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How do you feel when your liver fails?

Acute liver failure causes fatigue, nausea, loss of appetite, discomfort on your right side, just below your ribs, and diarrhea. Acute liver failure is a serious condition. It requires medical care right away. If treatments are not effective, you may be a candidate for a liver transplant.

cedars-sinai.org - Acute Liver Failure | Cedars-Sinai

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Acute liver failure is a rare condition. It happens when your liver suddenly starts to not work. This often happens right after an overdose of medicine or poisoning. Chronic liver failure happens over a long stretch of time. Taking too much acetaminophen causes most cases of acute liver failure. Acetaminophen is a painkiller found in many over-the-counter and prescription medicines. Certain diseases can also cause acute liver failure, such as hepatitis and Wilson disease. In some cases, the cause for liver failure is unknown. As the disease gets worse, you may also become confused and very sleepy. Other symptoms include: Liver failure is a serious condition. It requires medical care right away. Your healthcare provider will ask about your past health, your use of medicines or illegal drugs, and any possible exposure to toxins. You will also need a physical exam. Your healthcare provider may check for signs of hepatitis, such as jaundice, fatigue, and abdominal pain.

How is acute liver failure treated?

Treatment for acute liver failure depends on the underlying cause. If your healthcare provider thinks you took too much acetaminophen, you will probably be given activated charcoal. Taking this will help your body lower how much medicine is absorbed in your gastrointestinal tract. Or you may take N-acetylcysteine. This medicine can also help with an acetaminophen overdose. You can take this medicine either by mouth or through your vein. It is also sometimes helpful to people with acute liver failure that was not caused by too much acetaminophen. If viral hepatitis is the cause of your acute liver failure, your healthcare provider may give you certain medicines depending on the type of hepatitis you have. If you have autoimmune hepatitis, your healthcare provider can treat you with steroids. If your healthcare provider can’t find the cause of your acute liver failure, you may need a liver biopsy. This test can give more information about your liver. It can also help your healthcare provider decide on treatment. If treatment can’t get your liver working again, you may need a liver transplant. Good candidates for transplant are strong enough for surgery. They don’t have underlying cardiovascular disease, severe infection, or other diseases, like AIDS. But people with controlled HIV can get a liver transplant. If you are approved for a liver transplant, your name will be put on a waiting list to get a donated organ. People with the most urgent need are placed at the top of the list. While you are waiting for a liver to become available, you may be able to have some therapies to keep you alive. But how well these treatments may work is unclear.

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