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Overview

Dolopar 250 MG Suspension

Dolopar 250 MG Suspension

Manufacturer: Micro Labs Ltd
Medicine composition: Paracetamol
Prescription vs.OTC: Prescription by Doctor required

Dolopar 250 MG Suspension, classified as a mild analgesic, is used to treat fever and is the most commonly used pain reliever. It is used to relieve pain in case of a backache, a headache, arthritis and a toothache. It reduces pain in the body caused due to fever. It is often given to patients who suffer from cancer or have undergone surgery, to help them cope up with the pain. Dolopar 250 MG Suspension is normally administered orally or rectally, it is also available for intravenous administration.

Dolopar 250 MG Suspension does not have any serious side effects. It is safe to use this medicine during pregnancy and breastfeeding. However, in rare cases skin rashes may occur accompanied by nausea, stomach pain, and loss of appetite. You should stop using Dolopar 250 MG Suspension if you experience an allergic reaction to it or notice any other serious symptoms like dark urine, clay-colored stools or jaundice. Overdosing may result in liver failure.

You should not take Dolopar 250 MG Suspension if ?

  • You are allergic to Dolopar 250 MG Suspension
  • You are suffering from a serious liver disorder.
  • You normally consume more than 3 alcohol beverages per day or have a history of alcoholism.

There are several drugs that may interact with Dolopar 250 MG Suspension. Inform your doctor about all the other medications that you take including vitamins, minerals, prescribed drugs, over the counter drugs and herbal products. For adults Dolopar 250 MG Suspension the general dose for fever and pain is 325-650 mg tablets once in every 4 to 6 hours or 1000mg tablets once in every 6 to 8 hours. It is advised to be guided by the doctor?s prescription and never to exceed the prescribed dosage.

Fever
Dolopar 250 MG Suspension is used to provide temporary relief from fever without treating the underlying cause.
Headache
Dolopar 250 MG Suspension is used to relieve acute headaches including migraine.
Muscle Pain
Dolopar 250 MG Suspension is used to relieve mild to moderate pain in the muscles.
Menstrual Cramps
Dolopar 250 MG Suspension is used to relieve pain and cramping associated with menstrual cycle in women.
Post Immunization Pyrexia
Dolopar 250 MG Suspension is used in the treatment of pain and fever that sets in after one has taken vaccinations.
Arthritis
Dolopar 250 MG Suspension is used to relieve joint pain including mild to moderate pain in arthritis.
Allergy
Dolopar 250 MG Suspension is not recommended if you have a known allergy to this medicine.
Analgesic Nephropathy (Kidney Disease)
Dolopar 250 MG Suspension is not recommended if you suffer from impaired kidney function due to excessive usage of painkillers or otherwise.
Liver Disease
Dolopar 250 MG Suspension is metabolised by the liver and is not recommended if you suffer from impaired liver function.
In addition to its intended effect, Dolopar 250 MG Suspension may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Nausea or Vomiting Moderate Common
Dolopar 250 MG Suspension can cause nausea and vomiting along with other symptoms like abdominal pain, diarrhoea, dry mouth etc.
Fever Moderate Common
Dolopar 250 MG Suspension can cause low to moderate fever with or without chills.
Allergic skin reaction Moderate Less Common
Dolopar 250 MG Suspension can cause red spots on skin, rashes, hives and itching.
Gastric / Mouth Ulcer Moderate Less Common
Dolopar 250 MG Suspension can cause discolouration of urine along with sudden decrease in amount.
Anemia Moderate Rare
Dolopar 250 MG Suspension can cause anemia like symptoms in some patients.
Fatigue Minor Less Common
Dolopar 250 MG Suspension can cause tiredness and weakness with pain and twitching of the muscle.
Stevens-Johnson Syndrome Major Rare
Dolopar 250 MG Suspension can cause this rare but potentially fatal allergic reaction of the skin that requires immediate treatment.
How long is the duration of effect?
The effect lasts for an average of 4-6 hours.
What is the onset of action?
The effect of Paracetamol (primary constituent of Dolopar 250 MG Suspension) can be observed within an hour of oral administration. When given in the form of an intravenous injection, the pain-relieving action starts in 5-10 minutes. For fever reduction, the time taken is about 30 minutes.
Are there any pregnancy warnings?
This medicine is not known to cause any harm to the fetus. But the evidence is inadequate and it should be used only when necessary after consulting a doctor. Oral administration of the medicine should be preferred over intravenous route.
Is it habit forming?
No habit forming tendencies were reported.
Are there any breast-feeding warnings?
This medicine is safe to use during breastfeeding. It is advised to consult your doctor before taking this medicine. Any incidence of rashes on skin or diarrhea in the infant should be reported.
Below is the list of medicines, which have the same composition, strength and form as Dolopar 250 MG Suspension, and hence can be used as its substitute.
Dr. Reddys Laboratories Ltd
Strides Shasun Limited
Cipla Ltd
Alkem Laboratories Ltd
Themis Medicare Ltd
Missed Dose instructions
Dolopar 250 MG Suspension is usually taken as and when required. If the medicine is taken on a regular basis, then the missed dose should be taken as soon as possible. You should not take the missed dose if it is time for taking the next scheduled dose.
Overdose instructions
Dolopar 250 MG Suspension overdosage could cause harmful effects to the body. Early symptoms are loss of appetite, nausea, vomiting, stomach pain while late symptoms include yellowing of skin and eye, severe abdominal pain and dark color urine.
India
United States
Japan
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Disease
Alcoholism Major
This medicine should be given with extreme caution if you are a chronic alcoholic. Usage of alcohol should be avoided and any symptoms like nausea, fever, rashes, darkened urine should be reported to the doctor on priority.
Liver Disease Major
Dolopar 250 MG Suspension should be given with extreme caution to if you are suffering from impaired liver functioning disease. Symptoms like nausea, fever, rashes, darkened urine should be reported to the doctor on priority. Clinical monitoring of liver function should be done at regular intervals.
Interaction with Alcohol
N/A Major
You should avoid consuming alcohol while taking this medicine. Symptoms like fever, chills, rashes, joint pain and swelling, excessive weakness, nausea should be immediately reported to the doctor.
Interaction with Lab Test
5-HIAA Urine Test Moderate
You may get a false-positive result for this test if you take Dolopar 250 MG Suspension.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Carbamazepine Moderate
Dolopar 250 MG Suspension should not be taken with Carbamazepine. Usage of either of the drugs should be reported to the doctor. Any symptoms like fever, chills, joint pain, skin rash, loss of appetite should be reported promptly.
Phenytoin Moderate
Dolopar 250 MG Suspension should not be taken with Phenytoin. Usage of either of the drugs should be reported to the doctor. Any symptoms like fever, chills, joint pain, skin rash, loss of appetite should be reported promptly.
Sodium Nitrite Major
Dolopar 250 MG Suspension should not be taken while on Sodium Nitrite. Symptoms like discoloration of skin, rashes, headache, dizziness, increased heartbeat should be promptly reported to the doctor.
Leflunomide Major
Dolopar 250 MG Suspension should not be taken while on leflunomide. Usage of either of the drug should be reported to the doctor. Symptoms like fever, chills, nausea, yellowing of skin should be promptly reported.
Prilocaine Major
Dolopar 250 MG Suspension should not be taken while on Prilocaine. Symptoms like discoloration of skin, rashes, headache, dizziness, increased heartbeat should be promptly reported to the doctor.

