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Cirrhotic Ascites Tips

Ascites

Dr. A.A Khan 92% (1047 ratings)
MBBS,CCA,DCA,AASECT,FPA,AAD,F.H.R.SM.I.M.S
General Physician, Bangalore
Ascites

Drinking ayurvedic tea has been in practice for thousands of years, and can provide a wide range of benefits to those who regularly consume it.

What is ayurvedic tea?

Ayurvedic teas are traditional herbal teas prepared in ayurvedic medicine, the traditional indian approach to health and wellness. Ayurvedic teas come in three main types, vata tea, pitta tea, and kapha tea. These three teas consist of different herbal elements and they are believed to detoxify and cleanse the body in very specific ways. These ayurvedic teas are famed for being able to increase health and longevity, along with a number of otherhealth benefits. Provided you aren’t specifically allergic to any ingredients and have spoken to your doctor about any dangers of taking these herbal tonics, these teas should be completely safe to consume.

Ayurvedic tea benefits

The most impressive health benefits of ayurvedic tea include its effects on memory, digestion, and weight loss, among many others. Despite being a caffeine-free beverage, it can still help to improve the metabolism and optimize fat-burning by the body, and can also improve digestive efficiency, preventing the build-up of toxins in our gastrointestinal system. The anti-inflammatory nature of these types of tea is also excellent for chronic conditions, as well as preventing chronic inflammation, which can lead to oxidative stress and damage from free radicals.

Various studies on these teas also show that they can have effects on cognitive health and lower your risks of neurodegenerative diseases, such as alzheimer’s disease and parkinson’s.

How to make ayurvedic tea?

As mentioned, the three main types of ayurvedic tea are vata tea, pitta tea, and kapha tea. Depending on who is preparing these blends, the amounts of these herbal ingredients may vary, but the basic recipes rarely do. As with any other herbal tea, these herbs are allowed to steep in water for varying amounts of time before being served.

3 people found this helpful

Ascites - How Ayurveda Can Help You Treat It?

Dr. Srinivasa Debata 92% (382 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), BTCM, DTCM
Ayurveda, Bargarh
Ascites - How Ayurveda Can Help You Treat It?

Ascites refers to the accumulation of fluid in the abdominal cavity, which causes the abdomen to swell. The fluid retention can be caused by heart failure, liver cirrhosis, liver disease, kidney failure, or congestive heart failure. The disease does not have any symptom if it is in early stages but if it is moderate or advanced then the patient may experience specific symptoms such as abdominal heaviness and stiffness, bloating, shortness of breath, wheezing, edema of feet, and dilated veins.

Ascites can only be diagnosed through an ultrasound examination or blood or urine test and then the doctor prescribes medicines to cure the disease. There is a host of allopathic medicines to cure this liver disease but they are harsh and can also have side effects. In such a scenario, Ayurvedic medicines offer to be a better solution as they do not have side effects and also cure the disease completely, ensuring a permanent relief.

  1. Virechana: A part of panchakarma, virechana is a detoxification therapy that brings out the toxins accumulated in the body. It is highly effective in ascites (Jalodara) as it acts as a purgative therapy. In this therapy, the patient is made to consume purgative herbs after cleansing their system through vomiting. This induces excretion of toxins including the fluid retained in the abdominal cavity.
  2. Gokhru: Puncture spine or Gokhru can be very effective in ascites as it has anti-inflammatory properties that reduce swelling of the abdomen. It also acts as a diuretic, increasing urine secretion from the body that helps flush out the toxic fluid accumulated in the abdominal cavity.
  3. Triphala: A mixture of bibhataki, haritaki, and amlaki, triphala is a very effective detox herb. It carries laxative properties and thus, helps to remove the fluid from the body. Gentle in nature, it also regulates the bowel movement and relaxes the liver muscles.
  4. Punarnava (Boerhavia diffusa): This herb is very effective in controlling the swelling and fluid retention in the abdomen. It possesses anti-inflammatory and diuretic properties which relax the liver walls and also flush out toxins from the abdominal cavity by increasing the flow of urine in the body.
  5. Shilajit: An energetic and nutritive Ayurvedic medicine, it is very helpful in restoring the immunity of the body. It checks for fluid accumulation in the abdominal cavity. It is very effective in those patients who feel fatigue or weakness due to ascites. It gives relief in bloating too.

