Liver Problems: Types, Causes, Symptoms and Prevention

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Sarah Izhar

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The liver is the largest gland and viscera in an animal or human body responsible for digesting food, removing wastes, filtering blood, etc. It is a dark-reddish brown, wedge-shaped organ consisting of two lobes and is positioned in the right upper quadrant of the abdomen, below the diaphragm. 

  • A healthy person's liver usually weighs around 1.3 kg or 3 pounds.
  • Over time, due to unhealthy lifestyle conditions that damage the liver and cause various liver problems.
  • Examples of liver problems include hepatitis C, fatty liver, cirrhosis, etc.

​In this article, we will read more about what are liver problems, types of liver problems, causes, symptoms, and prevention of liver problems. 


What are Liver Problems?

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The liver is one of the vital organs that performs various essential functions in your body. It primarily functions in detoxifying the blood to maintain a healthy liver. However, excess accumulation of toxins can damage the liver and can cause serious liver problems.

  • A liver disease can affect the metabolisms, digestion, immunity, and storage of vitamins.
  • When the doctor refers to a liver problem or disease, they mean chronic liver conditions that can damage the liver with time.
  • Chronic liver condition has 4 stages: hepatitis, fibrosis, cirrhosis, and liver failure.
 

Types of Liver Problems

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Various types of liver problems are caused by toxin accumulation, viruses, or even caused by genetic inheritance. A few common liver problems are as follows:

Hepatitis

Hepatitis is a liver condition caused by the spread of viruses leading to an enlarged liver eventually causing the liver to function poorly. Hepatitis A, Hepatitis B, Hepatitis, C, and Hepatitis D are the 5 variants. 

  • These infections can be acute (lasting six months or less) or chronic (lasting more than six months).
  • A virus causes viral hepatitis, which is an inflammation of the liver.
  • Although hepatitis is infectious, it does not necessarily result in symptoms.
  • This implies that it can be spread and contracted without the person being aware of it.
  • Getting vaccinated can help reduce your risk for hepatitis.

Fatty liver disease

When fat accumulates in the liver, this condition is termed fatty liver disease. Too much fat in the liver causes it to expand and become irritated. Fatty liver disease can be classified into two types: alcoholic and non-alcoholic.

  • Alcoholic fatty liver disease arises as a result of long-term heavy drinking.
  • Nonalcoholic fatty liver disease doesn’t have a clear cause, though diet may play a role in some cases.
  • Both types can lead to Cirrhosis (scarring), a condition in which the liver is permanently damaged as a result of inflammation.
  • Symptoms of Fatty Liver Disease include nausea, fever, itchy skin, jaundice, fatigue, weight loss, and swelling in the legs and abdomen.

Genetic Condition

There are various common genetic conditions inherited from parents that can cause liver problems. These diseases are as follows: 

  • Hereditary Hemochromatosis is a condition that results in the storage of excess iron in your organs.
  • A condition that causes your liver to store copper instead of releasing it is called Wilson disease.
  • Alpha-1 Antitrypsin Deficiency is a condition wherein your body is unable to make enough alpha-1 antitrypsin, which is mostly produced in your liver.
  • Symptoms of Genetic Conditions include abdominal pain, jaundice, joint pain, decreased appetite, fatigue, and low energy.

Autoimmune Condition

An autoimmune disease is a condition that involves our immune system attacking healthy tissue in our body. The immune system can attack the liver and can cause inflammation and scarring. Various autoimmune conditions include: 

  • Autoimmune hepatitis- it can develop suddenly and if untreated can lead to cirrhosis and liver failure.
  • Primary binary cirrhosis (PBC)- this condition can affect the bile ducts leading to a build-up of bile. 
  • Primary sclerosing cholangitis- this disease gradually damages the bile ducts, thereby blocking them. 
  • Symptoms of autoimmune condition include chills, night sweats, pain in your right abdomen, enlarged liver, spleen, or abdomen.
  • Itchy skin, dark urine, and pale stool, fatigue, and nausea are some other symptoms.

Cirrhosis

When your liver is harmed by inflammation or swelling, it develops cirrhosis or scarring. Cirrhosis can be caused by a variety of liver disorders, including alcoholic fatty liver disease and hepatitis, although it takes time to develop.

