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Overview

Liver Disease: Treatment, Procedure, Cost and Side Effects

What is the treatment?

There are more than hundred kinds of liver diseases. Some common liver diseases are as follows- Fasciollasis which is a parasitic infection of the liver. Several drugs are effective for this disease. The drug of choice for treating Fasciollasis is triclabendazole. Bithionol is also used a successful treatment. Hepatitis is the inflammation of liver tissue caused by various viruses (viral hepatitis), by liver toxins (alcoholic hepatitis), autoimmunity (autoimmune hepatitis) or hereditary conditions. Hepatitis A does not usually progress to chronic state and rarely requires hospitalization. Hepatitis B can be acute and chronic. Here patients are treated with antiviral therapy. Injectable interferon alpha was the first approved therapy for chronic hepatitis B. there are some other medications too for chronic Hepatitis B. Hepatitis C is much more likely to pass to a chronic state. The ultimate aim of treating Hepatitis C is prevention of hepatocellular carcinoma. Hepatitis D is difficult to treat. Effective treatments too are lacking. Hepatitis E is similar to Hepatitis A and its treatment includes rest and ensuring adequate nutrition and hydration. In case of alcoholic hepatitis the first line treatment is treatment of alcoholism. But a severe case of alcoholic hepatitis is difficult to treat. Alcoholic liver disease is the hepatic manifestation of alcohol over consumption including fatty liver disease, alcoholic hepatitis and chronic hepatitis with liver fibrosis or cirrhosis. Most important part of the treatment is stop the intake of alcohol. In case of liver cirrhosis mostly transplantation is th only definitive therapy. Cirrhosis is actually the formation of fibrous tissue in place of liver cells due to variety of causes. Cirrhosis causes chronic liver failure. Fatty liver disease (hepatic steatosis) is a condition where large vacuoles of triglyceride fat accumulates. Treatment depends on the underlying cause of the disease. Gilbert’s syndrome is a genetic disorder. Typically no treatment is needed but if jaundice is significant phenobarbital may be used.

How is the treatment done?

For the treatment of various liver diseases a number of different treatments are available. Triclabendazole is used for the treatment of Fascioliasis. The drug works by preventing the polymerization of the molecule tubulin. Nitazoxanide is effective in trails but is not currently recommended. Treatment for Hepatitis A and hepatitis E is generally supportive and includes procedures like providing of intravenous hydration and maintaining adequate nutrition. This disease rearely requires hospitalization. In severe acute cases of Hepatitis B patients are treated with antiviral therapy, with nucleoside analogues such as entecavir or tenofovir. Experts recommend reserving treatment for severe acute cases and not mild to moderate. chronic hepatitis B aims to control viral replication. Treatments includes Pegylated interferon which is dosed once a week. Lamivudine is used in areas where newer agent have not been approved or are too costly. Entecavir is safe and well tolerated drug and is a first line treatment choice. Currently used first line treatments include PEG IFN, Entecavir and Tenofovir. Hepatitis C treatment includes prevention of hepatocellular carcinoma and the best way to reduce long term risk of HCC is to achieve sustained virological response. Currently available treatments include PEG IFN, Ribavirin. In high resource countries direct acting antiviral agents are used which targets proteins responsible for viral replication. Hepatitis D is difficult to treat. Inferno Alpha has proven effective at inhibiting viral activity but temporarily. Hospitalization may be required in case of severe cases of Hepatitis E. Alcoholic hepatitis treatment includes pentoxifylline, corticosteroids etc. Treatment of alcoholic liver disease include Sylimarin but with ambiguous result. In case of serious cases of fatty liver disease insulin resistance, hyperlipidemia , and those that reduce weight are beneficial to liver. For patients having non-alcoholic steatohepatitis there are no available therapies. Damage from Cirrhosis cannot be reversed but further progression can only be delayed and complications can be reduced. A healthy diet is encouraged. Some convetional medicines are Corticosteroids and Ursodiol. Wilon’s disease is treated with chelation therapy. Liver transplantation becomes necessary if liver damage cannot be controlled.

Who is eligible for the treatment? (When is the treatment done?)

