Preparing for your appointment

If you have cirrhosis, you may be referred to a doctor who specializes in the digestive system (gastroenterologist) or the liver (hepatologist).

Here's some information to help you get ready for your appointment and what to expect from your doctor.

What you can do

  • Be aware of any pre-appointment restrictions, such as diet restrictions on the day before your appointment.
  • Write down your symptoms, including when they started and how they may have changed or worsened over time.
  • Provide a list of all your medications, vitamins or supplements.
  • Write down your key medical information, including other diagnosed conditions.
  • Bring results of medical tests done so far, including digital copies of CT, MRI or ultrasound images and biopsy slides if a liver biopsy has been done.
  • Write down key personal information, including any recent changes or stressors in your life.
  • Take a family member or friend along to help you remember things.
  • Write down questions to ask your doctor.

Questions to ask your doctor

Preparing a list of questions can help you make the most of your time. Some basic questions to ask your doctor include:

  • What is most likely causing my cirrhosis?
  • Is there a way to slow or stop my liver damage?
  • What are my treatment options?
  • Are there medications or supplements that can hurt my liver?
  • What signs and symptoms of complications should I watch for?
  • I have other health conditions. How can I best manage them together?

Don't hesitate to ask additional questions during your appointment.

What to expect from your doctor

Be prepared to answer questions your doctor is likely to ask, including:

  • When did you first begin experiencing symptoms?
  • Have your symptoms been continuous or occasional?
  • How severe are your symptoms?
  • What, if anything, seems to improve your symptoms?
  • What, if anything, appears to worsen your symptoms?
  • How often do you drink alcohol?
  • Have you been exposed to or taken toxic drugs?
  • Do you have a family history of liver disease, hemochromatosis or obesity?
  • Have you ever had viral hepatitis?
  • Have you ever had jaundice?
  • Have you ever had a blood transfusion or used injection drugs?
  • Do you have any tattoos?
April 06, 2016
  1. Sanchez W, et al. Liver cirrhosis. The American College of Gastroenterology. Accessed Dec. 26, 2015.
  2. Ferri FF. Cirrhosis. In: Ferri's Clinical Advisor 2016. Philadelphia, Pa.: Mosby Elsevier; 2016. Accessed Dec. 26, 2015.
  3. Cirrhosis. National Institute of Diabetes and Digestive and Kidney Diseases. Accessed Dec. 27, 2015.
  4. Boyer TD, et al., eds. Hepatic fibrosis and cirrhosis. In: Zakim & Boyer's Hepatology: A Textbook of Liver Disease. 6th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. Accessed Dec. 26, 2015.
  5. Tsochatzis EA, et al. Liver cirrhosis. The Lancet. 2014; 383:1749.
  6. Feldman M, et al. Overview of Cirrhosis. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. Accessed Oct. 8, 2015.
  7. Singal AK, et al. Model for end-stage liver disease. Journal of Clinical and Experimental Hepatology. 2013;3:50.
  8. Toshikuni N, et al. Nutrition and exercise in the management of liver cirrhosis. World Journal of Gastroenterology. 2014;20:7286.
  9. Cook AJ. AllScripts EPSi. Mayo Clinic, Rochester, Minn. Sept. 22, 2015.
  10. Goldberg E, et al. Cirrhosis in adults: Etiologies, clinical manifestations, and diagnosis. Accessed Dec. 27, 2015.
  11. De Robertis R, et al. Noninvasive diagnosis of cirrhosis: A review of different imaging modalities. World Journal of Gastroenterology. 2014;20:7231.
  12. Czaja AJ. Hepatic inflammation and progressive liver fibrosis in chronic liver disease. World Journal of Gastroenterology. 2014;20:2515.
  13. Primary biliary cirrhosis (PBC). American Liver Foundation. Accessed Dec. 27, 2015.
  14. Liver transplant. American Liver Foundation. Accessed Dec. 27, 2015.
  15. Rakel D. Chronic hepatitis. In: Integrative Medicine. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2012. Accessed Dec. 7, 2015.
  16. Hepatitis C: A focus on dietary supplements. National Center for Complementary and Integrative Health. Accessed Dec. 27, 2015.
  17. U.S. News best hospitals 2013-2014. U.S. News & World Report. Accessed Dec. 27, 2015.
  18. Singh S, et al. Liver stiffness is associated with risk of decompensation, liver cancer, and death in patients with chronic liver diseases: A systematic review and meta-analysis. Clinical Gastroenterology and Hepatology. 2013;11:1573.
  19. Picco MF (expert opinion). Mayo Clinic, Jacksonville, Fla. Jan. 10, 2016.
  20. Keaveny AP (expert opinion). Mayo Clinic, Jacksonville, Fla. March 15, 2016.