How Do I Know If My Baby Has Liver Damage?
Some of the signs of ongoing liver damage may not evoke an emergency response and can be treated during a child’s visit to a pediatrician.

Some signs ofliverdamage can be alarming, especially in newborns andbabies. If you suspect something is off with your damage, it is better to get them evaluated by a healthcare provider. Additionally, certain signs and symptoms could indicate an immediate danger that requires a trip to the emergency room.

Here are seven common signs of liver damage in babies.

7 common signs of liver damage

  1. Jaundice:The yellowing of eyes and skin is perhaps the most noticeable sign of liver failure.
  2. Constantvomiting:Constantvomitingand unable to keep the food down is often the sign of liver failure.
  3. Bonefractures:Children withliver diseaseare susceptible to bone fractures. Damage to the liver can cause reducedbone densityor thickness of the bone. Although bonefractureneeds immediate medical attention, you should consider visiting the liver doctor until the next office visit.
  4. Itchyskin:Itchyskin may occur due to the constant buildup of bile in the body.
  5. Loss of appetite:Liver diseasecan cause loss of appetite. It can result in the body getting inadequate nutrients, leading to malnutrition and other consequences.
  6. Pale stools:Some of the reasons why pale stools are a common sign of liver damage are:
    • Bile is the pigment that normally colors the凳子. Lack ofbilirubinproduction due to liver disease can result in pale stools.
    • Pale stools (acholic stools) are usually gray or clay-colored due to a lack of bile pigment.
  7. Tendency to bruise or bleed easily:Vitamin Kis responsible for clotting any bruise and stopping bleeding. A lack of vitamin K can lead to easy bleeding andbruising. The liver is responsible for vitamin K production. Hence, liver damage can lead to a lack of vitamin K production or inefficient utilization of vitamin K.

The role of malnutrition in liver damage

Malnutrition may accompany the symptoms of liver disease. In case of liver damage, it cannot process the nutrients effectively leading to loss of appetite and further malnutrition.

Some of the consequences of malnutrition may include:

  • Poor growth orweight loss:In liver disease, the liver fails to utilize the body fat efficiently, leading to poor growth andweight loss.
  • Rickets:It occurs when the bone does not have enough mass or tissue, also called low bone density. Signs ofricketsin infants and older children may include:
    • Weakness
    • Bowlegged
    • Ribs that feel very bumpy where they meet the breastbone (sternum)

Some of the above signs of ongoing liver damage may not evoke an emergency response and can be treated during a child’s visit to a pediatrician.

When to call the physician or healthcare provider

It is better to visit the physician as soon as you suspect something is off.

Some signs can be alarming and should be informed to your child’s physician or healthcare provider at the earliest. These symptoms may include:

  • Jaundice:Jaundice occurs because of bilirubin accumulation in the body. Bilirubin is a yellow pigment, which is a residue of a red blood cell breakdown. This residue is collected by the liver to be excreted along with the stools. Liver damage or issues with the bile duct can result in the accumulation of bilirubin inside the body.
    • Signs of jaundice may include:
  • Abdominal pain:It could indicate liver infection or inflammation.
  • Fever:If your child experiencesfeveralong with other symptoms of liver damage, call the healthcare provider at the first sign of fever. They might need additional information to confirm if the fever is due to liver problems or any other reasons.
  • Swelling in the abdomen:Some of the reasons forabdominal swellingmay include:
    • Enlarged liveror spleen
    • Fluid in the abdomen
    • Infection or high pressure in the blood vessels supplying the liver

SLIDESHOW

Parenting Guide: Healthy Eating for KidsSee Slideshow

When to go to the emergency room

Take your child to the emergency room or call 911 if they have any of the following:

  • Changes in mental status:It occurs when the liver fails to process the toxins in it and may result in these signs that indicate the liver is not functioning properly:
  • Vomiting blood:It indicates bleeding in the upper gastrointestinal tract.
  • Bloody stool:It is a sign of bleeding in the gastrointestinal tract.Blood in the stoolcould be black and tarry, dark red, or bright red.

What are the diseases that cause liver damage in children?

Some of the liver diseases affecting children are:

  • Acute liver failure:It occurs suddenly in children with no known history of liver disease.
  • Alpha-1 antitrypsin deficiency:It is aninherited diseasethat occurs when the liver cannot produce enough of a protein named alpha-1 antitrypsin.
  • Cirrhosisor chronic liver failure:It is a progressive liver disease where the cells in the liver are damaged, resulting in the formation ofscartissues.
  • Liver cystor tumor:Multiple benign ormalignanttumors can form in a child’s liver.
  • Biliary atresia:这是一种罕见的疾病发生在我的肝脏nfants where the bile flow from the liver to the gall bladder gets blocked.
  • Hepatitis:It occurs due to inflammation of the liver caused by the virus.

9 causes of liver damage in children

  1. Viruses, such ashepatitis Aand E virus,herpes(HSV),Epstein-Barr virus(EBV), andcytomegalovirus(CMV), can cause liver damage.
  2. Parasites, such as amoeba or malarial parasites.
  3. Inheritedmetabolic disorders, such as:
    • Galactosemia
    • Tyrosinemia
    • Hereditary fructose intolerance
    • Wilson disease (too much copper in parts of the body)
    • Mitochondrial diseases
  4. Toxins, such as:
    • Certain wild mushrooms
    • Rat poison
    • Insect killer
    • Weed killer
    • Some solvents or cleaners
  5. Low blood flow to the liver, such as in:
  6. Chronichepatitis, such ashepatitis Band C, autoimmune hepatitis,nonalcoholic steatohepatitis(a severe form offatty liver disease)
  7. Inherited conditions, such as:
    • Hemochromatosis(too much iron in the body)
    • Alpha-1 antitrypsin deficiency or cystic fibrosis (inherited diseases that affect thelungs)
  8. problems lead to the reduced blood supply to the liver or the accumulation of blood in the liver
  9. Diseases of the bile ducts, such as:
    • Biliary atresia (blocked or incompletely formed bile ducts in babies)
    • Sclerosing cholangitis(chronic inflammation of the bile ducts)

QUESTION

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Medically Reviewed on6/29/2022
References
Image Source: iStock image

CHOC. Child Liver Disease and Disorders. https://www.choc.org/programs-services/gastroenterology/liver-disease-disorders/

Fairview Health. Know the Signs of Liver Problems in Your Child. https://www.fairview.org/patient-education/88687

Cincinnati Children's Hospital. Biliary Atresia. https://www.cincinnatichildrens.org/health/b/biliary

Johns Hopkins Medicine. Liver Conditions in Children. https://www.hopkinsmedicine.org/health/conditions-and-diseases/liver-conditions-in-children
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