In case of transplantation there are some criterias which are considered for the safety of the patients. Physical criterias and a solid support system before the surgery are very important factors. If any one is undergoing symptoms like nausea, vomiting, right upper quadrant abdominal pain, jaundice, fatigue, weakness and weight loss then it is better to check whether these are indicating towards liver diseases.

Who is not eligible for the treatment?

As there are many side effects of some drugs used for the treatment so it will be safe to check the eligibility before starting any treatment. Thus, it is advisable to consult a doctor for safety.

Are there any side effects?

Common side effects of the drug Entecavir used for treating Hepatitis B are headache, nausea, high blood sugar and decreased kidney function. Severe side effects include enlargement of liver and high blood lactate levels. Tenofovir used to treat chronic hepatitis B has side effects like depression, rash, diarrhoea, weakness, pain and headache. Use of corticosteroids may be severe in some cases like it can cause anxiety, depression, can also cause sodium retention. Side effects of pentoxifylline which is used to treat alcoholic hepatitis are- belching, bloating, stomach discomfort, indigestion, nausea, dizziness, vomiting, flushing. Chelation therapy too has some side effects which are- dehydration, low blood calcium, harm to kidneys and lowered levels of dietary elements, etc.

What are the post-treatment guidelines?

There some after treatment guidelines that needed to be followed. After a patient has completed his/her treatment for Hepatitis C infection, the patient will require blood tests and doctor visits three to six months post-treatments. In case of cirrhosis a patient is generally taken care of by the liver specialist for a long term. Even if the patient is devoid of Hepatitis C infection, he/she will likely be monitored with some tests like blood test, imaging tests and upper endoscopy tests. If after completion of treatment virus remains, the patient needs to take a break and will be under watchful waiting and will be retreated if it is an option in future. It is instructed not to consume alcohol and stop smoking. Nicotine can make it more difficult to manage hepatitis B. many follow-up visits will be needed. After a liver transplant medicines are given like antimicrobial medicines, antirejection medicines, immune globin and steroid medicines. Maintaining a healthy weight is required and even some patients are given physical therapies. If a patient wants to become pregnant, it will be safe to wait for at least two years. Yearly skin exam is also necessary.

How long does it take to recover?

Different diseases of liver have different recovery time. Like for example in case of liver cirrhosis which is an end stage of liver, is mostly irreversible. And liver transplantation is the only therapy in that case. In rare cases, liver cirrhosis is reversible. In healthy patients (with Hepatitis B), 95-99 percent recover with no long lasting effects. Age and comorbid conditions can result in prolonged and severe illness. If a patient has clinical signs of ascites, peripheral edema, low serum albumin, etc, then they may require hospitalization. In many cases the treatment is curative but some therapies only aim to prevent further progression of diseases, reduce the symptoms of diseases or reverse the damage already done. So, treatment duration will vary based upon the disease and age and other health conditions of the patients.

What is the price of the treatment in India?

Cost of treatment will depend on the health condition of the concerned patient. Liver transplantation is costly as it may amount to some lakhs. There are different kinds of kidney diseases and each require different treatment for different duration. Thus cost of treatment will also vary in each case.

Are the results of the treatment permanent?

Permanency of results depend on the disease. There remains a risk of rejection of the new organ in case of transplantations and patients may need to take immunosuppressive medications for the rest of their lives. Treatment of Hepatitis A in most cases are permanent. So is Hepatitis E treatment. In case of severe ailment hospitalization may be required and duration of treatment may get stretched.

What are the alternatives to the treatment?

Alternative treatments include variety of treatments. One of them is the ayurvedic treatment. Indian Echinacea, Yakrit Plihantak Churna improves liver function, Phyllanthus Niruri is a liver cleanser and liver detox capsules. Amla has liver protection properties. Licorice can cure ailments like non-alcoholic fatty liver disease. Amrith is known to clear toxin from the liver and strengthens its function. Some studies have shown that turmeric for its antiviral properties can be used prevent multiplication of viruses causing Hepatitis B and Hepatitis C. certain vegetables help liver secrete greater concentrations of important enzymes. Diet restrictions and life style modifications and de-addictions are some basic requirements to prevent and treat liver diseases.

Safety: Medium Effectiveness: Medium Timeliness: Medium Relative Risk: High Side Effects: Medium Time For Recovery: Medium Price Range: Rs.1000-Rs.7 lakhs

Popular Health Tips

Alcoholic Liver Disease - Know The Symptoms!

