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Doctor insights on: Signs Of Chronic Liver Disease

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Chances of developing chronic liver disease?

Chances of developing chronic liver disease?

Live a clean life: You can avoid chronic liver disease by not drinking alcohol in excess and by avoidance of hepatitis b and c by getting tested and vaccinated. This will prevent most of the commons causes of chronic liver disease.

Dr. Sanjiv Kaul
2 doctors shared insights

Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more


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In a nutshell, what is chronic liver disease?

In a nutshell, what is chronic liver disease?

Injured liver: In the USA the common forms of chronic liver disease are cirrhosis from alcohol use, chronic fatty liver from obesity and liver damage after viral hepatitis. Ongoing liver inflammation or scar from one of these is called chronic disease. The liver helps so many natural processes that people with liver damage have many troubles. Water retention, bleeding, food intolerance, low blood counts etc.

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What are the tests for chronic liver disease?

What are the tests for chronic liver disease?

1: Multiple blood tests to determine cause like hepatitis c, alcohol, iron overload etc., ultrasound and ct scan of liver and gold standard is liver biopsy.

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What sort of disease is chronic liver disease?

What sort of disease is chronic liver disease?

Many diseases: Chronic liver disease is an generalized term to describe any liver condition that affects the liver over time, of which there are many. Concerns regarding this are that if the condition is not treated, it may progress to liver scarring, otherwise known as cirrhosis.

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What are the symptoms of chronic liver disease?

What are the symptoms of chronic liver disease?

Maybe none: In esld (end-stage liver disease), much of liver has been replaced by scarring & may not repair itself. Some esld causes: viral infection (b, c, CMV are common), familial (hemochromatosis, wilson's, alpha-1-antitrypsin deficiency, others), toxic/environmental/occupational, alcohol related. Has higher risk of liver cancer. If compensated, asymptomatic; get symptoms if progressive disease +/- alcohol.

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What choices do I have for treating chronic liver disease?

What choices do I have for treating chronic liver disease?

Depends on cause: Depending on the cause, chances can be very good. If due to alcohol, must stop drinking; if hepatitis viruses, there is rx, and must stop drinking; if iron overload- get bled; if autoimmune- get rx; if fatty liver-lose weight, rx diabetes. Chronic liver disease can be just that-chronic; with long term good quality of life. Lots of meds available to improve, or at least prevent progression.

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Is there any way to get relief from chronic liver disease?

Is there any way to get relief from chronic liver disease?

It depends: Chronic liver disease due to ? Optimal treatment is often specific to the cause of the disease process (alcoholism, viral hepatitis, metabolic disorder, intrinsic liver disease, neoplastic process - just to name few) start with your primary physician - many are good at managing chronic liver issue. More complicated process may need additional input from a gi/hepatologist.

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What are the most common symptoms of chronic liver disease?

What are the most common symptoms of chronic liver disease?

Usually nothing, but: The liver can handle a lot of abuse before you start seeing symptoms. This can take years of abuse sometimes. When the liver becomes so scarred that you develop something called "cirrhosis", or end stage liver disease, then many things will start happening, including jaundice (yellow skin/eyes), bleeding from your GI tract, confusion, fluid buildup in the abdomen and other things.

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Why is lactalose used in chronic liver disease?

Why is lactalose used in chronic liver disease?

Lactulose: Generally used to treat condition known as hepatic encephalopathy. There is ammonia build-up in the system due to malfunctioning liver. The encephalopathy is associated with mental confusion , tremor , disorientation, drowsiness which can progress to coma. Lactulose aids in lowering the ammonia level and thus prevent progressive encephalopathy.

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What is the best diet for a patient with chronic liver disease?

What is the best diet for a patient with chronic liver disease?

Avoid toxic foods: Avoid sugars, fried foods, vegatable oils like canola & soy, meats that are cured wth nitrates & nitrites, aspartame, splenda, partially hydrogenated vegetable oils, maragarine, soy based products, sweetened beverages like juice & soda, microwaved foods, artificial colors & flavors. All of these products cause damage to the cells, tissues & organs in your body contributing to various diseases.

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Chronic liver disease and hydro codons is this a good combination?

Chronic liver disease and hydro codons  is this a good combination?

Its the Tylenol (acetaminophen): Most hydrocodone products are paired with tylenol (acetaminophen) and this is toxic to your liver in large amounts. Having said that, a sick liver may not process the narcotic as well as a healthy liver which may cause dosing problems. Speak with your doctor and if your liver fxn is worsening try pain meds without the tylenol component or other interventions for the pain.

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How is chronic liver disease connected to hematemesis?

How is chronic liver disease connected to hematemesis?

Big veins in stomach: Blood from all intestines including the stomach and esophagus drain through the liver before going through the heart through the portal system. If you have chronic liver disease, this portal system can get backed up, and the result will be engorged or enlarged veins in the esophagus or stomach, called varices. These engorged veins can bleed very easily leading to hematemesis.

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How do I know if I have chronic liver disease and cirrhosis?

How do I know if I have chronic liver disease and cirrhosis?

Are you sick?: Cirrhosis (liver scarring) and chronic liver disease may exist, even if the underlying disease (like alcohol use) is over. In this case, the presence of old disease is less important than the risk of progressive disease. Liver tests, viral counts, bipsies etc all help evaluate this risk. Test of current liver function (like Albumin and bleeding) are important to gauge current function.

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How could a liver function test detect chronic liver disease?

How could a liver function test detect chronic liver disease?

Elevations: Elevated Liver function tests may occur for a variety of issues from Fatty infiltration (hepatic steatosis), viral illnesses such as the hepatitis viruses, Alcoholism, increased use of medications that metabolize through the liver (such as Acetaminophen), cirrhosis, biliary disease, tumors, gallbladder disease, etc, etc. Get an evaluation for the most likely cause if you feel you have liver Dx.

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What happens when we don't use condom and I have a chronic liver disease?

Risky: Not using a condom is risk business, it puts you a risk for a number of sexually transmitted diseases. As far as chronic liver disease hepatitis c can be transmitted in that way and puts others at risk of chronic liver failure which is not a nice thing to have. Not to mention the risk of hiv, herpes which are treatable but not curable.

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Give me a hint. What kind of hassle am I facing if doc suspects chronic liver disease? What is required to diagnose?

Depends: Your doctor will choose a diagnostic test based upon what he or she thinks the diagnosis is. For example, if they suspect viral hepatitis, a simple blood test will suffice. Sometimes a needle biopsy may be needed. Ouch!

Dr. Anne Larson
1,594 doctors shared insights

Liver Diseases (Definition)

Liver disease = hepatic disorder = condition associated with decreased ...Read more