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liver_cirrhosis
August 11, 2023 by Londonsono 0 Comments

Understanding Liver Cirrhosis: Causes, Symptoms, and Management

At our ultrasound clinic in London, we recognize the importance of educating our community about various liver conditions. Liver cirrhosis is a serious health concern that requires awareness, understanding, and timely management. In this article, we will delve into the causes, symptoms, and effective strategies for managing liver cirrhosis.

What is Liver Cirrhosis?

Liver cirrhosis is a progressive and irreversible condition in which healthy liver tissue is replaced by scar tissue. This scarring affects the liver’s normal structure and function, impairing its ability to perform vital tasks such as detoxification, protein synthesis, and bile production. If left untreated, cirrhosis can lead to severe complications, including liver failure.

Causes of Liver Cirrhosis:

Chronic Alcohol Abuse: Prolonged and excessive alcohol consumption is a leading cause of cirrhosis. Alcohol can directly damage liver cells and promote the accumulation of scar tissue.

 

Chronic Viral Hepatitis: Chronic infection with hepatitis B or C viruses can lead to ongoing inflammation and scarring of the liver, ultimately resulting in cirrhosis.

Non-Alcoholic Fatty Liver Disease (NAFLD): NAFLD, often associated with obesity and metabolic syndrome, involves the accumulation of fat in the liver. Over time, this can progress to cirrhosis.

Autoimmune Hepatitis: In this condition, the body’s immune system mistakenly attacks liver cells, causing inflammation and potential cirrhosis.

Genetic Disorders: Certain genetic conditions, such as hemochromatosis (excess iron accumulation) and Wilson’s disease (copper buildup), can contribute to cirrhosis.

Biliary Diseases: Conditions that affect the bile ducts, such as primary biliary cirrhosis and primary sclerosing cholangitis, can lead to cirrhosis.

Symptoms of Liver Cirrhosis:

In its early stages, cirrhosis may not cause noticeable symptoms. As the disease progresses, the following signs and symptoms may emerge:

 

Fatigue and weakness.

Loss of appetite.

Unexplained weight loss.

Nausea and vomiting.

Abdominal pain and discomfort.

Jaundice (yellowing of the skin and eyes).

Swelling in the legs and abdomen.

Itchy skin.

Importance of Early Detection:

Early detection and intervention are crucial for managing cirrhosis and preventing further liver damage. As a reputable ultrasound clinic in London, we offer advanced imaging techniques that aid in the early diagnosis and monitoring of liver health.

Diagnostic Tools:

Ultrasound: Our high-resolution ultrasound imaging can detect changes in the liver’s structure, evaluate blood flow, and identify signs of cirrhosis.

FibroScan®: This non-invasive test measures liver stiffness, providing information about the degree of fibrosis (scarring) present in the liver.

Blood Tests: Specific blood markers can indicate liver function and the severity of cirrhosis.

Management and Treatment:

While cirrhosis is not reversible, effective management can slow its progression and alleviate symptoms:

Lifestyle Changes: If alcohol-related, abstaining from alcohol is crucial. Adopting a healthy diet, exercising regularly, and maintaining a healthy weight can improve liver health.

Medications: Depending on the underlying cause of cirrhosis, medications may be prescribed to manage complications, reduce inflammation, or address specific symptoms.

Regular Monitoring: Routine medical check-ups and follow-up appointments are essential to monitor the progression of cirrhosis and address any emerging issues.

Advanced Interventions: In some cases, advanced treatments such as liver transplantation may be considered for eligible patients with severe cirrhosis.

Prevention:

  • Preventing cirrhosis involves addressing its underlying causes and making healthy lifestyle choices:
  • Limit alcohol consumption or abstain from it entirely.
  • Get vaccinated against hepatitis B.
  • Practice safe sex to reduce the risk of hepatitis transmission.
  • Maintain a healthy weight and manage conditions like diabetes and high cholesterol.
  • Avoid sharing needles or other drug paraphernalia.

Conclusion:

Liver cirrhosis is a serious condition that demands attention, understanding, and early management. As a dedicated ultrasound clinic in London, we are committed to supporting our community’s liver health through advanced imaging techniques and comprehensive care. If you suspect you may be at risk for cirrhosis or are experiencing symptoms, don’t hesitate to contact our clinic for an evaluation. By raising awareness and taking proactive steps to address risk factors, we can collectively work towards preventing and effectively managing cirrhosis. Your liver health is our priority, and we are here to provide the support you

August 11, 2023 by Londonsono 0 Comments

Understanding Fatty Liver: Causes, Symptoms, and Management

Fatty liver, medically known as hepatic steatosis, is a common condition characterized by the accumulation of excess fat within the liver cells. This condition can have various causes and can range from mild to more severe forms. Fatty liver is becoming increasingly prevalent worldwide, and it’s important to understand its causes, symptoms, and management strategies.