Popular Questions & Answers

My daughter age 11 years got fever. Shall I give dolopar 650. please let me know. She got fever head ache and vomit.

MD- Ayurveda
Ayurveda, Ujjain
My daughter age 11 years got fever. Shall I give dolopar 650. please let me know. She got fever head ache and vomit.
Stop your medicine Give her Vomitab (Himalaya com.) 1-1 twice in a day Mahasudarshanghan vati (Dabur com.) 1-1 twice in a day

My son today faced back pain. Consulted doc. His fever is 100.6, doc has asked for urine test to clear the doubt of kidney infection and also prescribed Syrup Dolopar MDS. What is your opinion sir? If doc's doubt is correct then is it curable with medicines or it would be any serious problem. What is preferable diet for my son. Please advice sir.

MD - Anaesthesiology, DNB, MBBS, Diploma in Aesthetic Medicine
Pain Management Specialist, Amritsar
My son today faced back pain. Consulted doc. His fever is 100.6, doc has asked for urine test to clear the doubt of k...
You have correctly been told to get urine examination done first. Urine complete & culture sensitivity. What is more important, please get your son treated with course of antibiotics first. He should drink lots of water. Give two times soda plain for alkalinisation of urine alongwith. No need to worry if it is infection. But in case he doesn't get well then must go for ultrasound abdomen to rule out any stones. Since I have not examined your son rarely it could be spine problem. But that is usually least possibility in younger age group. If you get your son treated in time you can avoid lot of problems for him.
1 person found this helpful

Last week I have travelled from Hyderabad to Shiridi, and again immediately from Hyderabad to Bangalore. When I was in Bangalore I had cold, cough and fever with 100.3 degrees. I have taken Ambrodil syrup and Dolopar tablet. Fever is fine now but I have severe cough since last night. Today for a hour I had continuous cough, and then Now I am having cough, fever with body pains and little bit of shivering. Between I have Sinusitis and I am not taking any medication for it. Please advice.

DHMS (Hons.)
Homeopath, Patna
Last week I have travelled from Hyderabad to Shiridi, and again immediately from Hyderabad to Bangalore. When I was i...
Hello, Lybrate user, you might be suffering from viral fever and residual cough. You should drink lukewarm water. ?Gargle, twice with hot saline water. ?Tk, steam, twice. ?Avoid, cold intake, exposure to cold climate, dust, smoke, junk food ,nicotine.?tk, homoeopathic medicine: @ Bryonia alb. 30-6 pills, thrice. @ Heper sulph 30-6 pills, thrice. ?report wkly, your feedback matters for further follow up, please. Tk, care.

Last week I have travelled from Hyderabad to Shiridi, and again immediately from Hyderabad to Bangalore. When I was in Bangalore I had cold, cough and fever with 100.3 degrees. I have taken Ambrodil syrup and Dolopar tablet. Fever is fine now but I have severe cough since last night. Today since a hour I am getting continuous cough, anything that can be done to get my cough down. Between I have Sinusitis and I am not taking any medication for it. Please advice.

BHMS
Homeopath, Delhi
Last week I have travelled from Hyderabad to Shiridi, and again immediately from Hyderabad to Bangalore. When I was i...
This is very common to have dry cough after fever esp after taking a strong anti pyretic like dolo. This may take some time. If it's unbearable and affecting your daily routine you can take medicine after consulting a doctor. It will decrease the severity. Along with medication keep doing gargles with saline water. Avoid taking fried and highly spicy food. Drink Luke warm water.

