Why is breast enlargement and nipple hardness in the compensated stage of cirrhosis?

Patient's question:

Doctor, I've been experiencing breast enlargement and hardened nipples since taking the medication. Is this related to my condition? Besides, I've been having persistent itching in my scrotum with small, grainy spots, redness, a shiny appearance, and peeling symptoms. I want to ask if this is related to my condition or a side effect of the medication. Below is a picture of my daily medication.

Doctor's answer:

Generally, after liver cirrhosis, breast development may reappear. This is mainly due to interference with the liver's ability to inactivate estrogen, meaning it is caused by the disease itself and not related to medication. Pruritus of the scrotum is also not very related to medication. For patients with scrotitis, timely treatment can reduce the incidence. If not treated promptly, it may affect fertility. Therefore, patients should receive timely medication treatment and pay more attention to self-care in daily life, avoiding spicy foods.

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