MD - Medicine, MRCP - Gastroenterology, MBBS
Gastroenterologist, Chandigarh
Alcoholic Liver Disease - Know The Symptoms!

The liver performs over 500 functions and is considered to be one of the most important organs in the human body. The functions liver perform include regulating cholesterol and blood sugar, filtering out blood toxins, storing energy and making hormones and proteins. There are many diseases which liver can catch and most prominent being alcoholic liver disease

When a person consumes alcohol in excess, it leads to building up of fats, inflammation and scarring of the liver – which results in alcoholic liver disease.

The damage that occurs due to this disease in the liver can affect the whole body. Since the liver is generally highly effective in repairing and regenerating itself so the damage takes longer to come into notice. It often becomes distinctive by the time the damage is already irreversible.

This disease usually takes place in people between 40 and 50 years of age. This disease is most commonly seen in men. Certain cases have been seen where people may have inherited the risk for the disease.

Liver disease related to alcohol consumption fits into following 1 of 3 categories:

  1. Fatty liver: This takes place due to acute consumption of alcohol. This state is generally reversible if alcohol isn’t consumed.
  2. Alcoholic hepatitis: This is an acute type of alcohol-induced liver injury which takes place when alcohol is consumed excessively over a long period of time. It can lead to liver failure and death as well.
  3. Cirrhosis: Cirrhosis is a late stage of scarring (fibrosis) of the liver caused by over consumptions of alcohol. It can also occur due to other reasons as well.

Some Facts about Alcoholic Liver Disease

  1. It is the main cause of chronic liver disease in Western nations and the third most common cause of liver transplants.
  2. Staying away from alcohol is the only way to the patient’s recovery.
  3. Jaundice and tremors are the most common symptoms of this disease.
  4. Medication, lifestyle changes, and surgery are some available treatments.

Early signs of the Disease
The early signs of alcoholic liver disease are not much noticeable and affect many systems in the body.

  1. Pain in the abdomen
  2. Nausea and vomiting
  3. Diarrhea
  4. Decreased appetite

If these signs are left unattended and the patient continues to consume alcohol, it can lead to a faster damage to the liver.

The symptoms of this disease become noticeable usually during the later stage of liver disease. The symptoms of this disease include:

  1. Jaundice
  2. Edema or swelling of the lower limbs
  3. A build-up of fluid in the abdomen, known as ascites
  4. Fever and shivering
  5. Extremely itchy skin
  6. Clubbing of fingernails
  7. Loss of weight
  8. General weakness
  9. Blood in vomit and stools
  10. Bleeding and bruising more easily
  11. More sensitive reactions to alcohol and drugs

In most patients with the alcoholic liver disease, the illness is not severe. You may not require hospitalization immediately as long you take necessary precaution like stopping the consumption of alcohol, take good nutrition and follow the advice of the doctor. However, in more severe cases, the doctor may be able to suggest the best line of treatment.

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

2040 people found this helpful

Fatty Liver - 4 Common Types Of It!

DM, MD, MBBS
Gastroenterologist, Delhi
Fatty Liver - 4 Common Types Of It!

The liver is a vital body organ (the second largest) that helps in detoxification of the harmful substances and chemicals, in addition to participating in various metabolic pathways. It is normal for the liver to contain some amount of fats. The problem arises when there is an excess deposition of fats (accounting to nearly 7- 10% of the total liver weight), a condition referred to as Steatosis or Fatty Liver. Fatty liver often interferes with the normal functioning of the liver triggering serious consequences.

Types of fatty liver

  1. Alcoholic Fatty Liver: As the name suggests, the condition is an outcome of excessive alcohol consumption.
  2. Nonalcoholic Fatty Liver (NAFL): Here the problem or the trigger is not alcohol. The excess fat deposition in NAFL (~10 % of the total liver weight) results from the inability of the liver to break down the fat molecules.
  3. Nonalcoholic Steatohepatitis (NASH): In NASH, the liver tends to swell up due to excess buildup of fats in the liver tissue (alcohol is not the trigger in NASH)
  4. Acute fatty liver of pregnancy: Some pregnant women may suffer from this fatal condition (extremely rare).

