My doctor explained that there were different levels when you get to cirrhosis. Mine is at the beginning and is considered compensated. When it becomes uncompensated is when they consider transplants. I am soon to be 76 and have decided that I don’t want to deal with a transplant, I feel that I still have some years to go.
August 31
That's a really important question, and it's one many people with PBC find themselves asking. While there aren't specific statistics on how long someone can live at stage 4 (cirrhosis) without a transplant, what's known is that progression rates vary significantly from person to person.
Some key things that can influence Show Full Answer
That's a really important question, and it's one many people with PBC find themselves asking. While there aren't specific statistics on how long someone can live at stage 4 (cirrhosis) without a transplant, what's known is that progression rates vary significantly from person to person.
Some key things that can influence how well someone does at this stage include:
- How well the condition responds to treatments like UDCA
- How closely complications like fluid buildup, bleeding, or confusion are monitored and managed
- Regular screenings (e.g., for liver cancer every 6 months)
- Lifestyle factors like maintaining a healthy weight and avoiding alcohol Many myPBCteam members have shared that staying on top of their care and keeping close contact with their hepatologist has made a real difference in managing day-to-day life at advanced stages.
A transplant becomes a consideration when treatments are no longer managing symptoms effectively. But until that point, working closely with a liver specialist to manage complications is the focus. It's always worth having an open conversation with your doctor about where things stand and what to watch for.
August 31