Xiao Jia came to the clinic to find me.
Dr. Yang, I went out to work, and the unit physical examination said that my liver function was not normal. Let me come back for further checks.
I asked, how is your liver function not normal? Do you have any symptoms?
Xiao Jia replied that the unit said that the transaminases were elevated, about four hundred. I didn't have any results. I have been resting at home for the New Year, and there are no obvious symptoms.
I asked you if you had chronic liver disease before? For example, hepatitis B, hepatitis C, long-term medication, long-term alcohol consumption.
Xiao Jia said that he did not know that he had liver disease. He also did not take medicine or drink alcohol.
Theoretically, the causes of abnormal liver function are mainly viral hepatitis, including chronic hepatitis B, chronic hepatitis C, fatty liver, drugs, alcohol consumption and other reasons.
Without seeing the results, I could not determine what caused the elevated transaminases of liver function.
I gave Xiao Jia a series of tests to determine the extent of liver function damage and the cause of liver function abnormalities.
As a result, it was expected that Xiao Jia suffered from hepatitis B. He himself hadn't noticed it before.
He wondered why I didn't have any symptoms, how did I get infected with hepatitis B?
I have repeatedly said that to evaluate hepatitis B, you can not look at the symptoms, only based on the results of clinical laboratory tests. Because there are many people with liver disease who do not have any symptoms.
Of course, some patients with liver disease will also have some clinical symptoms. So what are the clinical symptoms of hepatitis B infection?
1. Initial adults with hepatitis B infection (i.e., acute phase) symptoms similar to influenza, may also appear:
● Nausea
●Upper right abdominal pain
●Yellowing of the eyes or skin (i.e., jaundice)
These symptoms usually get better, but can take weeks to months.
2. Most adult hepatitis B patients will get better within about 6 months of acute infection, but 1/20 of adult patients will have long-term disease, that is, "chronic" hepatitis B.
Most patients with chronic hepatitis B have no symptoms but may gradually develop cirrhosis, with symptoms including:
●Swelling of the abdomen and legs, as well as fluid accumulation in the lungs
●Prone to ecchymosis or bleeding
●Difficulty breathing
●Fullness
● Sudden confusion
●Coma
Patients with chronic hepatitis B also have an increased risk of liver cancer.
Of course, once infected with hepatitis B, there will still be some clues, but unfortunately many people do not take these symptoms seriously.
1. Loss of appetite. Loss of appetite, nausea and anorexia. When the liver function is abnormal, many patients will have these symptoms, and it is necessary to check in time.
2. Fatigue and weakness. This is one of the early manifestations of the onset of hepatitis in patients. It is also the most common clinical symptom. Many patients think they are too tired at work and ignore the symptoms.
3. Yellowish complexion, skin color, or dull complexion. If the patient has a yellow face and yellow eyes, it is obvious that it may be jaundice, which is easier to identify. Dark complexion is also a common feature of patients with liver disease and requires attention to examination.
4, urine yellow like tea. This may be a manifestation of jaundice, pay attention to timely examination.
5. Pain in the liver area. Some patients with liver disease present with swelling, dull, or pinprick pain in the liver area, which is exacerbated by movement and over different periods. Sometimes the pain is reduced when lying in the left recumbent position.
6. Liver palm, spider mole:
Many patients with chronic liver disease have symptoms of liver disease face, palmar and spider angioma, especially those with cirrhosis are more likely to have similar symptoms. However, the symptoms of liver palm and spider nevi are not specific, and normal people can also have similar symptoms, so liver disease cannot be judged based on these two symptoms.