Smorgasbord Health Column 2023 – The Body our Greatest Asset – The Digestive System Part Four – The Liver, Cirrhosis, Hepatitis by Sally Cronin


I have featured this series over the last ten years on a regular basis for new readers who might have joined the blog. Our bodies are are greatest asset. It has a long road ahead of if from birth, through the teen years, work life, parenthood, middle age and then into our 70s and beyond.

At every stage of our life healthy nutrition is essential to help the body develop and remain as disease free as possible. I appreciate that many of you may have read this series before three years ago, but I hope it will be a reminder of how amazing our bodies are, and simply eating the right foods, exercising moderately and not doing anything too reckless…will go a long way to enjoying later life to the full.

In this next series of posts I am going to be exploring the digestive system and its complex role in extracting the nutrients the body needs to survive.

As we move through the body there is one system which contains a number of major or essential organs.. this is the Digestive System and it is designed to extract the nutrients the body needs from the food we eat… It is a system that we try to second guess frequently, especially when the latest official guidelines are published by the ‘experts’ or the a new fad diet becomes all the rage.

The digestive system is not voiceless…if you get a stomach upset, feel nauseous, get a headache or a rash.. it is your gut brain letting you know it is not happy. It works on the principal that after hundreds of thousands of years evolving, it knows very well what it needs and if it comes in a packet along with additives and artificial sweeteners, colourings and chemically produced nutrients… that is not it.

Over the next few weeks I will be working my way through the system and afterwards perhaps you might review what you are eating that might not agree with your body. This includes some chronic illnesses and life-threatening disease. Part Three can be found Here

The Digestive System Part Four – The Liver

Last time I looked at the structure and basic function of the liver and in this post I want to cover some of the conditions that can effect this major organ.

Because the liver is such a complex organ there are over 100 diseases that can affect its health.

We tend to associate liver damage with conditions resulting from drinking to much, such as alcoholic hepatitis or the viral infections, Hepatitis A and the more dangerous serum Hepatitis B.

Hep A is transmitted from contaminated food and water, and Hep B from sexual contact, infected needles or contaminated blood products.

Some diseases of the liver are hereditary and are usually diagnosed in a baby or young toddler. These include Alagille syndrome, Alpha 1-Antitrypsin deficiency, autoimmune hepatitis, the result of an abnormal immune system at birth, Galactosemia, Wilson’s disease – the abnormal storage of copper – and Haemochromatosis – the abnormal storage of iron.

There are also the dangers of long term medication. As with everything else we ingest, the medication also needs to go through the liver to be processed. This also applies to extensive exposure to chemicals in a home or work environment. Both are likely to overwork the liver and cause damage.

It is obvious that hereditary conditions and viral infections require treatment by medical experts. What we are concerned with is the general health of the liver to prevent damage and to improve function by making some adjustments to our lifestyles.

What is cirrhosis of the liver?

Cirrhosis occurs when scar tissue replaces dead or injured liver cells. It is caused by disease, or more commonly alcoholism and increasingly the ingestion of processed foods and drinks containing high levels of refined sugars. The scarring distorts the normal structure and re-growth of liver cells and the flow of blood through the liver, from the intestines, is blocked. This restricts the functions carried out by the liver, such as processing proteins or toxins.

This in turn can lead to other medical problems such as gallstones, toxicity and fluid retention in the legs and abdomen. Because the liver produces proteins that help clot the blood, damage can lead to excessive or prolonged bleeding – both internally and from cuts and injuries.

There is no cure for cirrhosis but the spread of the scarring can be stopped, and improvement in the health of the liver achieved in most cases, if the original cause of the damage is removed: – For example, by stopping drinking alcohol, reducing drastically the consumption of processed drinks and foods and eating a natural unprocessed diet of healthy fats, vegetables and fruits.

We also associate severe liver problems with older people who have spent a lifetime indulging across the board. However, more and more teenagers and young adults are presenting with liver damage. The cause is not excessive alcohol but excessive consumption of soft drinks containing sugars, acid and artificial sweeteners and a reliance on the ‘white diet’. White carbohydrates, unhealthy manufactured fats and refined sugars such as high fructose corn syrup.

How do we help the liver cope with everyday pressures?

So whilst alcohol certainly plays a role in the development of cirrhosis you do not have to be a chronic alcoholic to get the disease. The good news is that alcoholic hepatitis does not necessarily lead to cirrhosis of the liver, and certainly not to the extent where a transplant is required. It can take many years of dedicated drinking to reach that stage, but that will depend on the person.

No one person is the same and I often quote the saying “one man’s meat is another man’s poison”. We are all unique and this applies to our internal operating systems as well. I am sure that we have been to parties and watched one person have two glasses of wine and be as drunk as a lord and someone else down drink after drink without any apparent affect. That is to say that from the outside they look okay but of course their liver may be telling a different story.

