• Published on: May 02, 2020
  • 3 minute read
  • By: Secondmedic Expert

The Most Common Liver Issues

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Imagine your liver as the superhero of your body – it's the biggest organ and does a ton of important jobs. But sometimes, it faces challenges known as liver diseases. In India, we've got some common liver issues that are a big deal for our health. In this guide, we're going to chat about these common liver problems, figuring out what causes them, spotting their signs, and checking out ways to treat them. Ready to explore with us? Let's go!

Hepatitis:

Think of hepatitis as an unwelcome guest that bothers our liver. It shows up when our liver gets upset with things like harmful stuff, too much drinking, getting sick, or when our body's defense system gets a bit mixed up. Most of the time, it's viruses playing the troublemaker and causing hepatitis.

Hepatitis A: This is a really catchy virus that usually spreads through dirty food or water. It's usually a quick illness, and most of the time, it goes away on its own without causing any lasting problems.

Hepatitis B: It spreads through things like blood and semen. It can be a short-term sickness or a long-term one. Sometimes, if it's long-term, you need treatment to feel better.

Hepatitis C: This kind of hepatitis spreads when you come into contact with infected blood. If it stays in your body for a long time, it can really hurt your liver. That's why it's so important to get checked early on to catch it before it causes serious problems.

You can get vaccines to protect yourself from Hepatitis A and B, which lower the chance of getting sick. To avoid getting Hepatitis C, it's important to practice safe sex and not share personal items, like razors or toothbrushes, that might have blood on them.

Fatty Liver Disease:

In simple terms, fatty liver disease happens when too much fat builds up in the liver. There are two main types of this condition.

Nonalcoholic Fatty Liver Disease (NAFLD): It is not caused by heavy drinking. It starts with a simple buildup of fat in the liver and can develop into a more serious condition called nonalcoholic steatohepatitis (NASH), which may lead to cirrhosis.

Alcoholic Fatty Liver Disease: When you drink too much alcohol, it can cause a problem in your liver called Alcoholic Fatty Liver Disease. This liver issue goes through different stages, like alcoholic hepatitis and cirrhosis, as it gets more serious.

In simpler terms, liver problems might not show strong signs until they become serious. So, it's super important to make lifestyle changes like eating healthy and exercising to help manage any symptoms. In really bad situations, a liver transplant might be needed.

Autoimmune Conditions:

In autoimmune conditions, the immune system mistakenly attacks healthy cells. Some autoimmune diseases specifically target liver cells:

Autoimmune Hepatitis: When the body's defense system mistakenly attacks the liver, it can cause inflammation. This inflammation may lead to serious liver issues like cirrhosis and liver failure.

Primary Biliary Cirrhosis (PBC): When the tubes that carry bile in the liver get hurt, it causes bile to build up. If not taken care of, this can lead to cirrhosis and liver failure.

Primary Sclerosing Cholangitis: This is a condition where inflammation causes harm to the tubes that carry bile in your liver. This damage leads to a buildup of bile over time, causing problems for your liver.

Genetic Conditions: 

Some liver problems are passed down from your mom or dad, and they're caused by your family's genes.

Hemochromatosis: When your body absorbs too much iron, it piles up in your organs. If not taken care of, it can make your organs stop working properly.

Wilson's Disease: This is a rare problem where the liver absorbs too much copper. Over time, it can harm the liver and even affect other parts of the body.

Alpha-1 Antitrypsin Deficiency: This is when your liver doesn't make enough of an important protein or doesn't release it properly. As a result, this protein piles up in your liver.

Liver Cancer:

Liver cancer is a serious concern, especially if you already have liver problems. There are two main types: hepatocellular carcinoma, which starts in the liver, and metastatic liver cancer, which comes from somewhere else in the body and spreads to the liver.

If you have liver diseases, especially cirrhosis, you're at a higher risk of getting liver cancer. It's important to notice signs like yellowing of the skin (jaundice), a swollen belly, and feeling very tired without a clear reason. If you notice these signs, it's crucial to see a doctor quickly for diagnosis and treatment.

Symptoms of Liver Disease

When your liver isn't doing well, it can send you some signals. Watch out for things like yellowing skin or eyes (jaundice), a swollen belly, changes in poop and pee colors, easy bruising, diarrhea, feeling queasy, confusion, and extreme tiredness. If you notice any of these signs, don't wait – see a doctor promptly to boost your chances of feeling better.

Liver Failure:

Liver failure is a serious situation where the liver can't work like it should. There are two types: chronic, which happens slowly and is linked with cirrhosis, and acute, which comes on suddenly, often because of poisoning or an overdose. In the acute case, quick medical help, like a liver transplant, is needed urgently.

Having different liver diseases shows how crucial it is to know why they happen, what signs to watch out for, and how they can be treated. Whether it's infections like hepatitis, problems with too much fat in the liver, issues where the body attacks its own liver cells, or conditions you inherit from your parents, each one has its own challenges.

Finding these problems early, making lifestyle changes, and using advanced medical treatments like liver transplants are really important to deal with liver diseases and keep your overall health in check. If you notice any symptoms that might be related to your liver, it's super important to talk to a doctor as soon as possible to figure out what's going on and get the right treatment.

Read FAQs


A. The most common liver disease is Hepatitis, with various forms like Hepatitis A, B, and C being prevalent. These can be caused by viruses, toxins, or immune system issues.

A. Stage 5 liver failure, also known as end-stage liver disease, is the most severe phase where the liver is significantly damaged and can no longer function properly. It often requires advanced medical interventions like a liver transplant.

