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Primary Biliary Cirrhosis (PBC)

Learn more about symptoms, risk factors and treatment options.

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What is it?

Primary biliary cirrhosis (PBC) is a chronic autoimmune disease that causes the bile ducts in the liver to become inflamed and damaged and, ultimately, to disappear. 

 

Bile is a liquid produced in the liver that travels through the bile ducts to the gallbladder and then the small intestine, where it helps digest fats and fat-soluble vitamins A, D, E, and K. When the bile ducts become damaged from chronic inflammation, bile builds up in the liver and injures liver tissue. PBC is a disease where your immune system attacks the bile ducts.

 

Symptoms

Sometimes, PBC has no symptoms. But you may experience: 

  • Fatigue 
  • Itching
  • Pain in the upper right abdomen 
  • Skin discoloration (hyperpigmentation)

When to see a doctor

If you’re worried about your symptoms or they persist, it’s time to see a doctor. Early intervention can slow disease progression and associated liver damage and prevent complications.

Causes and risk factors

We don’t know what causes PBC. Risk factors for developing it include:

  • Age: Between the ages of 30-60
  • Gender: Female
  • Family history of PBC (parent or sibling)
  • If you have other autoimmune conditions, like rheumatoid arthritis or autoimmune thyroiditis

 

Treatment options

If you have PBC, your treatment may include drug therapy.

 

Testing

Your doctor can help you determine if you have PBC. They also may recommend the following tests or procedures:

  • Blood test
  • Liver biopsy

Prevention

PBC cannot be prevented, but you can delay disease progression with early treatment.

Additional conditions

Nonalcoholic Fatty Liver Disease (NAFLD)

HPV & Anal Cancer

Autoimmune Hepatitis