Hii, early morning suddenly I have light favor and back pain. I have some tablets, but little bit confused which tablet I taken. please suggested me 1) Dolopar -650 tab 2) Solvincold 3) starfix -02 4) omicool -0 5) Eboy-M.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Hii, early morning suddenly I have light favor and back pain. I have some tablets, but little bit confused which tabl...
If you have leg pain pls check your body weight and your haemoglobin levels, as Anaemia always leads to the symptoms of being tired and also having leg pain though there may not be any pathological reasons for back pain. Since I am a physiotherapist I cannot suggest you medicines.
1 person found this helpful

Popular Health Tips

Haemorrhoids - Causes, Symptoms, Treatment, Prevention

MBBS, MS - General Surgery
General Surgeon, Kota
Haemorrhoids - Causes, Symptoms, Treatment, Prevention

Haemorrhoids (also known as piles) are swollen and inflamed veins in the rectum or anus. Typical symptoms are pain, itching and bleeding around the anal area. Treatment and prevention will often involve non-prescription ointments, other home treatments and lifestyle changes. Haemorrhoids that don’t clear up may require a visit to your doctor and, in some cases, minor surgery.

Causes

Haemorrhoids are caused by an increase in pressure in the lower rectum from: 

  • straining during bowel movements
  • sitting for long periods of time, especially on the toilet
  • chronic (long lasting) constipation or diarrhoea
  • being overweight or obese
  • pregnancy
  • anal intercourse
  • low-fibre diet
  • spinal cord injury
  • poor posture.

Haemorrhoids are common and occur in most people at some stage during their lives. They tend to occur more frequently later in life due to age-related weakening and stretching of the tissues supporting the veins in the rectum. 

Signs and symptoms

Symptoms often depend on whether a haemorrhoid is located on the inside or outside of the body. 

Internal haemorrhoids lie inside the rectum and usually do not cause discomfort. However, straining or irritation when passing a stool can damage the surface of a haemorrhoid causing it to bleed. Sometimes, straining can push an internal haemorrhoid through the anal opening resulting in a protruding or prolapsed haemorrhoid, which can cause pain and irritation. 

External haemorrhoids lie under the skin around the anus. When irritated they can itch or bleed. Blood can pool inside an external haemorrhoid and form a clot, which causes severe pain, swelling, and inflammation.

Signs and symptoms of haemorrhoids may include: 

  • pain or discomfort, especially when sitting
  • pain during bowel movements
  • itching or irritation around the anal region
  • bright red blood on your stools, toilet paper or in the toilet bowl
  • swelling around the anus
  • one or more lumps near the anus, which might be tender or painful.

Bleeding during bowel movements is the most common sign of haemorrhoids. Rectal bleeding can, however, indicate a more serious condition, such as bowel cancer or anal cancer.  You should consult your doctor if your haemorrhoids:

  • bleed frequently or excessively
  • do not respond to self-treatment
  • if haemorrhoid symptoms have been accompanied by an obvious change in bowel habits
  • if you are passing black or maroon-coloured stools
  • blood clots have formed
  • blood is mixed in with the stool.

Diagnosis

 A visual inspection should allow your physician to see if you have external haemorrhoids. 

Tests and procedures to diagnose internal haemorrhoids may include: 

  • a digital rectal examination in which your doctor inserts a lubricated gloved finger into your rectum to feel for anything unusual, such as growths
  • a visual inspection of the inside of your anal canal and rectum using a viewing device such as an anoscope, proctoscope or sigmoidscope
  • a colonoscopy may be performed to do a more extensive examination of your entire bowel (colon) if your signs and symptoms suggest that you might have another digestive system disease, or if you have risk factors for colorectal cancer

Treatment

Most cases of haemorrhoids can be self-treated. More serious or repeat cases may require medication or a surgical procedure. Haemorrhoids can recur after treatment; hence, they are controlled rather than cured. 

Self-treatment 

Home treatment is often all that is required to relieve mild pain, swelling, and inflammation associated with haemorrhoids. Home treatments include: 

  • use of non-prescription haemorrhoid ointments, creams, suppositories, or pads containing a mild corticosteroid, e.g. hydrocortisone, or witch hazel extract
  • soak the anal area in warm water for 10 to 15 minutes two or three times a day
  • use stool softeners, which help stools to be passed more easily
  • ensure that the anal area is kept clean by bathing or showering daily – soap is not necessary and the affected area can be dried with a hair dryer
  • use moist towelettes or wet toilet paper (that do not contain perfume or alcohol) rather than dry toilet paper, to help keep the anal area clean after passing a stool
  • applying ice packs or cold compresses on the affected area can relieve swelling
  • taking oral pain medication, such as paracetamol or ibuprofen, can help to relieve discomfort.

Non-surgical and surgical procedures 

For an external haemorrhoid in which a clot has formed, prompt relief can be obtained from your doctor performing a simple incision to remove the clot. 

For persistent bleeding or painful haemorrhoids, the following non-surgical procedures to destroy the haemorrhoid can be performed in a doctor’s office:

  • rubber band ligation, involves using a rubber band to cut off the blood supply to the haemorrhoid causing it to shrivel and die
  • injection (sclerotherapy), involves injecting a substance into the haemorrhoid to make it harden and shrink
  • laser or infrared coagulation, which is a type of heat treatment that causes the haemorrhoid to harden and shrivel.
  • If non-surgical procedures are not successful or if the haemorrhoids are particularly large, one of the following surgical procedures may be necessary:
  • haemorrhoidectomy - removal of a haemorrhoid with a scalpel or laser
  • haemorrhoid stapling - removal of a haemorrhoid with a special staple gun that also inserts a ring of staples to close the wound and prevent bleeding. 

