Do You Have Any Fatigue Management Tips For The Readers
Fatigue can be extremely difficult to deal with and, unfortunately, there is no currently available treatment. One of the most important tips I recommend to patients for managing PBC-related fatigue is to learn more about your liver disease and its symptoms. Educating your loved ones on your symptoms and how they impact you on a daily basis may be helpful as well. A supportive environment can improve your sense of wellbeing and may help you develop modifications to accommodate the burden of fatigue.
Trying to engage in regular social activities and some degree of physical activity are other helpful strategies, as difficult as that may be when you are living with fatigue. Remember to always consult with your physician about what type of physical activity is adequate for your unique condition.
Beyond Lifestyles Changes Are Their Other Actions Those With Pbc Can Take
Any other treatable conditions that may contribute to fatigue should be addressed, including itchiness, thyroid problems, anemia, vitamin D deficiency, sleep apnea or other sleep disturbances, depression, and use of certain medications.
Finally, an important tip for dealing with fatigue and PBC in general is finding a physician that is familiar with your medical condition and can work with you on your symptoms and some of the strategies to improve them.
How Is Acute Liver Failure Treated
Treatment for acute liver failure depends on the underlying cause. If your healthcare provider thinks you took too much acetaminophen within the past several hours, you will probably be given activated charcoal. Taking this will help your body reduce how much medicine is absorbed in your gastrointestinal tract. N-acetylcysteine is another drug that can help with an acetaminophen overdose. You can take this medicine either by mouth or through your vein. N-acetylcysteine is also sometimes helpful to people with acute liver failure that was not caused by too much acetaminophen.
If viral hepatitis is the cause of your acute liver failure, your healthcare provider may give you a medicine depending on the type of viral hepatitis that is causing the failure. If autoimmune hepatitis is causing your liver failure, your healthcare provider can treat you with steroids.
If your healthcare provider cant find the cause of your acute liver failure, you may need a liver biopsy. This will give more information and help determine your course of treatment.
While you are waiting for a liver to become available, you may be able to have some therapies to keep you alive. However, the effectiveness of these treatments is unclear.
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How Is Liver Failure Treated
Liver disease and liver failure are usually treated by specialists called hepatologists.
Treatment of liver failure depends on whether it is acute or chronic. For chronic liver failure, treatment includes changes to the diet and lifestyle, including:
- Avoiding alcohol or medications that can harm the liver
- Eating less of certain foods, including red meat, cheese and eggs
- Weight loss and control of metabolic risk factors, including high blood pressure and diabetes
- Cutting down on salt in the diet
For acute liver failure, treatment includes:
- Intravenous fluids to maintain blood pressure
- Medications such as laxatives or enemas to help flush toxins out
- Blood glucose monitoring glucose is given to the patient if blood sugar drops.
You may also receive a blood transfusion if you are bleeding excessively, or a breathing tube to help you breathe.
In both acute and chronic liver failure, the doctor may recommend a liver transplant. Before transplantation, doctors thoroughly screen transplant candidates to make sure a new organ might help them before placing them on organ waiting lists.
During the transplantation surgery, a healthy liver from a living or deceased donor replaces a damaged or diseased liver. Some transplant centers are able to replace a damaged liver with a portion of a healthy liver because the liver can regenerate, or grow back.
The Need For Early Treatment
Liver diseases, no matter in what form, should be addressed immediately since it is a condition that can threaten the life of a person or lead to other serious health conditions. For patients, waiting until the condition has progressed to its most advanced stage is a no-no. Early consultation with a doctor is important to diagnose the actual problem and to determine the most-suited treatment.
Most of the time, doctors will prescribe corticosteroids to treat the problem, although determining the dose will have to be done carefully as these types of drugs can suppress the immune system. For those suffering from a liver problem and are also experiencing pain in their joints, taking a nutritional supplement that can help relieve the pain may be an option.
All-natural supplements like Xtend-Lifes Green Lipped Mussel Powder is one of the highly-touted ones, mainly because of the absence of chemicals and artificial ingredients in its makeup that may react negatively with the other drugs being taken by the patient.
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Alteration In The Hypothalamus
In first of these experiments bile duct resected rats entered fewer inner squares of an open field apparatus and produced fewer faecal boluses than the control rats. Placing a rat in an open field is a stressful stimulus for the animal and exploration of inner versus outer squares in an open field can be affected by a number of factors, specifically a defective release of central corticotrophin releasing hormone. Diminished faecal bolus production during stress is also consistent with diminished central corticotrophin releasing hormone release. The altered hypothalamus-pituitary-adrenal axis response was further confirmed by finding a low rise in plasma adrenocorticotrophic hormone on exposure to the stress of open space in bile duct resected rats. Thus, an abnormal pattern of behaviour and altered function of the hypothalamus-pituitary-adrenal axis coexist in rats with cholestasis, though a causal relationship between the two has not been established.
Can Liver Failure Cause Mental Confusion
The inability of the liver to perform its normal metabolic function is called as liver failure. It may be acute or chronic liver failure, but recently a third form is defined which is identified as an acute-on-chronic liver failure. Acute on chronic liver failure is described as when someone with chronic liver disease develops sudden liver failure. It can be hereditary or initiated by a variety of factors such as viruses, drugs, toxins, obesity, alcohol and other disease. The end stage of damaged liver referred to as cirrhosis, which can lead to liver failure, a life-threatening condition.
