home *** CD-ROM | disk | FTP | other *** search
- $Unique_ID{BRK00973}
- $Pretitle{}
- $Title{What Causes a "Large Liver"?}
- $Subject{liver enlargement cirrhosis Digestive percussion ultrasound tests
- scans radioisotopes fibrosis cirrhosis inflammations infiltrative conditions
- tumors cancer cancers vascular diseases bile duct ducts biopsy alcoholic Type
- A viral hepatitis}
- $Volume{I-8}
- $Log{
- Cirrhosis of the Liver*0009700.tid
- Normal, Fatty and Cirrhotic Livers*0009701.scf
- What Causes Cirrhosis of the Liver*0009702.scf
- Symptoms of Cirrhosis of the Liver*0009703.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- What Causes a "Large Liver"?
-
-
- ------------------------------------------------------------------------------
-
- QUESTION: With the needs of a close member of our family in mind, we are
- turning to you to ask for explanations about a "large liver". Would you
- please enlighten us about its causes, how it is discovered, and what the
- possible cures might be? Many important decisions will depend upon the
- information you can provide us.
-
- ------------------------------------------------------------------------------
-
- ANSWER: That is a pretty big task, and well beyond my ability to fulfil
- adequately within the restrictions of this column. However, I can offer you
- some basic information and a reliable source for more extensive information
- and help. The first clues to an enlarged liver comes during a physical
- examination, when your physician thumps your abdomen (with a technique called
- "percussion") and discovers that the lower border of the liver extends below
- the edge of the ribs on the right hand side. Normally the liver is tucked up
- under the rib border, lying just under the diaphragm, the large muscle that
- pulls and pushes air in and out of the lung. This finding can be confirmed by
- ultrasound tests, or scans using radioisotopes. The causes of an enlarged
- liver are many indeed, but fall into 5 major classifications; fibrosis/
- cirrhosis, inflammations, infiltrative conditions including tumors and cancer,
- vascular diseases, and bile duct problems. While there are many tests that
- can be used to help tell one condition from another, the most useful
- diagnostic tool is the liver biopsy. This furnishes the physician with a bit
- of liver tissue which can be examined under the microscope. The two most
- common causes of an enlarged liver are cirrhosis and viral hepatitis, each
- accounting for about 15 percent of all cases of liver enlargement (or
- "hepatomegaly" in medical terminology). Cirrhosis is frequently associated
- with alcoholic liver disease, while viral hepatitis comes in several types,
- depending upon the infecting virus. Type A viral hepatitis is seen mostly in
- younger people, and after travel to countries where the disease is wide
- spread. Other types are diagnosed in individuals with needle drug habits,
- homosexuals, heterosexuals with multiple partners, after blood transfusion,
- and health field workers. Your best bet to obtain extensive, authoritative
- information is to contact the American Liver Foundation, Cedar Grove, NJ
- 07009, Telephone # 201 857-2626.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-
-