If your liver isn’t functioning well, you may experience a range of symptoms that may slow you down or interfere with your daily activities. Symptoms may include fatigue, weakness, nausea, vomiting, jaundice and dark urine. Our highly skilled hepatology team provides comprehensive diagnosis, evaluation and treatment for liver disorders. Together we can determine the cause of your symptoms and help you find treatment for liver disorders.
After completing a physical exam and reviewing your medical history, your hepatologist (liver specialist) may order the following tests to determine the cause of your symptoms:
Our multidisciplinary team of surgeons, radiologists, oncologists, nurses and nutrition experts work together to deliver high-quality, integrated care for liver cancer. Liver cancer cases are reviewed by a multidisciplinary liver cancer tumor board—one of only a few in Washington state—where recommendations are made about individualized treatment. We focus on minimizing symptoms while you undergo aggressive treatment and prioritizing quality of life in every phase of treatment.
The experts and specialists at Virginia Mason Franciscan Health develop a unique plan of treatment that addresses the unique aspects of your liver condition, which may include:
Your doctor may recommend lifestyle changes to help you avoid further damage to your liver, such as:
Certain liver conditions are treatable and even curable with medication. For example, we can treat hepatitis B to the point where the virus is suppressed and no longer found in the blood stream, and we can cure hepatitis C with a short course of oral therapy. We can treat conditions like hemochromatosis, Wilson's disease, autoimmune hepatitis and primary biliary cholangitis to reduce liver inflammation and prevent progression of liver scarring. We are actively researching novel agents that can even help reverse liver fibrosis and damage.
If you have a severely compromised liver (from scarring or inflammation) or liver failure, you may be a candidate for a liver transplant. Our team works closely with experts to determine the need for liver transplant and will refer you to a transplant specialist to review all of your options for treatment.
Acute liver failure is loss of liver function that occurs quickly, usually in just days or weeks. It’s typically a medical emergency that requires hospitalization due to mental confusion, multi-organ failure, bleeding, infection and increased pressure in the brain. Acute liver failure often occurs in a person with no known pre-existing liver disease. Depending on the cause, it may be reversible with aggressive medical care or may require a liver transplant. Learn more
Autoimmune hepatitis occurs when the body's own immune system attacks the liver, causing inflammation or hepatitis. Like other autoimmune disorders, this form of hepatitis may be triggered by a bacterial or viral infection, environmental factors or medications in genetically susceptible individuals. Untreated, autoimmune hepatitis can lead to cirrhosis (scarring) and liver failure. Learn more
Cirrhosis is a condition in which scar tissue (fibrosis) replaces normal healthy cells in your liver. The scar tissue makes your liver, normally like a sponge, become hard and lumpy. A scarred liver prevents it from carrying out its many functions such as detoxifying harmful substances in your body, cleaning your blood and making vital nutrients. There are a number of causes of cirrhosis. The most common are hepatitis C, nonalcoholic fatty liver disease and chronic alcoholism. Early cirrhosis may be reversible with prompt and effective treatment. Learn more
Fatty liver disease is a serious condition that occurs when too much fat builds up within the liver. Hepatologists classify the disease as either nonalcoholic fatty liver disease or fatty liver disease caused from alcohol abuse. Often, fatty liver disease has no symptoms. But in some individuals, the accumulation of fat causes inflammation—called steatohepatitis—that damages the liver. Learn more
Hemochromatosis is a common inherited disorder in which the body is unable to break down iron, resulting in too much iron building up in the body. The extra iron is stored in tissues and organs, primarily the joints, skin, liver, heart and pancreas. Untreated, the accumulation of iron—also called "iron overload"—can cause organ failure. Learn more
Hepatitis B is irritation and swelling (inflammation) of the liver due to infection with the hepatitis B virus (HBV). A hepatitis B infection can be spread through contact with the blood or body fluids (semen, vaginal fluids and saliva) of a person who has the virus. Learn more
Hepatitis C is a viral disease caused by the hepatitis C virus (HCV) that leads to swelling (inflammation) of the liver. Many people are unaware of the disease until they are diagnosed with liver damage. Learn more
Surgery, radiation, chemotherapy and targeted therapies are all options in the treatment of liver cancer. A multidisciplinary team of specialists create a plan of care that’s personalized for you, and this treatment plan is consistently evaluated and adjusted as needed. Learn more
Primary biliary cholangitis (PBC) is a progressive autoimmune disease of the liver. Over time, the small ducts that carry bile from the liver to the rest of the body become inflamed, gradually scarring and collapsing. As a result, bile and toxins can build up in the liver, leading to a condition called cholestasis. If untreated, cholestasis can lead to further damage to the liver, causing cirrhosis, an irreversible scarring of the liver, which may eventually lead to liver failure. Learn more
Wilson's disease is a rare genetic disorder that causes copper to accumulate in the liver, brain and other vital organs. Copper plays a key role in the development of healthy nerves, bones, collagen and melanin. Normally, it is absorbed from your food, and any excess is filtered by your liver and eliminated via bile. In people with Wilson's disease, the copper is not eliminated properly and can reach poisonous levels. Learn more
If you have symptoms of a liver disorder, such as fatigue, nausea, dark urine or yellowing of the skin and eyes, our hepatologists can help.