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Stress Fatigue And Liver Enzymes
July 1998′). As stress levels increased in the study participants, symptoms of fatigue began to develop. Measurements taken after fatigue developed showed a significant elevation in aspartate transaminase levels, indicating that high aspartate transaminase levels are a sign of fatigue. However, more research is needed to determine what other factors affect the way fatigue and liver enzymes interact, as well as their overall implication on liver health.
- As stress levels increased in the study participants, symptoms of fatigue began to develop.
- However, more research is needed to determine what other factors affect the way fatigue and liver enzymes interact, as well as their overall implication on liver health.
Who Is At The Greatest Risk For Liver Failure
People most at risk for liver failure include those who:
- Have the chronic liver infections Hepatitis B or C
- Drink or have drunk alcohol excessively
- Have preexisting or acquired medical conditions that make liver failure more likely, such as hemochromatosis , non-alcoholic fatty liver disease , autoimmune disease and Wilson disease .
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Myth: If Have Cirrhosis I Will Get Liver Cancer
Fact:Liver cancer is one possible complication of cirrhosis. Early detection of liver cancer is critical, so if you do have cirrhosis, your doctor will want you to undergo periodic testing using blood and radiologic tests. Early-stage liver cancer can be cured with surgery or transplantation, depending on your health and the location and size of the tumor.
Pathophysiology Of Fatigue In Liver Disease
The pathogenesis of fatigue in general is poorly understood and this holds true for fatigue in the setting of liver disease . However, given that altered neurotransmission within the CNS drives central fatigue, and that central fatigue is the predominant issue in the setting of liver disease, any discussion of the possible etiology of fatigue in the context of liver disease must relate to these potential changes in neurotransmission within the brain . Therefore, the discussion of the pathophysiology of fatigue in liver disease must incorporate two main concepts:
How does the diseased or damaged liver communicate with the brain to cause changes in neurotransmission?
What specific changes in neurotransmission occur within the brain as a result of this communication, and how do these changes give rise to the genesis of central fatigue?
Moreover, this discussion must also be placed in the context that fatigue in patients with liver disease is manifest in the setting of a diagnosis often holding an uncertain outcome and often associated with societal taboos. Therefore, the diagnosis of chronic liver disease encompasses complex interactions among biological, psychosocial and behavioural processes, which can all significantly affect the clinical expression of fatigue in a given patient.
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What Are The Symptoms
Of the large cluster of possible symptoms, fatigue is obviously the predominant feature. This may be chronic and persisting, or relapsing, coming and going unpredictably. It is frequently overwhelming and may immobilize the patient. The fatigue is often exacerbated by even minor exertion, although sometimes the exhaustion will be delayed anything up to 24 hours after the exercise. Other possible symptoms include a feeling of weakness and heaviness of the limbs, poor memory and concentration, headaches, sleep disturbance, depression, mood swings, muscle and joint aches and pains, lymph gland swelling, recurrent viral infections, blurred vision, dizziness, nausea, bloating, constipation and diarrhea. All of these symptoms may fluctuate.
Fatigue In Chronic Liver Disease: New Insights And Therapeutic Approaches
Calgary Liver Unit, Division of Gastroenterology and Hepatology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
Calgary Liver Unit, Division of Gastroenterology and Hepatology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
This work was supported by Abbott Laboratories GmbH.
Handling Editor: Espen Melum
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What Does An Inflamed Liver Feel Like
Most people feel it as a dull, throbbing sensation in the upper right abdomen. Liver pain can also feel like a stabbing sensation that takes your breath away. Sometimes this pain is accompanied by swelling, and occasionally people feel radiating liver pain in their back or in their right shoulder blade.
What Exams Tests And Procedures Diagnose The Cause Of Liver Disease
The precise diagnosis of the liver disease involves a history and physical examination performed by a health care professional. Understanding the symptoms and the patient’s risk factors for the liver disease will help guide any diagnostic tests that may be considered.
Sometimes history is difficult, especially in patients who abuse alcohol. These patients tend to minimize their consumption, and it is often family members who can provide the correct information.
Liver disease can have physical findings that affect almost all body systems including the heart, lungs, abdomen, skin, brain and cognitive function, and other parts of the nervous system. The physical examination often requires evaluation of the entire body. Blood tests help assess liver inflammation and function. Specific liver function blood tests include AST and ALT , GGT and alkaline phosphatase , bilirubin, and protein and albumin levels. Other blood tests may be considered, including:
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How Is It Diagnosed
There is no single test to tell you whether you have chronic fatigue syndrome or not. Although many sufferers have minor abnormalities in certain blood tests that assess immune function, these are of no real help in verifying the diagnosis. Rather, the diagnosis of CFS is made by excluding other possible diseases.
