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Recently I have gone through my liver function tests which includes ggt function test as well. According to report my ggt level is 140, which indicates very high. So what treatment should I go for now. How to cure this. Which doctor should I consult. Pls advise.

BUMS, DHP, Diploma in homeopathy pharmacy
Unani Specialist, Khargone
A 1 hour gtt (glucose tolerance test) glucose level below 10 mmol/l (180 mg/dl) is considered normal. For a 2 hour gtt with 75 g intake, a glucose level below 7.8 mmol/l (140 mg/dl) is normal, whereas higher levels indicate hyperglycemia.
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My weight is 79 kg and hight is 5.7"what is my approx normal liver size .my present liver size is 153 mm.

Homeopath, Noida
By ultrasound, a normal liver is less than 16 cm in the midclavicular line. So it’s more or less normal size.
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Hi, I have tested my LFT. Where total bilirubin is 1.01. Where is direct is. 21 and indirect is .8. Is it ok? All are parts of LFT are within the prescribed range.

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
Nat sulph 12c 4tims day for 10days Nux v 12c 3tims day for 10days Cardusmar 6c 3tims day for 10days Lyco12c3tims day for 10days
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How To Prevent Cirrhosis Of Liver?

MBBS, DM - Gastroenterology, N.S.C.B MEDICAL COLLAGE
Gastroenterologist, Indore
How To Prevent Cirrhosis Of Liver?
Cirrhosis of liver is slow and gradual replacement of normal healthy liver tissue with scar tissue which results in poor liver function and blockage of flow of blood through liver which comes from intestines. As more scar tissue replaces normal healthy liver, liver begins to fail.

What causes cirrhosis?

Alcohol: Amount of alcohol which can cause liver damage varies from person to person, however those who consume alcohol for long in significant amount are more prone to develop liver damage.
Hepatitis B or hepatitis C: Caused by hepatitis B and C viruses, respectively, which are acquired by contact with contaminated blood (like needlestick injury, blood transfusion, injection drug abuser), sexual contact with infected person and from mother to child during childbirth.
Non-alcoholic fatty liver disease (NAFLD): Caused by presence of extra fat in liver (after excluding significant alcohol intake) which causes inflammation and scarring leading to cirrhosis. Usually seen in patients who are overweight or obese, having diabetes, high fat in blood, high blood pressure or metabolic syndrome.
Drugs causing liver injury.
Others: Autoimmune hepatitis (body`s own immunity acting against liver), Wilson disease (build up of copper in body), hemochromatosis (excess of iron in body), certain bile duct disorders, etc.
What are the symptoms of cirrhosis?

Early disease can present with nonspecific symptoms like weakness, fatigue (loss of energy), decrease wish to take food, vomiting or nausea, weight loss, etc.
Advanced disease can present with fluid accumulation in legs (edema) or abdomen (ascites), facial puffiness, yellowish discoloration of eyes or urine (jaundice), redness of palm (palmer erythema), decrease urine output, small red lesions on skin, easy bleeding following trauma, blood coming out of mouth/anus/other body site, black colored feaces, mental confusion, flapping tremors of hand, etc. In men it can cause impotence, breast enlargement and shrinking of testis.
What are the complication of cirrhosis?

Portal hypertension: It is a common complication of cirrhosis which is due to increased pressure in portal vein. Portal vein is main blood vessel which carries blood to liver from stomach, intestines, spleen, gallbladder and pancreas. Because of scar formation in liver the normal flow of blood from these organs to liver is hampered. As a result of blockage of blood flow to liver there are few complications which can arise like accumulation of fluid in abdomen (ascites) and legs (edema), formation of enlarged veins (varices) in food pipe (esophagus), stomach, etc., enlargement of spleen (splenomegaly), mental confusion/altered behavior/altered sensorium (hepatic encephalopathy), respiratory discomfort (hepatic hydrothorax or hepato-pulmonary syndrome) or decrease urine output/rise in creatinine (hepato-renal syndrome).

Increase risk of infection because of immune system dysfunction.
Development of liver cancer (Hepatocellular carcinoma)
Easy brusibility or bleeding following light trauma.
Gall bladder stone formation
Metabolic bone disease
What are the stages of cirrhosis?

Compensated cirrhosis: Liver is damaged or cirrhotic but there is no no abdominal swelling (ascites), blood in vomiting or black/red color feaces (variceal bleed), altered behavior/sensorium (hepatic encephalopathy), respiratory discomfort (hepatic hydrothorax or hepato-pulmonary syndrome) or decrease urine output/rise in creatinine (hepato-renal syndrome).
Decompensated cirrhosis: Presence of abdominal swelling (ascites), blood in vomiting or black/red color feaces (variceal bleed), altered behavior/sensorium (hepatic encephalopathy), respiratory discomfort (hepatic hydrothorax or hepato-pulmonary syndrome) or decrease urine output/rise in creatinine (hepato-renal syndrome).
How cirrhosis is diagnosed?

Your doctor will take good history and do proper physical examination. If there is suspicion of cirrhosis then he will subject you to some blood test, ultrasound abdomen, fibroscan/elastography, upper GI endoscopy and if needed CT scan or MRI of abdomen or liver biopsy.

Ultrasound of abdomen in cirrhosis may shows coarse liver echotexture, nodular liver surface, dilated portal vein or collateral, enlarged spleen or abdominal fluid (ascites).

What are the stages of cirrhosis How to prevent cirrhosis?

