Principles of medical treatment for liver abscess

Written by Zhang Wei Wei
Integrative Medicine
Updated on September 27, 2024
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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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Written by Zhang Wei Wei
Integrative Medicine
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What should I do if a liver abscess ruptures?

Firstly, we must keep our emotions stable, avoid being nervous, avoid anxiety, and avoid shouting loudly, as these can increase the likelihood of bleeding. Do not excessively increase the pressure in the abdominal cavity. So, what treatment methods do we have? There are two types of treatments: surgical and non-surgical. If the patient has a mild liver rupture and stable vital signs without persistent active bleeding, treatment can be administered through blood transfusion, fluid infusion, hemostasis, antibacterial drugs, and hepatoprotective drugs. However, it is crucial to closely monitor the patient's vital signs and regularly review the imaging studies of the condition. We must diligently observe any changes in the patient's condition. If evidence of active bleeding occurs during conservative treatment, then surgical intervention must be immediately performed.

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Written by Zhang Wei Wei
Integrative Medicine
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Can I drink milk with a liver abscess?

Patients with liver abscess can drink milk if they are not allergic to it. The main symptoms of a liver abscess are abdominal pain and irregular high fever, and it is considered a consumptive disease. For such diseases, we must strengthen nutritional support treatment and adopt a digestible, high-protein diet to achieve the purpose of rapid improvement and cure of the disease. Milk is a food with relatively high protein content and is also easy to digest. If there is no milk allergy, patients with liver abscess can drink an appropriate amount of milk. About 250ml per day is beneficial for the rapid recovery of the liver abscess and for improving the body's immunity.

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Written by Zhang Wei Wei
Integrative Medicine
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Why is there a low fever with a liver abscess?

Why do patients with liver abscesses continuously have a low fever? This is because a liver abscess is a purulent liver condition caused by various microorganisms such as bacteria, fungi, or amoebas, indicating severe inflammation due to the presence of pus in the liver, resulting in a fever. But why is it a low fever? The reason may be attributed to the fact that it is inherently a bacterial infection. Treatment requires prolonged use of high-dose, full-course antibiotics. During this process, some bacteria might not be completely eradicated, or some residual bacteria continue to linger in the liver, thereby easily causing fever. Fever is a manifestation of the body's self-protection, so there is no need for excessive worry or anxiety. With proper full-course treatment, the disease can be cured. (Please use medication under the guidance of a doctor.)

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Written by Zhang Wei Wei
Integrative Medicine
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What is good to eat for a liver abscess?

You should eat a diet that is easy to digest, high in vitamins, low in fat, and high in calories. Avoid fatty, greasy, spicy, and stimulating foods. So, what types of food can we choose? We can choose foods like millet and pig stomach, including beans, because beans are high in protein, calcium, iron, and vitamin B. You can also eat seafood such as hairtail and yellow croaker, which can enhance immunity, repair damaged tissue cells, and strengthen the body's resistance to prevent viral infections. Additionally, you can eat fruits that clear heat and detoxify, relieve irritability, and quench thirst, such as dragon fruit, pears, apples, etc. You can also consume foods that are rich in potassium.

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Written by Zhang Wei Wei
Integrative Medicine
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Reasons why liver abscesses do not liquefy

The reasons for the non-liquefaction of liver abscesses, in my opinion, are several. The first is that the abscess is very large, and the second is the inappropriate use of antibiotics. So, what can we do to solve this problem? Firstly, liquefaction of a liver abscess takes time, and it is difficult for a large abscess or a single large abscess to be absorbed on its own. Therefore, it requires combining with percutaneous drainage. Often, even if the abscess has not fully liquefied, fine needle aspiration can still be performed to extract the pus for culture, and then identify the sensitive antibiotics. After administering a sufficient amount and course of the sensitive antibiotics, the liquefaction of the liver abscess can be accelerated and the pus can be expelled sooner.