Liver and anger issues

17 Signs You Suffer From Liver Stress

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Our liver is the most hardworking but undervalued organ in the body. Everybody talks about having a healthy heart, weight loss, glowing skin and so on. However, it is our liver that works the hardest in the body and performs approximately 500 or more functions from storing sugar, minerals and vitamins as fuel for the body. It also controls the production and excretion of cholesterol etc. The liver contains bile stored in the gallbladder, and this helps to break down fats.

Just like the heart, the liver also gets stressed, but unlike a stressed heart, the symptoms of a distressed liver show up very late. Stress in the liver shows up when the liver is overworked and sluggish. This organ filters out all foreign particles such as food additives, tobacco, alcohol and environmental factors.

So how do we know if our liver is in distress? Here are seven crucial signs of a stressed liver that we should never ignore:

Liver stress sign #1 Your skin colour changes

Have you noticed skin discolouration? If yes, then it is the first sign of a liver in distress. If your skin colour changes to jaundice yellow or pale with a blue tinge, or if your nails or fingertips turn yellow, or if there is yellowing of the eyes there is trouble brewing. This change in colour happens because the body is unable to flush out the toxins. When these toxins accumulate over a period, they cause bilirubin to develop under the skin causing discolouration.

Liver stress sign #2 Suffering from digestion problems

Feel bloated frequently and suffer from constipation too? If you face everyday indigestion issues, it is a sign of a stressed liver. With bloating, you may experience gas and stomach pain as well. This happens because the bile is unable to break down the food and lubricate the intestines.

Liver stress sign #3 Pains and body aches

The liver purifies the blood and produces new blood as well. But when under stress, the liver is unable to provide new blood to the muscles, tissues and tendons. This harms our flexibility, causing pain in the upper back and even dry eyes. Continuous pain of this kind will result in fatigue.

Liver stress sign #4 Fatigue

Do you feel tired and drained out all the time? This can be chronic fatigue and a clear indicator that the liver is under stress. The liver feels stressed as the body works very hard to repair the damages. As the body works overtime, it can stress the other organs too and therefore; it results in tiredness. It is best to get your liver checked at this point.

Liver stress sign #5 Darker urine

Is your urine darker than usual? If yes, then you may not be drinking enough water, and it may cause your stools to be darker too. It could also have blood spots in it. But if you start drinking water and these change, then all is well.  If not, seek medical help right away.

Liver stress sign #6 Mood swings

Mood swings occur when we are unhappy or stressed. So, when the liver is stressed, it can disturb our emotional health. Emotions like anger, impatience, irritability and depression are common symptoms when the liver is in distress. Worse, it can affect your decision-making abilities and cause brain fog. It may even result in aggression and nasty outburst.

Liver stress sign #7 Look out for these signs

A stressed liver impacts the overall body functions – it may cause ringing in the ears, insomnia, dizziness, blurry vision, allergies, no sex drive, internal or intestinal bleeding, sensitivities to chemicals, PMS, drastic weight loss and spider veins.

Liver Stress sign #8 Loss of Appetite

Another warning sign of liver distress is little to no interest in food. Loss of appetite is always a sign of some underlying health condition and should never be ignored. 

Liver Stress sign #9 Irregular Sleep Cycles

Although irregular sleep pattern is a common occurrence amongst millennials due to a stressed lifestyle, a study found that liver cirrhosis was responsible for unusual sleep patterns in many patients.

Liver Stress sign #10 Failing Memory

When you are suffering internally from liver fatigue internally, the organs are incapable of detoxing the blood. When toxins are not timely removed from the blood, it leads to hepatic encephalopathy which is a kind of build-up in the brain triggering memory loss. Hepatic encephalopathy could also make it difficult for you to concentrate. 

Liver Stress sign #11 Skin Itchiness

Abnormal skin itchiness is a sign of liver cirrhosis. 

Liver Stress Sign #12 Sudden Weight Gain

When you have liver cirrhosis, it gradually develops in your body, replacing the healthy liver tissue with damaged ones. This inhibits blood flow from the lever and makes it difficult for the organ to function properly. 

Liver Stress Sign #13 Palms Turn Red

Experts believe that when you develop nonalcoholic fatty liver disease your palms start to turn red an outward indicator of the distress inside of you. This means an excess fat build-up in the liver cells of people who do not even look at a bottle of alcohol. 

Liver Stress Sign #14 Enlarged Breast in Men

Another warning sign of the nonalcoholic fatty liver disease is the appearance of enlarged breasts in mem. This happens due to excess growth of the gynecomastia tissues as a result of testosterone and estrogen discord. 