Excerpt from “The Liver Cleansing Diet” book
Another symptom of a sluggish liver is chronic fatigue, and this is usually put down to the wastepaper basket disease of chronic fatigue syndrome into which diagnoses are thrown when tired people cannot find a cause for their ill health. In 90 per cent of such cases I find that the dietary history will give me the clue and these patients are eating too much damaged fat and not enough raw vegetables and fruits. As we have seen before, the liver and the immune system are intimately related just like a married couple they are dependent upon each other and each ones happiness depends upon the other. To overcome chronic fatigue syndrome we must take the load off the overworked immune system by cleansing the liver.
Myth: A Cirrhosis Diagnosis Means A Liver Transplant Will Be Needed
Fact: Your liver may still be able to perform all of its routine functions on a daily basis for a long time. However, having cirrhosis means you may experience the previously mentioned symptoms and have a risk for developing liver cancer. If your symptoms arent adequately controlled with medical therapy or you have early liver cancer that cant be removed with surgery, you may need a liver transplant.
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Will You Be Collaborating Again With The Yale Stress Center
We are very grateful to be able to work with them again. The experiences of many patients who have gone through mindfulness-based programs at the Yale Stress Center have been incredible. We received overwhelmingly positive feedback from patients in our prior study who really enjoyed the whole process and said they would do it again in a heartbeat.
In this prior study, the Yale Center offered the practice of mindfulness as a group program, though no medical information needed to be shared. As a result, participants had the opportunity to interact with other patients with the same liver disease. Through shared experiences and challenges, participants developed bonds that have gone beyond the mindfulness-based intervention program.
It is worth noting that the PBC study will be somewhat different. It will focus on fatigue and not stress alone.
What Is The Function Of The Liver
As part of its function, the liver makes bile, a fluid that contains among other substances, water, chemicals, and bile acids . Bile is stored in the gallbladder and when food enters the duodenum , bile is secreted into the duodenum, to aid in the digestion of food.
The liver is the only organ in the body that can easily replace damaged cells, but if enough cells are lost, the liver may not be able to meet the needs of the body.
The liver can be considered a factory, and among its many functions include:
- Production of bile that is required in the digestion of food, in particular, fats
- Storing of the extra glucose or sugar as glycogen, and then converting it back into glucose when the body needs it for energy
- Production of blood clotting factors
- Production of amino acids , including those used to help fight infection
- The processing and storage of iron necessary for red blood cell production
- The manufacture of cholesterol and other chemicals required for fat transport
- The conversion of waste products of body metabolism into urea that is excreted in the urine
- Metabolizing medications into their active ingredient in the body
Cirrhosis is a term that describes permanent scarring of the liver. In cirrhosis, the normal liver cells are replaced by scar tissue that cannot perform any liver function.
Acute liver failure may or may not be reversible, meaning that on occasion, there is a treatable cause and the liver may be able to recover and resume its normal functions.
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Key Points About Acute Liver Failure
Acute liver failure happens when your liver suddenly begins to lose its ability to function
An overdose of acetaminophen is the most common cause of acute liver failure
Acute liver failure causes fatigue, nausea, loss of appetite, discomfort on your right side, just below your ribs, and diarrhea
Acute liver failure is a serious condition that requires immediate medical attention
If medical treatments are not effective, you may be a candidate for a liver transplant
Why Green Lipped Mussel May Be Safe For Sufferers Of Liver Related Joint Pain
When dealing with any serious medical complication, it is important that you choose medicines that dont have significant side effects, or negative interactions with other drugs. Green Lipped Mussel extract falls into this category, as has been proven with numerous medical studies in New Zealand and around the world. Green Lipped Mussel is an over the counter supplement that doesnt require prescription, although those suffering from any condition, or those who are on other medication, should first check with their doctor before beginning a course of GLM supplement.
Green lipped mussel extract, including leading extracts like Lyrpinol and Xtend-Life, are recommended for use except in cases where the user is either allergic to shellfish , or where the user is either pregnant or breastfeeding.
GLM extract is beneficial to sufferers of joint pain because it is an effective anti-inflammatory agent. By reducing the swelling around joints, the extract can alleviate pain and help to restore mobility. This can make a massive difference in a patient who is already suffering from other complications, as the increased mobility can restore vigor and improve mood.
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Pathogenesis Of Fatigue In Cholestatic Liver Disease
The pathogenesis of fatigue is poorly understood. It is important to elucidate its pathogenesis to develop appropriate treatment. Fatigue constitutes a part of non-specific symptoms such as malaise, lethargy, anorexia, listlessness, loss of social interest and inability to concentrate, which are commonly associated with a number of disease states. These symptoms have been termed as sickness behaviours and are felt to be secondary to the disease process. However, in cholestatic liver disease fatigue is a major symptom and is at times the presenting symptom. Patients with PBC have a higher FFSS compared with other hospital-attending patients with chronic disease, signifying that fatigue is a specific symptom related to PBC. The severity of fatigue, however, does not correlate with markers of liver disease severity like histological grades, age, serum albumin, bilirubin, prothrombin time, and aminopyrine breath test, indicating that the pathogenesis of fatigue is independent of the severity of liver disease. This has led to a suggestion that fatigue may be an extrahepatic association of cholestatic liver disease just like other associated autoimmune diseases.