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Dr. Please suggest me a best anal fissure (break) Cream. The affected area is burning after using toilet. And tell me the precautions? Waiting for your revert.
Mild splenomegaly increase size of spleen in stomach due to it I am felling heavy problem in motion irregular motion food is getting fastly coming out I am felling that always as to go for motion. Small motion is coming. It is coming for many times. please help
Hello The food I am eating is not getting digested and that is creating a gas problem. Had b 12 deficiency but taken injection. Also taking thyronorm 75. Due to above issue I am eating very less food and more liquid Bcoz of this my weight is drastically reduced Please help.
It is also called nonalcoholic fatty liver disease in adults.
It is an ongoing silent epidemic in India.
Nonalcoholic fatty liver disease (NAFLD) refers to the presence of hepatic steatosis when there are no other causes for secondary hepatic fat accumulation such as heavy alcohol consumption.
NAFLD may progress to cirrhosis and is likely an important cause of cryptogenic cirrhosis
NAFLD is subdivided into nonalcoholic fatty liver (NAFL) and nonalcoholic steatohepatitis (NASH).
In NAFLD, hepatic steatosis is present without evidence of inflammation, whereas in NASH, hepatic steatosis is associated with hepatic inflammation that histologically is indistinguishable from alcoholic steatohepatitis
Risk factors for cirrhosis are, older age, diabetes, SGOT SGPT >2 times, BMI >28, higher visceral adiposity index, which takes into account waist circumference, BMI, triglycerides and high-density lipoprotein level, less coffee consumption, heavy alcohol intake
As little as two drinks per day in those who are overweight (and one drink per day in those who are obese) is associated in hepatic injury.
Liver cancer is associated with cirrhosis due to NAFLD.
Heart disease is the most common cause of death among patients with NAFLD.
Weight loss for patients who are overweight or obese is recommended.
Goal for many patients is to lose 0.5 to 1 kg/week (1 to 2 lb/week).
Vaccination for Hepatitis A and B, pneumococcal vaccination and standard immunizations (e.G, influenza, diphtheria, tetanus boosters) are recommended for the population in general.
Risk factors for cardiovascular disease should be managed.
Vitamin E at a dose of 400 IU/day may be suggested for those patients with advanced fibrosis on biopsy who do not have diabetes or coronary artery disease.
Avoid all alcohol consumption.
Heavy alcohol use is associated with disease progression among patients with NAFLD.
Thiazolidinediones can improve histologic parameters in patients with NASH, metformin does not.
UDCA has anti-inflammatory effects in the liver
Atorvastatin has protective effect on SGOT, SGPT levels in patients with NAFLD.
Pentoxifylline inhibits production of tumor necrosis factor-alpha and may be effective in NASH.
Omega-3 fatty acids may benefit NAFLD or NASH.
If serum ferritin >1.5 times the upper limit of normal: Progressive liver disease:
If SGOT:SGPT > twice the upper limit of normal, then refer
I have headache and neck pain last 2 months and stretches in leg toe and fingers some problem in digestion.
I have gas and acidity problem for around 2 months. Pain in stomach and every part of stomach. What should I do? I am underweight too. I want to increase my weight.
I am a 23 year old male. I am having digestion issues. Please help me find a good way to digest fully.
I tranplant liver june 2011, apollo hospital delhi, but I am suffering from diehrea (loos motion) every month. Everything reports of motion & liver reports o. K, what I do.
Hi m suffering from anal fissure past 1year, my tip of the motion is large n bit hard so is there any application to use it before I pass stool to make it soft, without out taking stool softener or pills.
Good evening I am 25 years old male. From Last 8 years I am having colitis so many medicines I have tried but no use, I have controlled on colitis but for controlling I have to avoid so many edibles like milk, cheese, and milk is poison for me and many more things please help me I can do anything to treat colitis and please give me one answer is it possible to treat coilits or not?
Digestive problem from 2 months, medicines and syrups didn't work all were prescribed by the doctors but nothing happened. What should i do now?
I am 30 years old. i am suffering from digestion problem. what should i do to get rid from this problem? please advice
Gallbladder stone is detected, doctors have advised operation. Can some doctor suggest some other way like medicine. Someone told that there is homeopathic treatment, is it true?
My husband is diagnosed with fatty liver. What are the possible reason for the same and the best possible remedy.
1. Follow a low residue diet to relieve abdominal pain and diarrhea. Avoid foods that may increase stool output such as fresh fruits and vegetables, prunes and caffeinated beverages.
2. Decrease concentrated sweets in your diet, such as juices, candy and soda, to help decrease amounts of water pulled into your intestine, which may contribute to watery stools.
3. Decrease alcohol consumption. Try incorporating more omega-3 fatty acids in your diet. These fats may have an anti-inflammatory effect. They are found in fish, including salmon, mackerel, herring and sardines.
4. Patients often find that smaller, more frequent meals are better tolerated. This eating pattern can help increase the amount of nutrition you receive in a day. Consider taking nutritional supplements if appetite is poor and solid foods are not tolerated well (see section on recommended liquid supplements).