Liver Stress Sign #15 Easy Skin Bruises 

Liver damage often surfaces in the form of easy and sudden skin bruises. 

Liver Stress Sign #16 Swelling

 Another sign of unexplained liver disease is the sudden swelling in regions around your ankles and legs. 

Liver Stress Sign #17 Chills

Experiencing chills is often a natural response of the body when the mercury drops or when you are developing a fever. However, if none of this fits the bill for your sudden and regular chills it could indicate cholestasis during liver disease.

If you have faced any of these symptoms or are unsure as you encounter some of them, do seek medical help. Consult your doctor today or a liver specialist. Also, it is best to make regular health check-ups a habit.

Please note Images are used for editorial representation only. Source: Google.

Disclaimer: The information included at this site is for educational purposes only and is not intended to be a substitute for medical treatment by a healthcare professional. Because of unique individual needs, the reader should consult their physician to determine the appropriateness of the information for the reader’s situation.

Understanding our emotions and how they manifest in the body.

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Emotions are mental stimuli that influence our everyday lives. Under normal circumstances, they are not a cause of an illness but if they go ‘wrong’ they’re considered as one of the major internal causes of disease in Traditional Chinese Medicine (TCM).

While Western Medicine tends to stress the psychological aspects of psychosomatic ailments, the pathological damage to the internal organs is very real indeed and is of a very primary concern, when a client enters the treatment room of a TCM therapist with such a complaint. It’s well known and experienced that excess emotional activity causes severe energy imbalances, blockages and organ impairments.

Hardly any human being can avoid being angry, sad, worried or afraid sometimes. It is important to realize that one should not fully identify one’s mental and spiritual life with that of the emotional life, as the latter can be so transient. It is also worth mentioning that it is perfectly possible to be alive and lively without being overburdened by excessive emotions.

Emotions only become a cause of disease when they’re excessive, prolonged or both as mentioned above. Although they’re a definite cause of it, they also have a healthy counterpart. The same mental energy that produces and ‘nurtures’ excessive emotions can be used and directed towards creative and fulfilling aims. Each emotion as a cause of a disease is only one side of the coin. The other side is a mental energy that pertains to the relevant organ, be it the liver, gallbladder, spleen, stomach, pancreas, kidney, bladder, heart, small intestine, large intestine and lungs. For example the same mental and affective qualities of the liver, which may give rise to anger and resentment over many years, can be harnessed and used for very creative mental development, because a healthy liver/gallbladder network’s functions, manifest in a good balance of firmness and flexibility, assertiveness, decisiveness, creativity and commitment to growth and development.

In TCM, excessive emotions act as stimuli, which disturb the Mind and Soul, alter the balance of the internal organs and the harmony of Qi (energy) and Blood, which can be a cause of disease. For this reason, emotional stress is an internal cause of the illness that injures the organs directly. On the other hand, and this is very important, the state of the internal organs can affect our emotional state.
Furthermore, all emotions, besides affecting the relevant organ directly, affect the heart indirectly because the heart houses the Mind. Our hearts can recognize and feel the effect of emotional tension.

Let’s discuss the effects of each emotion individually, as advised by Resident Acupuncturist Milan Skamene at Shine, Newington Green N16:


Grief is the emotion of the lungs and the large intestine, organs associated with the metal element. Loss of any kind will often trigger a feeling of being energetically drained and of having difficult bowel function. Grief can stay with us for a while, and can go unresolved until we decide to release it. When grief is unresolved and becomes chronic, depression and an inability to ‘let go’ of things can arise from this lung energy deficiency. This could eventually interfere with lung function and oxygen circulation. Since our lungs control the flow of energy in our bodies, it’s important that we give ourselves space to deal with painful events rather than stifling them.

·      FEAR + FRIGHT

Fear is the emotion of the kidneys and the bladder, organs associated with the water element. It is a normal adaptive emotion, but can become chronic when ignored. Kidney issues often arise when we are dealing with fear, such as a change in life direction or unstable living conditions. When we experience extreme fright, our kidneys struggle to hold the energy and we can quite literally pee our pants.


Worry is the emotion of the spleen/stomach/pancreas network, organs associated with the earth element. Too much pensiveness, worrying and insecurity can weaken our ability to digest – simply knot the energy. When we are worried to a state of anxiety, we find it hard to digest and accept a situation or life event. Lack of trust and ease towards the experiences and the foods we take in to our lives will make it impossible for us to digest them. This can make us feel tired, lethargic, and unable to concentrate. Also here’s a bit of a paradox – too much mental stimulation can actually cause mental heaviness, the same as overwork. A week spleen can also be the cause of stubborn weight problems.


