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Learn about the liver and liver transplants

What is the liver?

The liver is a large organ in your upper belly area, above your stomach. Its main job is to remove waste and toxins (harmful substances) from your blood.

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Your liver does many other important jobs, such as to:

  • Help your body digest food and turn it into energy your body can use

  • Store energy from food so your body can use it later

  • Make certain blood cells and keep the amounts of different blood cells in balance

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People cannot live without a working liver. If a person’s liver stops working, they need a liver transplant to live.

Why does the liver stop working?

People who have liver failure need a liver transplant. In liver failure, a person’s liver can no longer do its many jobs to keep them alive and healthy.

What causes liver failure?

Liver failure can happen suddenly or slowly over time:

Acute liver failure or injury

When someone’s liver fails suddenly, it happens over days or weeks. This is called acute liver failure. It is a medical emergency. Acute liver failure can be caused by different things, including:

  • Taking too much of certain prescription or over-the-counter medicines, or of some street drugs

  • Ingesting a poisonous substance

  • An autoimmune disease
    (when a person’s immune system attacks their own body)

Chronic liver failure

When someone’s liver fails slowly over time, it is called chronic liver failure and leads to end-stage liver disease. This happens slowly over years from a disease or health condition that damages the liver. The damage is so severe that the liver stops working. This can be caused by different things, including:

  • Infection by hepatitis viruses
    (hepatitis A, B, C, D, or E)

  • Diabetes

  • Obesity (being very overweight)

  • Drinking a lot of alcohol over a long period of time – 2 or more drinks per day for men and 1 or more drinks per day for women, over 5-10 years. This is called alcohol-associated liver disease. (Though, heavy binge drinking can also cause acute liver failure.)

People with a family history of liver disease may have a higher chance of liver disease and liver failure.

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