Система Orphus

Symptoms of disease - pain in the liver

Pain, heaviness in the liver, nausea, bitter taste in the mouth should make you pay attention to your health and to think - what is the reason? It may be that in this way your liver requests for assistance.

Do not underestimate this unique body, because the liver at the same time performs a multitude of tasks: is involved in digestion, metabolism, blood circulation and so on.

The liver is the largest of the digestive gland (mass about 1.5 kg). She participates in the metabolism, an accumulation of various substances, the formulation of bile, promote digestion of fats in the intestine synthesizes vitamins, proteins, participates in the metabolism of iron accumulates glycogen (source of energy for the muscles), participates in the metabolism of lipids (fats) and turns toxins into harmless substances. Liver disease can manifest dull pains in the right hypohondrium, nausea, flatulence, a breach of appetite, intolerance fat, muscle weakness, rapid fatigue, irritability, sometimes jaundice.

Among the specific functions of the liver can be noted the following:
- And heat buildup goes down and the maintenance of body temperature. The liver is the highest temperature in the body - 40 degrees.
- Participation in digestion. Products of decomposition of food in the small intestine come in the liver, processing them into useful or just harmless for the organism of the substance.
- Synthesis of glycogen. Under the action of enzymes in the liver cells, glucose derived from carbohydrate food is converted into glycogen (animal fat). This substance can accumulate in the liver cells, and under the influence of enzymes, if necessary, for the body back turn into glucose. Thus, the liver is involved in maintaining a constant level of sugar in the limits of 80 to 100 mg of glucose per 100 ml of blood.
This process is under the control of insulin - a hormone produced the pancreas.
- Participation in the exchange of lipids. In the liver is a preliminary preparation of fat for disposal and transformation into the end products of metabolism - carbonic acid and water. In addition, salts of bilious acids produced by the liver, and participate in the hydrolysis of fats and fat intake in the intestine. Insufficient number of salts of bilious acids leads to the absorption of fats and their excretion with faeces in an unaltered state, which is observed in some diseases of the gastrointestinal tract in infants, SRPU syndrome, as well as in some lesions of the pancreas.
- Protective, or detoxification function of the liver. Some substances, such as barbiturates or alcohol, are completely destroyed in the liver. However, receiving large doses of hypnotics leads to damage of the liver cells.
- The removal of harmful substances from the body.
- Urea formation occurs in the liver cells of ammonia. Urea from the liver with a current of blood enters the kidneys, where is excreted in the urine.
- Education and the production of bile. Bile helps the absorption of fat in the small intestine and neutralize the hydrochloric acid.
- The liver plays an important role in maintaining the permanent composition of the blood.
- Accumulation of nutrients, vitamins and iron.

The liver cleanses the blood of cium, residual red blood cells, which have outlived its 110-day century. The liver is the most active from 1 to 3 hours of the night. About troubles says dryness in the throat, pain in the right hypochondrium, the inability to bend over.

In violation of metabolic processes in the liver and gall bladder may be formed stones. These gallstones from time to time, do not cause unpleasant sensations. But once the disease may manifest itself in the form of "biliary colic", when there is a strong pain associated with jam stones in the bile duct.

Pain in the liver can cause a large number of diseases of the liver. The most common - hepatitis b - acute viral, and chronic.

Much less common parasitic diseases of the liver, pyo-inflammatory processes (liver abscess), tumors of the liver.

Diseases of the liver
1. Acute hepatitis
2. Acute hepatitis in infectious diseases:
- Leptospirosis (Weil disease-Vasiliev)
- Yellow fever
Infectious mononucleosis
- Herpetic hepatitis
- Enterovirus hepatitis
- Cytomegalic hepatitis
- Bacterial hepatitis, caused by gram cocci
- Hepatitis b, caused by gram-negative bacteria
- Disease Legionnaires
- Toxoplasmosis
2. Autoimmune hepatitis
3. Chronic hepatitis
3. Cirrhosis of the liver
5. Liver steatosis
6. Primary biliary cirrhosis of the liver
7. Primary sclerosing cholangitis
8. Functional hyperbilirubinemia
9. Hemochromatosis
10. Hepatolenticular degeneration (Wilson Disease)
11. Amyloidosis liver
12. Liver tumors
13. Cysts of the liver
14. Liver abscess
15. Alcoholic hepatitis
16. Diseases of the gallbladder:
"The stones in the gall bladder
- Acute cholecystitis
- Biliary colic
- The sludge in gall bladder
- Choledocholithiasis
- Holangit
- Stasis bile

Which diseases there is pain in the liver

Symptoms of liver disease.