Ascites is a painful liver disease that can hamper the life of the patient to a large extent. So, its timely diagnosis and treatment are necessary. If the patient decides to go for Ayurvedic remedies, then it is advised that they consult a certified Ayurveda practitioner. A certified practitioner will do accurate diagnosis and prescribe the best remedy to cure the disease. In case you have a concern or query you can always consult an expert & get answers to your questions!

4984 people found this helpful

Ascites - How Ayurveda Can Help You Treat It?

Dr. Paresh J Thakkar 84% (22 ratings)
BAMS
Ayurveda, Ahmedabad
Ascites - How Ayurveda Can Help You Treat It?

Ascites is a disease that is characterized by the buildup of protein-containing fluid in the abdominal cavity. It is a dangerous condition for the body and can cause kidney failure. At times, it is also a sign of life-threatening disease like cancer. So, it is important to start the treatment of the disease at the earliest. Symptoms such as bloating, abdominal stiffness, weight loss, weakness, and dilated veins should not be ignored and must be brought to the notice of a doctor immediately. If the examination confirms ascites, treatment should begin at the earliest. Ayurveda offers a complete treatment for this condition and it is long-lasting and not harsh on the body. Additionally, it does not cause any side effects.

Ayurveda medicines act as a diuretic
In ascites, the abdominal cavity experiences abnormal retention of protein-containing fluid, which is dangerous for the system and needs to be removed. Therefore, Ayurveda prescribes medicines that possess strong diuretic and cleansing properties. These medicines increase the secretion of urine from the body, which helps flush out the ascetic fluid retained in the abdominal cavity.

Ayurveda cleanses toxins
Since Ascites affects the functions of the liver, the body cannot remove toxins from the system. It starts building up gradually and adds to the ascetic fluid retained in the abdominal cavity. Therefore, herbs possessing detoxification action are given to the patient.

Ayurveda soothes inflammation
In ascites, the abdominal cavity and liver get scarred and this leads to swelling and pain. So, Ayurveda also prescribes medicines with anti-inflammatory properties as it soothes the inflammation in the liver and the abdominal cavity. A light, fat-free, and non-spicy diet is also anti-inflammatory in nature and soothes the gastrointestinal tract. It also takes away the load from the digestive system as such food gets digested easily.

Ayurveda increases immunity
In ascites, the immunity of the patient is severely affected. The patient becomes weak and also loses appetite. To make the patient recover from the illness, it is necessary to get their immunity back to its earlier state and Ayurveda does so with the help of diet, medicines, and external therapies. Medicines help boost immunity, while the easy-to-digest diet provides sufficient nutrition to the body and also gets absorbed easily.

The restrictions on alcohol, smoking, and the instruction to take enough sleep are also meant to act as immunity-enhancing remedies.

Ayurveda works in a holistic manner to provide relief from the painful symptoms and also soothe the gastrointestinal tract and liver in case of ascites. It increases the stamina of the patient as well so that the recovery is quicker and smoother. The whole treatment procedure is focused on curing the disease from the roots while making sure that the patient does not experience any side effect.

Ascites is severe and complicated situation patient must need proper consultation of an expert Ayurvedic doctor.

6520 people found this helpful

Liver Cirrhosis - Ways That Can Help You Deal With It!

Dr. Sandeep Jha 90% (403 ratings)
DNB (Surgical gastroenterology, MS( General Surgery), MBBS, Fellowship in Minimal Access Surgery, Diploma in Minimal Access Surgery, Fellow of International College of Robotic Surgeons
Surgical Gastroenterologist, Delhi
Liver Cirrhosis - Ways That Can Help You Deal With It!

Liver Cirrhosis is a medical condition that results in severe scarring (often permanent and irreversible) of the liver. While there can be a myriad of factors giving rise to cirrhosis (such as repeated liver injury or unhealthy diet), the most common triggers include Hepatitis B, Hepatitis C, Alcohol, NASH (non-alcoholics teatohepatitis ). In addition to interfering with the healthy functioning of the liver, cirrhosis also gives rise to many serious and life-threatening complications such as Blood vomiting, Jaundice, Ascites (a condition characterized by an increased build-up of fluids in the abdomen), Hepatic Encephalopathy, Edema, Splenomegaly. In some men, cirrhosis can even give rise to Breast enlargement and Testicular Atrophy. 

