Liver failure
Overview of liver failure
Liver failure is a life-threatening condition that occurs when large parts of the liver become damaged beyond repair and the liver is no longer able to function. It is a serious medical emergency that requires immediate attention.
Types[edit | edit source]
Liver failure can be classified into two main types:
Acute liver failure[edit | edit source]
Acute liver failure, also known as fulminant hepatic failure, occurs when the liver rapidly loses its ability to function. This can happen within days or weeks and is often caused by factors such as acetaminophen overdose, viral hepatitis, or ingestion of toxic substances.
Chronic liver failure[edit | edit source]
Chronic liver failure, or end-stage liver disease, develops more slowly over months or years. It is often the result of long-term liver damage due to conditions such as cirrhosis, chronic hepatitis B or hepatitis C, and alcoholic liver disease.
Causes[edit | edit source]
The causes of liver failure can vary depending on whether it is acute or chronic. Common causes include:
- Viral hepatitis (A, B, C, D, and E)
- Drug-induced liver injury, particularly from acetaminophen
- Alcoholic liver disease
- Non-alcoholic fatty liver disease
- Autoimmune hepatitis
- Genetic disorders such as Wilson's disease and hemochromatosis
- Toxins and poisons, including certain mushrooms and herbal supplements
Symptoms[edit | edit source]
Symptoms of liver failure can include:
- Jaundice (yellowing of the skin and eyes)
- Fatigue
- Weakness
- Nausea and vomiting
- Abdominal pain and swelling
- Confusion or encephalopathy
- Bleeding easily
Diagnosis[edit | edit source]
Diagnosis of liver failure involves a combination of medical history, physical examination, and laboratory tests. Key tests include:
- Liver function tests
- Blood tests to check for viral hepatitis
- Imaging studies such as ultrasound or CT scan
- Liver biopsy in some cases
Treatment[edit | edit source]
Treatment for liver failure depends on the underlying cause and the severity of the condition. Options may include:
- Medications to treat infections or reduce liver inflammation
- Supportive care to manage symptoms
- Liver transplantation for severe cases
Prevention[edit | edit source]
Preventing liver failure involves addressing the risk factors and causes. This can include:
- Vaccination against hepatitis A and B
- Avoiding excessive alcohol consumption
- Using medications responsibly
- Maintaining a healthy diet and weight
Prognosis[edit | edit source]
The prognosis for liver failure varies depending on the cause and the timeliness of treatment. Acute liver failure can be fatal without prompt medical intervention, while chronic liver failure may progress slowly but can also lead to life-threatening complications.
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Contributors: Kondreddy Naveen, Prab R. Tumpati, MD