Anger is the emotion of the liver and the gallbladder, organs associated with the wood element. Emotions like rage, fury or aggravation can indicate that this energy is in excess, and when we experience these emotions consistently, our liver can get damaged. At this point, headaches or dizziness can be common. An imbalanced liver and gallbladder can be caused by longstanding feelings of repressed anger, such as resentment, frustration, and irritability. Also, as the same with other organs, imbalance can be caused by a poor diet, body pollutants such as chemicals, drugs and moulds etc.

  Avoiding outbursts of anger will protect liver and gallbladder health. There’s also an interesting pattern related to stagnation of liver energy which manifests in mood swings or manic-depressive states. When the energy doesn’t move, one can feel low and when under certain circumstances the energy moves or releases, it can turn into a manic state.


Joy is the emotion of the heart and the small intestine, organs associated with the fire element. When we experience true joy and happiness, we are nourishing our heart and small intestine energy. We feel mentally clear and able to process experiences. When we are lacking joy in our lives, the heart suffers and we can feel stuck, mentally chaotic, and have difficulty sleeping. Mania or obsessive joy can indicate an excess of scattered heart energy, and can be the cause of severe mental emotional disorders. Over stimulated heart energy could also cause agitation, insomnia and palpitations. In other words, even the pleasurable emotions can be out of balance.

·      ANXIETY

There are 4 origins of anxiety according to TCM:

1: If related to the lungs and large intestine, energy blockage can provoke shallow and irregular breathing or even holding of breath. The large intestine can be detrimentally affected by anxiety, making one more prone to issues like ulcerative colitis and IBS.

2: Kidney and bladder issues could also be at the root of this emotion. Our adrenals regulate our stress response and when adrenal problems become chronic, they can cause anxiety. TCM recognizes the adrenal glands in the same way as the kidneys as they are within the kidney yang aspect. Anxiety can also be caused by disharmony between the kidneys and a blazing heart fire, in this case rapid heart palpitations are experienced.

3: Anxiety can stem from liver imbalance too, when longstanding anger and irritation goes unresolved. In this case anxiety manifests as nervous tension, irritability, and insomnia.

4: Anxiety from excess worry and pensiveness stems from spleen and stomach imbalance. This can cause stomach swelling and bloating after eating.

It is very important to know what actually happens inside the body and which issues are affecting our nervous system and vice versa.

We can help ourselves by understanding our own mind/body connection, so as to clearly recognise the purpose and reality of our life and our own placement in the world. This knowledge should be given the highest priority, so that we are able to maintain a place or path where we are destined and determined, thus being able to fulfil our own potential and not struggle in life.

Appropriate consultation, correct diagnosis, reasonable attitude towards ones issues and then acupuncture treatment and dietary suggestions may help us to understand, balance and/or adjust the emotions that we are dealing with in our lives.

Milan Skamene BSc (Hons) Acupuncture, lic.Ac, lic.TuiNa, ACMP, MFHT
In London 09/2018

Expert Acupuncture services near you

Stoke Newington

Newington Green




North London


·      Hammer L.; (2005 2nd edition). Dragon Rises, Red Bird Flies: Psychology and Chinese Medicine. Seattle: Eastland Press

·      Chinese Medicine And  Psychiatry by Flaws and Lake (2001)


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Ayurveda: Irritation, anger and resentment kill your liver! | Health

✅ Each person is responsible both for the diseases from which he suffers and for recovery from them. Remember that our HEALTH, as well as EMOTIONS and THOUGHTS, are in our hands.

Have you noticed that we feel and behave differently around other people? “The mood has changed,” we say. In fact, not only the mental attitude changes, but also the physiology of our body, which instantly reacts to what is happening around. People unconsciously perceive the "language" of the body and facial expressions of each other with all their senses. Empathy, imitation, copying is inherent in us at the genetic level. It is not in our power to control these abilities as we wish: to empathize or imitate only when we want it and to the extent that we need it. We, like communicating and overflowing vessels, transmit our moods, experiences, nervous interconnections to each other, “infecting and becoming infected”. Agree that such feelings as anger, fear, indignation are very contagious? Just like laughing and smiling.

  • Importance of emotions in Oriental medicine
  • Ayurveda on the suppression of emotions
  • How to detect the problem
  • How to work with emotions?

Emotions (from lat. emoveo - shake, excite) are the subjective reactions of humans and higher animals to any external and internal stimuli. Emotions accompany all the processes of human life, can be caused by situations or events that exist only in our imagination.

In other words, this is a personal attitude, a person's reaction to events happening to him . Today, scientists argue a lot about how harmful negative emotional manifestations are for people's health. And there is an opinion that in reasonable amounts, stress is even useful, as it helps the body to stay in good shape, not to sag and pushes to action. However, prolonged exposure to strong emotions, both positive and negative, causes a state of stress and is fraught with health problems.

