The main symptoms of liver disease
Gastroenterology / / May 08, 2016
liver functions Video
What are the common symptoms of liver disease?
the diagnosis of liver diseases the doctor looks at the patient's symptoms and conducts a physical examination.In addition, the doctor may request a liver biopsy, liver function tests, ultrasound, computed tomography (CT) and / or magnetic resonance imaging (MRI).
Basic common liver disease symptoms include:
- mechanical jaundice - yellowing of the skin and eyes;
- cholestasis (a reduction or cessation of bile excretion, decrease in its revenues in the duodenum);
- enlargement of the liver;
- portal hypertension (high blood pressure syndrome in portal vein due to impaired blood flow in the portal vessels, inferior vena cava and hepatic veins);
- esophageal varices;
- Ascites - accumulation of free fluid in the peritoneal (abdominal) cavity;
- hepatic encephalopathy (noninflammatory, unlike encephalitis, brain disease, deficiency of blood supply due to toxic substances in the blood, which is usually derived by the liver);
- hepatic insufficiency.
What is jaundice?
jaundice - a yellowing of the skin and whites of the eyes due to an abnormally high level of bilirubin (bile pigment) in the blood.Urine is usually dark because excess bilirubin and excreted through the kidneys.High levels of bilirubin can be associated with inflammation and other disorders of the liver cells or blockage of the bile ducts.Sometimes jaundice due to a large amount ?? erythrocyte destruction, which may occur in newborns.Jaundice is usually the first and sometimes the only sign of liver disease.
What is cholestasis?
Cholestasis - any condition in which there is lack of bile flow or stagnation of bile components.."Hole" refers to bile and "stasis", "congestion" means "not moving".The flow of bile can be locked within the liver or outside the liver, and there and there.Symptoms may include:
- dark urine;
- pale stools;
- easy bleeding;
- small arachnids visible blood vessels of the skin;
- pain from the biliary tract and pancreas;
- expansion of the gallbladder.
Causes of cholestasis:
- alcoholic liver disease;
- primary biliary cirrhosis;
- NONCOR side effects of drugs or chemicals;
- hormonal changes during pregnancy;
- stone in the bile duct;
- narrowing of the bile ducts;
- cancer of the bile duct;
- pancreatic cancer;
- inflammation of the pancreas.
What is liver enlargement?
Increased liver usually - an indicator of liver disease.Although, as a rule, do not have any symptoms associated with multiple enlarged liver (hepatomegaly).
Symptoms include a significant increase in liver:
- discomfort in the stomach
- "a feeling of satiety»
- a feeling of fullness.
What is portal hypertension?
Portal hypertension - abnormally high blood pressure in the portal vein that supplies blood from the intestines liver.Portal hypertension can be associated with increased blood pressure in the blood vessels or the blood flow resistance through the liver.Portal hypertension can lead to the growth of new blood vessels ( "collateral"), which connect the blood flows from the gut into the bloodstream, bypassing the liver.When this happens, then those substances that are ordinarily derived from the liver into the bloodstream tested.
Symptoms of portal hypertension:
- the development of varicose veins.Varicose veins (esophageal varices) occurs in the lower part of the esophagus and stomach.
- liver and the main functions of the liver
- Useful and harmful products for liver
- Features toxic liver lesions
- Bilirubin: what is it?
- Diet in diseases of the liver and biliary tract
What are varicose veins of the esophagus?
varicose veins of the esophagus - a dilation of blood vessels in the lower part of the wall of the esophagus, which is prone to bleeding.Varicose veins of the esophagus may occur in people with severe liver disease.Patient liver can lead to portal hypertension in the portal vein of the liver which supplies blood.Over time, this pressure of hypertension on blood vessels grow ( "collateral blood vessels").These vessels act as channels for the removal of blood under high pressure.A further pressure in these vessels leads to their expansion, and tortuosity.These vessels may eventually reach the lower esophagus and stomach, and they are prone to rupture.The gap can result in significant loss of blood or vomiting blood loss through the gastrointestinal tract.
Symptoms of esophageal varices:
- painless vomiting blood;
- black, tarry or bloody stools;
- decreased urine output;
- excessive thirst;
All these conditions indicates a low number of red blood cells.
What is ascites?
Ascites - accumulation of fluid in the abdominal cavity caused by the leakage of the fluid from the surface of the liver and intestines.Ascites associated with liver disease usually accompanies other liver diseases - such as portal hypertension.Symptoms stretched ascites may include abdominal discomfort and dyspnea.
Possible causes ascites:
- cirrhosis of the liver (especially caused by alcoholism);
- alcoholic hepatitis;
- chronic hepatitis;
- obstruction of the hepatic veins.
Ascites may also be caused by disorders vnepechonochnymi.
What is liver encephalopathy?
Encephalopathy Liver - the deterioration of brain function and nervous system damage due to toxic substances that accumulate in the blood, which are normally removed from the body by the liver.hepatic encephalopathy, also called "hepatic encephalopathy" or "hepatic coma".
Symptoms may include:
- impaired consciousness;
- changes in logical thinking, personality and behavior;
- mood changes;
- violation of the decisions;
- sleepy, sluggish speech and movement;
- loss of consciousness;
- muscle stiffness or tremor;
- uncontrolled movements.
What is liver failure?
Hepatic impairment - severe deterioration in liver function.Liver failure occurs when most of the liver damage occurs due to any type of liver disease.
Symptoms may include:
- a tendency to bruise or easy bleeding;
- a violation of brain function;
- failing health;
- fatigue, weakness;
- loss of appetite;