Abdominal pain, particularly in the right, upper region. Pain may be intense, continuous, or stabbing.
General discomfort, uneasiness, or ill feeling (malaise )
Sweating
Chills
Loss of appetite
Weight loss
Diarrhea
Jaundice
Joint pain
Exams and Tests
Tests that may be done include : -
Abdominal ultrasound
Abdominal CT scan or MRI
Complete blood count
Liver biopsy - rarely done due to high risk of complications
Liver scan
Liver function tests
Serology for amebiasis
Diagnosis
Examination
Ill-appearance
Fever
Tender right upper abdomen
Palpable liver (liver can be felt) whereas the liver is not easily felt
Tenderness in chest wall of right chest
Laboratory tests
Anemia
Elevated white blood cell count
Hemagglutination test
Imaging : -
Chest X-Ray shows elevated right diaphragm
Ultrasound
CT scan 20 days after successful treatment to eradicate ameba cysts
MRI
Treatment
Normal
Abnormal
A medicine called metronidazole (Flagyl) is the usual treatment for liver abscess. Medications such as paromomycin must also be taken to remove intestinal amebiasis to prevent recurrence of the disease.
In rare cases, the abscess may need to be drained to help relieve some of the abdominal pain.
Complications
The abscess may rupture into the abdominal cavity, the lining of the lungs, the lungs, or the sac around the heart. The infection can also spread to the brain.
Risk factors
Malnutrition
Old age
Pregnancy
Steroid use
Cancer
Immunosuppression
Alcoholism
Recent travel to a tropical region
Homosexuality, particularly in males
The list of of Gastroenterology Hospitals in India is as follows : -
For more information, medical assessment and medical quote
send your detailed medical history and medical reports
as email attachment to
Email : - info@wecareindia.com
Call: +91 9029304141 (10 am. To 8 pm. IST)
(Only for international patients seeking treatment in India)
For a detailed evaluation send patient’s medical reports / X rays / doctors notes to info@wecareindia.com
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