  • Other diseases like cystic fibrosis and syphilis may damage the liver and can lead to cirrhosis.
  • It is necessary to treat the disease at the earliest, delaying which can be life-threatening.
  • Symptoms of Cirrhosis include fatigue and weakness, decreased appetite, unexplained weight loss, easy bruising or bleeding.
  • Nausea, leg and abdominal pain, and itchy skin are some other symptoms.

Liver Cancer

Liver Cancer is any cancer that begins in the liver. The most prevalent kind of liver cancer is hepatocellular carcinoma, often known as HCC. While liver cancer can be referred to as any cancer that starts in the liver, it's most commonly used to describe HCC.

  • The progression of liver cancer is generally sluggish.
  • During the early stages, you may not notice any symptoms.
  • It's critical to consult your doctor as soon as you detect any symptoms as the early treatment might mean a better prognosis.
  • Symptoms of Liver Cancer are similar to other liver problems. 

Liver Failure

Chronic or acute liver failure is also possible. Cirrhosis is generally the cause of this failure. It usually occurs in the late stages of liver disease, when the liver is too damaged to function properly.

  • Most of the time, it's a slow process.
  • Acute liver failure can be caused by overdoses, particularly acetaminophen overdoses.
  • This is a kind of liver failure that occurs over a few days or weeks rather than months or years.
  • It’s not as common as chronic liver failure, but acute liver failure is very serious.
  • Symptoms that can point to early liver failure include appetite loss, fatigue, nausea, Diarrhea
  • Fatigue, Confusion, and Coma are signs of later liver failure.
  • Active liver failure shows symptoms like pain or swelling in your right abdomen, nausea, vomiting, confusion, and tiredness.

Causes of Liver Problems

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When the liver fails to function properly due to disease or damage, the body suffers negative consequences that can vary from mild to life-threatening. Hepatitis, fatty liver disease, hemochromatosis, Wilson disease, and cancer are a few of the illnesses that impair the liver's function. 

  • Liver problems are caused when the immune system functions abnormally. 
  • Abnormal genes which are inherited from parents can cause damage to the liver.
  • Some causes of liver problems involve chronic alcohol abuse.
  • Infections caused by parasites or viruses cause inflammation in the liver thereby damaging it.
  • Fat accumulation in the liver is also one of the causes of the problems.
  • Certain medications and long-term contact with chemicals also lead to liver diseases.

Symptoms of Liver Problems

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The symptoms of liver problems widely vary because of the number of factors that can act as potential causative agents for liver problems. However, these are some of the common characteristic symptoms of liver problems:

  • Jaundice
  • Weakness
  • Weight loss
  • Nausea
  • Vomiting
  • Persistent Fatigue
  • Swelling of the limbs
  • Itches and rashes
  • Dark urine
  • Bloody stool, or dark stools
  • Pain in the abdominal region
  • Swelling in the abdominal region
  • Slower blood clotting

Prevention of Liver Problems

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Taking active efforts toward a healthy lifestyle is the greatest approach to avoiding liver disease. The following are some suggestions to help keep the liver in good working order:

  • Avoid Illicit Drugs- Illicit drugs are poisons that the liver has to filter out. Taking these medications can have long-term consequences.
  • Moderate Alcohol Consumption- Alcohol is broken down by the liver. While the liver can handle small amounts of alcohol, excessive use can harm the liver.
  • Exercise on a Regular Basis- Maintaining a regular exercise regimen will aid in the overall health of all organs, including the liver.
  • Eat Healthy Foods- Eating too much fat can impair the liver's ability to function, leading to fatty liver disease.
  • Get Vaccinated- Get vaccines against hepatitis A and B, as well as illnesses that develop in the liver like malaria and yellow fever. 
  • Distant yourself from other people’s body fluids and blood- Hepatitis virus spreads easily by the fluids and blood of another individual.
 

Things to Remember

  • The liver problem arises when the liver does not function properly due to injury or illness.
  • According to the American Liver Foundation, at least 10% of Americans suffer from liver disease in some form. 
  • Hepatitis C, non-alcoholic fatty liver disease, and liver cancer are also the most common symptoms of liver problems.
  • Cancer, autoimmune illnesses, and genetic or metabolic abnormalities are some of the other reasons for liver disease.
  • Unfortunately, many symptoms of liver problems are not visible until the damage has occurred. 
  • According to population-based research, 69 per cent of individuals with cirrhosis are unaware that they have the illness. 

