It should be noted that the liver itself is not painful - it has no sensory innervation. Pain right under the ribs may occur due to increased and irritable serous membranes organ.
What kinds of liver disease? What are the signs and what their treatment?
1. Cirrhosis of the liver
The most common chronic liver disease is cirrhosis, which generally proceeds slowly. The disease is characterized, in particular, damage to the parenchyma, leading to liver failure. In 50% of cases of cirrhosis of liver promotes alcohol abuse.
Initially symptoms such as loss of appetite, nausea, weight loss, pain in the right abdomen, gynecomastia, hypogonadism, ascites, increased spleen. symptoms of progressive disease then appear, such as ecchymosis and bleeding, jaundice, pruritus, hepatic encephalopathy. Treatment of cirrhosis depends on the stage and its causes.
2. viral hepatitis
This is an acute infectious disease caused by hepatitis viruses A, B, C, and D forms and E.
Typical symptoms of hepatitis A include fatigue, abdominal pain, nausea, vomiting, pain in muscles and joints. Furthermore, there may be jaundice or itching (in cholestatic form).
The most common symptom of hepatitis B infection is jaundice, which does not occur in all patients. Many of these can be signs that resemble the flu or food poisoning easy.
The most insidious, because in most cases are asymptomatic, is hepatitis C. Often the only sign pointing to C virus form, is a slight increase in liver.
3. Alcoholic fatty liver
Chronic alcohol abuse - the main cause of fatty liver, which occurs during daily use ethanol in size: for men - 50 grams ethyl alcohol (200 ml of vodka, wine 1 liter, 2.5 liter beer), for women - 20 grams of ethyl alcohol.
Alcoholic fatty liver disease may be reversible. To do this, it is important to completely abandon the use of alcohol. Otherwise, there may be further stages of liver injury such as alcoholic hepatitis or cirrhosis of the body.
4. Patient liver damage
The liver is responsible for the metabolism of most drugs. Poisoning them can lead to acute liver failure, as well as chronic inflammation of the body.
Toxic effects may occur after ingestion of too high doses of the drug (e.g., acetaminophen poisoning) and can lead to serious consequences.
drug liver damage Treatment starts with the immediate cessation therapy agents responsible for the appearance of symptoms.
5. Nonalcoholic fatty liver disease (NAFLD)
Occurrence of nonalcoholic fatty liver disease are largely associated with obesity, hypertension, II type diabetes and metabolic syndrome. Among people with NAFLD also common hyperlipidemia. In addition, risk factors for NAFLD include male gender, older age, and rapid weight loss in obese people.
6. Liver cancer
Anxiety symptoms of liver cancer usually occur in the step of hepatocellular carcinoma. The patient feels pain under the ribs on the right, there may be fever and the fever, no appetite and lost weight. Also increased abdominal circumference, as evidenced by the development of ascites. It may be edema of the legs, yellowing of the skin or bleeding in the gastrointestinal tract.
7. Autoimmune hepatitis (AZW)
Autoimmune hepatitis (AZW) - called leukocytes of the immune system attack on the liver cells. Symptoms include pain in the right upper quadrant, bloating, disturbance of appetite, itching. If AZW used immunosuppressive therapy.
8. Wilson's disease
This genetic disorder in which excess copper accumulates in the body, mainly in the liver. Tags: enlargement of the liver, pain, yellow color of the skin, bruising, and swelling of the legs. The treatment is to reduce the amount of copper in the body, and prevent the re-accumulation element.
9. hemochromatosis
The essence of hemochromatosis is the excessive accumulation of iron in the body, including the liver. It is an incurable disease, its treatment is aimed at relieving symptoms by reducing iron stores and maintain the concentration of the element in the normal range.
10. Thrombosis hepatic vein thrombosis (Budd-Chiari syndrome)
This disease is characterized by impaired blood outflow from the hepatic veins and venous stasis. The first signs of venous thrombosis liver are abdominal pain and fever (with simultaneous development of infection). At a late stage of development of disease symptoms appear, which are due to hepatic insufficiency and portal hypertension, ascites, hepatomegaly and increased spleen.
11. Portal vein thrombosis
A disease in which the gate Vienna narrows blood clot. The spectrum of symptoms is very diverse: from no symptoms to severe pain.
12. Primary sclerosing cholangitis
Initially asymptomatic, and its diagnosis is based on laboratory tests. In a later stage of the disease there is a strong feeling of fatigue, pruritus, jaundice, little characteristic pain in the upper part of the abdomen and weight loss.
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