Causes of Fatty Liver:

Non-Alcoholic Fatty Liver Disease (NAFLD): The most common cause of fatty liver is non-alcoholic fatty liver disease, which is often associated with obesity, insulin resistance, and metabolic syndrome. These conditions contribute to the accumulation of fat within the liver cells.

Alcoholic Fatty Liver Disease: Excessive alcohol consumption over an extended period can lead to alcoholic fatty liver disease. Alcohol is processed in the liver, and heavy drinking can overwhelm the liver’s ability to metabolize fat.

Medications and Toxins: Certain medications, such as corticosteroids and tamoxifen, as well as exposure to toxins, can lead to fatty liver.

Rapid Weight Loss: Sudden and significant weight loss, especially in cases of obesity, can cause the liver to release fat into the bloodstream, leading to fatty liver.

Symptoms of Fatty Liver:

In its early stages, fatty liver may not cause noticeable symptoms. However, as the condition progresses, you may experience:

Fatigue

Unexplained weight loss

Pain or discomfort in the upper right abdomen

Enlarged liver

Elevated liver enzymes in blood tests

It’s important to note that these symptoms can be indicative of other conditions as well. Therefore, if you’re experiencing any of these symptoms, it’s crucial to consult a medical professional for proper evaluation.

If you are unsure of the symptoms you are experiencing we would recommend an abdominal ultrasound, this will allow the assessment of other possible causes of symptoms in the abdomen and liver such as diagnosing gallstones, tumours, cysts and also liver function.

Diagnosis and Risk Factors:

Fatty liver can be diagnosed through imaging studies such as ultrasound, CT scans, and MRI. These tests help visualize the amount of fat accumulated in the liver. Your doctor may also recommend blood tests to assess liver function and rule out other potential causes.

Certain factors increase the risk of developing fatty liver:

Obesity or overweight

Type 2 diabetes

High blood pressure

High cholesterol levels

Sedentary lifestyle

Poor diet

Rapid weight loss

Management and Prevention:

Managing and preventing fatty liver involves lifestyle modifications and, in some cases, medical intervention:

Healthy Diet: Adopting a balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats can help prevent and manage fatty liver. Avoiding high-calorie, sugary, and processed foods is crucial.

Regular Exercise: Engaging in regular physical activity helps improve insulin sensitivity, aids in weight loss, and reduces fat accumulation in the liver.

Weight Management: Maintaining a healthy weight is essential for preventing and managing fatty liver. Gradual, sustainable weight loss can significantly improve liver health.

Limit Alcohol Consumption: If you have alcoholic fatty liver disease, reducing or eliminating alcohol consumption is crucial for recovery.

Medical Supervision: In some cases, medical intervention may be required. Your doctor may prescribe medications to manage underlying conditions, such as diabetes or high cholesterol.

How do you know if you have a fatty Liver?

Fatty liver is a prevalent condition that can have serious implications for your liver health. Understanding its causes, symptoms, and management strategies is essential for preventing its progression and ensuring optimal liver function. If you suspect you have fatty liver or are at risk, consult a medical professional for proper evaluation and guidance.

Remember, a healthy lifestyle, including a balanced diet, regular exercise, and avoiding excessive alcohol consumption, plays a key role in maintaining your liver’s well-being. Prioritising your liver health today can lead to a healthier tomorrow.

We offer a range of scans suitable for those wanting a diagnosis on fatty liver disease and the option below allows you to select your appointment date and time for a Liver Fibroscan additionally we offer a Liver and Pancreas screening blood test or a liver ultrasound option.

Liver and Abdominal Ultrasound Scans

Abdominal and Liver Imaging

The liver is located in the upper right-hand portion of the abdominal cavity, beneath the diaphragm, and on top of the stomach, right kidney, and intestines. It is divided by the falciform ligament into the bigger right lobe and smaller left lobe.

 

Abdominal ultrasound Is the first-line imaging modality used to examine liver diseases. It is a safe, painless, and non-invasive procedure. Ultrasound is highly sensitive in detecting diffuse and focal lesions within the liver including cysts tumors and abscesses. It is therefore one of the best choices for diagnosing the type of liver disease responsible for the affliction of symptoms.

Types of liver disease

Hepatomegaly: Hepatomegaly is the enlargement of the liver beyond its normal size. Hepatomegaly itself is not a liver disease, it is however, an indicator of the potential of underlying liver diseases such as cirrhosis, hepatitis, and fatty infiltration of the liver.