Previous Year Questions

  1. Which of the following terms will you use to describe them?..[NEET 2014]
  2. Under which one of the following categories will you place this plant?..[NEET 2004]
  3. Treatment of seed at low temperature under moist conditions to break its dormancy called...[NEET 2006]
  4. Abscisic acid controls...[NEET 1990]
  5. Hormone connected with cell division, is…...[NEET 1991]
  6. Auxin can be bioassayed by…..[NEET 2015]
  7. Coiling of garden pea tendrils around any support is an example of...[NEET 2010]
  8. Endosperm is consumed by developing embryo in the seed of… [NEET 2008]
  9. Flowers are Zygomorphic in… [NEET 2011]
  10. Epipetalous and syngenesious stamens occur in… [NEET 1991]
  11. Hypanthodium is a specialized type of… [NEET 1994]
  12. Commercial cork is obtained from… [NEET 1991]
  13. An aggregate fruit is one which develops from… [NEET 2014]

Sample Questions

Ques: What are the symptoms of hepatitis? (2 marks)

Ans: The symptoms of hepatitis are as follows:

  • fatigue decreased energy or general weakness
  • aching muscles and joints
  • abdominal pain
  • nausea

Ques: What is fatty liver disease? What are its types? (3 marks)

Ans: A small amount of fat is found in a healthy liver. When there is too much fat in the liver, it causes fatty liver disease.

Too much fat in the liver causes it to expand and become irritated. Cirrhosis (scarring) is a condition in which the liver is permanently damaged as a result of inflammation.

Fatty liver disease is divided into two types:

  • Alcoholic fatty liver disease develops as a result of long-term heavy drinking.
  • Nonalcoholic fatty liver disease doesn’t have a clear cause, though diet may play a role in some cases. 

Ques: What are the conditions of the autoimmune liver? (3 marks)

Ans: Autoimmune liver conditions include:

  • primary biliary cholangitis (PBC)
  • primary sclerosing cholangitis (PSC)
  • autoimmune hepatitis
  • Both PBC and PSC often develop slowly, but early symptoms sometimes include fatigue and itchy skin.

Eventually, they can also cause:

  • pain in your right abdomen
  • jaundice
  • leg an abdominal swelling
  • enlarged liver, spleen, or abdomen
  • unexplained weight loss
  • PSC can also cause chills, fever, and night sweats.

Ques: What is meant by liver cancer? State its symptoms? (3 marks)

Ans: Any cancer that begins in the liver is referred to as liver cancer. The most prevalent kind of liver cancer is hepatocellular carcinoma, often known as HCC. While liver cancer can be referred to as any cancer that starts in the liver, it's most commonly used to describe HCC. 

The following are some of the most common symptoms of liver cancer:

  • decreased appetite
  • unexplained weight loss
  • itchy skin
  • jaundice
  • abdominal pain and swelling
  • nausea
  • vomiting

Ques: What are the symptoms of liver failure? (4 marks)

Ans: Symptoms that can point to early liver failure include:

  • appetite loss
  • fatigue
  • nausea
  • Diarrhea

Later stages of liver failure may cause:

  • fatigue
  • confusion
  • coma

Symptoms of acute liver failure include:

  • pain or swelling in your right abdomen
  • nausea
  • vomiting
  • confusion
  • jaundice
  • feeling sleepy, disoriented, or generally unwell

Ques: What are some of the common liver problems? (4 marks)

Ans: Some of the common liver problems are:

  • Hepatitis: A virus causes viral hepatitis, which is an inflammation of the liver. Although hepatitis is infectious, it does not necessarily result in symptoms. This implies that it can be spread and contracted without the person being aware of it. Hepatitis is spread by coming into touch with tainted food, drink, or body fluids like blood and sperm.
  • Fetty liver disease: A small amount of fat is found in a healthy liver. When there is too much fat in the liver, it causes fatty liver disease.
  • Autoimmune conditions: An autoimmune disease is a condition that involves our immune system attacking healthy tissue in our body. Those that cause our immune system to attack our liver can cause inflammation and scarring.
  • Genetic conditions: Common genetic conditions that can lead to liver problems include: hereditary hemochromatosis, a condition that causes your body to store excess iron in your organs. Wilson’s disease, a condition that causes your liver to store copper instead of releasing it so it can leave your body. Alpha-1 antitrypsin deficiency, a condition where your body can’t make enough alpha-1 antitrypsin, which is mostly produced in your liver.