Best way to avoid development of cirrhosis from predisposing stage of liver illness is to recognize and treat early. Few advices to keep liver healthy are:

Dietary modification: Eat healthy balanced diet. Avoid high calorie food or drinks, saturated fat, sugar and refined carbohydrates. Keep yourself hydrated.
Lifestyle modification: Maintain healthy body weight. Avoid being overweight or obese. Aerobic exercise (like brisk walk 30-45min/day atleast 5days/week) regularly helps to lower liver fat.
Avoid: Avoid use of contaminated needles, sharing of items of personal hygiene (like shaving razors, toothbrush, nail clippers, etc), use of illicit drugs, self medication with over the counter drugs or using drugs beyond doctor`s advice.
Practice safe protected sex
Motivate others: to stop drinking and follow hand hygiene and doctor`s advice.
Hand hygiene: Wash hand with soap and water regularly before eating, after going to toilet and after touching dirty objects.
Vaccination: For hepatitis A or hepatitis B, if you are not vaccinated or not already infected or unsafe antibody titre. Transmission rate of hepatitis B from mother to child at birth can be reduced with vaccination and immunization of newborn starting within 12 hours of birth as well as by using antiviral drugs (if indicated).
Prevent others from getting infected from you if you harbor virus causing liver damage.

How to treat cirrhosis?

Treatment of cirrhosis is based on cause of cirrhosis and complication of cirrhosis. Main aim of treatment in early stage of cirrhosis is to slow the progression of cirrhosis and prevent complications development

Stop alcohol, antiviral drugs for hepatitis b or hepatitis C, proper sugar level if diabetes, steroid or other medications for autoimmune hepatitis, medications to reduce copper from body in patients with Wilson`s disease, etc.
Drugs to lower portal pressure (beta-blocker or nitrates), drugs to remove fluid from body (diuretics), drugs to lower ammonia level for encephalopathy (lactulose and others), drugs to improve kidney function (albumin, terlipressin and others).
Opt for liver ransplant, If cirrhosis is life threatening or treatment of cirrhosis complication is ineffective.
Low salt high protein diet
Stop alcohol intake even if you have other cause of cirrhosis.
Stop smoking
Avoid over the counter drugs (especially pain killers)
Vaccinate if not done already or infected
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Hi, what if results of liver function tests report show SGOT -52 & ALKALINE PHOSPHATASE -97, should we consider the results as serious or normal condition. Please answer me.

MD - Homeopathy, BHMS
Homeopath, Vadodara
It is neither serious nor normal. It is abnormal and with proper treatment can be cured. You can consult me at lybrate..
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Hi, I recently got my blood test done. My LFTs gave a bit of abnormality. I was not fasting when I gave the tests. However my ALTs were a bit high about 50 percent more than the normal range. Rest Albumin bilirubin and Alkaline phosphate were normal. I do eat a lot of meat/Chicken etc Should I be worried?

Homeopath, Chennai
Hi dear eat more vegetables and whole fruits, multigrains, drink plenty of water and exercise daily A homeopathic constitutional treatment will give you a permanent cure naturally You can easily take an online consultation for further treatment guidance Medicines will reach you via courier services.
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I am suffering from Liver disease as I was alcoholic previously & in Sonography it was shown as Coarse Echostructure or nearly cirrhosis of Liver. Any treatment or Remedy?

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
I am suffering from Liver disease as I was alcoholic previously & in Sonography it was shown as Coarse Echostructure ...
Nat sulph 12c 4tims day for 10days Lyco 12c 3tims day for 10days Cardusmar 6c 3tims day for 10days
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My bilirubin level is high please suggest next step I don't know about bilirubin.

Homeopath, Noida
What is your exact bilirubin level. And why did you do this test. I mean what are the symptoms that you are suffering from. Elevated bilirubin levels may indicate liver damage or disease. Higher than normal levels of direct bilirubin in your blood may indicate your liver isn't clearing bilirubin properly. Elevated levels of indirect bilirubin may indicate other problems.
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Liver Transplant Surgery - Post-Surgery Recovery Tips!

MCh - Surgical Gastroenterology/G.I. Surgery, MBBS, MS - General Surgery
General Surgeon, Noida
Liver Transplant Surgery - Post-Surgery Recovery Tips!
A liver transplant surgery involves surgically substituting a problematic liver with a healthy liver from a different person. Usually, the healthy liver is taken from a person who has recently passed away. In some cases, a living person may also give away part of the liver. Usually, living donors are members of the family or someone who has a good blood type match. The liver regenerates lost tissues after a surgery; hence, the donor s liver becomes normal within a few weeks of surgery.

You may require a liver transplant if your liver does not function optimally, owing to the below mentioned conditions:

Cirrhosis: This is a chronic disease of the liver wherein, scar tissues replace healthy tissues in the liver, thus, not allowing the liver to function optimally.
Metabolic disease: Disorders that modify the activity of the chemicals in the body
Acute hepatic necrosis: This is a disorder that causes the healthy tissues in the liver to die
Autoimmune disorders or liver cancer: Autoimmune disorders can cause healthy tissues in the liver to die as the immune system in the body starts attacking healthy tissues. Formation of malignant tumors in the liver can impair liver functioning.
You have to undergo certain procedures before the surgery is conducted; a general health exam, imaging tests, blood tests and a psychological exam are conducted before the surgery. Based on the functioning of the liver and some other factors, your suitability for the transplant will be determined.
The procedure begins with general anesthesia, following which an incision is made in the abdomen. The liver is then removed and replaced with a healthy one. Once the procedure is completed, the surgeon closes the incision with stitches.

Once the procedure is done with, you are kept in the intensive care unit for a few days. The doctor will monitor your progress and put you on medications. After the recovery, you will have to undergo check-ups at regular intervals. You may also have to take medications such as immunosuppressant to prevent your immune system from attacking the liver.