Prevention

Keeping your stools soft is the best way to prevent haemorrhoids from occurring. The following steps can help to prevent haemorrhoids from occurring and reduce symptoms of existing haemorrhoids:

  • eat high-fibre foods
  • drink plenty of fluids
  • consider using fibre supplements
  • avoid straining when on the toilet
  • go to the toilet as soon as you feel the urge
  • get plenty of exercise
  • avoid sitting for long periods.
2 people found this helpful

All That You Wanted To Know About Liver Transplantation!

MBBS, DNB ( General Surgery)
Liver Transplant Surgeon, Pune
All That You Wanted To Know About Liver Transplantation!

The liver has many functions, including building proteins and other substances for the body to use, removal of waste products and toxins from the blood drug metabolism and energy storage. Liver disease causes these crucial functions to fail and when the failure is too severe to respond to medication liver transplantation may be an option.

Apollo Hospitals is among the few recognized transplantation centers in the country and has one of the largest transplantation registries. As liver transplantation is a major surgical procedure, the patients and family have quite a lot of concern areas. This broucher provides brief answer to frequently asked questions.

The information contain herein is of general nature and should not be construed as specific medical advice. Please consult your doctor for more details.

GLOSSARY

  1. Ascites: A build up of fluid in the abdomen.
  2. Autoimmune: A condition that results when the bile ducts inside and outside the liver don’t have normal openings. Bile becomes trapped in the liver causing jaundice and cirrhosis. If this condition is present from birth then without surgery it may cause death.
  3. Biopsy: Removing a small piece of tissue to view under a microscope.
  4. Cirrhosis: A chronic liver condition cause by scar tissue and damage to cells. Cirrhosis makes it hard for the liver to remove poisons (toxins) like alcohol and drugs from the blood. These toxins build up in the blood and may affect the brain.
  5. Cyclosporine: An immunosuppressant used after transplantation to prevent rejection.
  6. Immunosuppressant: Medicines that stop your immune system from attacking bacteria viruses and transplanted organs.
  7. Jaundice: A symptoms of many disorders. Jaundice causes the skin and white of eyes to turn yellow.
  8. Mycophenolate mofetill: An immunosuppressant used after transplantation to prevent rejection.
  9. Sirolimus: An immunosuppressant used after transplantation to prevent rejection.
  10. Steroids: A group of immunosuppressant used after transplantation to prevent rejection.
  11. Tacrolimus: An immunosuppressant used after transplantation to prevent rejection.

What are the donor organ options that are used for transplantation in children?

  • Reduced size liver graft: a piece of a liver is taken from a beain-dead person(cadaver donor)
  • Living donor transplant: A piece of a liver from adult living donor and is used as a transplant for a child. Over the past 10 year, nearly 1000 of these transplants have been done throughout the world. They have been just as successful as transplants of whole organs. There are some risks of adult donation for transplant to a child. These risks seem to be much smaller than the risks of a living donor transplant to an adult.

Are there technical problems in doing a transplant on a child?

Yes. It is a little more difficult because the blood vessels are very small. Also, the care after surgery must be done in ICUs that can handle such small children.

Do children get the same ani-rejection drugs as adults?

In general, children get the same type of drugs that adults get. However, children may have different side effects. Therefore, only doctors who specialize in this field should handle the follow-up of children after transplants.

What makes a transplant successful?

First, you must have good medical care. Then, families and patients should make every effort to keep in touch with their medical terms. Children who get liver transplants will need to take drugs on schedule, see their doctor often and may need more procedures. All this will help to make transplants successful and will help to give long and healthy lives to the children. So make sure you stay in touch with your transplant team and follow their advice. Ask for counseling when you have any problems.

What does my liver do?

  • It helps digest your food
  • It clears some wastes from your blood
  • It makes proteins that help your blood to clot
  • It helps control the way your body, uses food and works with the body’s defense system
  • It helps use and store vitamins
  • It breaks down many drugs

What are the signs of liver problems?

Some signs of liver problems are:

  • Feeling weak and sick in your stomach and losing appetite
  • Muscle wasting(becoming skin and bones)
  • Fluid build-up in the abdomen(ascites)
  • Yellow skin and eyes(Jaundice)
  • Forgetfulness, confusion or coma(encephalopathy)
  • Swollen hands/ legs
  • Itching
  • Bruising, bleeding easily and nose bleeds
  • Blood in vomitus, bloody/ black bowel movements

What is liver transplantation?

Liver transplantation is surgery to remove a diseased liver and replace it with a healthy one. This kind of surgery has been done for four decades. Across the world thousands of people have had liver transplants and now lead normal lives.

Being tired and losing your appetite can be signs of liver problems. Liver transplants can help adults and children.

PEDIATRIC LIVER TRANSPLANTAION

Liver transplantation is now one of the best treatments for fatal liver diseases in children. New drugs and ways of doing surgery have greatly improved patient survival rates. In the liver transplants for children, there are two main issues.

  1. What caused the liver failure in the first place?
  2. What is the severity of disease process and how soon does the child need a liver transplant.

