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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

Gastric Bypass Surgery - Everything You Should Know!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Fellowship In Minimally Invasive Bariatric Surgery
Laparoscopic Surgeon, Pune
Gastric Bypass Surgery - Everything You Should Know!

Gastric bypass is a kind of bariatric surgery, which helps in weight loss. This surgery aims to make changes so that your stomach becomes smaller than it used to be. This limits the amount of food you consume and effectively helps you to reduce weight.

Are you fit for the surgery?

Not everybody can go in for this surgery. Your doctor will recommend this surgery after careful evaluation. These are the parameters based on which your doctor will make a decision-

• Your medical history - If you suffer from sleep apnoea, heart ailments, liver diseases, kidney stones or if you have blood clots then you might have to undergo the surgery.

• Your psychological status - Sometimes obesity is the outcome of certain psychological ailments. A doctor will first ensure that these conditions are addressed before you go under the knife.

How is the surgery performed?

Gastric bypass operation is performed under general anaesthesia so you will be asleep for the entire duration of the surgery and it will be pain-free. The surgery is done laparoscopically. Tiny incisions are made through which scope and fine surgical instruments are introduced into the abdominal cavity. The camera guides the surgeon by providing live images from inside the body. Laparoscopic gastric surgery is advantageous because the wound heals faster and does not leave any marks.

Sometimes your surgeon might opt for an open surgery where she/he makes a large incision to reach the stomach.

There are two major steps to the surgery-

• The aim of the surgery is to make the stomach smaller so the surgeon divides it into two portions with staples. The food that you eat will go into the upper part (the pouch) of the stomach. The reduced upper stomach can hold at the most 28 grams of food so you are forced to eat less than usual. This will help you lose weight.

• The other step is the bypass surgery. After the pouch is created, the surgeon links it to the small intestine through the small hole in the pouch. This way, food will pass directly from the pouch to the small intestine. The surgery takes around 3-4 hours. You will be kept under observation for a couple of days and you will be released from the hospital in a week.

Gastric bypass operation is an effective and simple surgery that can help you reach your weight goals when you have a very high BMI and most other dietary restrictions have not been successful.

3772 people found this helpful

Liver Transplant Surgery - Situations Where Is It Required!

M. Ch., FEBS, MBBS, MS - General Surgery
Liver Transplant Surgeon, Delhi
Liver Transplant Surgery - Situations Where Is It Required!

A liver transplant surgery is a procedure by the virtue of which the doctors remove the liver in that cases where it becomes non-functional or does not function appropriately. In this process, the malfunctioning liver is substituted with the healthy liver obtained from a living donor.

Liver transplant surgery has been performed in the medicine for more than 30 years and it has been observed that this surgery is successful and the patients who undergo liver transplant are able to live healthy lives.
Liver transplant is usually performed in the cases where the liver failure could not be treated by other alternative medical treatments available and cancerous conditions. There can be either acute liver failure or chronic liver failure. The Liver transplantation is more often performed in order to treat the chronic ailments.

In Adults

  1. In the cases of adults, one of the major causes of getting liver transplantation done is liver cirrhosis. Cirrhosis is a medical condition where there is a gradual deterioration of liver and severe chronic illness may lead to malfunctioning of the liver.
  2. The blood flow across the liver can be blocked due to the dominance of the scar tissue over healthy tissue.
  3. There can also be other reasons for cirrhosis which include the attack of viruses like hepatitis B and C, the alcoholic liver disease due to excess intake of alcohol, increase in the fat proportion in the liver, Autoimmune disorders of liver or you can say, hereditary diseases such as hemochromatosis and Wilson’s disease.
  4. When the alcohol intake increases rapidly, then the patients do need a liver transplant but if the person controls the intake of alcohol, then improvements can be observed significantly and the patients may even survive for a long time even without getting the transplant done. But in certain cases, even after abstaining from alcohol, the damage is untreatable and healthy liver tissue cannot be restored, in such cases, liver transplant becomes a compulsion.

