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Percutaneous Liver Biopsy

WHAT YOU NEED TO KNOW:

A PLB is a procedure to remove a sample of tissue from your liver. The sample can be sent to a lab and tested for liver disease, cancer, or infection. After the procedure you may have pain and bruising at the biopsy site. You may also have pain in your right shoulder. These symptoms should get better in 48 to 72 hours.

DISCHARGE INSTRUCTIONS:

Call 911 for any of the following:

  • You have trouble breathing.
  • You cannot stop the bleeding from your biopsy site even after you hold firm pressure for 10 minutes.

Seek care immediately if:

  • Blood soaks through your bandage.
  • You have severe pain in your abdomen.
  • Your abdomen is larger than usual and feels hard.

Contact your healthcare provider if:

  • You have a fever or chills.
  • Your pain does not get better after you take pain medicine.
  • Your biopsy site is red, swollen, or draining pus.
  • You have nausea or are vomiting.
  • Your skin is itchy, swollen, or you have a rash.
  • You have questions or concerns about your condition or care.

Medicines:

You may need any of the following:

  • Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to take and how often to take it. Follow directions. Read the labels of all other medicines you are using to see if they also contain acetaminophen, or ask your doctor or pharmacist. Acetaminophen can cause liver damage if not taken correctly. Do not use more than 4 grams (4,000 milligrams) total of acetaminophen in one day.
  • Prescription pain medicine may be given. Ask your healthcare provider how to take this medicine safely. Some prescription pain medicines contain acetaminophen. Do not take other medicines that contain acetaminophen without talking to your healthcare provider. Too much acetaminophen may cause liver damage. Prescription pain medicine may cause constipation. Ask your healthcare provider how to prevent or treat constipation.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him or her if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Care for your biopsy site as directed:

Ask your healthcare provider when your biopsy site can get wet. Carefully wash around the biopsy site with soap and water. It is okay to let soap and water run over the biopsy site. Dry the area and put on new, clean bandages as directed. Change your bandages when they get wet or dirty. Instead, you may be told to leave the biopsy site open to air.

Self-care:

  • Apply ice on your biopsy site for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel. Ice helps prevent tissue damage and decreases swelling and pain.
  • Rest as directed. Do not play sports, exercise, or lift anything heavier than 5 pounds for up to 1 week.
  • Drink liquids as directed. Liquids will help flush the contrast liquid out of your body. Ask how much liquid to drink each day and which liquids are best for you.
  • Apply firm, steady pressure if bleeding occurs. A small amount of bleeding from your biopsy is possible. Apply pressure with a clean gauze or towel for 5 to 10 minutes. Call 911 if bleeding becomes heavy or does not stop.
  • Ask your healthcare provider when to take your blood thinner or antiplatelet medicine. You may need to wait 24 to 72 hours to take your medicine. This will prevent bleeding.

Follow up with your healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

© 2017 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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