In diseases of the liver may be pain or a feeling of gravity in the right hypochondrium. Pain in the liver constant during the day, aching, are enhanced by the physical load, jolting ride, eating fats, spicy and fried foods, rest in peace. Pain is transmitted in the back, right shoulder blade, are being felt in the right side of the neck, They are accompanied by nausea, bitterness in the mouth, belching, unstable stools, abdominal distention. The pain is usually accompanied by loss of appetite, belching bitterness, heartburn, nausea, vomiting.

The exacerbation of the inflammatory process in the gall bladder or the presence of stones arise attacks of acute pain in the right upper quadrant of varying intensity and duration, often with the increase of temperature, the appearance of vomiting. If an attack of pain is accompanied by a blockage of a stone of the lumen of the bile ducts, the patient appears yellow coloration of sclera and mucous membranes, discolored feces, increases body temperature, appear relevant changes in the blood.

Liver pain may be caused by non-compliance of the diet, Smoking, alcohol, sharp movements. You can often meet and mixed forms of cholecystitis, arising from a combination of several factors.

Complaints to the yellow color of the skin are also characteristic of the diseases of liver. Initially, patients or their relatives can see icteric sclera, then the skin. At the same time you can see the appearance of dark-colored urine discoloration of feces.

On the background of jaundice, particularly long-term, a skin itch. This demonstrates the increasing number of components of bile in the blood.

In patients with diseases of the liver are very often common to complain of weakness, lethargy, rapid fatigability, reduced efficiency. May be headaches, a tendency to faint. Often hemorrhages in the skin. In women may be a violation of the menstrual cycle, for men, impotence.

Acute hepatitis.
Acute hepatitis is suddenly formed an inflammatory disease affecting the liver tissue (diffuse lesion). The main role in the occurrence of hepatitis play viruses: A, b, C, D, E and F. For hepatitis A characteristic mode of transmission of HIV through the mouth (virus infected food, water). The disease is relatively not difficult. There is no transition into the chronic form. The hepatitis b virus is transmitted by the parenteral (through the blood during the injection of drugs, blood transfusions, the introduction of serums). Possible and contact (sexual) route of transmission. There are often severe and may shift in chronic hepatitis. The hepatitis C virus can also be passed to parenteral, it is anticipated sexual way of transmission. Often develop erased, low symptomatic form of the disease. In a large percentage of cases there is a transition in the chronic form. The virus D accedes to the virus In, an independent disease it is. Viruses E and F are actively studied, the first is transmitted through food and water, the second - dropped. Do these viruses chronic forms of hepatitis, it is not known yet.

The cause of acute hepatitis b may be the alcohol. Acute alcoholic hepatitis develops in people who abuse alcohol, on the background of malnutrition. The immediate cause can become a "alcoholic excess" - reception of a large quantity of alcohol in a short period of time.

Some drugs can cause liver damage, very similar in their manifestations of acute hepatitis: salicilata, tetracycline antibiotics, anticancer funds. The high sensitivity of the organism of any medicine can cause liver damage.

Typical of acute viral hepatitis is the jaundice form in which allocate certain periods - preicteric, a jaundiced and the period of the output of the disease.

There are different variants of preicteric period. Can be expressed unmotivated weakness, increased fatigue. Patients are often feel the constant nausea, periodically there is vomiting, almost no appetite. When Flu-like version of the temperature rises, there is pain in the throat, can be runny nose. Rarely is rheumatoid option, when are worried about the pain in the joints, muscles.

Next, the patient or his relatives notice jaundice, which is intensively growing. At this point, appears as the darkening of the urine, discolored feces. May be pain in the right hypochondrium. Increased liver, sometimes the spleen, in the blood are changes of a number of functions of the liver. Common signs of illness in this decrease. The duration of jaundice usually 2-3 weeks, in the most severe cases, up to 2 months.

The final period also can be carried in three variants. At first, gradually begins recovery - disappear main characteristics, normalize altered laboratory indicators, from the patient's blood disappears virus. Under the second variant is developing "healthy" genotype of the virus. The third is adverse, is characterized by the transition into the chronic form. The patient for a long time remain a small jaundice, enlarged liver, modified indicators of functional liver damage.

Very often asymptomatic nonicteric form of acute hepatitis, when there is no explicit jaundice or she is absent at all. But in the survey of persons who have been in contact with patients with hepatitis, is able to identify the presence of the virus in the blood of the breach of laboratory performance. Such form of acute hepatitis dangerous in two directions - they also pass into the chronic form and can be a source of infection of other people.
Chronic hepatitis.
Chronic hepatitis is common (diffuse) of the inflammatory process in the liver, lasting longer than 6 months. He may be the result of acute hepatitis or immediately develop as a chronic process. There are two main forms of chronic hepatitis, chronic persistent and chronic active hepatitis. These two types of hepatitis more or less clearly differ clinically. Practically, however, it is absolutely necessary to try in each case of chronic hepatitis to identify its etiological factors, since this fact has a significant influence on the selection of a method of therapy.