Causes of fatty liver
Fatty liver is a common condition that often results from unhealthy diet and lifestyle practices. In this context, it is important to mention that unlimited alcohol consumption plays a pivotal role in various liver disorders, with fatty liver being one of the most common consequences. In fact, steatosis is one of the earliest stages associated with alcohol related Liver disease. However, fatty liver is a reversible condition that can be successfully treated if diagnosed at an early stage.

The excess deposition of fats in the liver cells can be an outcome of medical conditions such as
Besides alcohol, obesity is one of the biggest factors responsible for fatty liver. As per a survey, 1 in every 50 obese people suffers from fatty liver and other related complications (scarring, liver hepatitis or liver cirrhosis).

  • In addition to obesity, hyperlipidemia (a medical term used to define increased levels of lipids in the blood), high blood pressure, diabetes mellitus may have a significant role in triggering fatty liver.
  • Rapid weight loss or malnutrition can, more than often, give rise to fatty liver and its related disorders.
  • The use of certain medications such as carbon tetrachloride, tetracycline, and corticosteroids may be a contributing factor in fatty liver and associated complications.
  • Genetics can also play a significant role in triggering steatosis in some people.
  • Though fatty liver can affect children and young adults, people in the age group of 40 - 60 years are more susceptible to the condition.

Symptoms associated with fatty liver
There are no characteristic symptoms associated with fatty liver. However, in general, a person may experience
● Abdominal discomfort
● Extreme tiredness

With time, a person left undiagnosed and untreated, may exhibit the following symptoms
● A changed appetite (there is often a loss of appetite)
● Sudden weight loss (unexplained)
● Weakness
Abdominal pain

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

2552 people found this helpful

Liver Transplant Surgery - Everything You Need To Know About It!

MS - General Surgery, DNB - Surgical Gastroenterology, MBBS
Surgical Gastroenterologist, Ghaziabad
Liver Transplant Surgery - Everything You Need To Know About It!

As you might already know, the liver performs some important functions for the body such as removing toxins from the blood stream, regulating the immune response, processing hormones, nutrients, and medications, production of bile, production of protein, etc. That’s why the liver is considered to be the most important organ of the human body, and it’s vital to have a healthy, functioning liver. However, in some cases, a person needs a liver transplant. This is a complex surgical procedure that aims at replacing a non-functioning liver with a healthy liver from a donor.

Why is liver transplant done?
Liver transplant is mostly done in cases where the conditions cannot be controlled with conventional treatment or people suffering from cancer. A liver failure generally happens over a period. But, there are cases where the liver might fail in a matter of days. This condition is termed as an acute liver failure.

Chronic liver failure, on the other hand, happens gradually and can be a result of a lot of factors; the most common being liver cirrhosis. The latter can befall due to reasons such as hepatitis C and B, liver fat, Wilson’s disease, alcohol abuse, etc.

When do you need a liver transplantation?
The liver carries various functions important function in the body. Any disease or damage to it can affect the functioning of many other organs and total body functioning. However, the good thing is that liver can regenerate itself and only when it is damaged to an extent that affects this regeneration process; that one needs to look at the various treatment options. Liver transplant is recommended as the last resort in case of serious life threatening liver diseases like the following-

  1. Chronic liver failure
  2. Liver cirrhosis
  3. Acute hepatic necrosis
  4. Auto immune hepatitis
  5. Viral hepatitis
  6. Cancerous tumors in the liver
  7. Other metabolic disorders caused by the liver

For you to be eligible for a liver transplantation it is a must to remain sober for at least 6 months before the procedure happens.

Who can donate healthy liver for transplantation?
Ideally, a healthy liver is available for transplantation once the organ donor has died. However, due to the shortage of cadaver livers, transplantation of a portion of a healthy liver from a living donor was first attempted in the late 1980s. Today living donor liver transplantation (LDLT) is a common practice in quite a few medical institutes where up to 70% of the right side of the healthy liver is taken from the donor. 

Apart from the liver portion, a small part of a blood vessel in the leg is also removed from the donor’s body to connect the donated liver portion to the recipient. Due to this complex process, the donor may need a hospital stay for a week or longer. During this time the donor’s liver begins to heal and regenerate itself. Full regeneration generally takes six to eight weeks. In case of the recipient, it takes a bit longer for the transplanted portion to reach full function and the appropriate size. Thus the ability of the liver to regenerate helps both the donor and recipient to have a normal functioning liver in some time.