Hepatic cysts: Hepatic cysts are fluid-filled lesions within the liver parenchyma. They are usually discovered incidentally. Simple hepatic cysts are mostly congenital cysts. They can also be seen in polycystic liver disease. Complex cysts are defined as lesions that contain complex features. They can occur due to Trauma (hematoma), parasites (echinococcal cysts), and inflammation (abscess). A hematoma is caused by blunt abdominal trauma injuring the liver. A liver abscess is a mass filled with puss in the liver that can develop from injury or infection. Patients present with fever and right upper quadrant pain.

Fatty liver: Fatty infiltration of the liver can either be focal or diffuse. Diffuse fatty Liver is the most common liver pathology. it is the build-up of fat in the liver. It is commonly found in the right lobe of the liver and the most common cause of this liver disease is likely to be obesity. Other causes include excessive intake of alcohol, diabetes, hepatitis, chemotherapy, and pregnancy. It can also be a precursor to liver disease and hepatocellular carcinoma. Fatty liver can be mild, moderate, or severe. Conversely, focal fatty sparing is a condition where there is normal liver parenchyma within a fatty infiltrated liver.

Cirrhosis: Cirrhosis is a liver disease that through a diffuse process destroys the liver. This damage to the liver is characterized by the replacement of normal liver tissue with scar tissue. There are various causes of liver cirrhosis. Alcohol consumption is the most common cause which leads to the early stages. Excessive consumption of alcohol over a longer period can lead to end-stage liver disease where the liver becomes scarred. Other causes include viral hepatitis B and C, toxic drugs, and biliary obstruction. Patients with cirrhosis have an increased risk of developing hepatocellular carcinoma. Focal liver masses can be visualized on ultrasound in several clinical situations, from incidental findings to identification in a symptomatic patient as part of a targeted search in a patient who is at risk for a hepatic neoplasm. Haemangiomas, Focal nodular hyperplasia (FNH), and adenomas are the most common benign neoplasms seen in the liver, whereas hepatic cellular carcinoma and metastases make up the majority of malignant tumors.

Haemangioma: Haemangiomas are the most common solid benign tumor in the liver. They can occur at any age but are more common in adults, particularly women. They are usually incidental findings, and most patients are asymptomatic. However, during pregnancy, it can grow and cause pain.

Focal nodular hyperplasia (FNH): FNH is the second most common benign tumor of the liver. It is mainly found in younger women and is usually found incidentally; therefore, most patients are asymptomatic. Hormonal effects might play a role as FNH is more common in women than men.

Adenoma: Adenoma is a rare benign liver tumor. It is a true hepatic encapsulated neoplasm containing atypical hepatocytes which have areas of hemorrhage and necrosis. They are linked to long-term oral contraceptive use therefore it is more common in women (90%). However, it can shrink once the contraceptives are stopped. It can be asymptomatic, or the patient can present with right upper quadrant pain.

Angiomyolipoma: kidney tumor is made up of fat, blood vessels, and smooth muscle tissue. They often develop in people with tuberous sclerosis, a genetic condition that causes non-cancerous tumors to form in many organs, including the eyes, skin, brain, lungs, heart, and kidneys.

Hepatocellular carcinoma: Hepatocellular carcinoma (HCC) is the most common primary liver cancer. It is more common in men than women with a ratio of 5:1. HCC occurs at a later age and is unusual under the age of 40. It is hugely associated with Hepatitis, alcoholism, and cirrhosis. It can occur in 3 forms, a solitary tumor, multiple nodules, or diffuse infiltration. It causes biliary obstruction, jaundice, portal vein thrombosis, and ascites. Symptoms of HCC include right upper quadrant pain, a palpable mass, hepatomegaly, and fever.

Liver metastases: Liver metastasis is the spread of a cancerous tumor to the liver. Its incidence is 20x greater than HCC. The most common primary tumors resulting in liver metastases include colon, breast, lung, and pancreas. The liver is vulnerable due to the large amounts of blood received from the portal vein and the high nutrient level and large lymphatic reserve. Metastases can be symptomatic or asymptomatic. Symptomatic patients present with pain, jaundice, and hepatomegaly. In addition, liver function tests are abnormal.

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London Private Ultrasound Liver disease Clinics

At London Private Ultrasound we provide a specialist ultrasound clinic with specialists in the abdominal region and specific to the liver, types of liver disease and cancer experts.

We provide emergency and same-day appointments from our Central London location and can often provide fast track reporting and diagnosis.

If you are looking to book a liver scan in London, you can book a suitable appointment time online and take advantage of a range of services created to detect early warning signs and allow prompt remedial actions.