The main etiological factors of chronic hepatitis: hepatitis viruses b, C and D, alcohol, chemical toxic to the liver substances, medicines. When the virus as the cause of the inflammation of the liver is recognized by all researchers. In respect of the other factors are expressed doubts. In some cases the reason is unclear, then talk about idiopathic forms of hepatitis. In order to process in the liver has become a long, chronic, little of the virus. In the body breaks down the state of its protection, the immune system, it starts to work properly, can't remove the virus from the body, which leads to long-term course of disease.

Chronic persistent hepatitis has a favorable prognosis is not transferred to cirrhosis of the liver. Patients complain of pain in the liver, weakness, fatigue, sometimes a light yellow jaundice. The permanent sign of a moderate increase in the liver. Laboratory indicators changed very little.

Active hepatitis more often chronic viral hepatitis. For him and outcomes more severe than in the treatment of persistent hepatitis. He can go in cirrhosis of the liver. Patients concerned about a very severe weakness, reduced efficiency, many develop jaundice, itching, appear hemorrhages in the skin. There are a pain and a feeling of gravity in the right hypochondrium, intolerance of acute, fried and greasy foods. Almost always enlarged liver, many patients also and spleen. Reveal a violation of the majority of the functional liver laboratory samples.

About a quarter of patients with chronic hepatitis b and more than a half of hepatitis C are erased form of the disease, when clinical symptoms are expressed little, but the danger of the complications of not less than when expressed forms of the disease. Early detection of such patients, which is possible with timely treatment to the doctor, it is very important to carry out the required treatment.

Cirrhosis of the liver.
Cirrhosis of the liver is the most severe diffuse disease of the liver. Along with the active inflammatory process in liver tissue, is the massive expansion of the connective tissue. The fibres of the fabric replaces the normal liver cells, pull the vessels of the liver, resulting in the violation of circulation not only in it, but also in all the organs of the abdominal cavity. In the portal vein increases blood pressure and liquid penetrates into the abdominal cavity, is developing ascites.

The most frequent causes of cirrhosis of the liver are active chronic viral hepatitis b and alcohol abuse.

Patients with cirrhosis of the liver complain of weakness, malaise, fatigue, decreased performance, a bad dream. From time to time appears jaundice, bleeding in the skin, skin itch. Patients lose weight because of infringements of digestion and absorption. They often notice on the skin of the expansion of small blood vessels, redness of the skin of the palms of the hands, the men - increase of mammary glands. Are worried about the pain in the right podreberie, increase and abdominal swelling. The most dangerous complication of cirrhosis of the liver is bleeding from the esophageal veins, sometimes so strong that it is life threatening. The liver or significantly increased or decreased in size.

Liver steatosis.
Steatosis of the liver and fatty degeneration of the liver - independent diffuse disease caused by the accumulation of fat in the liver cells.

The main causes of steatosis of the liver is alcohol abuse, diabetes mellitus in combination with obesity, obesity, some diseases of the endocrine system, lack of food (protein-energy malnutrition), chronic diseases of the digestive system with a syndrome of impaired absorption.

Liver steatosis most often manifests itself only the increase in the liver, which have been detected by chance during the examination of a doctor or during the ultrasound. We should distinguish between the liver steatosis of such forms of the defeat of the forms of its destruction as a chronic persistent hepatitis, the disease Gilbert's.

Primary biliary cirrhosis of the liver.
Primary biliary cirrhosis of the liver - a special form of liver disease, in which the inflammatory process in the beginning of strikes intrahepatic tiny bile ducts, and then applies to himself and liver cells, causing damage to them, and then replacement of the connective tissue.

The cause of the disease is unknown. Sick predominantly women of middle age, from 35 to 60 years.

An early sign of primary biliary cirrhosis of the liver, skin itching, first on the palms and soles, and then General. After a few months or even years jaundice appears. Due to the violation of bile flow decreases the absorption of fat-soluble vitamins. Deficiency of vitamin K appears bruises, D - pain in the bones, And - chicken blindness, E - changes in the skin. Increases the level of cholesterol in the blood. Eventually suffers from liver function. Jaundice practically constant, enlarged liver and spleen.

Tumors of the liver.
There are benign and malignant tumors of the liver.

Common benign tumors are the lack of any complaints of the patient, changes of laboratory parameters. In recent years, benign tumors were identified more frequently, mainly due to the wide spread of ultrasound.

