He went to the Dr and the Dr said he felt some swelling. He did blood work, Put him on promethazine for the vomiting, and sent him for a gall bladder and liver ultra sound. This was 3 days ago. The nurse called me today, and said his blood work showed that he has some inflamation in his liver. We had the ultra sound done today, and of course that takes 2 to 3 days. I asked the nurse if he should return to work because he still dosent feel good and she said yeah he should return tomorrow. The medicine they have him on says no driving. He runs a machine in a factory that is 110 degrees. Im just not sure thats a good idea. Shouldnt they keep him off work until they get the results from the ultra sound back. They dont seem very concerned about the inflammed liver. Is an inflammed liver no big deal, or is it something to be concerned with?
Inflammation of any organ or body part is designated by "itis". So appendicitis and bursitis are inflammation of your appendix & bursa. Likewise, inflammation of the liver is hepatitis (hepat- or hepatic- is the Greek origin for liver). Hepatitis can be due to alcohol, drugs, eg acetaminophen (sold as Tylenol) & statins (Lipitor, Crestor, etc), or infection, eg food-borne, blood-borne, or sexually transmitted.
Very mild inflammation of the liver that is asymptomatic can also be due to fatty liver (typically associated with men who have a waistline >40" or women >35"). But one usually doesn't get sick from fatty liver.
Sometimes a blockage of the biliary system (think gall bladder) can inflame the liver but there'd probably ongoing colicky pain. This would be more worrisome if there was any yellowing of his skin, darkening of his urine, and/or lightening of his stool, indicating complete obstruction of bile.
In any case, if someone doesn't feel well and is vomiting, then it's probably not a good idea to return to work, especially if they need a sedating drug such as promethazine to prevent the vomiting. Best to get a second opinion if necessary along with work release note. Good luck!
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