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Liver Problems

Overview

The liver is a vital organ located beneath your ribs on your right side, about the size of a grapefruit. It weighs roughly 4 pounds (1.8 kilograms). This important organ plays many roles in your body. It helps break down food, remove waste products, and produces substances called clotting factors, which are crucial for healthy blood flow.

Liver problems can sometimes run in families, meaning they can be passed down from parents to children. However, many things can harm the liver, including infections (like viruses), heavy alcohol use, and being overweight or obese. These harmful factors can cause damage over time. This damage can lead to scarring of the liver tissue, a condition known as cirrhosis.

Cirrhosis can eventually lead to liver failure, a serious and potentially life-threatening condition. But if caught early, treatment can give the liver a chance to recover.

Symptoms

Liver problems can sometimes hide without causing any noticeable symptoms. However, if symptoms do appear, they might include:

  • Jaundice: This is a yellowing of the skin and the whites of your eyes. The yellowing might be less obvious in people with darker skin tones.

  • Belly pain and swelling: This can be a sign of fluid buildup in the abdomen.

  • Swollen legs and ankles: Similar to belly swelling, this can indicate fluid retention.

  • Itchy skin: An uncomfortable itching sensation can sometimes be a symptom.

  • Dark urine: Your urine might appear darker than usual.

  • Pale stool: Your bowel movements might be a lighter color than normal.

  • Constant tiredness: Feeling unusually fatigued or exhausted can be a sign.

  • Nausea and vomiting: These are common digestive issues that can be related to liver problems.

  • Loss of appetite: A lack of interest in eating might be a symptom.

  • Easy bruising: If you bruise more easily than usual, it could be a sign of a problem.

If you experience any of these symptoms that last for a while and worry you, it's important to schedule an appointment with your doctor. Seek immediate medical attention if you're experiencing severe belly pain that prevents you from moving comfortably.

When to see a doctor

If you're experiencing any persistent symptoms that concern you, schedule a visit with your doctor. If you have severe abdominal pain that makes it hard to sit still, get medical attention immediately.

Causes

Liver problems can have many different causes. Harmful organisms like parasites and viruses can invade the liver, leading to swelling and irritation, which is called inflammation. This inflammation stops the liver from functioning properly.

These viruses that damage the liver can spread through contact with blood, semen, contaminated food or water, or close contact with someone already infected. Some of the most common viral liver infections are caused by hepatitis viruses, including:

  • Hepatitis A
  • Hepatitis B
  • Hepatitis C

Sometimes, the body's own immune system mistakenly attacks healthy parts of the liver, leading to autoimmune liver diseases. These include:

  • Autoimmune hepatitis
  • Primary biliary cholangitis
  • Primary sclerosing cholangitis

In some cases, a faulty gene inherited from one or both parents can cause substances to build up in the liver, causing damage. These genetic liver diseases include:

  • Hemochromatosis
  • Wilson's disease
  • Alpha-1 antitrypsin deficiency

Other conditions can also affect the liver. For example, tumors of the liver, such as:

  • Liver cancer
  • Bile duct cancer
  • Liver adenoma

Liver problems can also stem from:

  • Long-term alcohol use: Drinking too much alcohol over a long period can seriously damage the liver.
  • Nonalcoholic fatty liver disease (NAFLD) or metabolic-associated fatty liver disease (MAFLD): This happens when excess fat builds up in the liver. This can be related to things like being overweight or having other metabolic issues.
  • Certain medications: Some prescription drugs, as well as herbal remedies, can be harmful to the liver if taken in excess or for extended periods.
  • Exposure to toxic chemicals: Regular contact with toxic substances can damage the liver.
Risk factors

Several things can raise your chances of getting liver disease. One major risk factor is regularly drinking a lot of alcohol. This includes both moderate and heavy drinking. Being overweight or obese is another significant concern. Having type 2 diabetes can also increase your risk.

Getting a tattoo or body piercing can potentially expose you to infections that can affect your liver, though this isn't the main concern. Sharing needles for drug use is a very serious risk. Using needles that haven't been properly sterilized greatly increases the chance of infection. Before the early 1990s, blood transfusions posed a higher risk of liver disease due to the way blood was screened.

Contact with other people's blood or bodily fluids can transmit infections. This can happen in various ways, like sharing razors or having unprotected sex. Exposure to harmful chemicals or toxins can also damage the liver over time. Finally, a family history of liver disease can make you more susceptible to developing it. If someone in your family has had liver problems, you might be at a higher risk yourself.

Complications

Problems with the liver can lead to various complications, and how serious these are depends on what caused the liver issue in the first place. If liver problems aren't treated, they can get worse and eventually lead to liver failure. Liver failure is a serious condition that can be life-threatening.

Prevention

To keep your liver healthy:

Alcohol: If you drink alcohol, do it in moderation. For women, that means no more than one drink a day. For men, no more than two. Drinking more than this can damage your liver over time.

Safe Practices: Be careful about risky behaviors. Use condoms during sex to lower the risk of sexually transmitted infections. If you get a tattoo or piercing, make sure the shop is clean and follows safety rules. If you use illegal drugs by injection, get help to stop. Never share needles.

Vaccinations: Get vaccinated when you can. If you're at higher risk of hepatitis (a liver infection), talk to your doctor about the hepatitis A and B vaccines. This is also important if you've already had hepatitis.

Medication: Take medicines only when you need them and follow the directions carefully. Don't mix medicines with alcohol. If you're thinking about mixing herbal supplements with prescription or other medicines, talk to your doctor first. Mixing can be dangerous and have unexpected effects.

Blood and Body Fluids: Avoid contact with other people's blood and bodily fluids. Hepatitis viruses can spread through accidental needle pricks or if blood or fluids aren't cleaned up properly.

Food Safety: Wash your hands thoroughly before eating or preparing food. If you're traveling to a place with limited resources, drink bottled water, and use bottled water to brush your teeth and wash your hands.

Chemicals: Be careful with aerosol sprays. Use them outdoors in well-ventilated areas. When spraying insecticides, fungicides, paints, or other toxic chemicals, wear a mask to protect your lungs. Always follow the instructions on the product label.

Skin Protection: When using insecticides or other harsh chemicals, wear gloves, long sleeves, a hat, and a mask. This will prevent the chemicals from touching your skin.

Healthy Weight: Maintaining a healthy weight is important for liver health. Being overweight or obese can cause nonalcoholic fatty liver disease (NAFLD), sometimes called metabolic-associated fatty liver disease (MAFLD). This can damage your liver over time.

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Disclaimer: August is a health information platform and its responses don't constitute medical advise. Always consult with a licenced medical professional near you before making any changes.

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