Mankind has long known that emotions have a direct impact on health. This is evidenced by the sayings common among the people: “All diseases are from nerves”, “You can’t buy health - your mind gives it”, “Joy makes you young, sorrow makes you old”, “Rust eats iron, and sadness eats the heart”. Even in ancient times, doctors determined the connection of the soul (emotional component) with the physical component - the human body. The ancients knew that whatever affects the brain affects the body equally.

However, already in the 17th century, at the time of Descartes, this was forgotten. And the person was safely "divided" into two components: the mind and the body. And diseases were defined as either purely bodily or mental, which were shown to be treated in completely different ways.

Only now we began to look at human nature, as Hippocrates once did - in its integrity, that is, understanding that it is impossible to separate the soul and body. Modern medicine has accumulated enough data that confirms that the nature of most diseases is psychosomatic, that the health of the body and spirit are interconnected and interdependent. Scientists from various countries studying the influence of emotions on human health have come to very interesting conclusions. Thus, the famous English neurophysiologist Charles Sherrington, Nobel Prize winner, established the following pattern: emotional experience occurs first, followed by vegetative and somatic changes in the body.

German scientists have established the connection of each individual human organ with a certain part of the brain through nerve pathways. American scientists are developing the theory of diagnosing diseases according to a person's mood and express the possibility of preventing a disease before it develops. This is facilitated by preventive therapy to improve mood and the accumulation of positive emotions.

Here it is important to understand that it is not a one-time grief that provokes a somatic disease, but long-term negative experiences caused by stress. It is these experiences that weaken the immune system and make us defenseless. A feeling of unreasonable anxiety that has become chronic, depressive states and depressed mood are good soil for the development of many diseases.

Such negative spiritual manifestations include anger, envy, fear, despondency, panic, anger, irritability, that is, emotions that one should try to avoid. Even Orthodoxy classifies such emotions as anger, envy and despondency as mortal sins, and not by chance. After all, each such mood can lead to serious diseases of the body with a very sad outcome.

Importance of emotions in oriental medicine

Oriental medicine also states that mood and certain emotions can cause diseases of certain organs. According to representatives of Oriental medicine, physical health and emotions are quite closely linked. Our feelings, both bad and good, affect our body in a significant way.

Moreover, representatives of oriental medicine find a connection between emotions and various organs.

For example, kidney problems can be caused by fear, weak will and self-doubt. Since the kidneys are responsible for growth and development, their proper functioning is especially important in childhood. Chinese medicine encourages children to develop courage and self-confidence. Such a child will always correspond to his age.

The main respiratory organ is the lungs. Irregularities in the functioning of the lungs can be caused by sadness and sadness. Impaired respiratory function, in turn, can cause many concomitant diseases. Treatment of atopic dermatitis in adults, from the point of view of oriental medicine, should begin with an examination of all organs, including the lungs.

Lack of vitality and enthusiasm can negatively affect the work of the heart. Also, for the good functioning of the main organ, following Chinese medicine, poor sleep, depression and despair are contraindicated. The heart regulates the function of blood vessels. His work can be easily identified by the complexion and tongue. Arrhythmia and palpitations are the main symptoms of heart failure. This, in turn, can lead to mental disorders and disorders of long-term memory.

Irritation, anger and resentment affect the functioning of the liver. The consequences of liver imbalance can be very severe. This is breast cancer in women, headaches and dizziness.

Chinese medicine calls for experiencing only positive emotions. This is the only way to maintain good health for many years. However, it is unlikely that a modern person will be able to get rid of negative emotions, as if by magic. Do we have a way out in this situation?

First of all, we should remember that we need emotions, because the internal environment of the body must exchange energy with the external environment. And such an energy exchange will not be harmful if natural emotional programs inherent in nature are involved in it: sadness or joy, surprise or disgust, a sense of shame or anger, interest, laughter, crying, anger, etc. The main thing is that emotions should be a reaction to what is happening, and not the result of "winding" oneself, so that they manifest themselves naturally, without anyone's coercion, and not exaggerate.

Natural emotional reactions should not be suppressed, it is only important to learn how to express them correctly. Moreover, one should learn to respect the manifestation of emotions by other people and adequately perceive them. And in no case should one suppress emotions, no matter what color they may be.

Ayurveda about the suppression of emotions

Suppressed emotions do not dissolve in the body without a trace, but form toxins in it that accumulate in the tissues, poisoning the body. What are these emotions, and what is their effect on the human body? Let's consider in more detail.

