Doctor insights on:
Signs Of Chronic Liver Disease
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
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.See 1 more doctor answer
Maybe none: In esld (end-stage liver disease), much of liver has been replaced by scarring & may not repair itself.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.
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.See 1 more doctor answer
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.
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.
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.See 2 more doctor answers
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.See 1 more doctor answer
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.
Statins: Can be used sometimes if liver function is closely monitored.
Safest form of Vit D in chronic liver disease?Lvl 40nmol/L I understand higher levels may be beneficial. But is it hepatotoxic?
D: No vitamin D is not hepatotoxic. 1000 or 2000 dose tablets are OK and inexpensive over the counter. 120 capsules in a bottle about $10.
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.See 1 more doctor answer
Yes: In general it is.Get a more detailed answer ›
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.See 1 more doctor answer
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.See 1 more doctor answer
Alcohol?: Yes, drinking alcohol in the face of known liver disease would be a bad idea.
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.
Give me a hint. What kind of hassle am I facing if doc suspects chronic liver disease? What is required to diagnose?
- Talk to a doctor online
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