Why do children need liver transplant?

  • Billiary artesia: This is a disease in which a child is born with no bile ducts. It is the most common reason for liver transplants in children
  • Problems in digesting and using food: ‘Inborn errors of metabolism’ including the following conditions:
  • Alpha-I-antitrypsin deficiency tyrosinemia and wilson’s disease.
  • Lipid storage(Gaucher’s disease, Niemann-pick disease, Wolman’s disease, cholesterol ester storage disease)
  • Carbohydrate storage diseases(galactoserria and glycogen storage diseases)
  • Liver Cancers: Some liver cancers are found only in children
  • Sudden liver failure: This is a sudden liver failure that can cause death. It can have many causes. Mostly it comes from too much paracetamol or other drugs. In this kind of liver failure, a liver transplant can cure the problem if done early.

What is involved in the donor-evaluation process?

Donors undergo a thorough check-up that includes:

  1. Blood tests: Determine donor’s blood type, to see that it matches that of the person in need of the transplant. Blood tests are done to test the donor’s liver, kidney, and thyroid. Other trests are done to check for viruses such as hepatitis and HIV(the virus that causes AIDS)
  2. Physical Examination: If donor and recipient blood types are a close match the donor will get physical examination.
  3. Ultrasound: An ultrasound is done for the liver, other organs and the blood vessels
  4. Other Tests: Such as MRI, and CT Scans, help to give a complete view of the donor’s organs
  5. Tests of the lungs and heart may also be done. It takes 2 to 4 days for a donor to go through these tests. In an emergency situation, it can be done in as little as 48 hours

For how long does the donor remain hospitalized?

Donors stay in the hospital for up to 7 days after surgery. They may spend their first night after surgery in the ICU. The nest day they often go to the general surgical floor where the nurses have experience in caring for liver donors. Donors are encouraged to get out of bed and walk as soon as they are able.

How long before the liver donor is fully recovered?

For the most part, it takes about 4 weeks to recover from surgery. In the month after leaving hospital donors return to the hospital regularly to be checked. Donors often get back to work within 3 to 6 weeks. The medical staff will let you know when it is safe to return to normal life.

What are the donor’s health care costs?

The health insurance of the person who gets the transplant covers the donor’s health care costs. This includes the costs of the check up, doctor’s fess, hospital costs, and follow-up visits after surgery.

What are the reasons for needing a liver transplant?

In adults, the most common reason for liver transplantation is Liver cirrhosis. Cirrhosis is caused by many different types of liver injuries that destroy healthy liver cells and replace them with scar tissue. Cirrhosis can be caused by viruses such as hepatitis B and C, alcohol, autoimmune liver disease, build-up of fat in the liver and hereditary liver diseases. Sometimes the cause of liver cirrhosis is not known.

In children, the most common reason for liver transplantation is a billiary atresia. Bile ducts, which are tubes that carry bile out of the liver, are missing or damaged in this disease and obstructed bile causes cirrhosis. Bile helps digest food.

Other reason for needing liver transplantation is certain liver cancers, benign liver tumors, and hereditary diseases.

Sudden or rapidly developing liver failure may sometimes affect children and adults. The common causes of certain viral illness and reaction to some medicines like excess does of pain killers and even certain herbal/ traditional medicines. A liver transplant can save a life if undertaken at the right time.

How will I know whether I need a liver transplant?

Based on your sickness and liver disease status, your doctor may recommend you to the liver transplant unit for further evaluation. You will meet the liver transplant team. The team is usually led by a liver transplant surgeon and includes liver specialists (hepatologists), nurses, and other health care professionals. The transplant team will arrange blood tests, x rays, and other tests to help make the decision about whether you need a transplant and whether a transplant can be carried out safely.

Other aspects of your health like the condition of your heart, lungs, kidneys, immune system, and mental health will also be checked to be sure you’re strong enough for surgery.

Can anyone with liver problems get transplant?

You cannot have transplant if you have

  • Cancer in another part of your body
  • Serious heart, lung or nerve disease
  • Active alcohol or illegal drug abuse
  • An active severe infection
  • Inability to follow your doctor’s instructions

How did living-donor liver transplantation begin and how common is it?

Living donor transplants were first done in children because of the long waiting period for cadaver organs and increasing death rate on the list. It was done in children in the 1980s and is now being done in adults for the last 8 years. In India because of relative lack of cadaveric organs, the majority of transplants are done using living donor organs.

Who can become a donor?

People who want to be liver donor are carefully checked to ensure that they can safely give a part of their liver and that their liver is healthy. The first concern is the safety of the donor as well as being sure that the graft will work for the person in need. The risks to the donor are real. Discuss this with your doctor. In general liver donors must:

  • Be good in health
  • Have a blood type that is a close match to the blood of the person in nedd.
  • Not have a selfish motive for donating

There should be no pressure of any kind on a person to donate part of his liver nor should there be any money given or received.

LIVING DONOR TRANSPLANTATION

What is a living donor liver transplant?

A living-donor transplant is when someone who is alive gives a part of his or her liver to a person who needs a transplant. Family members such as parents, sisters, brothers, adult children or someone close, such as a spouse, may offer to give part of his or her healthy liver. This can be done because a healthy liver can grow new tissues. After the transplant, the liver parts of both the donor and person in need will grow and form complete organs.

What are the benefits of living donor liver transplantation?

