The science of liver disease. 

Diseases of the liver can include diseases of the whole liver (diffuse liver disease) as well as focal lesions in the liver. Diffuse liver diseases are often of inflammatory origin. Inflammation of the liver can be caused by viruses, which can lead to chronic inflammation of the liver. Liver-specific viruses are hepatitis A, B, C, D and E viruses. The liver can have autoimmune diseases, autoimmune hepatitis, autoimmune biliary inflammation. Inherited liver diseases also occur, iron and copper storage diseases. The most common liver disease today is fatty liver, which is often associated with obesity, diabetes, high blood pressure, abnormal blood lipids. Liver disease caused by excessive alcohol consumption is common, but drugs and chemicals can also play a role in toxic damage.

When should you consult a hepatologist?

Typical symptoms may include jaundice, itchy skin, a feeling of pressure under the right rib arch, and fatigue. Asymptomatic liver disease also occurs, in which case there is a discrepancy in laboratory findings suggestive of liver dysfunction. Abdominal ultrasound may draw attention to focal liver abnormalities. In such cases, hepatological consultation is recommended. It is recommended that you apply to the consultants with the results of the tests performed so far.

What happens during a hepatology examination?

Interrogation of the medical history and a physical examination of the patient, as well as consideration of available findings, may indicate additional special laboratory tests (blood sampling), abdominal ultrasound, and CT and MRI scans if necessary. A liver density examination (FibroScan, elastography) provides information on scarring and the quantity of connective tissue in the liver. We rarely indicate a histological examination of the liver (liver biopsy).

How can we prevent the development of liver diseases?

Liver diseases can be prevented by screening tests, vaccinations against hepatitis A and B, avoiding obesity and excessive alcohol consumption, and through a lifestyle that includes healthy eating and regular exercise. Early detection and treatment of diseases leads to complete recovery in some cases. Our goal with all liver diseases is to prevent the development of cirrhosis, liver cancer and end-stage liver failure.

How should I arrive for the examination? 

For a hepatological examination, bring your earlier medical records, laboratory test results and any existing radiological examination results.