From benign tumors are often found hemangiomas (tumor of the blood vessels). Typically, patients do not complain, doctor on examination can detect an increase in liver size. Recognized hemangiomas with the help of ultrasound and especially computer tomography. With the help of ultrasound have to watch the growth of tumors, a study of 1-2 times a year. Very slow growth with a high probability speaks in favor of a benign tumor.

Malignant tumor is cancer of the liver. Distinguish between primary cancer of the liver, liver cancer on a background of cirrhosis and metastases in the liver tumors of other organs.

Primary liver cancer develops from the cells of the liver, to a large extent connected with the presence of viruses of hepatitis b and C, more than 2/3 of patients developing on the background of cirrhosis of the liver. Signs of liver cancer and the results of laboratory and instrumental studies under all versions of almost of the same type. Diagnostic value has increased concentration in the blood of a special protein alpha-fetoprotein in 8 times and more in comparison with the norm. Of special importance for the detection of liver cancer have research methods, which allow you to "inspect" it - ultrasound, computer tomography, laparoscopy.
Cysts of the liver.
Cysts of the liver - it is a cavity in the liver, filled with liquid.

At the present time they are recognized, thanks to the use of ultrasound and computed tomography. Cysts on the pictures are spherical or oval shape. They can be multiple and single. After the detection of cysts doctor, watching the patient, solves a number of issues:
1) parasitic cysts or non-parasitic;
2) in single cyst is not whether it is a manifestation of the primary cancer of the liver;
3) are there complications cysts.

Parasitic cysts are caused by the introduction into the body of parasites, most often echinococcosis or, less frequently, alveococcus. There is a special blood tests, which confirmed the presence of parasites in the body. In single cysts examines the content of the blood protein alpha-fetoprotein, the number of its significant increases in cancer of the liver.

Echinococcosis of the liver is manifested pain in the liver, liver enlargement, there are jaundice, skin itch. There may be complications - breakthrough cysts in the biliary tracts with the development of mechanical jaundice; suppuration of the cyst (the temperature increases, the pain, chills appear, heavy sweats).

Liver abscess.
Liver abscess - limited cavity in the liver, and filled with pus. Called abscess bacteria (bacterial) or parasites-the simplest (protozoal). From the simplest of liver abscess is most often caused by amoebas. Contamination of amoebas is normally the case when non-observance of sanitary conditions. Abscesses can be primary and secondary, when unable to install the disease, complicated by suppurative process in the liver. There is a single and multiple abscesses.

Symptoms of abscess of the liver are high enough bulb temperature, pain in the right podreberie, enlargement of the liver and its pain during the examination of a doctor. A blood test shows the inflammatory process.

The final diagnosis is established with the help of ultrasound and computed tomography, as well as special studies, which allows to identify a bacterial whether it abscess or protozoal.

Bacterial abscesses treated with antibiotics, and they are given not only with the help of injections, but also in the cavity of the abscess. Under ultrasound of the abscess remove the pus.

The liver is in the liver capsule, but it is close to the pain receptors and, consequently, the pain may appear in a strong tension capsules (enlargement of the liver - hepatomegaly).

For liver pain is not typical.

Cause an increase in liver can hepatitis of any etiology, cirrhosis of the provision, the tumor.

If the pain in the liver associated with eating or drinking, most likely the cause of the pain - dyskinesia, - violation of traffic on biliary ways by different reasons: the gall bladder may be too greatly reduced, or Vice versa relaxed and shall not be reduced.

Output of the biliary tract (the sphincter of ODDI) can be compressed smooth muscles (spasm) or trapped obstacle (swelling, scarring from the pestilence, etc.) or is blocked by a stone (cholelithiasis).

A specific reason, you can determine if you do an ultrasound.

Which doctor should I contact if there is a pain in the liver

  • Gastroenterologist
  • Oncologist
  • Hepatologist

Are you experiencing pain in the liver? You want to know more detailed information, or you need an inspection? Please sign up on reception to the doctor! Doctors will examine you, examine the external signs and help to determine the disease the symptoms, they will consult you and provide the necessary assistance. You can also call the doctor on the house.

Do you feel liver hurts? You should be very careful approach to your health in general. People pay not enough attention to the symptoms of the disease and don't realize that these diseases can be critically dangerous. There are many diseases that in the beginning didn't manifest in our body, but in the end it turns out, unfortunately, it have already been treated too late. Every disease has its own specific features typical symptoms - called symptoms of the disease. Definition of symptoms is the first step in the diagnosis of diseases in general. You just need a few times a year to be screened by a doctor, not only to prevent a terrible disease, but also to maintain a healthy spirit in a body and the organism in general.

Pains by category

Pains by alphabet

Map of the symptoms and the types of pain is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.