As we get older we understand that the aftermath of a drinking session is unpleasant in the extreme and the effects can last a couple of days – unfortunately some of the remedies add to the strain on the liver- especially frequent use of over the counter pain medication. Hopefully most of us adapt to a more moderate approach.

Unfortunately that is not at times with the young. Like the latest online drinking crazes such as Neknomination – which has already resulted in the death of several young people in the UK. Alcohol poisoning is not a game.

Commonly, patients requiring treatment for liver disease were in their 50’s and 60’s. There are now people in their 20’s and 30’s being diagnosed with chronic liver damage and some are on the transplant list!

How can we help ourselves?

Like many internal organs, the liver has a primary purpose in life and that is for the host body to survive. It will struggle daily to cope with excessive stress and harmful contaminants and it is often only when it is in the final stages of disease that we see the external evidence for ourselves.

  • The early symptoms can be hard to spot but generally there will be consistent nausea, intestinal upsets, fatigue and loss of appetite.
  • If these symptoms are ignored then more dangerous symptoms will develop including signs of jaundice which results in yellowing of the whites of the eyes and a yellow tint to the skin.
  • Also bloated abdomen, confusion leading to coma and possible death. If you are experiencing any of the early signs then do go and get checked out by your doctor.

Generally speaking, drinking more than two or three drinks per day is going to affect your liver to some degree. Binge drinking at the weekend is something we are all guilty of from time to time. We do not have a drink all week and then on the weekend we go out for a meal or have friends around enjoying pre-dinner drinks and a few glasses of wine followed by a couple or more liqueurs. This is a binge as far as your liver is concerned, particularly if it is accompanied by a rich meal full of fats and proteins that require processing.

As I have already stated, soft drinks have their dangers – and certainly there has been a worrying increase in the number of teenagers from as early at 11 years old exhibiting signs of liver damage. In America where you have been able to buy 24oz fizzy drinks – or receive them free as part of a fast food meal – this trend is more than worrying. The main culprit is high fructose corn syrup the main component of soft drinks.

I am not going to go into detail as there is an interesting and thought provoking article that every parent should read and if not a parent then those of you who are consuming even moderate amounts of certain soft drinks and eating processed foods.

Dr. Hyman – Five Reasons High Fructose Corn Syrup will kill you

The liver, like the rest of the body, needs antioxidants to prevent oxidative damage. A diet high in processed foods is not only going to give the liver even more work to do, processing additives and excess chemicals such as phosphorus, but is also not going to give it the raw materials it requires for its own health.

I am afraid that we women are more likely to suffer liver damage, as we tend to have a higher concentration of alcohol in our blood. We have more body fat and less water than a man does so we handle booze differently. Even if we do not drink we can still cause damage to our liver by having a very high-fat diet. The liver again is overworked and whilst a moderate intake of fats is necessary for the nutrients it contains, it needs to be part of a balanced diet with plenty of vegetables, fruit and whole grains that all work with the fat in harmony.

I often caution against deleting a food group from our diet as we are programmed to take the essential nutrients from across the board.

Carbohydrates have their role in this, but white, high fat and sugary processed foods are not carbohydrates, they are cardboard.

Eat whole grains every day – if you have a gluten intolerance or find wheat hard to digest then brown rice, corn and organic oats may suit you.

So whilst many of us focus on our heart health – that organ is affected by the health of the liver, which removes toxins from our body to prevent the storage of these poisons in every cell including those in the heart.

You can keep up to date with news on liver health in the UK: British Liver Trust

And in the US: Science Daily

The next stop on our journey through the digestive system is the intestines… I bet you can’t wait!!

©sally cronin Just Food for Health 1998 – 2023

A little bit about me nutritionally. .

About Sally Cronin

I am a qualified nutritional therapist with twenty-four years experience working with clients in Ireland and the UK as well as being a health consultant on radio in Spain.

Although I write a lot of fiction, I actually wrote my first two books on health, the first one, Size Matters, a weight loss programme 21 years ago, based on my own weight loss of 154lbs. My first clinic was in Ireland, the Cronin Diet Advisory Centre and my second book, Just Food for Health was written as my client’s workbook. Since then I have written a men’s health manual, and anti-aging programme, articles for magazines, radio programmes and posts here on Smorgasbord.

You can buy my books from: Amazon US – and: Amazon UK – Follow me :Goodreads – Twitter: @sgc58 – Facebook: Sally Cronin – LinkedIn: Sally Cronin

 

Thanks reading and I hope you will join me again next week…Sally.

 

Smorgasbord Health Column – Major Organs and Systems of the body – The Digestive System Part Three – The Liver – Largest waste organ inside the body – Sally Cronin


Last week in our exploration of the digestive system we moved through the oesophogus into the stomach Part Two

In the last two posts, I have worked my way through the digestive system from the mouth, down the oesophagus and into the stomach, (not literally of course) but there are some important organs within that system that deserve some personal attention on the way. One of those is the Liver which carries out the important task of ridding our body of toxins and storing essential nutrients for our health.

