Symptoms of liver damage from drinking

In recent years, more and more people have begun to pay attention to health preservation. For example, they often dare not drink alcohol or coffee because they think these are harmful to the body. Appropriate drinking is good for health, but excessive drinking can damage the liver and even cause damage to the spleen and stomach. In fact, many people often have endocrine disorders when drinking, and even the body's excretion is not so smooth, and they often feel alcohol poisoning.

"During menstruation, due to endocrine influences, the secretion of alcohol-degrading enzymes will decrease and their activity will decline." Cheng Lizhen, chief physician of the Department of Obstetrics and Gynecology at Zhengzhou Third People's Hospital, said that as a result, the rate of alcohol decomposition is reduced, so that the alcohol cannot be excreted and instead becomes an acidic substance. To neutralize these substances, the liver has to continuously produce enzymes, which ultimately increases the burden on the liver.

Occasionally drinking a small amount of alcohol during menstruation is not a big problem, but if you drink a lot or drink frequently, it is likely to cause chronic liver damage or alcohol poisoning.

Everyone knows that drinking alcohol can easily accelerate blood circulation. During menstruation, faster blood circulation may lead to increased menstrual volume. If this continues for a long time, it may lead to anemia, irregular menstruation, and may also cause various gynecological inflammations.

Cheng Lizhen said that in addition, drinking will inevitably increase the dampness and heat in the body, which can easily cause and aggravate gynecological inflammation. Therefore, when menstruation is approaching or during menstruation, do not drink white wine, iced beer, etc., but you can only drink a little red wine.

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.