Can people with liver abscess eat chicken?

Written by Zhang Wei Wei
Integrative Medicine
Updated on September 05, 2024
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In principle, patients with liver abscess who are not allergic can consume some chicken soup, but it should be low in oil and salt, and lightly flavored. We can remove the chicken skin and then stew it lightly. Patients can drink small amounts of chicken soup multiple times to supplement their normal nutrition and enhance their immunity. Since a liver abscess is a consumptive disease, patients repeatedly experience high fevers, low fevers, sweating, and profuse sweating. They need foods that are high in protein and light to boost their immunity and promote a faster recovery from the disease.

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Written by Zhang Wei Wei
Integrative Medicine
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Is a liver abscess serious? How is it treated?

If acute abdomen and peritonitis caused by liver abscesses, rupture, hemorrhage, or pyothorax, etc., liver abscesses are relatively severe. In these cases, the first steps should be the use of adequate antibiotics for a sufficient course, along with systemic supportive therapy, then controlling the inflammation and promoting the absorption of the inflammation. For conditions like rupture of liver abscesses or severe damage to the liver lobes that results in loss of normal function, surgical removal may also be considered. Additionally, for large liver abscesses that have perforated, causing peritonitis, pyothorax, or cholangiogenic liver abscess, while using systemic antibiotics, actively incising and draining the abscess should be considered. (Please use medications and treatment under the guidance of a doctor.)

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Integrative Medicine
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Principles of medical treatment for liver abscess

The principle is early diagnosis and early treatment, including the management of the primary disease, and then avoiding the occurrence of complications. Non-surgical treatment requires the use of effective and sufficient amounts of antibacterial drugs, proactive supportive care, and enhancement of the body's resistance. For a single larger abscess, it can be punctured and drained under ultrasound guidance, or continuously flushed and drained through percutaneous catheter placement, and treated with injection of antibiotics. However, the antibiotic treatment for liver abscess requires a sufficient amount and full course of symptomatic supportive care to suppress the spread of inflammation and facilitate rapid absorption of inflammation. At the same time, we can adopt some traditional Chinese medicine methods and treatment approaches to reduce swelling and drain pus, which synergistically enhance the treatment effect.

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Integrative Medicine
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Will ferritin be high in hepatic abscess?

Will ferritin levels rise in cases of liver abscess? First, we need to understand the significance of ferritin testing. I can also tell you that ferritin does not necessarily increase during a liver abscess. The main form of iron in the body is present as serum ferritin. Clinically, its relationship with the aforementioned diseases is something we can discuss. The first one is related to iron-deficiency anemia. Generally, early stages of iron deficiency do not directly cause significant anemia, but they will lead to a reduction in iron stores. There are many methods for determining serum iron content in clinical laboratories, but none are as sensitive and reliable as serum ferritin. The second point is its relationship with tumors. Ferritin acts as a soluble tissue protein that stores iron in the body. It consists of a protein shell and an iron core, with the iron core having a strong capacity to bind and store iron, maintaining the supply of iron and the relative stability of hemoglobin. The liver is the site of synthesis of serum ferritin and also the organ that clears it. Normally, only a small amount is found in the serum, so during acute or chronic liver damage, or liver cancer, a noticeable increase occurs. Therefore, when liver abscesses affect liver function or cause destruction of liver cells, it can also lead to increased ferritin levels. However, in the early stages of a liver abscess, if treatment is proactive, ferritin levels might not increase.

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Integrative Medicine
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Liver abscesses are treated in the Department of Hepatology.

This is likely a common and frustrating issue for many patients who visit this hospital on a daily basis. As the name suggests, liver abscess is related to the department of hepatobiliary sciences. It can also be looked into by other departments linked to the liver, such as hepatology, infectious disease department, and even the department of traditional Chinese medicine. No matter which department you visit, you can initially undergo some routine blood tests, abdominal ultrasound, CT scans, etc., to determine the size and scope of the liver abscess, check whether it has ruptured or caused any bleeding. Subsequently, based on the doctors' initial diagnosis, you can be referred to the relevant department. If surgery is needed, the patient should visit the department of hepatobiliary surgery. If surgery is not necessary, the departments of infectious diseases, hepatology, or traditional Chinese medicine are all viable options.

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Written by Zhang Wei Wei
Integrative Medicine
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Clinical manifestations of liver abscess

Clinical manifestations of liver abscess include irregular, purulent fever, especially noticeable in bacterial liver abscesses. The fever is irregular and typically high, preceded by chills, followed by persistent pain in the liver area, which worsens with deep breaths or movement. Depending on the location of the abscess, it can lead to corresponding respiratory and abdominal symptoms, often with a history of diarrhea. If the abscess ruptures, it can evolve into purulent peritonitis with pyothorax. Special signs include liver enlargement, and in the intercostal space corresponding to the abscess, there's localized edema and clear tenderness. Some patients may exhibit jaundice. If the abscess breaks into the chest cavity, lung abscesses can occur, or if it perforates into the abdominal cavity, peritonitis may develop.