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What stage of liver failure turns yellow?

Symptoms of end-stage liver disease may include: Easy bleeding or bruising. Persistent or recurring yellowing of your skin and eyes (jaundice)

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My brother has been told he has end-stage hepatitis C. What does this mean? Answer From Stacey A. Rizza, M.D. End-stage hepatitis C means the liver has been severely damaged by the hepatitis C virus. The hepatitis C virus slowly damages the liver over many years, often progressing from inflammation to permanent, irreversible scarring (cirrhosis). Often, people have no signs or symptoms of liver disease or have only mild symptoms for years or even decades until they develop cirrhosis. Once you have cirrhosis, treatment focuses on keeping the condition from worsening. It may be possible to stop or slow the damage.

Symptoms of end-stage liver disease may include:

Easy bleeding or bruising

Persistent or recurring yellowing of your skin and eyes (jaundice)

Intense itching

Abdominal pain

Loss of appetite

Nausea

Swelling due to fluid buildup in your abdomen and legs

Problems with concentration and memory

Cirrhosis usually progresses to the point where the liver loses most or all of its function — liver failure. In addition, people with cirrhosis may develop: Bleeding of the digestive (gastrointestinal) tract due to enlarged veins in the tube that connects the throat and stomach (esophagus), a condition known as esophageal varices Brain and nervous system damage due to the buildup of toxins in the bloodstream (hepatic encephalopathy)

Cirrhosis also increases your risk of liver cancer.

The only effective treatment for people with end-stage liver disease is a liver transplant. Chronic hepatitis C virus is the most frequent cause of liver transplantation in the United States. Most people who receive liver transplants for hepatitis C survive for at least five years after their transplants, but almost always hepatitis C virus returns. If you're diagnosed with hepatitis C or end-stage liver disease, see a doctor who specializes in gastrointestinal diseases or liver diseases (hepatologist). Newer, more-effective hepatitis C treatments can eliminate the virus in many people, reducing the risk of end-stage liver disease.

With Stacey A. Rizza, M.D.

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Does pancreatitis cause yellow stool?

Changes in Stool Color Pale yellow, greasy, foul-smelling stool: malabsorption of fat due to pancreatic insufficiency, as seen with pancreatitis, pancreatic cancer, cystic fibrosis, celiac disease.

How is pancreatitis diagnosed?

There are several tests that alone, or in combination, will help establish the diagnosis of pancreatitis.

Blood tests

Amylase and/or lipase levels are typically elevated in cases of acute pancreatitis. These blood tests may not be elevated in cases of chronic pancreatitis. These are usually the first tests performed to establish the diagnosis of pancreatitis, as these results are generally readily and quickly available. Other blood tests may be ordered, for example:

Liver and kidney function tests

Tests for infection

Tests for anemia

Imaging studies

A CT (computed tomography) scan of the abdomen may be ordered to visualize the pancreas and to evaluate the extent of inflammation, as well as any of the potential complications that can arise from pancreatitis, such as bleeding or pseudocyst (a collection of fluid) formation. The CT scan may also detect gallstones (a major cause of pancreatitis) and other abnormalities of the biliary system. Ultrasound imaging can be used to look for gallstones and abnormalities of the biliary system. Because ultrasound imaging does not emit radiation, this modality is frequently the initial imaging test obtained in cases of pancreatitis. Depending on the underlying cause of pancreatitis and the severity of the illness, additional testing may be ordered.

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