Preventive measures to manage Cirrhosis and the associated complications 
In the case of cirrhosis triggered by Hepatitis, medications are used to treat the viral infection thereby avoiding any further liver damage. 

  1. In people with cirrhosis resulting from alcohol abuse, the effectiveness of the treatment depends on how quickly a person can give up drinking (In some cases, the affected individual may have to undergo rehabilitation programmes to stop drinking). In addition to drinking, it is also beneficial to quit smoking as well. 
  2. For excess fluid retention on the body, in addition to the medications (such as diuretics and antibiotics), doctors often recommend a low-sodium or low-salt diet. The use of a TIPS (Transjugular Intrahepatic Portosystemic Shunt) can also contribute to slow down the fluid build-up in the body. 
  3. Medications may also be used to treat a host of serious complications (triggered by cirrhosis) such as Hepatic encephalopathy, weakness, itching, bruising, infections to provide some relief. 
  4. However, in case of severe or complete liver damage and failure (advanced cirrhosis), a liver transplant may be recommended. A liver transplant, as indicative of the name, involves replacing the damaged or diseased liver of the recipient with a healthy liver from the donor. 

Unfortunately, once the liver has been scarred, there is little that can be done to reverse the damage. However timely diagnosis and treatment in the form of liver transplant can ensure long-term survival in these life-threatening illness. Cirrhotics should be under regular follow-up to prevent development of complications and timely referral for transplant. A damaged , cirrhotic liver is a fertile ground for development of hepatocellular cancer(HCC). 

Routine imaging on follow-up is important to diagnose HCC at an early, curable stage. These patients require liver transplant at the earliest. Also regular upper GI endoscopy and variceal banding should be done to prevent development of life-threatening hematemesis ( Varieal bleeding ).

Severity of Cirrhosis can be estimated by two scoring tools easily available on the smartphones. Child Turcotte pugh(CTP)’s scoring system , Child’s Stage and MELD scoring system . CTP score of >7 , Child B or MELD > 15 are candidates for liver transplant. Patient with decompensation(Hepatocellular cancer , Upper GI Bleed, Encephalotpathy, Refractory ascites, Hepato-renal syndrome, Hepatopulmonary syndrome) are candidates for liver transplant. 

Some other healthy modifications to control cirrhosis include

  1. Choose your foods with care. Avoids foods that are high in sodium or are salty. Processed, canned, smoked, Barbecued foods, baked beans, ham, salami, bacon, caffeinated beverages, are best left avoided.
  2. Increase your intake of fresh fruits, vegetables, foods rich in proteins. Having a large meal may be difficult in the case of cirrhosis. Instead, have small meals at regular time intervals. 
  3. Some of the medicines such as Aspirin, NSAIDs (Advil, Aleve), Tylenol, can aggravate the liver damage. Thus, never have these medicines without consulting a physician. 
  4. It is also necessary to get vaccinated against some of the viral infections including Hepatitis (A and B), influenza, pneumonia.

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

3626 people found this helpful

Alcoholic Liver Disease - Know The Symptoms!

Dr. Vibhu V Mittal 85% (10 ratings)
MBBS, MD - Medicine, DM - Gastroenterology
Gastroenterologist, Ghaziabad
Alcoholic Liver Disease - Know The Symptoms!

The liver is the center of metabolism, which is involved in removing various toxins from the body. Alcohol is one of the toxins that gets eliminated via the liver, and when a liver is exposed repeatedly to alcohol, it gets inflamed, scarred, and results in reduced functionality. This is known as an alcoholic liver disease and affects about 40% of all heavy drinkers. The affected age group is often 40 to 60, males more than females, though females who are heavy drinkers tend to have severe alcoholic liver disease.

Heavy drinking is when a person has more than 5 drinks within a few hours at least 5 times a month. For women, it is more than 4 drinks within a few hours at least 5 times a month.

Symptoms: Alcoholic liver disease is a chronic condition, and there are no overnight symptoms. However, over a period of time, the person will present with the following:

  1. Jaundice (yellowing of the skin and the whites of the eyes)
  2. Unexplained weight loss
  3. Fluid build-up in the abdomen
  4. Itching of the skin
  5. Gastrointestinal bleeding
  6. Black, tarry stools.

