Saturday, April 21, 2007

Digestive Diseases: Liver Failure







Ask Glen!

Q. What is liver failure?

A. Liver failure occurs when large parts of the liver become damaged beyond repair and the liver is no longer able to function.

Liver failure is a life-threatening condition that demands urgent medical care. Most often liver failure occurs gradually and over many years. However, a more rare condition known as acute liver failure occurs rapidly (in as little as 48 hours) and can be difficult to detect initially.

What Causes Liver Failure?

The most common causes of chronic liver failure (where the liver fails over months to years) include:

  • Hepatitis B
  • Hepatitis C
  • Long term, excessive alcohol consumption
  • Cirrhosis
  • Hemochromatosis (an inherited disorder that causes the body to absorb and store too much iron)
  • Malnutrition

The causes of acute liver failure, when the liver fails rapidly, however, are often different. These include:

  • Acetaminophen (Tylenol) overdose.
  • Viruses including hepatitis A, B and C (especially in children).
  • Reactions to certain prescription medications.
  • Ingestion of poisonous wild mushrooms.

What Are the Symptoms of Liver Failure?

The initial symptoms of liver failure are often ones that can be due to any number or conditions. Because of this, liver failure may be initially difficult to diagnose. Early symptoms include:

  • Nausea
  • Loss of appetite
  • Fatigue
  • Diarrhea

However, as liver failure progresses, the symptoms become more serious, requiring urgent care. These symptoms include:

  • Jaundice
  • Bleeding easily
  • Swollen abdomen
  • Mental disorientation or confusion (known as hepatic encephalopathy)
  • Sleepiness
  • Coma

How Is Liver Failure Treated?

If detected early enough, acute liver failure caused by an overdose of acetaminophen can sometimes be treated and its effects reversed. Likewise, if a virus causes liver failure, supportive care can be given at a hospital to treat the symptoms until the virus runs its course. In these cases the liver will sometimes recover on its own.

For liver failure that is the result of long-term deterioration, the initial treatment goal may be to save whatever part of the liver is still functioning. If this is not possible, then a liver transplant is required. Fortunately, liver transplant is a common procedure that is often successful.

How Can Liver Failure Be Prevented?

The best way to prevent liver failure is to limit your risk of developing cirrhosis or hepatitis. Here are some tips to help prevent these conditions.

  • Get a hepatitis vaccine or an immunoglobulin shot to prevent hepatitis A or B.
  • Eat a proper diet from all of the food groups.
  • Drink alcohol in moderation. Avoid alcohol when you are taking acetaminophen (Tylenol).
  • Practice proper hygiene. Since germs are commonly spread by hands, be sure to wash your hands thoroughly after you use the bathroom. Also, wash your hands before you touch any food.
  • Don't handle any blood or blood products.
  • Don't share any personal toiletry items, including toothbrush and razors.
  • If you get a tattoo or a body piercing, make sure the conditions are sanitary and all equipment is aseptic (free of disease-causing microorganisms).
  • Be sure to use protection (condoms) when having sex.
  • If you use illegal intravenous drugs, don't share needles with anyone.

Any personal health questions? Please consult your physician !


Wishing You Great Health,

Glen Edward Mitchell

Got a question? Ask Glen!

1 comment:

Buck said...

NAFLD and NASH (Non-Alcoholic Fatty Liver Disease and Non-Alcoholic Steatohepatitis) are quickly beocming the most common causes of chronic liver failure. Recent studies at UCSD suggest that children as young as 10 and 11 are already showing signs of NAFLD thanks to our diets high in fat and chemicals.

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Is the Founder of Fitness Builders 4 Life,the WorkOut GEM,G350,G180, G90, Eat 4 Life, Clean, Lean & Mean & Ask Glen. The mission of the Fitness Builders is to provide the community with health education and to empower people to change unhealthy lifestyles thereby increasing life expectancy. By educating the community on healthier lifestyle practices it is the intent of Fitness Builders to reduce the ravages of obesity, heart disease, cancer and other lifestyle or self inflicted diseases. Glen is also a AMA Certified Nutrition Specialist and a ACE, ACSM, NASM Certified Personal Trainer has 30+ years in Sports, Exercise Science and Nutritional Food Management, Learning and Mentoring Men and Women on a more Mental & Physical Healthy Life Style consisting of a low fat, low salt, Low carbohydrate, high protein, organic nutrition which also includes moderate exercise and mental awareness. Stay Informed, Live long and be Mentally and Physically Healthy! Any questions? Ask Glen!

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