Risks and Benefits of Liver Transplantations
A good transplant centre ensures that all the safety measures are followed during the liver transplantation by the transplant surgeon and there is no risk of complications like bleeding, infection, blocked blood vessels bile ducts in the liver. A successful liver transplant increases the life span of the donor by a few years. However, the new liver can also get infected with hepatitis if it is not treated alongside. Also, relapse to alcohol use after transplant causes damage to the new liver, so stay sober and stay healthy.

What are different phases involved in the process?

  1. The first part of the process involves identifying a transplant centre that is reliable, trustworthy and performs enough transplants in a year. It is important to figure out the survival rate, factor in the cost, access the additional support that the centre can extend, etc.
  2. The next part is the evaluation. Any hospital evaluates a person with three things: A. whether the body is healthy enough to support medications for the rest of the life. B. Whether there exists any pre-medical condition that can jeopardize the procedure. C. If the patient is willing to follow the treatment plan for the rest of the life.
  3. Another phase that enters here is the testing phase. Some of the typical tests that are conducted include imaging test of the liver, basic laboratory tests, nutritional counselling, heart tests, routine health exam, financial counselling, etc. Once these procedures are over and done with, the selection panel of the centre meets to discuss the case and put the patient on the waiting list.

Is there a post-surgery procedure?

Once the patient is matched and the surgery takes place, a patient is likely to be in the intensive care unit for a few days followed by frequent check-ups for the first few months and the medicine continues for the rest of the life. 

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

3865 people found this helpful

Liver Transplant - What To Expect Before & After The Procedure?

M. Ch., FEBS, MBBS, MS - General Surgery
Liver Transplant Surgeon, Delhi
Liver Transplant - What To Expect Before & After The Procedure?

Liver transplant in the only curative option available for patient who develop cirrhosis of liver due to any cause ( Chronic Hepatitis B , Chronic Hepatitis C, Alcoholic Cirrhosis, NASH etc). Once patient has been diagnosed with cirrhosis it can not be reversed with any non-surgical treatment . Over a period of time patient may develop worsening in liver function resulting in complications of cirrhosis (bloody vomitus, black stools, jaundice , altered sensorium, renal dysfunction, abdominal swelling etc) labeled as “decompensated cirrhosis”. These patients require Liver transplant at the earliest and should be reffered to a liver transplant centre immediately. Ideally all patient diagnosed with cirrhosis should be under the follow-up of a gastroenterologist/Hepatologist. The source of graft liver can be from two sources namely from a deceased brain-dead donor or a Living-related donor and termed respectively as DDLT ( Deceased donor liver transplant) and LDLT ( Living Donor Liver Transplant) . However both DDLT and LDLT have nearly 90% success rate and both the procedures have their own benefits and lacunaes. Also the decision to go for DDLT and LDLT may vary for any particular patient. 

Before the Liver transplant 

All recipient and Living donor go thorough evaluation before the transplant process that includes blood investigations, Imaging studies, Cardiac and pulmonary fitness tests, multidisciplinary consultation before the clearance for liver transplant is achieved. The healthcare provider will explain the entire procedure. The healthcare provider is also supposed to answer all your questions. You would be needed to sign a consent form that allows the doctor to do the surgery. Eating food is not allowed at least 8 hours before the surgery. If you cannot stay relaxed before the surgery, a sedative will be given. 

After the Liver Tranplsant 
The recipient surgery lasts for anywhere between 12-16 hrs and donor surgery for 8-12 hrs. After the surgical procedure is complete, you will be taken to the intensive care unit (ICU)and will be closely watched for several days. 

Immediately After the Surgery 
You will most likely have a tube in your throat. This is so that you can breathe with the help of a machine (a ventilator) until you can breathe on your own. The ventilator tube will be removed on next morning when all parameters are found to be satisfactory. All parameters are monitored by round the clock critical care doctors and staff for a few days. The recipient has to stay in the hospital for three weeks and the donor is discharged in one week. 

Blood samples will be collected on a regular basis to check the functioning of the new liver. Antibiotics will be infused via IV channels to prevent you from infections. The area where the operation was done should always be kept clean after you have reached home. Any stitches or surgical sutures will be removed at a follow-up visit.

