Symptoms of fatty liver during pregnancy

summary

The frequency of fatty liver in pregnancy is not high, and now the cause of the disease can not be clearly determined, it is reported that there are genetic factors, but just as gestational hypertension, drug effect, malnutrition, etc., it may also lead to, but the rare symptoms now are the characteristics of high mortality. Tell us about the symptoms of fatty liver during pregnancy.

Symptoms of fatty liver during pregnancy

Some patients with mild fatty liver have only fatigue, while most patients with fatty liver are fatter, so it is more difficult to find mild symptoms. B-ultrasound can find that moderate and severe fatty liver has the similar performance of chronic hepatitis, including loss of appetite, fatigue, nausea, vomiting, weight loss, liver area or right upper abdominal pain, etc.

The clinical manifestations of fatty liver are various, mild fatty liver has no clinical symptoms and is easy to be ignored. According to records, about 25% of patients with fatty liver can be asymptomatic clinically. Some patients only feel tired, and most patients with fatty liver are fat, so it is more difficult to find mild symptoms. Therefore, the number of fatty liver patients is more than that found by chance in physical examination. Moderate to severe fatty liver is similar to chronic hepatitis, including loss of appetite, fatigue, nausea, vomiting, weight loss, dull pain in liver area or right upper abdomen, etc.

Mild enlargement of liver may have tenderness, slightly tough texture, blunt edge and smooth surface. Splenomegaly and palmar hepatis may be found in a few patients. If there is too much fat deposition in the liver, the liver capsule will swell and the liver ligament will be pulled, which will cause severe pain or tenderness in the right upper abdomen, fever and leukocytosis. It is easy to be misdiagnosed as acute abdomen and laparotomy will be performed. When the fat vesicle ruptures, the fat particles enter the blood, which can also cause brain and pulmonary vascular fat embolism and sudden death. If the accumulation of fat in liver cells forces the hepatic sinuses or small bile ducts, the portal blood flow and bile drainage are blocked, and portal hypertension and cholestasis appear. 　

matters needing attention

Never drink again. Long term alcohol abuse is the first killer of liver damage. Weight loss, over nutrition, long-term intake of excessive animal fat, vegetable oil, protein and carbohydrates, and reducing body fat are also very important. Try to avoid all kinds of drugs. There are dozens of drugs related to fatty liver, such as tetracycline, acetylsalicylic acid, vitamin C acid, etc Glucocorticoid sterols, synthetic estrogens, amiodarone, nifedipine, some anti-tumor drugs and lipid-lowering drugs can lead to the accumulation of fat in the liver.