Suppressed anger - completely changes the flora in the gallbladder, bile duct, small intestine, worsens pitta dosha, causes inflammation of the surface of the mucous membrane of the stomach and small intestine.

Fear and anxiety - change the flora in the colon. As a result, the stomach swells from the gas that accumulates in the folds of the colon, causing pain. Often this pain is mistakenly attributed to heart or liver problems.

Because of the painful consequences, it is recommended not to suppress emotions or bodily manifestations such as coughing, sneezing and passing gas.

Suppressed emotions are the cause of tridosha imbalance, which in turn affects agni, which is responsible for immunity in the body. The reaction to such a violation may be the occurrence of an allergy to such completely harmless phenomena as: pollen, dust and flower smell.

Suppressed fear will cause disturbances associated with foods that increase vata dosha. Suppressing the emotions of pitta dosha (anger and hatred) can cause hypersensitivity to foods that aggravate pitta in people with a pitta constitution from birth. Such a person will be sensitive to hot and spicy foods.

Kapha people who suppress the emotions of kapha dosha (attachment, greed) will have an allergic reaction to kapha food, ie. will be sensitive to foods that aggravate kapha (dairy products). This can result in constipation and wheezing in the lungs.

Sometimes an imbalance that gives rise to a disease process may first arise in the body, and then manifest itself in the mind and consciousness - and, as a result, lead to a certain emotional background. Thus, the circle is closed. The imbalance, which first manifested itself on the physical level, later affects the mind through disturbances in the tridosha. As we have shown above, vata disorder provokes fear, depression and nervousness. Excess Pitta in the body will cause anger, hatred and jealousy. The deterioration of kapha will create an exaggerated sense of possessiveness, pride and affection. Thus, there is a direct relationship between diet, habits, environment and emotional disturbances. These disorders can also be judged by indirect signs that appear in the body in the form of muscle clamps.

How to detect a problem

Physical expression of emotional tension and emotional toxins accumulated in the body are muscle clamps , the causes of which can be both strong feelings and excessive strictness of upbringing, hostility of employees, self-doubt, presence of complexes, etc. . If a person has not learned to get rid of negative emotions and is constantly tormented by some difficult experiences, then sooner or later they manifest themselves in muscle clamps in the facial zone (forehead, eyes, mouth, nape), neck, chest region (shoulders and arms), in lumbar, as well as in the pelvis and lower extremities.

If such states are temporary and you manage to get rid of the negative emotions that provoke them, then there is no reason to worry. However, chronic muscle stiffness, in turn, can lead to the development of various somatic diseases.

Consider some of the emotional states that, being in a chronic form, can cause certain diseases.

Depression - sluggish mood, independent of circumstances, for a long time. This emotion can cause quite serious problems with the throat, namely frequent sore throats and even loss of voice.

Selfishness Feeling guilty about everything you do. The result can be a chronic headache.

Irritation - a feeling when literally everything annoys you. In this case, do not be surprised by frequent bouts of nausea, from which medicines do not save.

Resentment - feeling humiliated and offended. Be prepared for gastrointestinal upset, chronic gastritis, ulcers, constipation and diarrhea.

Anger - causes a surge of energy, which is rapidly growing and suddenly splashing out. An angry person is easily upset by failures and is unable to restrain his feelings. His behavior is wrong and impulsive. As a result, the liver suffers.

Excessive joy – dissipates energy, it is scattered and lost. When the main thing in a person's life is getting pleasure, he is not able to retain energy, he is always looking for satisfaction and ever stronger stimulation. As a result, such a person is prone to uncontrollable anxiety, insomnia and despair. In this case, the heart is often affected.

Sadness - stops the action of energy. A person who has gone into the experience of sadness breaks away from the world, his feelings dry up, and his motivation fades. Protecting himself from the joys of attachment and the pain of loss, he arranges his life in such a way as to avoid the risk and vagaries of passion, becomes inaccessible to true intimacy. Such people have asthma, constipation and frigidity.

Fear - reveals itself when survival is in question. From fear, energy falls, a person turns to stone and loses control over himself. In the life of a person seized with fear, the expectation of danger prevails, he becomes suspicious, withdraws from the world and prefers loneliness. He is critical, cynical, confident in the hostility of the world.
Isolation can cut him off from life, making him cold, hard and soulless. In the body, this is manifested by arthritis, deafness, and senile dementia.

Thus, along with the correction of nutrition and lifestyle, selected by an Ayurvedic doctor in accordance with your constitutional type, it is very important to learn how to manage your emotions, take them under control.

How to work with emotions?