The best reason for living donor transplant is that it shortens the waiting time for a liver. The timing of the surgery can be planned. The chance for as successful transplant is increased. Today, thousands of patients await liver transplantation but only handful cadaveric organs become available every year. A living-donor transplant gives those in need an early transplant before their liver failure gets worse and their livers are in danger.

How long does it take to get a new liver?

If the transplant team recommends that you need a transplant, you will be counseled regarding your options of living donor liver transplant or cadaver liver transplant.

If you have a living donor in your family your waiting time could be as short as one week. The living donors and donated livers are tested before transplant surgery. The testing makes sure the liver is healthy, matches your blood type and is the right size so that it has the best chance of working in your body.

In case you do not have a living donor, your name will be placed on a waiting list with your consent. Your blood type, body size and how sick you are, plays a role in deciding your place on the list. Currently, the sickest people are at the top of the list, so you may have to wait your turn.

While you wait for a new liver you and your doctor should talk about what you can do to stron for the surgery. You will also start learning about taking care of a new liver.

Where do the livers for transplantation come from?

Whole livers come from people who are brain dead (heart beat still present). These people are on breathing machines in various hospital ICUs. This type of donor is called “cadaveric donor”. Alternatively, a healthy person in the family can donate a part of his or her liver for the patient with liver failure. This kind of donor is called a ‘living donor’. More information on living donor liver transplantation is included in the latter part of this booklet.

Financial resources/ Health Insurance

You should check to be sure that you will be able to cover the cost of liver transplantation and prescription medicines. You will need certain medicines after the surgery and some for the rest of your life. Check with your employer, health insurance policy or aid organizations if they can support you in part or full.

What happens in the hospital?

When a liver is available, you will be prepared for the surgery. If your new liver is from a living donor, both of you and the donor will be in surgery at the same time. If your new liver is from a person who has recently died, your surgery will start when the new liver arrives at the hospital.

Can I go back to my daily activities?

Yes. After a successful liver transplant, most people can go back to their normal daily activities. Getting your strength back will take some time, depending on how sick you were before the transplant.

You will need to check with your doctor on how long your recovery period will be

  • After recovery, most people are able to go back to work
  • Most people can go back to eating as they eat before. Some medicines may cause you to gain weight others may cause diabetes or rise in your cholesterol. Meal planning and a balance low fat diet can help you remain healthy.
  • Most people can engage in physical activity after a successful liver transplant
  • Most people returned to normal sex life after liver transplantation. It is important for a woman to avoid becoming pregnant in the first year after transplantation.

You should talk to your transplant team about sex and reproduction after transplantation.

If you have any questions, you may check with your doctor before starting any activity.

Eating a healthy diet and taking the medications are part of taking care of your new liver.

What are the other problems that can damage the liver transplant?

Return of the problem that made the transplant necessary in the first place in less than 10% of patients with liver transplants. Also hepatitis C virus may damage a transplant if the patient was infected before the operation took place.

Rarely occurring problems include:

  • Blockage of the blood vessels going into or out of the liver
  • Damage to the tubes that carry bile in to the intestine

What if the transplant doesn’t work?

About 90% transplanted livers are still working after 1 year and about 85% livers are working at 5 years after transplant. If the new liver does not work or if your body rejects it, your doctor and the transplant team will decide whether another transplant is necessary.

How do I take care of my liver after I leave the hospital?

After you leave the transplant center at the hospital, you will see your doctor often to be sure your new liver is working well. You will have regular blood tests to check that your new liver is not being damaged by rejection, infections or problems with blood vessels and bile ducts. You will need to avoid sick people and report any illness to your doctor. You will need to eat a healthy diet, exercise and not drink alcohol. You should only use medicines, including ones you can buy without a prescription, after counseling your doctor. It is important to do what your doctor says to take care of your new liver.

During Surgery

The surgery can take from 6 to 14 hours. While the surgeon removes your diseased liver, other doctors will prepare the new liver.

The surgeon will disconnect your diseased liver from your bile ducts and blood vessels before removing it. The blood that flows into your liver will be blocked or sent through a machine to return to the rest of your body. The surgeon will put the healthy liver in place and reconnect it to your bile ducts and blood vessels. Your blood will then flow into your new liver.

After Surgery

You will stay in the hospital for an average 2 to 3 weeks to be sure your new liver is working. You will take medicines to prevent rejection of your new liver and to prevent infections. Your doctor will check for bleeding, infections and rejection. During this time you will start to learn how to take care of yourself and use your medicines to protect your new liver after you go home.

In the hospital, you will start eating again. You will start with clear liquids, then switch to solid food as your new liver starts to work.

What are the likely complications following a liver transplant?

Minor wound infection and discharge of liquefied fat is seen in about 10% of people. This will settle with little or no intervention. Major wound infection needing another surgery is extremely rare.

By now you are aware that liver transplantation involves making a lot of connections. There is an extremely small chance that these connections can become too tight or too loose. We have a very highly trained team of doctors who are able to treat them with minimally invasive techniques without resorting to another surgery.

Hepatic Artery Thrombosis (HAT) / Clotting of the hepatic artery is a rare complication seen in less than 4% of the patients and portal vein thrombosis is even rarer and is seen in less than 1% of the patients. When identified, the clot will have to be removed and it will involve another surgery. In spite of all this, if we are not successful, re-transplantation will be necessary.

What is rejection?