In children

  1. In the case of children, biliary atresia is the most prominent reason for the liver transplant surgery. It is a very rare condition wherein the bile duct that connect the liver and the small intestine is either blocked or absent in newborn babies. Hence, the function of bile ducts, i.e. removal of bile juice from the liver gets hampered and obstructed bile leads to cirrhosis. The digestion of the food could not be carried out properly.
  2. There can be several other reasons for liver transplantation such as the cancer in the liver or benign tumors that can be present in the liver. When a patient suffers from liver cirrhosis, the chances of acquiring the primary cancer increase by multiple times. The likelihood increases furthermore in those patients who have liver disorders along with hepatitis B. Mostly, after liver transplant surgery, patients are able to live their life normally, but if the cancer starts spreading to other body parts from the liver, then liver transplantation is not the solution.
1874 people found this helpful

Quick Facts About Liver Transplant!

MBBS, MS - General Surgery, FRCS (edinburgh), MD - R & D, FRCS Intercollegiate
Liver Transplant Surgeon, Bangalore
Quick Facts About Liver Transplant!

The liver is a key metabolic organ and plays a vital role in digestion and absorption of foods. It can be severely diseased or injured due to various causes listed below, and one of the definitive measures of an injured or a diseased liver is a liver transplant. A liver transplant involves removing the failed liver and replacing it with a healthy liver from a donor.

Some reasons requiring liver transplant include:

Some of the symptoms that indicate liver failure are:

  • Black, tarry stools
  • Blood in the vomit
  • Fluid accumulation in the abdomen (ascites)
  • Jaundice
  • Mental confusion
  • Tendency to bleed even from minor wounds

There are primarily two types of liver transplant:

  • Deceased donor transplants: In a person who is brain dead, the liver can be removed and transplanted into a person who needs a transplant. The entire liver is usually transplanted.
  • Living donor transplant: A liver is known for its regenerative properties, and in some people, a part of the liver can be removed and transplanted into another, usually a close family member. The replaced part grows into a full-size liver over a period of time and becomes fully functional.

Anyone with severe liver cirrhosis with a life expectancy of less than a year is usually required to undergo a liver transplant. In terms of survival rates, here are some statistics:

  • After a year, more than 90% survive a liver transplant.
  • After 5 years, more than 85% survive a liver transplant.
  • After 10 years, more than 75% survive a liver transplant.

It is not uncommon for people to survive for more than 10 to 15 years, if they maintain regular follow up and discipline.

Factors affecting survival rates
The overall health status of an individual determines the success rate of a liver transplant. The following are considered to bring down the survival rates:

Most liver failures start as hepatitis, and when diagnosed early, treatment can be done effectively. However, if left untreated, it can lead to cirrhosis which then requires a liver transplant in most cases.

Evaluation before transplant
A detailed recipient evaluation is done to confirm that liver transplant is indeed required to improve success rates. The following factors are determined:

  • Diagnosis and severity of the condition
  • Urgency of the transplant
  • Overall health status
  • Emotional preparation for a transplant

The patient is then placed on the list for a cadaveric transplant. Alternately, if a donor is available, the donor evaluation and transplant is done.

3473 people found this helpful

Alcohol Induced Liver Disease - Understanding It In Detail!

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

Diet To Follow After A Liver Transplant Surgery!

MBBS, MS - General Surgery, FRCS (edinburgh), MD - R & D, FRCS Intercollegiate
Liver Transplant Surgeon, Bangalore
Diet To Follow After A Liver Transplant Surgery!

Liver transplants are considered a safe procedure and has a high success rate. However, it is important for patients to follow proper aftercare instructions as given by the doctor. The liver helps process food and filter toxins and hence the patient’s diet must be carefully monitored after a transplant surgery. Weight gain after liver transplant can cause fatty liver disease and damage the sensitive transplanted liver.

Here are a few tips on the ideal diet to be followed after a liver transplant surgery.

