Essential Liver Health Checks: Preventing Silent Liver Diseases - Gastroenterology and Hepatology

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Prevention of Liver Disease


Hello, doctor.
I have heard that the liver can endure a lot even when it is diseased, which is why it is referred to as a "silent organ." What regular tests should be done to prevent liver issues?

xuesheng, 10~19 year old female. Ask Date: 2017/09/29

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, if you have hepatitis B or C, you should be monitored every six months.
For the general public over the age of 40, you can undergo an adult health check every three years.
If any abnormalities are found, further examination will be necessary.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2017/09/29

More Info


Maintaining liver health is crucial, especially since the liver is often referred to as a "silent organ." This term reflects the fact that liver diseases can progress without noticeable symptoms until they reach advanced stages. Therefore, regular check-ups and awareness of liver health are essential for prevention and early detection of potential issues. Here’s a comprehensive overview of essential liver health checks and preventive measures.


Essential Liver Health Checks
1. Liver Function Tests (LFTs): These blood tests measure the levels of liver enzymes (such as AST and ALT), bilirubin, and proteins produced by the liver. Elevated levels of enzymes can indicate liver inflammation or damage. Regular monitoring of these tests can help detect liver issues early.

2. Hepatitis Screening: For individuals at risk, such as those with a history of intravenous drug use or unprotected sex, screening for hepatitis B and C is vital. If you are over 40 or have risk factors, consider getting tested every few years.

3. Ultrasound Imaging: An abdominal ultrasound can help visualize the liver and detect abnormalities such as fatty liver, cysts, or tumors. If any abnormalities are found, further imaging studies like CT or MRI may be recommended.

4. Fibrosis Assessment: Non-invasive tests like FibroScan or serum biomarkers can assess liver stiffness, which indicates fibrosis or scarring. This is particularly important for individuals with chronic liver diseases.

5. Lipid Profile: Since conditions like fatty liver disease are often associated with metabolic syndrome, checking cholesterol and triglyceride levels can provide insights into liver health.

6. Complete Blood Count (CBC): This test can help identify issues like low platelet counts, which may indicate advanced liver disease.


Preventive Measures
1. Healthy Lifestyle Choices: Maintaining a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support liver health. Avoiding excessive sugar and saturated fats is crucial, as these can contribute to fatty liver disease.

2. Limit Alcohol Consumption: Alcohol is a significant risk factor for liver disease. Limiting intake to moderate levels (up to one drink per day for women and two for men) can help prevent liver damage.

3. Regular Exercise: Engaging in regular physical activity helps maintain a healthy weight and reduces the risk of fatty liver disease. Aim for at least 150 minutes of moderate-intensity exercise each week.

4. Weight Management: Obesity is a major risk factor for liver disease. If overweight, losing even a small percentage of body weight can significantly improve liver health.

5. Vaccinations: Vaccines for hepatitis A and B can protect against these viral infections, which can lead to serious liver damage.

6. Avoiding Toxins: Limit exposure to harmful chemicals and toxins, including certain medications that can adversely affect the liver. Always consult with a healthcare provider before starting new medications.

7. Regular Health Check-ups: For individuals over 40 or those with risk factors for liver disease, regular health check-ups that include liver function tests and screenings for hepatitis are essential.


Conclusion
In summary, the liver's ability to endure damage without immediate symptoms makes it imperative to engage in proactive health checks and lifestyle modifications. Regular screenings, particularly for liver function and hepatitis, combined with a healthy lifestyle, can significantly reduce the risk of developing serious liver diseases. If you have any concerns about your liver health or risk factors, consult with a healthcare professional for personalized advice and recommendations. Remember, early detection and intervention are key to maintaining liver health and preventing complications.

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