A. The early signs of a struggling liver include jaundice (yellowing of skin and eyes), abdominal swelling, changes in stool and urine color, easy bruising, diarrhea, nausea, confusion, fatigue, and weakness. Seeking medical attention for these symptoms is crucial for a timely diagnosis and treatment.

Read Blog
persistent feaver

Fever for 3 Days ? Should You Visit a Doctor or Wait

A fever lasting three days raises valid concern for patients and caregivers alike. While many febrile episodes resolve independently, a persistent fever lasting 72 hours warrants careful evaluation. Understanding when to seek medical attention and when watchful waiting is appropriate can prevent unnecessary complications and guide timely clinical intervention.


Should You Visit a Doctor If Fever Lasts for 3 Days?

A fever persisting for three consecutive days in adults generally requires medical evaluation, particularly when body temperature exceeds 103°F (39.4°C) or when additional symptoms such as breathlessness, severe headache, or rash are present. In children under five years, medical consultation is recommended after 48 to 72 hours of unresolved fever regardless of severity. Physicians advise against self-managing a three-day fever without professional assessment in high-risk populations.

Clinically, a three-day fever threshold is significant because most viral infections producing fever resolve within 48 to 72 hours. Fever persisting beyond this window may indicate a bacterial infection, an underlying inflammatory condition, or a secondary complication requiring targeted diagnostic workup. In the Indian clinical context, endemic infections such as dengue, typhoid, and malaria must be considered as potential etiologies when fever extends beyond 72 hours.


Common Causes of Persistent Fever in Adults and Children

Persistent fever lasting three or more days may originate from a range of infectious and non-infectious etiologies. Identifying the underlying cause is essential for selecting appropriate treatment.

Infectious Causes:

  • Viral infections: Influenza, dengue fever, chikungunya, COVID-19
  • Bacterial infections: Typhoid fever (enteric fever), urinary tract infections, pneumonia, tuberculosis
  • Parasitic infections: Malaria (particularly relevant in tropical regions of India)

Non-Infectious Causes:

  • Autoimmune or inflammatory conditions
  • Drug-induced fever (fever as an adverse drug reaction)
  • Post-vaccination fever (typically resolves within 48 hours)
Condition Typical Fever Duration Key Associated Symptoms
Viral fever 3 to 5 days Body ache, fatigue, runny nose
Dengue fever 5 to 7 days Severe joint pain, rash, low platelet count
Typhoid fever 7 to 14 days Abdominal pain, diarrhea or constipation, rose spots
Malaria Cyclical pattern Chills, sweating, rigors
Urinary tract infection Variable Burning urination, flank pain

What to Do When Fever Does Not Go Down After 3 Days

When fever does not subside after 72 hours, the immediate recommended course of action is to consult a general physician or internist for clinical assessment. Antipyretic medications such as paracetamol (acetaminophen) can manage symptom discomfort but do not treat the underlying cause. Blood investigations including a complete blood count (CBC), malarial antigen test, and dengue NS1 antigen test are standard first-line diagnostics in India.

Beyond seeking medical consultation, patients should maintain adequate hydration, rest, and nutritional intake. Oral rehydration is particularly important in a tropical climate where fever accelerates fluid loss. Specialists caution against self-prescribing antibiotics without laboratory confirmation, as indiscriminate antibiotic use contributes to antimicrobial resistance, a significant public health concern in India. Clinical data supports early laboratory testing as the most effective step when fever persists beyond three days.


Warning Signs That Require Immediate Medical Attention

Certain symptoms accompanying a three-day fever indicate medical emergencies requiring immediate hospital evaluation rather than home management.

Patients or caregivers should seek emergency care if any of the following are present:

  • Fever above 104°F (40°C) that does not respond to antipyretics
  • Severe headache with neck stiffness (possible meningitis)
  • Difficulty breathing or chest pain
  • Skin rash appearing alongside fever (possible dengue or viral exanthem)
  • Altered consciousness, confusion, or seizures
  • Persistent vomiting preventing oral hydration
  • Fever in infants below three months of age
  • Fever in immunocompromised patients (those on chemotherapy, steroids, or with HIV)
  • Signs of dehydration: sunken eyes, dry mouth, reduced urine output

In children, febrile seizures can occur at temperatures above 102°F (38.9°C). While often self-limiting, any seizure associated with fever requires urgent pediatric evaluation.


Can a 3-Day Fever Resolve Without Medical Treatment?

In otherwise healthy adults, a mild to moderate fever (below 102°F) lasting three days caused by a self-limiting viral infection can resolve without specific medical treatment. The immune system typically clears common viral pathogens within three to five days. Supportive care including rest, hydration, and antipyretics is sufficient in low-risk cases.

However, resolution without medical treatment is not advisable for children under five, adults above 65, pregnant women, or individuals with chronic conditions such as diabetes or heart disease. Clinical evidence consistently indicates that delayed diagnosis in these populations increases the risk of serious complications. In regions with high prevalence of vector-borne diseases such as dengue and malaria, assuming a self-limiting viral cause without testing carries significant risk. Medical consultation remains the safest and most clinically sound approach when fever persists beyond three days.

Medical Disclaimer

This content is intended for educational and informational purposes only and does not constitute medical advice, diagnosis, or treatment. Readers experiencing persistent fever or related symptoms should consult a qualified healthcare professional for evaluation and management.

If you are facing similar health concerns, consult expert doctors online through the SecondMedic app or visit your nearest SecondMedic Health Hub for in-person care

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