Often, patients consult a doctor and ask, "Doctor, have I been sleeping poorly lately, is it due to liver disease?" After carefully reviewing the patient's examination report and asking about the patient's condition, the doctor finds that in most cases, these patients have normal liver function tests, and disease control is stable. The patient's sleep problems are related to excessive worry about their own disease and anxiety caused by health. Sleep disorders are very common in life. Everyone may have experienced sleep disorders for a long or short period of time at different stages, or may not be able to sleep, or wake up early. In severe cases, they can affect normal life, and even cause serious psychological problems. There are many reasons for sleep disorders. For patients with chronic liver disease, if the disease progresses and liver function is significantly abnormal, it can lead to significant physical discomfort. For example, in the stage of chronic active hepatitis, discomfort symptoms such as fatigue and nausea may occur, which may affect sleep; If the disease progresses to the stage of advanced liver cirrhosis or liver cancer, discomfort symptoms such as fatigue, weakness, large amounts of ascites, difficulty breathing, and obvious pain in the affected area may occur, and sleep disorders may also occur. Most of the time, it's not the disease itself that causes sleep disorders, but our cognition that causes psychological problems that lead to sleep disorders. Common symptoms of psychological problems include anxiety and depression. Everyone has experienced varying levels of anxiety or depression at some stage of life, which is equivalent to our psychological "cold.". At this time, you may need the companionship of your family and the comfort of friends, but the most important thing is that you need to work hard to enhance your understanding of the disease, change your cognition, adjust your mindset, and improve your psychological endurance. In addition, in a state of obvious anxiety and depression, there is no need to fear and deliberately avoid this emotional state, allowing it to exist, accepting it, and allowing it to flow naturally within the body. After a period of time, it automatically disappears without a trace. If the psychological problem is serious enough to affect normal work and life, it is recommended to seek the help of a professional psychologist. If necessary, you may need to assist yourself with some drugs. Some large hospitals also have specialized sleep clinics that can be consulted when needed. In addition to the disease itself, there are many factors that can lead to sleep disorders, such as work pressure, family conflicts, and interpersonal tensions. There are also physiological factors (age, hunger, menopause, etc.), environment (strong light, noise, etc.), drugs (thyroxine, glucocorticoids, etc.), behavior (drinking coffee, strong tea, alcohol, etc.), and certain personality traits (pursuit of perfection, sensitivity, etc.) that may also lead to sleep disorders. It can be seen that sleep disorders are common and have various causes. The causes of sleep disorders may vary at different stages of life. It is necessary to analyze the specific causes and treat them specifically. Removing the triggers is the most fundamental way to alleviate them. For patients with chronic liver disease, in a state of stable disease control, regular examinations, timely medication, attention to it, but do not be afraid of it. In terms of life, just like normal people, it is strictly prohibited to treat themselves psychologically as patients. In addition, it is important to maintain a healthy, positive and optimistic attitude. (Liao Xinshe)