 [ Symptoms ] hepatitis in a 7 year old girl pooping and peeing blood went in to the hospital and they have been performing various tests to see what is the issue and where is it coming from after several blood tests and mri scanning they have found that her liver is inflamed hepatitis hepatomegaly and her blood liver count is quite high they also found something next to her liver but yet can not seem to pin point the problem exactly the doctor wants to pass on her imagining to a surgeon to get further input and opinions advice [ Disease ] severe copd can cause heart failure in the heart is right ventricle a condition called right sided heart failure or cor pulmonale in severe copd oxygen concentration in the blood falls to abnormally low levels in response the walls of the main blood vessels inside the lungs pulmonary arteries experience changes the blood pressure inside these arteries goes up as well this is one type of a condition called pulmonary hypertension the heart is right ventricle pumps blood through the pulmonary arteries into the lungs high blood pressure in the pulmonary arteries puts excess strain on the right ventricle over time the right ventricle may become stretched and dilated and fail to pump blood effectively right sided heart failure causes fluid to accumulate in the body such as in the legs and abdomen many conditions other than copd also cause pulmonary hypertension and right sided heart failure