Rejection occurs when your body’s natural defenses, called the immune system, damage the new liver. Your immune system keeps you healthy by fighting against things that don’t belong in your body, such as bacteria and viruses. After a transplant, it is common for your immune system to fight against the liver and try to destroy it.

How is rejection prevented?

To keep your body from rejecting the new liver, you will have to take medicines. These drugs such as tacrolimus, cyclosporine, steroids, sirolimus and mycophenolate mofetil are called immunosuppressant. Immunosuppressants weaken your immune system’s ability to reject your new liver.

Do immunosuppressants have any side effects?

Yes. You can get infections more easily because these drugs weaken your immune system. You will need to stay away from people who are sick. These drugs may also increase your blood pressure, cause your cholesterol to rise, cause diabetes, weaken your bones and may damage your kidneys in the long run. Steroid drugs may also cause changes in how you look by causing weight gain. Your doctor and the transplant team will monitor these effects and treat you for any complications that may occur.

What are the signs of rejection?

Doctors will check your blood for liver enzymes at the first sign of rejection. Often rejection does not make you feel ill. Sometimes rejections can cause- pain, fever, jaundice, and changes in liver function tests.

Often a liver biopsy is needed to diagnose rejection. For a biopsy, the doctor takes a small piece of the liver to examine under a microscope. Blood tests will show if the new liver is being rejected.

Why liver is an important organ of the body?

The liver is one of the largest organs in your body. It helps digest the food you eat and convert it into energy. It also helps fight infections and cleans your blood, thus making it a very vital organ.

How lifestyle can affect the health of liver?

Due to our changing life style patterns, alcohol is consumed either as a status symbol or to cope up with stress. Alcohol puts a lot of stress on the liver, such continuous state of stress usually results in liver damage.

What are the different common diseases related to liver?

Cirrhosis, Viral hepatitis (Most common form across the world are Hepatitis A, B & C), fatty liver disease and alcoholic liver disorders are the common disease of liver.

What is a liver transplant and why is it done?

Simply put ‘Liver Transplantation’ is surgery to remove a diseased or injured liver and replace it with a healthy one from another person, also called as a donor.In adults, the most common reason for needing a liver transplant is ‘Cirrhosis’. This is caused by various different types of diseases which destroy the healthy liver cells and replace them with scar tissues.

What are the types of liver transplants?

There are two types of liver transplants – Living Donor and Deceased Donor Transplants. In case of the 'living donor' Liver Transplant, a portion of Liver from the living donor is removed and transplanted in the recipient patient. In both recipient and donor, the liver regenerates to necessary size in about 6 to 8 weeks. Only near relatives can donate. In deceased donor liver transplants, the donor is a brain dead person.

How much time is needed for patient to recover after liver transplant?

Recovery time ranges from 1 to 2 weeks. Proper care, follow-up and life-long medications are required for the new Liver to function properly.

Can liver grow back to normal after the transplant?

Yes. Liver is the only organ which can regenerate in case of living donor liver transplant, a portion of liver from the living donor is removed and transplanted in recipient patient. In both recipient and donor, liver regenerates to necessary size in 6-8 weeks. Only near relatives can donate liver in this case.

What does Sahyadri Hospital has in offering for Liver care?

Sahyadri Hospitals has an A-Z Liver Wellness Clinic dedicated for management of all types of diseases related to Liver, Pancreas, Bile ducts & Gall bladder. It Offers state-of-the-art facilities for Liver, Kidney & Pancreas Transplant with 24/7 availability of dedicated multi-disciplinary ‘Liver Team’, including Hepatologist, Critical Care Physicians and Liver Transplant Surgeons, a well-equipped Intensive care unit with dedicated nurses, physiotherapist and nutritionist.

What are the major risks in donating?

As with any major surgery, there will be pain from the incision, which will get better with time. Other risks to the donor include bleeding, infection, and temporary bile leaks. Fatalities in transplantation have been reported from certain transplant centers in the world but it is rare. Most have full recoveries and are healthy. Discuss regarding risk to the donors with your transplant surgeon.

What happens during donor surgery?

The incision is the shape of mirror image of ‘L’. The gallbladder is always removed. The donor’s liver is split into two parts. One part is removed for the transplantation. The surgeon then closes the wound with sutures and staples. There are later removed at a follow-up visit to the surgeon’s office. The liver begins to heal and grow new tissue. It takes about 8-21 weeks for the liver to grow back to its normal size.

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Chicken Pox - 10 Ways To Manage The Symptoms!

MEM , Diploma In Geriatric, MBBS
General Physician, Panchkula
Chicken Pox - 10 Ways To Manage The Symptoms!

Chicken Pox is an extremely infectious viral disease that leads to itchy blister like formations ((rashes)) on the skin. It can also be accompanied by mild fever and a general loss of appetite. The pathogen responsible for this disease is the ‘Varicella-Zoster’ virus. It usually affects children under the age of 15, but it can affect an adult too and in such a case, the symptoms are usually more severe. Vaccination is generally recommended in order to prevent the occurrence of this disease.