Ques: How to maintain a healthy liver? (4 marks)

Ans: The following are some suggestions to help keep the liver in good working order:

  • Avoid Illicit Drugs: Illicit drugs are poisons that the liver has to filter out. Taking these medications can have long-term consequences.
  • Moderate Alcohol Consumption: Alcohol is broken down by the liver. While the liver can handle little amounts of alcohol, excessive use can harm the liver.
  • Exercise on a Regular Basis: Maintaining a regular exercise regimen will aid in the overall health of all organs, including the liver.
  • Eat Healthy Foods: Eating too much fat can impair the liver's ability to function, leading to fatty liver disease.
  • Vaccinate: Get vaccines against hepatitis A and B, as well as illnesses that develop in the liver like malaria and yellow fever, think if you're going to be traveling.

Ques: When should we call the doctor for liver disease? (4 marks)

Ans: The beginning of liver disease is gradual, and there are no obvious symptoms that prompt a person to seek medical help. Fatigue, weakness, and weight loss that aren't explained should prompt a visit to the doctor.

  • The presence of jaundice or yellow skin is never normal and should be investigated by a medical expert.
  • Fever, vomiting, and stomach pain that persists should also be evaluated as soon as possible.
  • Antidotes to protect the liver are available, however, they are only effective if administered within a few hours.
  • Overdosing on acetaminophen can cause liver failure if not treated.
  • Symptoms appear only after possible liver damage has occurred.

Ques: What are the early signs of liver problems? (5 marks)

Ans: Some signs of early liver damage are:

  • Irregular sleep
  • Low or fluctuating energy levels
  • Skin and eyes developing a yellowish tint
  • Skin conditions appear, such as eczema, psoriasis, acne, and itching
  • Drinking the least amounts of alcohol inebriates rapidly and causes severe hangovers
  • The impact of caffeine becomes acute
  • Flushing from the trunk rising up to the head
  • Experiencing severe reactions and side effects to common medications
  • When early liver harm creeps up, the body can no longer safeguard against harmful chemicals.
  • The body stops being able to digest food, remove impurities, filter toxins from the blood, and send nutrients where they need to go.

Ques: Mention the causes of liver problems? (5 marks)

Ans: The causes of liver problems are as follows:

  • Cancer: Liver cells and structures give rise to primary tumors in the liver. Hepatocellular carcinoma and cholangiocarcinoma are two instances.
  • Congestive Heart Failure: When the heart isn't working well, blood and fluid can back up in the body's large veins, which can cause inflammation and enlargement of the liver.
  • Bile Duct: Anomalies in bile flow may result from anomalies in the bile duct's entrance into the small intestine. The sphincter of Oddi serves as a "valve" that allows bile to enter the gut from the common bile duct.
  • Abnormal Bleeding: The liver produces the clotting components in the blood. 
  • Protein synthesis or manufacture: The building blocks of bodily function are proteins, which are produced in the liver. Many body processes are impacted by protein deficiency.

Ques: What factors can increase the risk of liver diseases? (2 marks)

Ans: The factors that can increase the risk of liver diseases are as follows:

  • Excessive drinking
  • Being overweight
  • Diabetes type 2
  • Pierces on the body or tattoos
  • Drug injection using sharing needles
  • Blood transfusions
  • Unguarded sexual activity
  • Exposure to poisons or specific compounds
  • Liver illness in the family history
 

CBSE CLASS XII Related Questions

  • 1.
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    Normal female and Haemophilic male
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    (III) Carrier female and Haemophilic male
    Write the conclusions you draw from these crosses. Comment on the type of inheritance of the disease.
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        (c) Write two features of Biodiversity hotspots.
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                          CBSE CLASS XII Previous Year Papers

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