OVERVIEW
Overview
Hyperthyroid liver disease is defined as liver impairment and hepatomegaly caused by hyperthyroidism, with clinical signs of jaundice, elevated aminotransferases, loss of appetite, anorexia, diarrhea, and other digestive symptoms.
Whether medical insurance
Yes, it is
Department
Gastroenterology, Endocrinology
Clinical symptoms
Clinical symptoms include jaundice, elevated aminotransferases, loss of appetite, anorexia, and diarrhea.
Harmful effects
Liver function damage may occur in this disease, which may affect the patient’s life to a certain extent.
Tests
Liver function, hepatitis infection marker test, thyroid ultrasound, abdominal ultrasound, thyroid function test, etc.
Diagnosis
Diagnosis can be made based on the presence of liver function impairment during the course of hyperthyroidism, the exclusion of hepatobiliary diseases and other causes of liver damage, and the return of liver damage to normal after hyperthyroidism is controlled.
Treatment principle
Antihyperthyroidism treatment and improvement of liver function treatment at the same time.
Curability
After hyperthyroidism is controlled, liver damage can return to normal.
Dietary advice
Diet should be light and nutritious, easy to digest; avoid smoking and alcohol.
Causes
Causes
The disease is caused by liver damage due to hyperthyroidism.
Symptoms and Diagnosis
Typical symptoms
Hyperthyroidism liver disease mostly manifests as loss of appetite, nausea, vomiting, diarrhea, about 40% have liver enlargement, about 30% have jaundice, which may be accompanied by pain or pressure pain in the liver area, yellowing of the skin and sclera, and dark yellow urine. Those with jaundice seem to have acute jaundice hepatitis; those without jaundice have prominent symptoms of hyperthyroidism, and the symptoms of liver disease are relatively inconspicuous; if there is bacterial infection, heart failure and malnutrition at the same time, especially after infection with hepatitis, severe jaundice can occur.
Diagnostic basis
1. the diagnosis of hyperthyroidism is clear. 2. there are manifestations of liver damage, such as elevated serum alanine aminotransferase; hypoproteinemia, A/G inversion; elevated serum bilirubin, etc. 3. there is no history of hepatobiliary diseases, and any other causes of liver damage and liver enlargement need to be excluded. 4. after the control of hyperthyroidism, the abnormalities of liver function and liver enlargement improve or return to normal. 5. the patient has no history of liver disease. 6. the liver function of the patient is abnormal or normalized after the control of hyperthyroidism. 7. the liver function of the patient is abnormal or normalized.
Treatment
Treatment guidelines
1. Antihyperthyroidism treatment should be carried out at the same time with the improvement of liver function treatment. 2. High protein, high calorie and high vitamin diet should be given. 3. Severe cases of hyperthyroidism should be actively rescued. 4.
Drug treatment
1. Patients with mild hyperthyroidism liver damage can be treated with thiourea antithyroid drugs. 2. A few patients with jaundice can be treated with liver-protecting and yellowness-reducing medicines.
Radiotherapy
Patients with chronic hepatitis or hyperthyroidism who have no improvement in liver function after taking medication can choose radioactive iodine treatment.
Surgery
Patients with chronic hepatitis or hyperthyroidism whose liver function does not improve after taking medication may also choose surgery.
Prognosis
After hyperthyroidism is controlled, liver function abnormalities and liver enlargement may improve or return to normal, and the prognosis is good.
Nursing care
Daily care
1. Keep the mood happy and avoid external stimulation to aggravate the condition. 2. Pay attention to rest, reasonable exercise and live an orderly life. 3. Actively cooperate with the treatment and have regular rechecks.
Dietary management
1. Diet should be light, easy to digest, and rich in nutrients. 2. Eat more fresh fruits and vegetables to ensure the intake of vitamins. 3. Avoid spicy and stimulating foods, smoking and alcohol.