Is cirrhosis contagious?

Aug 03, 2022 Source: Cainiu Health
Dr. Zhao Haiming
Introduction
Cirrhosis itself is not contagious; however, if cirrhosis results from viral hepatitis—such as hepatitis B or C—the patient may be infectious when the hepatitis virus is actively replicating. Common causes of cirrhosis include viral hepatitis (e.g., hepatitis B and C), alcoholic liver disease, and nonalcoholic fatty liver disease. Cholestasis can also lead to cirrhosis, and drug-induced liver injury may progress to cirrhosis.

Since many liver diseases are infectious, cirrhosis often develops in patients with liver disease who either fail to receive timely treatment or undergo inappropriate management. Upon learning that a friend has been diagnosed with cirrhosis, many people instinctively distance themselves, fearing possible infection. So, is cirrhosis contagious?

Is cirrhosis contagious?

Cirrhosis itself is not contagious. However, if the underlying cause of cirrhosis is viral hepatitis—such as hepatitis B or hepatitis C—the patient may be infectious during active viral replication. Common causes of cirrhosis include viral hepatitis (particularly hepatitis B and C), alcoholic liver disease, and nonalcoholic fatty liver disease. Cholestatic disorders and drug-induced liver injury can also progress to cirrhosis, as can other less common or idiopathic forms.

Generally speaking, cirrhosis per se is noninfectious and cannot be transmitted to others. Cirrhosis refers to pathological changes occurring in a previously normal liver: under the influence of pathological factors—including viruses, alcohol, or drugs—large numbers of hepatocytes undergo necrosis, hepatic fibrous tissue proliferates extensively, and multiple regenerative nodules form within the liver. However, some cases of cirrhosis arise secondarily from underlying liver pathology caused by viral infection. Such virus-associated cirrhosis—e.g., resulting from hepatitis B or C virus—can indeed be transmitted to others via the gastrointestinal tract, blood, or vertical (mother-to-child) transmission.

Patients are advised to quit smoking and abstain from alcohol, maintain a balanced diet, and avoid spicy or irritating foods. We hope this information proves helpful.