disease

•    Irritable bowel syndrome (IBS)

•    Intestinal infections

•    Inflammatory bowel disease (like ulcerative colitis or Crohn’s disease)

•    Reactions to some medicines

What are the symptoms of chronic diarrhea?

People with chronic diarrhea have to go to the bathroom more often than they normally do. They produce more stools than they usually do and the stools are less solid than normal. Stools may be loose and watery, greasy or bloody. Some people find that they wake up at night because they have to go to the bathroom. Other associated symptoms may include decreased appetite, weight loss, fever or abdominal cramping.

How will the doctor find out what is causing my diarrhea?

There are many causes for chronic diarrhea. The doctor will look at the medicines you are taking to be sure that none of them are causing diarrhea. The doctor may order tests, based on your symptoms and history. Tests may include blood or stool tests. If these initial tests do not reveal the problem, other tests may be needed.

What is the treatment for chronic diarrhea?

•    The treatment of chronic diarrhea depends on its cause.

•    Diarrhea caused by an infection may be treated with antibiotics

•    Some other causes of chronic diarrhea may have specific treatments, like pancreatic enzymes

•    Changes in diet may be helpful for some people. Your doctor can give you more information on what foods are best in your case

•    A daily fiber supplement is helpful for many people

•    Drinking plenty of water helps avoid dehydration

•    Avoiding alcohol and beverages that contain caffeine. Alcohol and caffeine can lead to dehydration

This document is intended to provide health related information so that you may be better informed. It is not a substitute for your care team’s medical advice and should not be relied upon for treatment for specific medical conditions.

©2017 The General Hospital Corporation.

Primary Care Office lnSite

developed by the MGH Laboratory of Computer Science and Division of General Internal Medicine

Any bleeding during pregnancy needs to be reported promptly to your healthcare provider. However, bleeding is common during the first three months (12 weeks) of pregnancy and may or may not be a sign of a problem. It can range from slight brown spotting, to bright red bleeding, may last from a day to weeks and may be accompanied by mild cramping or low backache. Many times, the bleeding stops on its own and the pregnancy continues normally.

Note: mild, low abdominal cramping without bleeding is common in the early weeks of pregnancy.

Causes

Most women fear that bleeding means they are miscarrying. There are other reasons for bleeding in early pregnancy: the hormonal changes of pregnancy; implantation bleeding, when the fertilized egg attaches itself to the lining of the uterus; cervical bleeding. Sometimes, no cause for vaginal bleeding can be found.

About 15-20% of all pregnancies end in miscarriage. A miscarriage can be the body's response when, for some reason, the pregnancy is not developing normally. Most early miscarriages cannot be prevented. Remember, heavy lifting or intercourse will not affect a healthy pregnancy and will not bring on a miscarriage.

Treatment

Your healthcare provider will examine you to determine the cause of the pain and/or bleeding. The following examinations and tests may be ordered:

•   Pelvic exam

•   Blood pregnancy test

Hearing problems are not unusual. A report from World Health Organization in 2015 showed there are 600 million people suffered from hearing impairment, accounting for 5.3% of the global population. This report also showed there were 27.8 million people with hearing impairment in China. It is important to get a hearing test to find out whether a hearing aid can help. You can also take these steps to help yourself hear more clearly.

Take charge of speaking situations

•  Face the person who is speaking with you. Stand or sit within six to ten feet of the speaker to hear most clearly

•  If you are comfortable doing so, let the speaker know that you have a hearing impairment and that you will do much better if he or she looks at you and speaks clearly and distinctly

•  Ask friends and family members to speak to you only when they are in the same room. It's very difficult to hear if the speaker and listener are in different rooms

Listen between the lines

•  Do not expect to hear every word. No one hears everything all the time! Listen for key words

•  Do not dwell on what you missed

•  Use the words you do hear to get more information

•  Ask questions to make sure you understand. People with normal hearing frequently ask a speaker to repeat what he or she said

For instance,

   o  What did you say about_________?

   o  How did _________do_________?

   o  When did _________do_________?

