You have asked a very pertinent question regarding guidelines for management of early cirrhosis. If I understand you correctly, your liver biopsy was performed at the time of you gall bladder surgery. This implies that your cirrhosis is incidentally detected at a relatively early stage. You have also mentioned that your liver tests are normal. Certain points that need to be looked into are as follows:
*We need to know the exact cause of cirrhosis. You must get your viral markers checked for hepatitis B and C. Besides other causes such as autoimmune liver disease, metabolic etc should be excluded.
*You should have imaging tests such as ultrasound of liver
*You should have an endoscopy done to look for esophageal/ gastric varices
*You should avoid hepatotoxic drugs, alcohol
*Keep your blood sugars well controlled
*Have a good nutritious diet
*Have serial blood liver tests at 3-6 months interval
*Check you weight monthly. Any unusual increase may mean beginning of water accumulation in your tummy which will need specific therapy.
*Liver transplant is indicated for advanced complicated cirrhosis. Limited centres in India are doing it. In north, it is done successfully at Sir Ganga Ram Hospital and Apollo. The cost at our hospital is 15 lacs.