Ayurveda gives advice to this question: emotions should be observed from a distance, with full awareness of how they unfold, comprehending their nature, and then allow them to dissipate. When emotions are suppressed, it can cause disturbances in the mind and, ultimately, in bodily functions.

Here are some tips that you can follow to improve your emotional situation.

A tried and true method that requires constant effort on your part is to be kind to others. Try to think positively, treat others kindly, so that a positive emotional attitude contributes to health promotion.

Practice the so-called spiritual gymnastics. In ordinary life, we do it every day, scrolling through habitual thoughts in our heads, empathizing with everything around us - the sounds from the TV, tape recorder, radio, beautiful views of nature, etc. However, you need to do this purposefully, understanding which impressions harm your emotional health, and which ones contribute to maintaining the desired emotional background. Proper spiritual gymnastics causes corresponding physiological changes in the body. Remembering this or that event of our life, we evoke and fix in the body the physiology and nervous interconnections corresponding to that event. If the remembered event was joyful and accompanied by pleasant sensations, this is beneficial. And if we turn to unpleasant memories and re-experience negative emotions, then in the body the stress reaction is fixed on the physical and spiritual planes. Therefore, it is very important to learn to recognize and practice positive reactions.

An effective way to "remove" stress from the body is the correct (not excessive) physical activity , which requires a fairly high energy expenditure, for example, swimming, exercising in the gym, running, etc. Yoga, meditation and breathing exercises help to get back to normal very well.

A means of getting rid of mental anxiety as a result of stress is a confidential conversation with a loved one (good friend, relative).

Create correct thought forms. First of all, go to the mirror and look at yourself. Pay attention to the corners of your lips. Where are they directed: down or up? If the lip pattern has a downward slope, it means that something constantly worries you, saddens you. You have a very developed sense of forcing the situation. As soon as an unpleasant event happened, you already painted a terrible picture for yourself. This is wrong and even dangerous to health. You just have to pull yourself together right here and now, looking in the mirror. Tell yourself it's over! From now on - only positive emotions. Any situation is a test of Fate for endurance, for health, for prolonging life. There are no hopeless situations - this must always be remembered. No wonder people say that time is our best healer, that the morning is wiser than the evening. Do not make hasty decisions, let go of the situation for a while, and the decision will come, and with it a good mood and positive emotions.

Wake up every day with a smile, listen to good pleasant music more often, communicate only with cheerful people who add a good mood, but do not take away your energy.

Thus, each person is responsible both for the diseases from which he suffers and for his recovery from them. Remember that our health, as well as emotions and thoughts, is in our hands.published by

About the "signs" of a diseased liver0001

“A diseased liver is a robber for other organs”. Why was such an aphorism born in ancient Chinese medicine? And even then it was noticed that liver diseases do not manifest themselves for a long time, disguising themselves as diseases of other organs and even causing them. Another aphorism - "the liver does not complain, the neighbors complain about it." And, as we will see, not only neighbors, but also very distant organs.

Why did I decide to write about this? It is very painful to feel powerless when a person with advanced cirrhosis, i. e., a fatal stage of a liver disease, comes to you, and you stand petrified when you see the very head of the Gorgon Medusa from Greek myths on his stomach, and you understand that nothing can't help him anymore. To your sacramental question “Where have you been before?” the patient, shrugging his shoulders in bewilderment: “So nothing hurt.”

Nothing hurts. Until the final. I had patients whose first complaint (and you can’t call it a complaint in the full sense of the word) was drilling additional holes in the trouser belt - the stomach began to grow rapidly. And in women - thoughts about a sudden, rapidly progressing pregnancy - come to the ultrasound of the uterus. Well, if the doctor bothers to move the sensor higher and see a huge liver, spleen and ascitic fluid, but no - “You don’t have a pregnancy”, and that’s it. One went three times, she was diagnosed with a “false pregnancy”.

It's good when "the disease hurts", or manifests itself as some other obvious symptom - I wrote about this in an article about optimality.

If, fortunately for you, a slight heaviness (not pain!) in your right side, nausea, belching, bloating, starts to bother you earlier, maybe you will go to the doctor. But we do not like to go to the doctors for such insignificant reasons - well, I overate, well, I allowed an extra glass - the holidays. I'll be patient, it will pass. It doesn't hurt, it doesn't really…

And even if you come, it's not a fact that you will be suspected of something serious with such complaints and anamnesis. They can be with cholecystitis, gastritis, pancreatitis, colitis ... - diet, choleretic, enzymes. Unfortunately, not many colleagues are still wary and prescribe an analysis for hepatitis C and B, the main causes of cirrhosis in our country, along with alcohol. And it's not even about qualifications, although in it, of course. The point is in the very insidiousness, the difficulties for diagnosing liver diseases with which I began the article, even for professionals.