Complications that may arise 
Blocked blood vessels to the new liver, bleeding, an infection, leakage of bile or blocked bile ducts, or the new liver not working for a short time right after surgery are a few complications that may arise. Not to aggravate the condition, in the case of a complication, it is imperative to visit your doctor. In case you have a concern or query you can always consult an expert & get answers to your questions!

2037 people found this helpful

Klatskin Tumour - Understanding It In Detail!

MD, MBBS
Oncologist, Ernakulam
Klatskin Tumour - Understanding It In Detail!

A fifty-four years old Marwari patient from Assam presented with progressive jaundice and intermittent episodes of abdominal pain for three months. CT scan of abdomen showed a small (1.5 x 1.5 cm) mass in the bifurcation of common bile duct which is causing biliary tract obstruction and hence jaundice. Portal nodes were not enlarged and there was no lesion in the liver parenchyma. At presentation, serum bilirubin level was high (14.7 mg/dl). Endoscopic biopsy and brushing cytology was adenocarcinoma and clinic-radiological diagnosis was ‘Klatskin tumour’. 

  • Metallic stenting was done to relieve jaundice and after stenting serum bilirubin level came down rapidly. PET scan showed increased uptake in the biliary duct region mass without any sign of metastasis. He was evaluated and planned for treatment with robotic radiosurgery. He was treated using robotic radiosurgery (CyberKnife) with high precision radiotherapy technique after fiducial placement (gold seeds) near the tumour. After one year, the patient had no obvious complain, liver function (no jaundice) was normal and CT scan evaluation showed completed resolution of the mass.  
  • Klatskin tumour is an uncommon tumour that arises from the bifurcation of common bile duct in the abdomen (duct that drains bile from liver). Patients usually present with progressive (increasing) persistent jaundice followed by pain in the upper abdomen. Surgical excision is the mainstay of treatment. However, surgery is not possible in majority of the patients owing to the location of the tumour, high jaundice and medical condition. Chemotherapy may not be an optimal option in majority of the patients as they present with high jaundice. Majority of such patients with poor medical condition are treated with only supportive care and prognosis is dismal (survival for a few months only).
  • Patients with metallic stent have relief from jaundice but unfortunately in a few weeks time, the stent gets blocked with tumour growth. Patients again present with high jaundice and have severely impaired quality of life. They complain of severe itching of entire body, loss of appetite and succumb due to impaired liver function from high jaundice/obstruction. The treatment is to have a longer ‘jaundice-free period’ which in turn improves quality of life and possibly survival function as well.  
  • Stereotactic body radiation therapy’s high dose radiation ‘sterilizes’ the metallic stent and bile duct region. It is assumed that with radiation therapy, blockage of bile duct and stent is delayed and patients have longer jaundice-free period.In Klatskin tumour, CyberKnife allows to deliver high dose of radiation in a short duration to the target without significant morbidity. If you wish to discuss about any specific problem, you can consult an Oncologist.
3107 people found this helpful

Popular Questions & Answers

I take alcohol on regular basis. Now I feel very weak and tremors in feet and hands. Also I have some diaharea issues. Currently I stop taking alcohol. Now I want to know which Dr. should have to consult?

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
Alcohol dependence is associated with significant physical, mental and social problems. Physically, there can be liver failure, jaundice, vomiting of blood, passing blood in stools, stomach ulcers, damage to nerves of the body, swelling of legs, fluid collection in abdomen, and many more. Mentally, there is irreversible brain damage, worsening of anxiety or depression, triggering of psychosis and mood disorders, dementia, etc. From a social point of view, there may be isolation from neighbors or family, increased abusive behavior to children or spouses, legal problems, accidents, etc. Anti craving medications are available which will help to reduce the craving. Consult a psychiatrist with experience in deaddiction.
1 person found this helpful

I am 30 year old male and suffering with alcoholic fatty liver grade 1. Kindly suggest me any tablet to recover the problem. I have stop drinking now. I am taking following medicines right now. 1. LIV 52 DS- 2 tablets twice daily after meal (breakfast & dinner) 2. Rabeprazole 20 Mg + levosulpiride 75 mg- OD morning 9 AM 3. IBset- OD morning 9 AM Is LIV 52 is beneficial for fatty liver grade 1 or suggest any other medicine for fast recovery.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Major risk factors include obesity and type 2 diabetes, though it's also associated with excessive alcohol consumption. It usually causes no symptoms. When symptoms occur, they include fatigue, weight loss and abdominal pain. Treatment involves reducing the risk factors such as obesity through a diet and exercise programme. It is generally a benign condition, but in a minority of patients, it can progress to liver failure (cirrhosis).

