Cirrhosis is a condition in which the liver malfunctions due to chronic injury, and scar tissue replaces healthy liver tissue.

There are multiple possible causes of cirrhosis. Examples include alcohol-related liver disease, hepatitis C, nonalcoholic fatty liver disease (NAFLD), hepatitis, and some inherited diseases.

Many people with cirrhosis have no early symptoms. As the disease progresses, symptoms may include weakness, fatigue, nausea, and abdominal pain.

Cirrhosis treatments try to stop the progression of scar tissue and further complications. Treatments may include the avoidance of alcohol and drugs, and nutrition therapy.


Applicable Procedures

Liver Biopsy


Does Barrett’s Esophagus Mean I Will Develop Cancer?

There are multiple causes of cirrhosis of the liver. These include long term alcohol abuse, viral hepatitis, iron buildup in the body, nonalcoholic fatty liver disease, immune conditions, issues with bile ducts, genetic disorders, infections, and certain medications. Chronic hepatitis is a risk factor for cirrhosis, and it is actually one of the top causes of liver disease. Being obese and consuming excessive amounts of alcohol also increase your risk of cirrhosis.


How is cirrhosis of the liver treated?

The aim of treatment for cirrhosis is to slow the progression of the condition and treat complications of the disease. If caught early, treating underlying causes can prevent further damage to the liver. For example, treatment for alcohol abuse can reduce toxic effects on the liver. Those who are overweight can improve their liver health by following a healthier diet to control weight and reduce the effects of nonalcoholic fatty liver disease. Some people may also need medications to treat underlying health conditions, like hepatitis, to reduce the risk of further liver damage. Others may require medications to treat infections, fluid buildup, or accumulation of toxins. In advanced stages of cirrhosis, the only treatment option is a liver transplant from a healthy donor.


What are the complications of cirrhosis?

Cirrhosis can lead to a variety of complications, including portal hypertension, which is high blood pressure in veins responsible for supplying blood to the liver. Portal hypertension can cause swelling in the legs and stomach, enlarged spleen, and severe bleeding. Other complications of cirrhosis include infections, malnutrition, bone disease, increased cancer risk, and a condition called jaundice, which causes eyes and skin to appear yellow. In some cases, a liver that is damaged by cirrhosis cannot clear toxins effectively, which causes them to build up in the brain, leading to confusion, concentration problems, and even coma.


Common Symptoms

  • “I started to feel extremely tired, and I noticed that I was bruising easily and had no appetite.”
  • “I noticed changes to my appearance, such as yellowing of my skin, spider like blood vessels, redness on my palms, and swelling in my legs. I was also itchy all the time.”
  • “In addition to losing my appetite and dropping weight, I felt nauseous, and my stomach was swollen.”

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What Our Patients Are Saying

I’ve been a patient of Dr. Weber for almost a decade. My husband for more than & it was he who recommended Dr. Weber. He’s knowledgeable & well experienced in his field. Plus he’s an all around kind & nice guy. And you’d like how the office & tech staff are trained to run the operation of this practice. Efficient, patient and helpful! I’d feel very comfortable recommending this practice.

Vicki M.

I had a great time. Everyone was very friendly and professional. One nurse said I had nice eyes, which really helped my self esteem. Dr. Willie was fantastic. His concern about having magenta ink for the printer really shows what a caring man he is. The pictures turned out great. I framed them and hung them up on my wall at home. But, seriously the experience was pleasant. Thank you to everyone involved.

Terry M.

Lord knows having a colonoscopy is zero fun. The prep nearly did me in. But after arriving at suite 270 every single person was pleasant and efficient. The attention to cleanliness in the office is very apparent and appreciated. Every employee introduced themselves by name, apologized for an IV that took two tries and made sure I was as comfortable as can be before I was ready to leave. However, I’m going to enjoy every minute of the five years before I need to return!

Marie C.

I have been here several times and have always been treated great. The receptionist are so kind and the nurses are wonderful so is the anesthesia person are so kind and answers any concerns you might have. My Dr Bologna is awesome. This is the place to go if you need endoscopy or colonoscopy. Thank all the staff for being so kind

Debbie A.

Our Doctors

We’re proud of our team here at Digestive Health Institute. Our health care providers include some of the very best colorectal surgeons, gastroenterologists and physician assistants. To learn more about our qualified team of specialists, please visit our providers page.

Anezi E. Bakken MD, MS

Sante D. Bologna MD, FACP

M. Emin Donat MD, FRCPC

Freeha Khan MD

Partha S. Nandi

Leonard G. Quallich III MD

Jack Tocco DO

John R. Weber MD

Richard T. Wille MD

Tusar Desai MD

Aalia Saeed, MD


What happens during my first visit?
If you are a new patient, you can expect to have a complete physical exam. You will also be asked detailed questions about your current problems and your past medical history, your current medications, allergies, your family history and other pertinent medical information. If you are taking medications, please bring a completed medical history form with you to your appointment. Once the physician has reviewed your medical information and completed the physical examination, a plan of care will be developed. You may need to be seen again in the office, be referred back to your family physician for follow-up care, or require additional testing. If additional tests are needed, we will assist you in scheduling these tests.
What if I need to schedule an endoscopic procedure?

An endoscopic procedure allows the physician to visualize a part of your gastrointestinal tract with a special instrument called an endoscope. If your family physician has ordered testing, you will be contacted by telephone by one of our staff members. If a physician orders testing and you are in the office, the procedure can generally be scheduled during the course of your visit. You will be given a date, time, and location for the test, as well as written instructions telling you how to prepare for the test. If you have any questions about the procedure, please feel free to ask one of our staff members or the physician.

How do I get test results?

We ask that you wait 10 to 14 days before contacting us for results. Often results come from several different sources. This information needs to be compiled and reviewed by your physician before you can be appropriately advised. 

What insurances do you accept?

We accept payment from most insurance companies including Medicare, Blue Cross/Blue Shield, Blue Care Network, Physicians Health Plan, Cofinity, Sparrow Professional Health Network, Medicaid, McLaren, Health Plus, and several others. Accepted insurances are subject to change at any time without notice.

If your insurance requires an authorization from your primary care physician, you may be asked to assist us in obtaining this authorization.

All patients are responsible for all copays and deductibles at the time of service.

If you have any questions regarding your benefits or insurance coverage, please contact our Billing Department at 248-844-9710.

What if I need to contact the doctor?

To contact your doctor during business hours please call our main number 248-844-9710. If you have an urgent need to speak with the doctor after hours, you will be rerouted to our after hours answering service, and your doctor will be paged. In the case of a medical emergency please proceed directly to the nearest hospital emergency room.

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