This is an acute or chronic disorder where the hepatic veins become occluded and cause swelling of the liver (hepatomegaly) and formation of ascites with associated abdominal pain. There are differing causes to the occurrence of the occlusions including inherited changes to the way that blood clots, a propensity to clot formation associated with tumours and cysts of the liver, late stages of pregnancy, chronic inflammatory conditions and disorders of the blood. Budd Chiari syndrome is usually diagnosed on liver biopsy and its management depends largely on the symptoms at presentation. Most often patients need to be treated to stop the clot formations blocking off circulation to the liver and this involves thinning the blood using drugs. If symptoms of blockage have already occurred (ascites, varices) then there is the need to think about diverting blood flow around the blockage (TIPSS) or Liver Transplantation and this is dependent upon age, health history and the affect of previous interventions. Treatment for Budd chiari syndrome is reliant upon managing the cause of the clot formation and relieving the symptoms that have been generated. In the long term most patients with Budd Chiari syndrome will need to be under the care of a Hepatologist to monitor the livers condition and determine when these treatments should occur.
Gall stones occur most commonly in people who are:
- Elderly (over the age of 65)
- Following rapid weight loss
- Have a family history of gall stones
The term 'gall stones' refers to the formation of stones made up mainly of cholesterol in the gall bladder and although not totally due to diet there is a relationship between a highly processed and fatty western diet and their formation. Gall stones are found in about 20% of the adult population in the western world and for the vast majority there will be no symptoms and therefore as long as a low fat and high fibre diet is followed nothing more needs to be done. However, if you have central or right acute upper abdominal pain, associated with nausea and a high temperature, you may well be suffering from a stone that has blocked the gallbladder outlet. In this situation you would need to see a Doctor and the stone would need to be removed.