  • Avoid alcohol: Alcohol is a big no-no after a liver transplant surgery. In addition to not drinking any type of alcohol, patients should also abstain from any food cooked in alcohol or wine.
  • Avoid pomegranates and grapefruits: Fruits are very good for recovery but certain fruits such as pomegranates and grapefruits should be avoided. This is because they may have an effect on the immunosuppression medications being prescribed to keep the body from rejecting the donor liver.
  • Eat plenty of vegetables: Vegetables are essential during recovery process after a transplant surgery. This gives the body the necessary nutrition it requires and also acts as a good source of fibre.
  • Eat lean meatLean meats like poultry and fish act as rich sources of proteins. This helps the body speed up the recovery process. Other forms of protein include soy, eggs, legumes and nuts. Avoid fatty meats as these are difficult to digest and can put a strain on the liver.
  • Drink plenty of water: Water helps in hydrating the body and is essential during recovery from a major surgery such as a liver transplant. Water also helps improve blood circulation and eases the filtration of toxins. Patients should ideally drink 8-10 glasses of water a day.
  • Limit sugar consumption: One of the side effects of medication prescribed after a liver transplant includes high blood sugar. To avoid this, limit your consumption of sweets and sugars. Avoid cakes, jams, jellies, packaged juices and chocolate.
  • Have plenty of fibre: Fibre helps ease digestion and helps control cholesterol levels. An increase in cholesterol levels may be due to the medication being prescribed. Hence eat plenty of fibre. This could be in the form of whole grain foods, vegetables and fruits. As far as possible avoid processed foods.
  • Get enough calciumMedication prescribed after a liver transplant may make the patient’s bones lighter. This can increase the risk of conditions such as osteoporosis. To counter this, it is important to get enough calcium.

Before consuming any kinds of foods and supplements, it is essential to consult with the doctor about the diet that needs to be followed. A proper diet and aftercare can do wonders in recovering from the surgical procedure.

 

 

Popular Questions & Answers

Hepatomegaly with dilated IHBR, ascites show as ilshaped hypoechoice lesion of 86.2×56.3×75. 9 mm vol- 192. 7 cm with peripherals cystic space no lumen & calculi seen.

M.Ch ( Surgical gastroenterology), M.S, Diplomate Of National Board
Gastroenterologist, Chennai
Hi Mr. lybrate-user, this appears to some USG report. Before reviewing any test report patients symptoms are very important and why this test was done. Is the patient having jaundice ?Were there any abnormal blood reports? It is difficult to give an opinion based on the reports alone, but still looks like some abnormal growth in liver with gall bladder stones. Elderly age group and symptoms may point to an abnormal growth and it could be from liver or gallbladder. Hence request you to provide more details. Thank you.
1 person found this helpful

I am 32 years old male working professional. I am feeling stomach pain since last week. My stomach is tight and feels filled all time but I feel hunger. In last year my USG shows fatty liver. What should I do?

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
Dear user. I can understand. Please don't be panic. Fatty liver can be completely cured. I suggest you to consult a gastrologist in person. We are here to help you in every aspect of your mental and physical health. Any sexual or psychological problems can be cured with the help of various methods and therapies. I suggest you to post your query with every detail here. We will help you in overcoming your problems certainly. Take care.

Hi, I suffered from abdominal pain right side and indication also occurs. After food my stomach feeling heavy and lack of appetite. My usg report normal liver enlarged but not fatty please suggest me. Present time I taken Actapro Rifgut 400 mg but indication and pain also occurs.

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
Dear user. I can understand. Please don't be panic. Rifagut 400 MG Tablet is an effective medicine used to treat bacterial infections of the intestine. It is used for the treatment of traveler's diarrhea, irritable bowel syndrome with diarrhea caused due to certain specific strains of bacteria. I suggest you to consult your physician in person who will be knowing better about your pain. We are here to help you in every aspect of your mental and physical health. Any sexual or psychological problems can be cured with the help of various methods and therapies. I suggest you to post your query with every detail here. We will help you in overcoming your problems certainly. Take care.
5 people found this helpful

Hi sir, Please suggest in my LFT reports some variations are there sgot sgpt GGT values are high No history of jaundice or any hepatitis. Only am having thyroid tsh 6.5. Is there Any treatment for high LFT and TSH?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
lybrate-user ji, Thanks for the query. I have seen the details given, from which I learn that TSH is in the sub-clinical hypothyroidism range and LFT values are high (no details given). Usually sub-clinical hypothyroidism is not treated unless a patient has troublesome symptoms associated with that condition. Since you have not given any values of liver enzymes, there is no way to comment. Regarding thyroid please let me know if there are any associated symptoms. Thanks.