Diagnosis: When a person presents with these symptoms, the doctor can get suspicious and the diagnosis of alcoholic liver disease is confirmed by:

  1. A detailed medical history with focus on history of alcohol consumption.
  2. Liver enzyme testing, which often shows elevated liver enzymes.
  3. Liver biopsy to confirm the diagnosis.

Complications: If left untreated, the liver can continue to undergo inflammation, further affecting its function. Overall metabolism is severely affected. The fluid build-up in the abdomen (ascites) could be dangerous. Jaundice can reach lethal levels, and so intervention is very essential.

Treatment: The point to note is that if identified early on, the condition can be reversed if some key steps are taken:

  1. A person can be made to quit drinking, and this can stop further damage. In many cases, this also helps reverse the damage that is already done. This could require some psychological counseling and group therapy too. This needs to be sustained for the person to recover.
  2. Diet changes: Switch to a low-sodium diet, with less of packaged foods. Eat more of fresh fruits and vegetables. Include vitamin and mineral supplements to improve overall liver function.
  3. Steroids: The liver undergoes inflammation constantly, and so steroids can help fight this inflammation. They are often given in small doses at a regular frequency.
  4. Antibiotics: If the liver is infected (alcoholic hepatitis), then antibiotics may be required.
  5. Ascites is treated with drainage of the fluid.

Periodic monitoring is essential to prevent relapse and complete recovery.

Alcohol Induced Liver Disease - Understanding It In Detail!

Dr. Gurwant Singh Lamba 88% (14 ratings)
DM, MD, MBBS
Gastroenterologist, Delhi
Alcohol Induced Liver Disease - Understanding It In Detail!

Uncontrolled alcohol consumption over a prolonged time can severely affect the liver, giving rise to Alcohol-Induced Liver Disease. The liver plays a significant role in digestion as well as filtering the toxins out of the body. Normally, the liver is capable of regenerating its damaged cells and tissues. However, unlimited alcohol consumption interferes with the functioning of the liver. With time, the ability of the liver to regenerate itself also gets affected (reduces) due to excessive drinking resulting in liver problems and disorders.

The stages of alcohol induced liver disease
Alcohol induced liver disease progresses through three stages, alcoholic fatty liver disease, alcoholic hepatitis, and finally cirrhosis.

  1. Alcoholic fatty liver disease: The fatty liver is an early stage of Alcohol induced liver disease, characterized by excess deposition of fats (~ between 5-10% of the total liver weight) in the liver cells and tissues. People with fatty liver should give up drinking for good (or at least till the condition is improved and reversed). Fatty liver seldom exhibits any characteristic symptoms.
  2. Alcoholic hepatitis: Alcoholic hepatitis mostly affects people who are heavily into drinking. More than often, the condition triggers damage and destruction of the liver. Further, there may be swelling and inflammation of the liver. A person with alcoholic hepatitis may experience
    • Abdominal pain
    • Fever
    • Nausea and vomiting
    • In some patients, the condition may trigger jaundice (excess build up of blood bilirubin resulting for improper functioning of the liver)
    • In extreme cases, alcoholic hepatitis may result in fatal consequences
  3. Liver cirrhosis: This is the most severe form of alcohol induced liver disease that can give rise to serious and life threatening health complications. Cirrhosis is often an irreversible condition where there is maximum scarring of the liver cells and tissues. In addition to the symptoms associated with alcoholic hepatitis, a person with cirrhosis may also exhibit the following symptoms.
  4. Esophageal varices: It is a condition characterized by bleeding of the esophageal veins
  5. Ascites: In people with cirrhosis, there may be an excessive fluid accumulation in the stomach.
  6. Portal hypertension: It is a condition when the blood pressure in the liver shoots up.

Cirrhosis may also affect the spleen, resulting in its enlargement. There may be mood swings and behavioral problems. A person with cirrhosis should waste no time and immediately consult a specialist to avoid further aggravation.