Don't be afraid to ask for help

•  If you do not hear enough to get key words, and the person has repeated the message, ask him or her to say it again using different words

•  If proper names are used and you can't understand them evenwhen they are repeated, ask the speaker to spell them

•  When you do not understand what someone is saying, take it as an opportunity to find out why you are not hearing more clearly:

  o  Were you paying attention?

  o  Was the lighting poor?

  o  Was there a lot of background noise?

  o  Was the speaker talking too softly?

This document is intended to provide health related information so that you may be better informed. It is not a substitute for your care team's medical advice and should not be relied upon for treatment for specific medical conditions.

What is cirrhosis?

Cirrhosis is scarring of the liver that may happen as a complication of many diseases affecting the liver. The liver is a large organ located on the upper right side of the abdomen. When the liver is scarred, it stops functioning as well and may not do its jobs within the body.

What causes cirrhosis?

The liver helps cleanse the body of toxins and bacteria, and also produces certain proteins that the body needs. When the liver is irritated or inflamed because of toxins, infection, or other reasons, it tries to heal itself by forming scar tissue. With time, this leads to scarring of the liver called cirrhosis. Causes of liver damage include:

•   Heavy alcohol use - people who abuse alcohol are at the greatest risk for cirrhosis

•   Hepatitis B or C - These viruses are spread by sharing needles or having sex with people who are infected. They cause liver disease that can eventually lead to cirrhosis

•   Nonalcoholic steoatohepatitis (NASH) - NASH resembles alcoholic liver disease, but occurs in people who drink little or no alcohol. Although the cause of NASH is unknown, many people who develop this disease are obese and have diabetes

What are the symptoms of cirrhosis?

Some people with cirrhosis have no symptoms. When symptoms do occur, they can include:

•    Weakness and fatigue

•    Swelling of the abdomen and/or legs due to extra fluid

•    Bruising or bleeding easily, especially from the stomach or esophagus

•    Trouble breathing

•    Yellowing of the skin or whites of the eyes, called jaundice

•    Spider like blood vessels on the skin

•    Itching

•    Loss of appetite

•    Confusion

How is cirrhosis diagnosed?

The diagnosis of cirrhosis is usually based on the presence of a risk factor for cirrhosis, such as alcohol use or obesity, and is confirmed by physical examination, blood tests and imaging tests such as abdominal ultrasound. In some cases, the doctor may order a liver biopsy.

How is cirrhosis treated?

Treatment usually depends on the cause of the disease, how severe it is and what symptoms you have. The goals of treatment are to slow the progression of scar tissue in the liver and prevent or treat the symptoms of the disease. The main treatments include:

•   Avoiding alcohol and medications that can damage the liver

•   Medicines called beta blockers may be used to reduce blood pressure in the liver and help reduce the chance of bleeding from the esophagus if abnormal blood vessels (varices) are present

•   Medicines called diuretics are sometimes used to decrease fluid build-up that causes bloating in the abdomen. Your doctor may also ask you to go on a special diet and to monitor your weight closely

Will I need a new liver?

People with cirrhosis need a new liver when their symptoms cannot be controlled by treatment. Ask your doctor whether this is an option for you and talk about the process before you get too sick. The number of people who need a liver transplant is much greater than the number of livers donated. People with the best chance of living for a long time are the most likely candidates for a liver transplant.

What can I do to help manage my cirrhosis? 

To help slow the development of cirrhosis:

•   Do not drink alcohol

•   Get the vaccine for hepatitis B and A, if you need it

•   Use condoms when you have sex

•   Do not share drug needles

This document is intended to provide health related information so that you may be better informed. It is not a substitute for your care team's medical advice and should not be relied upon for treatment for specific medical conditions.

© 2017 The General HospitalCorporation.

Primary Care OfficelnSite

developed by the MGH Laboratory of Computer Science and Division of General Internal Medicine