Do you know why it is difficult for professionals? Because you will not even go to a family doctor, but to a narrow specialist - a dermatologist, rheumatologist, endocrinologist, nephrologist . .. even an ophthalmologist! Because complaints can be specific to these organs. And the pros, who perfectly know their narrow section, but in 20 - 30 years (you will go to an experienced specialist, with experience) pretty much forgotten what they said about the liver at the institute (or did not say), they will find you OWN pathology, and they will treat you. And they are not stupid - you really will have a pathology of the skin, joints, thyroid gland, kidneys ... It is only due to liver disease, which slowly progresses (or even accelerates - against the background of side effects of the treatment of thyroiditis, nephritis or arthritis) and, moreover, never will allow them to be cured - because the root cause remains unrecognized.

That's why the liver is a robber for other organs. I would even say - a saboteur, secretly operating in the rear and causing more damage than a bandit in an open battle.

But she still gives SIGNS that need to be KNOWN - both for specialists and drowning people themselves, because salvation is often in their own hands. That is - to you, not suspecting. Therefore, I write - I want to tell. Or remind.

Attention - now there will be a lot of purely medicine, but you can't do it.

LEATHER. The first thing that catches your eye. Observant.

What matters is everything that suddenly, recently appeared. New, what was not.

Rash. The first thing that comes to mind is allergies. May be. Only (I never tire of repeating to students) allergy is a diagnosis of exclusion. Especially if she visited you for the first time in 40 years. That is, it is necessary to analyze all other possible causes of the appearance of a rash, as one of the symptoms of other diseases, not to start with an allergy, but to end with it - if everything was checked and nothing was found. Dessert, so to speak, not an appetizer. Yes, and “allergy” is often associated with impaired liver function - toxic metabolic products that have not been split by it are looking for a way out, including through the skin. The outer cover is a mirror of the internal processes occurring in the body. Academician Davydovsky even argued that skin diseases themselves do not exist, all of them are a reflection of disturbed homeostasis.

So, any new and reappearing spots, acne, vasculitis, porphyria, lichen, demodicosis, urticaria, erythema, pigmentation, vitiligo, telangiectasia, moles, hemangiomas (small red dots), especially in the “liver” places. On the face, this is the bridge of the nose (note the presence of vertical wrinkles), the outer corners of the eyes, the cheekbones. Xanthelasma (yellow deposits) on the eyelids. Vascular "mesh" on the nose and cheeks (yes, like many drinkers). Tongue: furry more to the right, bright red tip. Pulls “sour”, but without pregnancy. Pigmentation on the back of the neck, covered with hair. Pain along the liver meridian (google it) - along the inner surface of the legs. The same rashes in his area and in general on the body. Baldness (there were several such patients), nail fungus of the big toes (the beginning of the same meridian). In general, a change in the nail plates: two-color, transverse striation, brittleness, softening. Redness or yellowness of the palms, their excessive “hotness” even in the cold season. Annoying skin itching without rash (of course, persisting under the condition of regular washing of the body).


Depending on age. It is clear that metabolic osteoarthritis is more common in the elderly. But for the first time, arthritis-arthralgia that has arisen and does not go away in the young-middle age is suspicious. Characterized by multiple, volatile, without redness of the skin, swelling and a significant increase in acute phase parameters in the blood. When it does not fit into the traditional rheumatic symptoms. Acute viral hepatitis B often debuts with articular syndrome - there were incidents of treatment with NSAIDs for more than a month (anicteric forms). But I'm here more about chronic viral hepatitis, which has not been diagnosed for years.

Fingers in the form of drumsticks. Dupuytren's contracture. Muscle weakness - myopathies of unknown cause. Myasthenia. Pain in the muscles. Peripheral polyneuropathies, Guillain-Barré syndrome – NB!, neuropathologists. Caused by cryoglobulinemia, like many skin manifestations, and part of autoimmune. Of the latter - dermatomyositis, periarteritis nodosa, pulmonary fibrosis and vasculitis, hypertrophic cardiomyopathy, etc.

KIDNEY - glomerulonephritis. There was a patient whose kidney biopsy revealed the persistence of the hepatitis C virus. He suffered for ten years, it came to hormones (they got a sharp progression of hepatitis, of course). Treated HCV - disappeared glomerulonephritis. Not to be confused with patients with chronic renal failure, who, on hemodialysis, receive B, C hepatitis in addition to the full set (they become infected a second time, through the blood). They need to be examined regularly, once every six months - the incidence in these departments reaches 80% (medical staff, by the way, too).