Sir my mother is suffering from fatty liver and SGPT AND SGOT level is high and she is suffering from dysentery at interval time in a month sir what to do.

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
Hi lybrate-user, Its important to know if your mother is having viral hepatitis, which can cause raised liver enzymes and bowel upset. Do get her tested for that.

I am 24 year old. I take alcohol on regular basis from last 2 month. Now I face some problems. Which Dr. should have to consult.

M.B.B.S., D.N.B. (Psychiatry)
Psychiatrist, Panchkula
Hello, For stopping alcohol use most important thing is persistent motivation and detoxification. If tried leaving on own you will face withdrawal symptoms. There are various detoxification treatment available with high success rate. Remember craving is hardly for 30 minutes and if you can overcome that 30 minute by drinking water or diverting your mind in some other work I think you will be able to control craving. Contact nearby psychiatric clinic.
2 people found this helpful

I got the USG of KUB and abdominal done because I was getting frequent urination but the results are normal. The unique thing it showed is fatty liver, Is it normal? Because I even don't smoke or drink alcohol than why my liver is fatty? And what are the home remedies for fatty liver and frequent urination?

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
lybrate-user, Fatty liver could be related to high BMI, Metabolic X syndrome, genetic predispostion. Do you have any of these? Alcohol is only one of the many causes for fatty liver but not the only one. It will be important to look at your USG report and do some basic blood tests to see if you need any treatment for it. Sometimes the disease can be treateed even without medication by only life style changes. Fatty liver itself is not a serious condition. You can take example of high blood presure. It may itself not cause a problem. But if allowed to worsen, for a long period of time can harm the heart and blood vessels. Similarily, fatty liver if allowed to worsen over a long time, the it can cause fibrosis and the cirrhosis of liver. Just like blood pressure, early stage can be corrected by only changing your life style. But advanced stage may need medictation. Fatty liver most likely is not related to urination problem. For that, first thing will be to check for urine infection.
2 people found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Fatty Liver
My name is Dr. Sanjay Jain, I am a senior consultant in the department of Gastroenterology and Hepatology at Indraprastha Apollo Hospital, Sarita Vihar in Delhi.

Today I like to talk about a very common condition called fatty liver I am sure most of you have heard about it and increasingly one an ultrasound is done the awareness about fatty liver is increasing. I want to tell you that most of the time people just tend to ignore when they are found to have fatty liver and that should not always be the case. Broadly speaking you can see there are two types of fatty liver one is a benign sort of fatty liver, where just ultrasound has picked up the extra fat in the liver. But all the blood test for the liver and another test to find out while more in the liver is normal. Most of these patients don't need to worry too much about it but of course, they need to take care of the extra fat in the liver. But the other group in which where the liver function test shows there is swelling in the liver which means a sort of Hepatitis and in this particular context it's called steatotic hepatitis that means fats induced hepatitis. These are the people whose lower functional test are not normal, they have got an ongoing swelling in the liver because of the extra fat deposited there and they are at the higher risk of liver-related complications. These people must get hold of the Gastroenterologist or their physician, they would need a detailed liver evaluation and most likely some treatment also. Regarding the causes of fatty liver, the two most common cause are alcohol and obesity, other common causes being diabetes, hypothyroidism etc. We have few drugs which are available now which can help in this condition rather than telling you the name of the drugs, I would like you, people, if you have found a fatty liver must see a doctor find out whether it is just benign incidental finding or it needs to be taken up further and act accordingly.

If you have any query about fatty liver or other gastroenterological problem you are most welcome to get in touch with me through lybrate.com.
Play video
Know More About Liver Diseases
Causes of Liver diseases and its treatment with Liver Transplant!
Play video
Liver Disorders
Tips for Healthy Liver
Play video
Alcoholic Liver Disease
Symptoms, causes, and treatment for Alcoholic Liver Disease


Hi, This is Dr. Umesh Alegaonkar from Thane, Sampada Hospital. The topic of discussion is Chronic Alcoholic Liver Disease.