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
Liver Failure (Cirrhosis) And Transplant
Cirrhosis is the endpoint in patients who have chronic progressive liver disease. Patients with end-stage liver disease have a large number of symptoms and disease-related complications that affect survival and health-related quality of life.
Play video
Fatty Liver Diseases
It s normal to have small amounts of fat in your liver, but too much can become a health problem.Early stage fatty liver is diagnosed when the proportion of liver cells that contain fat is more than 5 percent. This is often diagnosed by looking at small samples taken from the liver under the microscope.
Play video
Fatty Liver
Fatty liver becomes harmful to the liver when it progresses. It s believed that the excess fat in the liver, along with certain medical conditions, increases inflammation. The most common cause of fatty liver is alcohol use disorder and heavy drinking.
Play video
Things About Liver Transplant
Namaskar!

Me Dr. Sandeep Jha, gastroenterologist and liver transplant surgeon. Apko aaj liver transplant ke bare me kuch batana chahta hun. Aaj apko liver transplant se related myths bhi clear krunga. First question hai ki cirrhosis ke konse patient ko transplant ki jarurat hoti hai. Agar apko cirrhosis ke severe symptoms hai to apko liver transplant ki jrurat hai.

Iske symptoms kya hain. Pet me pani bharna, behoshi hona, blood in vomiting, cirrhosis se kidney and lungs pe effect hona. Aise symptoms hone se jaldi hi transplant kara lena chahiye. Agar CT scan me liver cirrhosis ke sath cancer bhi hai to apko transplant ki jarurat hai. Liver transplant ke 2 types hain. Living donor and deceased donor transplant. Living donor me apke relative se 60-70% liver nikal ke apme lagaya jata hai. Deceased donor me kisi non-living human body se liver nikal ke mariz me lagaya jata hai. Deceased donor ke lia apko pehle registration kerana pdta hai kyuki government list me jiska name sabse pehle aat hai, use liver pehle milta hai. kyuuki organ donation India me bahut kum hai. Apko 4-6 months bhi liver k liye wait kerna pad sakta hai. Kya cirrhosis se apki jaan ko khtra ho skta hai? Cirrhosis liver failure ka dusra name hai. Liver body me 400 functions kerta hai. Liver failure baki ke organs ko bhi effect krta hai. Jaise kidney, brain, heart, lung etc. Agar apko cirrhosis ke symptoms hain to apki life 1-5 years hi hai.

Agar apko blood in vomiting, kidney failure and brain effect ho rha hai to apki life 1 year me 60% hi reh jati hai. Cirrhosis se liver cancer hone ka risk bhi hai. Kya liver transplant cirrhosis ka successful treatment hai? Iske lia hum ye keh skte hain ki cirrhosis ka ek hi treatment hai jise liver transplant kehte hain. Ye ab tak ka sabse bada operation hai. India me ye operation kafi successful hai. Dusre desh se bhi kafi log aake ye operation India me karate hain. In fact bahar se log donor leke aate hain and 60-70% bahar ke log hi India me transplant kerate hain. Kehte hain ki liver transplant bhut risky surgery hai and kafi costly bhi hai. Ye 90% successful hai. Kuch patients me operation ke baad bhi problem ho skti hai. Agar aap liver transplant nhi krate hain to aap hospital ke chakkar hi katte reh jate hain. Iske alawa mariz apna koi bhi kam krne ke layak nhi bachta hai.

Successful treatment ke baad patient bilkul thik rehta hai. Liver transplant ka khracha kam ho rha hai. As of now iska khracha 18-20 lakhs hai. Or mariz ko har mahine 2-3K medicines me bhi spend kerna padta hai. ye ek myth hai ki transplant ke baad mariz ko ghar se niklna mana hai or kafi problems bhi hoti hain. But aisa bilkul bhi nhi hai. Apko regular medications lena padta hai jo apke blood pressure and diabetes ki medicines ki trha hi hote hain. Or regular check-ups krane pdte hain. Agar aap cirrhosis ke patient hain or apko surgery krnai hai to ek bar liver transplant ke mariz se miliye or uske baad hi apna nirnaye lijiye. agar apko is treatment ke bare me kuch janna hai to aap mujhe Lybrate ke through contact kar skte hain.

Dhanywad.
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.
Having issues? Consult a doctor for medical advice