Life after liver transplantation: what is it like? And tips for a better life

Life after liver transplantation can return to normal as it was before the symptoms appeared, lasting up to 30 years.
The success rate of liver transplantation is 89% in adults and 95% in children.
Liver Transplant Surgery
Liver transplantation is performed for several purposes and saves many lives. It is a delicate procedure requiring careful attention before and after surgery.
Most common indications include:
- Liver cirrhosis due to hepatitis B or C
- Cirrhosis from alcohol abuse
- Fatty liver disease due to obesity
- Hemochromatosis
- Wilson’s disease
- Biliary obstruction
Life After Liver Transplantation
Life usually returns to normal within six months, but the patient must follow lifelong instructions starting immediately after surgery.
Right after surgery:
- The patient stays in the ICU until stable, then moves to a regular hospital room for 5–10 days.
- Doctors monitor liver function closely to detect complications early.
Common complications:
- Rejection of the new liver (acute or chronic)
- Bleeding or clotting in abdominal vessels
- Biliary obstruction or leakage
- Wound infection or hernia
Medications After Surgery
Patients must take lifelong immunosuppressants to prevent rejection, such as:
- Prednisone
- CellCept (Mycophenolate mofetil)
- Mycophenolic acid
Side effects may include:
- Diabetes
- High blood pressure
- Weight gain
- Osteoporosis
- Nausea and vomiting
- Headaches
- Recurrent infections
Doctors may adjust medications to reduce side effects.
Tips After Liver Transplantation
General guidelines:
- Take prescribed medications on time.
- Attend all follow-up appointments.
- Avoid sources of infection.
- Do not take live-virus vaccines for at least 6 months.
- Get the annual flu vaccine.
Managing stress:
- Consider psychological support sessions.
- Stay close to supportive family and friends.
- Share your experiences with others.
- Set realistic new goals that fit your post-surgery lifestyle.
Healthy living:
- Follow a diet low in fat and salt.
- Avoid alcohol.
- Eat five small meals daily.
- Avoid grapes (possible interaction with immunosuppressants).
- Include plenty of fiber, fruits, vegetables, and water.
- Choose low-fat dairy.
- Exercise daily, starting with walking right after surgery, then progressing to running, swimming, or cycling.
Survival Rates
- Adults: 89% survive one year, 75% survive five years.
- Children: 95% survive one year, 90% survive five years.
Conclusion
Life after liver transplantation can return almost to normal, but requires:
- Lifelong adherence to medications.
- Regular medical follow-ups.
- A healthy diet and active lifestyle.
- Avoidance of infection sources.
With commitment, patients can live long and fulfilling lives after liver transplantation.
Sources:
- Liver transplant
- Indications for liver transplant
- Success rate of liver transplant