As you know, that 95% of the cases of liver damage on earth is because of alcohol and over intake of alcohol. Usually, it is defined as alcoholic diseases when a person suffers from the diseases of liver related illnesses and consumes more than 80 grams of alcohol or 240 ml of alcohol every day for at least five years. In the case of women, this amount gets little lower, it's 50 grams of alcohol daily for five years. Usually, the liver failures manifest in terms of increase in weight gain, jaundice, irrelevant speech, a decrease in night sleep, day time sleep pattern alters, decrease in appetite, increase in your abdominal girth. It is usually very late to diagnose the chronic liver disease because of the alcoholism, usually, the patients are into the denial mode, and the sonographic features may not be able to reveal the intensity of the liver diseases.

The newer technology like the Fibroscan can definitely give an early indication of the liver damages that has happened because of the alcohol intake. Apart from the history of the alcohol intake, the patient can simply opt for Elastography which is the finest diagnostic tool available nowadays in any of the diagnostic centers. Depending on the share value, we can judge the severity of the liver damage because of alcohol. Of course, the liver transplant is the golf standard treatment when the liver is completely damaged, but the need for the liver transplant goes into declining mode as the person quits alcohol, it decreases by and large the survival rate from the day of abstinence of alcohol is more than 30%. So if we consider that 30% of the life span of a person when he leaves alcohol considering the liver damage costing nowadays are around 30-35 lac rupees. We can estimate the amount of money which can be saved by just remaining away from alcohol.

Apart from that, liver damage recommends multiple tests such as blood test, urine test and ultimately the huge socio-economic burden needs to be evaluated just because of alcohol giving trouble not only in the family but also in the society. A simple measure by lessening your alcohol intake or abstaining from alcohol may be a fair idea but it is not recommended at all when a person gets to know the liver has roughly damaged because of the alcohol. Now, that day onwards, he has to abstain from alcoholism.

For any other further alcohol related or liver damage inquiries, please contact on lybrate.com
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Ill Effects of Alcohol
How alcohol affects liver and metabolism?

Hello, friends, my name is Dr. Hanish Gupta. I am a General Physician working in Delhi at various major hospitals and having my own clinic by the name of Life Aid in Mayur Vihar Phase one. Today, I have come to discuss with you very important topic of the bad effects of alcohol on our liver.

We all know that liver is the primary organ in the body that deals with metabolism and metabolism is the process by which we digest food, we assimilate it in our body and also eliminate the toxins that come with it. Fortunately for us liver is the organ that takes care of all these toxins. All the bad things that collect in our body because of our bad eating habits or drinking habits, the liver is the organ that helps us eliminate those toxins and keeps us healthy. Alcohol is one such toxin.

We may have a good time with alcohol drinking with our friends whether socially or by our own conception but at the end of the day alcohol is and will remain a very important toxin in the body that needs to be eliminated. Liver is the organ that does that. Unfortunately some people they don't realize the delicate balance of alcohol and liver if we take alcohol in moderation then liver gets the ample time to eliminate it from the body and metabolize it but if we keep on taking it regularly and in very high amount then liver becomes overburdened in eliminating. This toxin out of the body what happens is that liver starts to store the excess alcohol because it does not have enough time or power to eliminate. It is the excess alcohol that starts to get collected in the liver cells and because of this excess accumulation of alcohol in the liver cells they start to bloat up and the first stage of liver damage begins.

At this stage if a person who has started to become dependent on alcohol stops taking alcohol then all the bad effects of alcohol they get reversed as far as the liver mousse but if unfortunately somebody continues to take alcohol despite the good advice of his doctor then liver starts to undergo permanent damage and may become shrunken in a very short span of time. This is the problem with liver once it starts shrinking the permanent damage has already been done which is known cirrhosis of liver which is actually an irreversible damage to the live.

So friends my nice advice to you is that you want to take alcohol always remember the delicate balance between alcohol intake and your liver metabolism. If you go by this principle then you will have a very healthy life which is going to be too thanks for listening in. I hope that you connect with me again on liberate online consults or have the sweet opportunity of visiting my clinic at Delhi. Thank you very much.
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