Factors contributing to alcohol induced liver disease
The following factors in combination with alcohol can wreak havoc, worsening the condition further:

  1. Malnutrition: In some people, excessive drinking can result in malnutrition (alcohol often results in malabsorption of the essential nutrients). Malnutrition, in turn, can adversely affect the liver.
  2. Obesity: Obesity, one of the common consequences of alcohol consumption, can spell doom for the liver and its normal functioning.
  3. Alcohol: It acts as a poison for people suffering from Acute Hepatitis C (viral hepatitis), further damaging the liver. Some research suggests that women who are into heavy drinking are more likely to suffer from liver problems than their male counterparts.
  4. Genetics: It may be responsible for the inability of the body to processes alcohol effectively, resulting in liver problems.
2705 people found this helpful

Fatty Liver - All You Need To Know!

Dr. Vibhu V Mittal 85% (10 ratings)
MBBS, MD - Medicine, DM - Gastroenterology
Gastroenterologist, Ghaziabad
Fatty Liver - All You Need To Know!

The liver is the second largest organ in the human body. Everything that is consumed goes through the liver and gets metabolized. Generally the liver consists of fat accumulation, in the range of 2%, but when it reaches close to 10%, the condition is termed as fatty liver. Progression of fatty liver can lead to cirrhosis and eventually liver failure. The liver has an amazing ability to regenerate itself if a part of it is damaged.

However, if the damage is cumulative, then the repair becomes difficult. Another point to note is that the liver can be resected in parts to ensure that the non-affected liver continues to be available to take care of the metabolism.

Causes: There are two main types of fatty liver:

  1. Alcoholic fatty liver: This is the most common type and is seen in heavy drinkers.
  2. Non-alcoholic steatohepatitis (NASH): The causes for this type are not clear, but obesity, diabetes, and hyperlipidemia are some causes for NASH.

Symptoms: Fatty liver develops over years, and the symptoms are both vague and appear randomly. These can be attributed to any general illness, and so diagnosis is often delayed.

  1. Unexplained weight loss
  2. Jaundice
  3. Loss of appetite
  4. General malaise
  5. Dull pain in the right upper quadrant of the abdomen
  6. Overall physical weakness
  7. Ascites or fluid accumulation in the abdomen
  8. Increased tendency to bleed
  9. Abnormal liver enzyme levels

Diagnosis: If suspected of fatty liver, the following are done to confirm the diagnosis.

  1. Blood tests to check for liver enzyme levels.
  2. Imaging studies including x-ray, CT and/or MRI scan
  3. Biopsy to confirm the diagnosis

Treatment: Fatty liver is a completely reversible condition. If a person with alcoholic fatty liver quits drinking for about 8 to 10 weeks, the damage can be totally reversed.

If there is no history of alcoholism but obesity, then switching to a non-fatty diet with lots of fresh fruits and vegetables, multigrain, dairy products, etc., can help in controlling fat accumulation and use the stored fat. Increasing the levels of physical activity also helps in burning stored fat.

As noted, the liver is capable of self-repair and self-regeneration, so if further triggers are stopped, it can heal itself.

If fatty liver is not controlled, it can develop into cirrhosis and liver failure. If it reaches liver failure, then survival rates and prognosis look very gloomy.

Prevention: Fatty liver disease can be prevented by controlling alcohol intake, adopting a healthy lifestyle, eating non-fatty and non-sugary products, and maintaining an active and healthy lifestyle.

Monitor health periodically to check on liver function, diabetes, and cholesterol levels. In case you have a concern or query you can always consult an expert & get answers to your questions!

1771 people found this helpful

The Surgical Treatment For Portal Hypertension!

Dr. Siddharth Jain 90% (97 ratings)
FELLOWSHIP IN HEPATOBILIARY AND LIVER TRANSPLANT SURGERY, Fellowship in Abdominal Multi Organ Transplant Surgery, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Gastroenterologist, Delhi
The Surgical Treatment For Portal Hypertension!

There are veins which carry blood from the various digestive organs to the liver. When there is an obstruction in the free flow of blood in the liver, it increases the pressure and is known as portal hypertension. This increased blood pressure stresses the blood vessels in the esophagus, stomach, and other digestive organs and results in internal bleeding.

What causes portal hypertension?
Cirrhosis is the most common cause of portal hypertension. The cirrhosis could be a result of excessive consumption of alcohol, chronic hepatitis, or thrombosis in the liver vessels. Blood clots in the portal vein are schistosomiasis ( a parasitic infection) are some other causes of portal hypertension. It is also important to know that in some cases, the causes of this condition remain unknown.

