What are the symptoms of acute fatty liver during pregnancy?

Patient's question:

My partner has fatty liver disease. They are quite overweight. We've been married for 4 years and have reached the point where we're considering having children. I have a question about the symptoms of acute fatty liver during pregnancy, so I can respond in time. What kind of help do you need: What are the symptoms of acute fatty liver during pregnancy?

Doctor's answer:

Acute fatty liver of pregnancy, also known as idiopathic fatty liver of pregnancy in the early stages, is a severe complication that occurs again in the late stages of pregnancy. In the early stages of onset, it is characterized by persistent nausea, vomiting, fatigue, upper abdominal pain, or headaches, which are easily confused with gastrointestinal diseases such as gastroenteritis or liver diseases. Jaundice may reappear after several days to a week and gradually improve. If the early pregnancy is not terminated, the condition rapidly worsens, leading to recurrent coagulation dysfunction (such as skin petechiae, ecchymosis, hematemesis, hematuria, gum bleeding, and intracranial hemorrhage), hypoglycemia, loss of consciousness, psychiatric symptoms, and coma. It often results in oliguria or anuria, and patients may face imminent death within a short period.

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