It is due to extra connections forming between the portal system and the paraumbilical veins. Other nonspecific signs
Some signs that may be present include changes in the nails (such as Muehrckes lines, Terrys nails, and nail clubbing). Additional changes may be seen in the hands (Dupuytrens contracture) as well as the skin/bones (hypertrophic osteoarthropathy). Advanced disease
As the disease progresses, complications may develop. In some people, these may be the first signs of the disease. Bruising and bleeding can result from decreased production of clotting factors
Hepatic encephalopathy (HE) occurs when ammonia and related substances build up in the blood. This build-up affects brain function when they are not cleared from the blood by the liver. Symptoms can include unresponsiveness, forgetfulness, trouble concentrating, changes in sleep habits, or psychosis. One classic physical examination finding is asterixis. This is the asynchronous flapping of outstretched, dorsiflexed hands. Fetor hepaticus is a musty breath odor resulting from increased dimethyl sulfide and is a feature of HE. Sensitivity to medication can be caused by decreased metabolism of the active compounds
Acute kidney injury (particularly hepatorenal syndrome) 
Cachexia associated with muscle wasting and weakness

Causes
Cirrhosis has many possible causes, and more than one cause may be present. History taking is of importance in trying to determine the most likely cause. Globally, 57% of cirrhosis is attributable to either hepatitis B (30%) or hepatitis C (27%). Alcohol use disorder is another major cause, accounting for about 20-40% of the cases.
Sororal relationships
Various studies have shown that  older sisters are likely to give a varied gender role to their younger siblings as well as being more likely to develop a close bond with their younger siblings. Older sisters are more likely to play with their younger siblings. Younger siblings display a more needy behavior when in close proximity to their older sister and are more likely to be tolerant of an older sisters bad behavior. Boys with only an older sister are more likely to display stereotypically male behavior, and such masculine boys increased their masculine behavior with the more sisters they have. The reverse is true for young boys with several sisters, as they tend to be feminine, however, they outgrow this by the time they approach pubescence. Boys with older sisters were less likely to be delinquent or have emotional and behavioral disorders. A younger sister is less likely to be scolded by older siblings than a younger brother. The most common recreational activity between older brother/younger sister pairs is art drawing. Some studies also found a correlation between having an older sister and constructive discussions about safe sexual practices. Some studies have shown that men without sisters are more likely to be ineffectual at courtship and romantic relationships. Fictional works about sisters
Films
What Ever Happened to Baby Jane?