What are the symptoms?
Although, the symptoms of portal hypertension may not be very evident until you identify that there is some damage in the liver. the chances of developing a portal hypertension are increased if you suffer from a liver disease.

  • Ascites, which is fluid accumulation in the abdominal cavity
  • Bleeding in the abdominal vessels
  • Blood in the stools and/or vomitus (black tarry stools or blood in the vomitus)
  • Reduced platelet count
  • Encephalopathy, fluid accumulation in the brain, which can lead to confusion and other issues

How can it be managed?
Once diagnosed, treatment of portal hypertension is at two levels.
At the first level, dietary and lifestyle changes and medical treatment should suffice.

  1. Alcohol, a street drug, and tobacco use should be completely stopped. Sodium and protein intake should be reduced.
  2. Avoid taking any over-the-counter medications without consulting a medical personnel.
  3. Have a good, balanced nutrition
  4. Medications like propranolol are given to control blood pressure
  5. Medications are also given to prevent internal bleeding
  6. If there is encephalopathy, then lactulose is given to clear confusion
  7. The ends of the bleeding vessels are tied and cut off (ligated) endoscopically, and this is known as sclerotherapy. Alternately, bands may be applied to the cut vessels to prevent further bleeding. This is known as banding.

If this first line does not work, then the next level of interventional therapy is initiated.

  • TIPS, which is a transjugular intrahepatic portosystemic shunt, which is a shunt that is placed into the liver to reduce pressure.
  • Distal splenorenal shunt (DRSR) is when a shunt or link is created between the splenic vein and the left kidney vein. This also helps control variceal pressure and bleeding.
  • Both these shunts are widely performed and require follow up once in 6 months to ensure they are performing well and without any blockages.

Other options:

  • In cases where a shunt is not possible, then devascularization is done. This involves removal of the bleeding varices.
  • The fluid in the abdomen may be removed surgically by paracentesis.
  • As a last option, a liver transplant surgery may also be considered.

So, while portal hypertension definitely is a serious medical condition, there are different levels of treatment. The important thing is to alert yourself once any symptoms set in. Early intervention always ensures minimal intervention and good prognosis.

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

2538 people found this helpful

Try Surgery For Portal Hypertension!

MS - General Surgery, DNB - Surgical Gastroenterology, Fellow HPB Surgery & Liver Transplant
Surgical Gastroenterologist, Ernakulam
Try Surgery For Portal Hypertension!

There are veins which carry blood from the various digestive organs to the liver. When there is an obstruction in the free flow of blood in the liver, it increases the pressure and is known as portal hypertension. This increased blood pressure stresses the blood vessels in the esophagus, stomach, and other digestive organs and results in internal bleeding.

What causes portal hypertension?
Cirrhosis is the most common cause of portal hypertension. The cirrhosis could be a result of excessive consumption of alcohol, chronic hepatitis, or thrombosis in the liver vessels. Blood clots in the portal vein are schistosomiasis ( a parasitic infection) are some other causes of portal hypertension. It is also important to know that in some cases, the causes of this condition remain unknown.

What are the symptoms?
Although, the symptoms of portal hypertension may not be very evident until you identify that there is some damage in the liver. the chances of developing a portal hypertension are increased if you suffer from a liver disease.

  • Ascites, which is fluid accumulation in the abdominal cavity
  • Bleeding in the abdominal vessels
  • Blood in the stools and/or vomitus (black tarry stools or blood in the vomitus)
  • Reduced platelet count
  • Encephalopathy, fluid accumulation in the brain, which can lead to confusion and other issues

How can it be managed?
Once diagnosed, treatment of portal hypertension is at two levels.
At the first level, dietary and lifestyle changes and medical treatment should suffice.

  1. Alcohol, a street drug, and tobacco use should be completely stopped. Sodium and protein intake should be reduced.
  2. Avoid taking any over-the-counter medications without consulting a medical personnel.
  3. Have a good, balanced nutrition
  4. Medications like propranolol are given to control blood pressure
  5. Medications are also given to prevent internal bleeding
  6. If there is encephalopathy, then lactulose is given to clear confusion
  7. The ends of the bleeding vessels are tied and cut off (ligated) endoscopically, and this is known as sclerotherapy. Alternately, bands may be applied to the cut vessels to prevent further bleeding. This is known as banding.

