[joeysteele]

Cirrhosis is an irreversable condition of the liver that gradually gets worse until it reaches the final stage and then it is likely death will occur unless a transplant is possible.

A complication of it is that as pressure builds up in the portal vein it can cause bleeding from veins in the oesophagus,those internal bleeds can obviously be fatal too.

Abstention from alcohol is the only way to help survive longer with cirrhosis,however the damage to the liver is permanent, whereas in other conditions the liver can rejuvinate itself but not in cirrhosis.

The usual conditions for a transplant of a liver, when there are livers available are that you have to have been abstaining from alcohol for a good number of months and preferably a year or more.
With cirrhosis your health rarely improves much as you are always likely to find you will have other complications such as enlarged spleens, anaemia and problems with platelets in your blood.

It is a very hard road, firstly to come off alcohol, then to stay off alcohol and indeed certain drugs too,things like paracetamol for instance,are not liver firendly and also when the liver is only working on its reserve,toxins are not removed from the body effectively by it and they can get into the blood stream and cause confusion and memory problems too when they get to the brain.

So Paul's road begins with getting off alcohol and keeping off it, then doing the best you can to help the remaining working part of the liver by dietary means and medication,however liver failure will be the eventual outcome.

So it would seem this is where Paul is at this time,so he will need to prepare himself for a transplant likely some time in the future.
Without that, the prognosis of end stage liver cirrhosis is a grim picture sadly.

From what I have read as to his going into this clinic for treatment and help, it would seem this is the last chance for him likely now, I really hope he does sieze it and I also hope it goes okay for him.

I also hope if he does reach the stage where a transplant is needed in the future and that he gets one, that he will respect that liver and not abuse it in any way afterwards.
I would like to see that outcome for him,he will need massive support though to succeed in beating this.