Tips to manage the Symptoms

  1. To tackle symptoms such as high fever, paracetamol is generally administered.
  2. Calamine lotion might be applied on to the rashes to manage the severe itching. Emollient (soothing) creams can also be applied to ease the effects of the rash.
  3. An antihistamine (eases out the itch and also makes one feel a bit drowsy) can also be administered if the itch happens to cause extreme discomfort.
  4. You should trim your fingernails to prevent any deep accidental scratches as that will only worsen the symptoms.
  5. The patient’s clothes and his immediate surroundings must be properly disinfected.
  6. The fabric should be strictly limited to cotton so the infected person doesn’t feel overly hot or cold. Cotton is a comfortable wear as well.
  7. Drink sufficient water to keep yourself hydrated and flush out the toxins from the body.
  8. The diet should be kept simple and absolutely non-spicy. Mild stews are a good option. Plain chicken soup works fine as well.
  9. A medication called ‘acyclovir’ is sometimes administered as it can help pacify the effects of the virus to an extent; if taken within 24 hours of the onset of the rashes.
  10. Limit alcohol consumption and quit smoking. Try and turn a new leaf with respect to your lifestyle. A healthy lifestyle devoid of such unhealthy habits can strengthen your immune system. A strong well-functioning immune system goes a long way in preventing diseases of different kinds. If you wish to discuss about any specific problem, you can consult a General Physician.
3285 people found this helpful

Homeopathy Treatment For Chicken Pox!

MD - Homeopathy, BHMS
Homeopath, Pune
Homeopathy Treatment For Chicken Pox!

One of the most pervasively contagious diseases known to affect our lives, chickenpox affects almost every 9 out of 10 children. Even adults suffer from this disease occasionally. Caused by a special breed of the herpes virus, chickenpox manifests itself on the infected person in the form of reddish blisters all over the body. Moderate fever, loss of appetite, fatigue, weakness are some of the most common symptoms of chickenpox. A general feeling of malaise prevails in the course of the disease.

It is recommended that the infected person is kept in isolation for a span of seven days. While recuperation usually happens in the natural process, it is time sustaining. One also has to partake numerous antiviral drugs and paracetamols to abate the symptoms of chickenpox. One of the most prominent side effects is acute weakness. Thus, as an alternative therapy, one may approach homeopathic remedies. These not only heal in the most natural way, but also avert all kinds of possible side effects. Homeopathy helps in rebuilding the body’s immunity system for a speedier recovery.

Some of the most reliable remedies are listed as follows.

  1. Aconitum: This largely helps in keeping the body hydrated and therefore keeps the signs of weaknesses at bay. It also keeps the temperature fluctuations in control.
  2. Antimonium Crud: Antimonium Crud reduces the skin irritability and itchy pustules which are symptomatic of chicken pox. It also relieves the patient of white disposition on the tongue and thus helps in gaining back the appetite. However, the patient must be at rest throughout for Antimonium Crud to work effectively.
  3. Apis: Certain bouts of chicken pox leave an unhealthy stench on the patient’s body. Apis helps in bettering it. It also soothes the sting that one might have to endure from the scabs of chicken pox.
  4. Belladonna: Certain chronic forms of chicken pox result in hot flushes, headaches and sleeplessness. Belladonna helps in curing all such symptoms and palliating all such sufferings during chicken pox.
  5. Rhus Tox: One of the reliable remedies for the extreme itching sensation that affects the patient suffering from chicken pox, Rhus Tox is extremely beneficial for regaining body strength also. Consult an expert & get answers to your questions!
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Flu - Can It Affect Your Pregnancy?

DGO , MBBS
Gynaecologist, Pune
Flu - Can It Affect Your Pregnancy?

When you are pregnant, the need to watch your health is significantly higher. It is not just a question of your health, but of the developing baby also. This makes it extremely significant as different bacteria and viruses could affect the baby’s development and even lead to complications with pregnancy and childbirth.

The flu, short for influenza, is a mild viral infection that affects the upper airways, including the nose, throat, and sinuses. The usual symptoms include nose blockage, runny nose, sore throat, sneezing, cough, heavy headed feeling. It is caused by a virus and therefore there is no remedy for it. It has to run its course which usually takes about 7 days, and the body will fight off the infection on its own.

Symptomatic treatment including paracetamol and adequate hydration can help live through the flu. Though it is common in any weather, the winters increase the risk.

Another increased risk factor is the reduced immune levels in a pregnant woman, making them more prone to catching the flu. This could lead to complications like pneumonia which might require hospitalisation and prolonged treatment with antibiotics. The baby could also be at risk of miscarriage, low birth weight, and premature birth.

Symptoms: If you do catch the flu during your pregnancy, you will notice the following symptoms a headache, runny nose, fatigue, sore throat, shortness of breath, coughing, sudden chills or fever, diarrhoea or vomiting, and body aches, and loss of appetite.

Management: If you suspect that you could have the flu, contact the doctor immediately. Taking safe antiviral medications can help reduce the duration of the illness and reduce pain and suffering. In addition, getting plenty of rest and drinking lots of fluids can help recovery. Acetaminophen can help manage the fever, while Robitussin and guaifenesin can help manage the cough.

Prevention: If you are planning for pregnancy or are already pregnant, it makes great sense to get vaccinated for the flu. This can help prevent a flu attack and sail through pregnancy smoothly. In addition to protecting the mother, the flu vaccine also transmits the virus to the newborn, which gets immunity for up to 6 months of life. The vaccine also has a beneficial effect on the newborn.

It is safe to get the flu vaccine during pregnancy, though taking it in the early months is advisable. It is also safe during breastfeeding with no harmful effects documented. In addition, some healthy habits like regularly washing hands, eating healthy, getting adequate sleep, and keeping a safe distance from people with flu can help prevent flu attack.

While prevention is the best solution, if contracted, the flu can be managed well by seeking immediate medical attention.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4298 people found this helpful