Symptoms of acute liver injury

However, many people do not pay much attention to their diet, and often eat spicy foods, drink coffee, and then drink iced drinks. The shock of cold and hot can cause acute liver damage. After the onset, they often feel thirsty and have symptoms of nausea. Because liver damage can also cause bleeding, patients often have abdominal distension and ascites. The most obvious thing is a dull pain, and the amount of bleeding is sometimes more and sometimes less and cannot be controlled.

Symptoms and signs

Patients generally have a clear history of right-sided chest and abdominal trauma. Conscious patients complain of right upper abdominal pain, sometimes radiating to the right shoulder. Feeling thirsty, nauseous, and vomiting. The main signs of liver trauma are hypovolemic shock and peritonitis. Some patients may experience massive intra-abdominal bleeding and other symptoms such as abdominal distension. Due to different causes of injury, the clinical manifestations of liver trauma are also inconsistent.

Subcapsular hematoma or small hematoma within the liver parenchyma mainly presents clinically as dull pain in the liver area, and physical examination may reveal an enlarged liver or an upper abdominal mass. If the hematoma is connected to the bile duct, it will manifest as bile duct bleeding, causing upper gastrointestinal bleeding. Long-term repeated bleeding can lead to chronic progressive anemia. If the bleeding in the hematoma continues to increase, the tension of the liver capsule will be too great and it will suddenly rupture under the action of external force, causing acute hemorrhagic shock. Therefore, when performing non-surgical treatment on patients with subcapsular hematoma, attention must be paid to the possibility of delayed bleeding. If the hematoma becomes infected, symptoms of liver abscess such as chills, high fever, and pain in the liver area may appear.

When the liver is superficially lacerated, there is usually only right upper abdominal pain, and shock and peritonitis rarely occur, because the amount of bleeding is small, the bile extravasation is not much, and the bleeding usually stops on its own within a short period of time.

Central liver rupture or open liver injury is characterized by extensive fragmentation of liver tissue, generally involving larger blood vessels and bile ducts. There is a lot of intra-abdominal bleeding and bile extravasation, and patients often have symptoms of acute shock and peritoneal irritation. Symptoms include abdominal pain, pale face, weak pulse, decreased blood pressure, decreased urine volume, etc. There is obvious abdominal tenderness and tense abdominal muscles. As bleeding increases, the above symptoms become more severe.

When the liver is severely lacerated or combined with rupture of large blood vessels near the liver porta, such as the portal vein and inferior vena cava, uncontrollable massive bleeding may occur. Large blood vessel injury can lead to massive dynamic blood loss and cause fatal hypovolemic shock, which often causes death during the treatment process and loses the opportunity for surgical treatment.

Diet and health care

What foods are good for the body when suffering from liver trauma: Eat a balanced diet and eat a light diet. Cereals, such as glutinous rice, black rice, sorghum, and millet; followed by red dates, longan, walnuts, and chestnuts; and meat and fish, such as beef, pork tripe, and crucian carp, also have health benefits for the liver. In addition, such as leeks, garlic, onions, mustard greens, coriander, ginger, onions, etc. This type of vegetable can not only dispel wind and cold, but also inhibit and kill bacteria.

Preventive Care

There is currently no effective prevention measure for this disease, and early detection and diagnosis are the key to its prevention and treatment.