ENDOCRINE SYSTEM. Mainly thyroid gland - hypo, hyperthyroidism, autoimmune thyroiditis, Hashimoto. Just do not forget that it may not be the underlying disease, but a syndrome, if you like, of hepatitis C and B. Also, newly diagnosed diabetes mellitus requires examination for these viruses (up to 50% of the development of diabetes against the background of HCV infection). Both in the thyroid and pancreas, researchers have repeatedly detected positive PCR, which proves not the random nature of the combination of these diseases, but the cytopathogenic effect of viruses on the cells of these glands.

Sexual disorders - menstrual disorders in women (why else do they come with suspicion of pregnancy), impotence, decreased libido in men (urologists-andrologists!). Active reproduction of hepatitis viruses in these organs was also recorded.

HEMATOLOGY. Thrombocytopenia, anemia, macroglobulinemia, non-Hodgkin's B-lymphoma and other passions. The persistence of hepatotropic viruses in the bone marrow has been proven - to specialists. Non-specialists - remember spontaneous, out of nowhere appearing "bruises" and recurring bleeding - small and large: nasal, uterine, gastrointestinal (often cirrhosis is detected only after varicose esophageal bleeding), blood in the urine, feces (often hemorrhoids). You need to do a blood test with a platelet count.

All this is against the background of a bad mood with irritability and outbursts of anger. Throws it in the heat, then in the cold. No wonder they say: a bilious person. "Owl", insomnia after midnight, from one to three - the time of maximum activity of the liver meridian. Sleep restless, with many dreams.

And finally: there is even damage to the salivary, lacrimal glands and eyes. Corneal ulcers, uveitis, keratoconjunctivitis. Well, the yellowness of the sclera is understandable, then the diagnosis will be made in the trolley bus. And traditional Chinese medicine associates a variety of visual disorders, myopia and even strabismus with the liver. And if indeed “the eyes are the mirror of the soul”, it is not difficult to guess where the soul of a person lives from the point of view of Eastern medicine ... Yes, according to the ideas of Chinese medicine, it is the liver that “stores the heavenly soul of a person”.

Done with indigestible terminology. Withstood?

As you can see, the range of liver “masks” is quite diverse and extensive. And notice, there are no actual liver symptoms anywhere - jaundice, for example. When it appears, the diagnosis is clear to everyone, but, unfortunately, belated (I'm talking about chronic processes). We need to identify liver disease as early as possible.

What else can help besides the clinic? Laboratory. one). The most common biochemistry is liver tests. 2). Analysis for antibodies to hepatitis B and C. This is an elementary screening available from the CRH level. Don't forget colleagues.

In our hospital, since 2002, things have been set up as follows: a patient admitted with ANY pathology (even diarrhea, even tonsillitis, even snot), is examined for HBV, HCV markers. Each for 20 UAH. The price of the issue is trifling, but it avoids many troubles. We knocked out the statistics for these years - 4% positive, excluding the department of hepatitis. Approximately a thousand people pass through in a year - consider how many have been revealed out of the blue in 16 years. I recommend.

Special attention to people with tattoos, piercings, previous surgeries, from traditional risk groups, those who are often ill, preparing for elective surgeries, doctors, pregnant women. In general, you can catch the virus in a hairdresser, salon, dentist, hospital - with an elementary blood sampling from a finger (do they change gloves after each patient?) Or a gynecological examination. Unfortunately. Poverty and lack of proper sanitary and epidemiological control.

That is, quite banal and easy. Who among you has not been to a hairdresser, a dentist, a hospital? Is the sex casual and unprotected? And not random - is your regular partner examined?

Therefore, I recommend that everyone who has read it go to the laboratory on an empty stomach tomorrow and take: a-HCV (hepatitis C) and HBsAg (hepatitis B). And from B to be vaccinated. This is usually the end of my classes with students on this topic.

I am against the indiscriminate donation of feces for worm eggs - before tooth extraction, for example (I saw a post today) and for any sneeze. Nothing but the devaluation of the analysis due to inattention, the fatigue of the laboratory assistant due to the huge and meaningless workload, we will not get. If I need, I will write to the laboratory assistant what kind of helminth I suspect, underline in red and ask to repeat it three times. But I am for checking everyone for hepatitis once a year. Because I don't want to stand petrified looking at Medusa's head. This has already been enough in my practice. And by the way, in that post about tooth extraction, HBsAg was on the list, but a-HCV was not. But you must.

And if family doctors (and after the reform you will go to them) heed these words, and if narrow specialists do not forget… and if you are the most interested in this! - remind them, ask them to appoint a trifling analysis, or you yourself will go to the laboratory - there are a lot of them now .

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