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- $Unique_ID{BRK00946}
- $Pretitle{}
- $Title{How Could Cirrhosis of the Liver Develop So Quietly?}
- $Subject{cirrhosis liver jaundice Digestive appetite loss deficient nutrition
- nausea vomiting accumulation fluid toxic chemicals drugs drug reactions
- alcohol ascites}
- $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.
-
-
- How Could Cirrhosis of the Liver Develop So Quietly?
-
-
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-
- QUESTION: As if without warning, my brother has now been informed he is
- suffering from cirrhosis of the liver. However he has had no symptoms until
- just recently, when he visited his physician because of a weight loss. Do you
- feel the doctor was right in his diagnosis, and could you please explain how
- this disease developed so quietly?
-
- ------------------------------------------------------------------------------
-
- ANSWER: It is difficult to comment on the correctness of the diagnosis
- without more information as to the findings of the examination and laboratory
- tests, but I can tell you that the condition of cirrhosis may develop over a
- period of time without many warning signs. Cirrhosis is the result of an
- ongoing situation during which the liver cells are damaged and replaced by
- scar tissue. As the amount of normal tissue decreases, the liver can not
- handle the many functions it must perform in the normal individual and the
- symptoms become apparent in a gradual fashion. Perhaps the first is a loss of
- appetite, which leads to deficient nutrition and a loss of weight, the
- situation you allude to in your question. The appetite loss can transform
- into actual nausea and then vomiting, further complicating the weight problem.
- A physical examination at this time can reveal a liver that is larger than
- normal, and close inspection of the skin may show the first signs of yellowing
- or "jaundice" which results when the liver can no longer remove certain bile
- pigments which are deposited in the skin. As the liver progresses along the
- course of the disease, ascites or accumulation of fluid in the abdomen occurs
- as blood flow through the liver is reduced. As the liver loses its abilities
- to function, these patients may experience an increased sensitivity to
- medications and drugs. All symptoms do not appear in all patients, and it is
- the task of both patient and physician to deal not only with these symptoms,
- but to discover the cause of the cirrhosis and remove it if possible. While
- there are many causes for liver disease that produce cirrhosis, including
- infections, exposure to toxic chemicals and drugs, as well as drug reactions,
- in many cases it is caused by chronic, prolonged and excessive use of alcohol.
- Such patients can be helped greatly by avoiding alcohol completely and
- consuming a nutritious balanced diet along with necessary vitamin supplements.
- This may be easier said than done, but a supportive, concerned family is a
- great resource for the patient.
-
- ----------------
-
- 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.
-