If this first line does not work, then the next level of interventional therapy is initiated.

  • TIPS, which is a transjugular intrahepatic portosystemic shunt, which is a shunt that is placed into the liver to reduce pressure.
  • Distal splenorenal shunt (DRSR) is when a shunt or link is created between the splenic vein and the left kidney vein. This also helps control variceal pressure and bleeding.
  • Both these shunts are widely performed and require follow up once in 6 months to ensure they are performing well and without any blockages.

Other options:

  • In cases where a shunt is not possible, then devascularization is done. This involves removal of the bleeding varices.
  • The fluid in the abdomen may be removed surgically by paracentesis.
  • As a last option, a liver transplant surgery may also be considered.

So, while portal hypertension definitely is a serious medical condition, there are different levels of treatment. The important thing is to alert yourself once any symptoms set in. Early intervention always ensures minimal intervention and good prognosis.

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

2709 people found this helpful

Diet And Nutrition Tips For Liver Cirrhosis Patients

Dt. Neha Suryawanshi 97% (15574 ratings)
M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai

Diet and nutrition tips for people with cirrhosis

Malnutrition, a common complication in liver cirrhosis, is associated with poorer outcome. Consequently, a diet that provides 25 to 40 kcal/kg body weight a day is usually prescribed. Nutrition therapy, particularly with branched-chain amino acids, can also help support patients who are losing weight due to poor appetite and may improve survival.

Cirrhosis prevention or management:

Low-fat diets: Excess dietary fat may encourage cirrhosis progression. High intakes of total fat, saturated fat and polyunsaturated fat have been implicated. High-fat diet can worsen cirrhosis as it contributes to fatty liver disease which is another cause of cirrhosis. No more than 30 percent of your calories should come from fat.

Antioxidants and b-vitamins: Cirrhotic patients have significant reductions in antioxidant enzymes and lower blood levels of certain antioxidant nutrients, such as carotenoids, vitamin e, and zinc. Due to a reduction in food intake and documented deficiencies of several nutrients in cirrhosis, patients should take at least a multiple vitamin with minerals that meets 100% of the dietary allowance for all vitamins and minerals.

Branched-chain amino acids and enteral feeding for malnourished patients -protein-energy malnutrition is common, occurring in 65% to 90% of patients with cirrhosis. Enteral feeding is also the recommended route for artificial nutrition in cirrhosis, and is associated with improved liver function and a lower hospital mortality rate.

Limit salt: Salt retains water, which can cause further problems for cirrhosis patients. It is important that you limit your salt intake to less than 2, 000 mg a day or less. You can do this by avoiding salty foods, cooking for yourself, reading food labels carefully, avoiding fast-food restaurants, and reducing your intake of red meat.

Watch your calories and protein: Cirrhosis patients may need additional calories and protein as they may lose their appetite or experience nausea or vomiting, leading to weight loss. Eating smaller, more frequent meals may help combat this while replenishing lost nutrients, calories, and protein. Protein should come from plant sources as meat-sourced protein is hard for your liver to filter through.

Avoid alcohol: In many cases, alcohol is a main cause for cirrhosis, so continuing to drink will worsen your condition. Avoid alcohol at all costs.

Avoid caffeinated beverages: Caffeinated beverages have been found to worsen liver disease.

Weight loss due to loss of appetite and other factors lifestyle changes to reduce cirrhosis symptoms.

Maintain a healthy weight. Some forms of liver disease, including cirrhosis, are linked to fat accumulation.

Reduce your risk of developing hepatitis. Do not share needles, ensure you are vaccinated, and be aware of the risk of hepatitis when traveling to foreign countries.

Avoid infections. Cirrhosis makes it difficult to fight off infections. Avoid people who are sick and wash your hands frequently.

Don’t smoke. This is toxic to the liver.

Don’t do illicit drugs. These too increase your risk of hepatitis and infection.

Manage other health conditions. Control blood pressure, cholesterol, and diabetes as these can all take a toll on your liver, worsening your disease.

Avoid harmful medications: Medications are processed through the liver, so certain drugs can worsen your condition.

2 people found this helpful
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