I remember a teenage client who wondered what all the fuss was about – you could get a transplant couldn’t you? I set him the task of researching the actual operation, first hand accounts of those who had undergone this major operation and the long lasting implications and side effects. Hasten to say he was a lot less cocky about the process on his next appointment.

I have met people who believe that as long as you give up smoking and drinking before you are 40 you will be absolutely fine! Yes, there are individuals who drink like a fish and live to 95 and some of them even smoked too. They also did not have the benefit of our high sugar modern diet and lack of exercise! I also would be tempted to ask them to pick my lottery numbers each week because they are the fortunate ones.

For the rest of us, the earlier we put some thought into the long term care of our major organs the better. I will admit that I was in my late 30’s before I woke up to this fact when given some rather indigestible truths about my prognosis. But better late than never.

Part of that care comes from understanding the how, what and where an organ’s role is in our body and health.

Where is the liver?

Liver in Torso

Surprisingly the liver is the largest of our internal organs and in fact it is the size of a large melon. Mainly in the upper right side of your abdomen it lies beneath the diaphragm just above your stomach. Higher up in the chest than people imagine which is important when determining symptoms such as pain.

What does the liver do?

The liver is a multi-tasking organ, capable of around 500 functions. Before you put rubbish in your mouth, think about the liver as your best friend. Is it going to be happy when this jumbo hotdog, salad cream, on a white bread roll with margarine, onions cooked in lard and the reconstituted chips with lots of salt and large blueberry muffin with a 16oz diet soda hits the system!! Everything you consume including all the preservatives, toxins, lousy fats, drugs, excess sugar will pass through this portal…..

Liver

The liver has two essential roles – making or processing chemicals and eliminating toxins and waste. Without this portal system none of the nutrients that we have carefully processed and passed in the intestines could be carried in the blood, through the liver to nourish the body and give us energy.

The liver is the organ but the work horses are the millions and millions of cells it holds.

Specialist cells, hepatocytes deal with the raw materials our body runs on – proteins, carbohydrates and fats. We are made of protein and we need to consume high quality protein to renew our cells and create new ones – in its raw state some proteins are not accepted by the body and the role of the liver’s cells is to change the format so that it is usable. Any waste from the liver cell’s processes is not passed back into the blood stream but stored for elimination. Similarly with carbohydrates, the liver cells will convert the carbs into appropriate fuel that can be easily accessed by the body for energy.

Kuppfer cells

The waste disposal cells in the liver are called Kuppfer cells, after the man who discovered them – they are the Dysons of the cell fraternity, sucking up bacteria and toxins before handing over to the hepacytes for processing. This means that the liver is incredibly important for your immune system. The liver also stores iron as well as other vitamins and minerals you need such as B12 and the organ makes clotting factors that stop bleeding after injury.

One of the key roles of the liver in cholesterol management – In spite of an effort to demonise cholesterol it is very important to appreciate the vital roles that it performs in the body. Cholesterol is vital to our digestive system, in that it forms the base for bile acids that are used to emulsify fat in the small bowel so that fat and fat soluble vitamins like E and K can be absorbed…

I treat my liver as the guardian of my health and if you take care of this organ first you will find that will have a very beneficial effect on the optimum balance of LDL and HDL cholesterol in your blood.

Next time I will be looking at some of the major diseases of the liver.

©sallycronin Just Food for Health 1998 – 2019

A little bit about me nutritionally.

I am a qualified nutritional therapist with twenty years experience working with clients in Ireland and the UK as well as being a health consultant on radio in Spain. Although I write a lot of fiction, I actually wrote my first two books on health, the first one, Size Matters, a weight loss programme 20 years ago, based on my own weight loss of 154lbs. My first clinic was in Ireland, the Cronin Diet Advisory Centre and my second book, Just Food for Health was written as my client’s workbook. Since then I have written a men’s health manual, and anti-aging programme, articles for magazines and posts here on Smorgasbord.

If you would like to browse by health books and fiction you can find them here: https://smorgasbordinvitation.wordpress.com/my-books-and-reviews-2019/

As always delighted to get your feedback and questions. This is not intended to take the place of your doctor’s presence in your life. But, certainly in the UK, where you are allocated ten minutes for a consultation and time is of the essence; going in with some understanding of how your body works and is currently functioning can assist in making a correct diagnosis.

Some doctors believe that a little knowledge is a dangerous thing. However, I believe that understanding our bodies, how it works, how we can help prevent health problems and knowing the language that doctors speak, makes a difference.  Taking responsibility for our bodies health is the first step to staying well.

Thanks for dropping in and I hope you find useful.. Sally.