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Liver Disease Tips

How To Prevent Cirrhosis Of Liver?

Dr. Iqbal Nabi Qureshi 90% (10 ratings)
MBBS, DM - Gastroenterology, N.S.C.B MEDICAL COLLAGE
Gastroenterologist, Indore
How To Prevent Cirrhosis Of Liver?

Cirrhosis of liver is slow and gradual replacement of normal healthy liver tissue with scar tissue which results in poor liver function and blockage of flow of blood through liver which comes from intestines. As more scar tissue replaces normal healthy liver, liver begins to fail.

What causes cirrhosis?

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

What are the symptoms of cirrhosis?

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

What are the complication of cirrhosis?

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

  1. Increase risk of infection because of immune system dysfunction.
  2. Development of liver cancer (Hepatocellular carcinoma)
  3. Easy brusibility or bleeding following light trauma.
  4. Gall bladder stone formation
  5. Metabolic bone disease

What are the stages of cirrhosis?

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

How cirrhosis is diagnosed?

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

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

What are the stages of cirrhosis How to prevent cirrhosis?

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

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

Prevent others from getting infected from you if you harbor virus causing liver damage.

How to treat cirrhosis?

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

  1. Stop alcohol, antiviral drugs for hepatitis b or hepatitis C, proper sugar level if diabetes, steroid or other medications for autoimmune hepatitis, medications to reduce copper from body in patients with Wilson`s disease, etc.
  2. Drugs to lower portal pressure (beta-blocker or nitrates), drugs to remove fluid from body (diuretics), drugs to lower ammonia level for encephalopathy (lactulose and others), drugs to improve kidney function (albumin, terlipressin and others).
  3. Opt for liver ransplant, If cirrhosis is life threatening or treatment of cirrhosis complication is ineffective.
  4. Low salt high protein diet
  5. Stop alcohol intake even if you have other cause of cirrhosis.
  6. Stop smoking
  7. Avoid over the counter drugs (especially pain killers)
  8. Vaccinate if not done already or infected
2105 people found this helpful

Best Homeopathic Remedies For Fatty Liver!

Ashwini Homoeopathy 89% (366 ratings)
Homeopath, Navi Mumbai
Best Homeopathic Remedies For Fatty Liver!

The liver is a vital organ within the body, which functions as a filter for the blood that comes from the digestive system. One of the conditions that afflict this organ is fatty liver, which occurs due to the accumulation of triglycerides within it. There could be multiple reasons behind this, such as alcoholism, obesity, pregnancy, hepatitis among many others.

Homeopathy has some great treatments for fatty liver disease, depending on the cause.

1. Nux vomica: One of the major reason of developing a fatty liver is alcoholism. While drinking moderate amounts of alcohol isn't harmful, the tendency to drink very regularly will lead to fatty liver disease. In such cases you may feel pain in the abdomen, especially a few hours after eating. You may also suffer from constipation with cravings for fatty and spicy food. Nux Vomica is thus prescribed in these conditions.

2. Phosphorus: Fatty liver has many symptoms, which may manifest differently in different people. Many people complain about indigestion and sour belching. Your liver area may be painful and you may also vomit. You may constantly crave for foods such as ice-creams, juices and cold drinks. In such case,s you may feel weak after passing stool. Phosphorus is a great remedy in such cases.

3. Chelidonium: This is one of the best overall remedies for fatty liver. Some of the symptoms where Chelidonium may work are as follows:

  • Pain in upper right abdomen
  • Enlargement of liver
  • Constipation
  • Jaundice along with fatty liver
  • Feeling excessively weak
  • Craving for hot drinks and hot foods

4. Calcarea carb: If you are obese or fairly overweight and suffer from fatty liver, calcarea carbonica can be very effective in treating the symptoms. Some of the symptoms exhibited by the patients where this medication is effective would be a yearning for eggs, profuse sweating and sensitivity to air if it's cold.

5. Lycopodium: This medication is very effective in treating fatty liver disease, especially if you suffer from gastric issues and acidity. You may have symptoms like, bloating of the stomach, burning of the esophagus when belching or burping and pain in the upper right abdomen. You may also exhibit cravings for hot drinks and sweets.

3 people found this helpful

Liver Transplant Surgery - Post-Surgery Recovery Tips!

MCh - Surgical Gastroenterology/G.I. Surgery, MBBS, MS - General Surgery
General Surgeon, Noida
Liver Transplant Surgery - Post-Surgery Recovery Tips!

A liver transplant surgery involves surgically substituting a problematic liver with a healthy liver from a different person. Usually, the healthy liver is taken from a person who has recently passed away. In some cases, a living person may also give away part of the liver. Usually, living donors are members of the family or someone who has a good blood type match. The liver regenerates lost tissues after a surgery; hence, the donor’s liver becomes normal within a few weeks of surgery.

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

  1. Cirrhosis: This is a chronic disease of the liver wherein, scar tissues replace healthy tissues in the liver, thus, not allowing the liver to function optimally.
  2. Metabolic disease: Disorders that modify the activity of the chemicals in the body
  3. Acute hepatic necrosis: This is a disorder that causes the healthy tissues in the liver to die
  4. Autoimmune disorders or liver cancer: Autoimmune disorders can cause healthy tissues in the liver to die as the immune system in the body starts attacking healthy tissues. Formation of malignant tumors in the liver can impair liver functioning.

Procedure
You have to undergo certain procedures before the surgery is conducted; a general health exam, imaging tests, blood tests and a psychological exam are conducted before the surgery. Based on the functioning of the liver and some other factors, your suitability for the transplant will be determined.
The procedure begins with general anesthesia, following which an incision is made in the abdomen. The liver is then removed and replaced with a healthy one. Once the procedure is completed, the surgeon closes the incision with stitches.

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

Gastric Bypass Surgery - Everything You Should Know!

Dr. Sudhir Jadhav 90% (12 ratings)
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

Fatty Liver - Causes, Symptoms, Treatment And Prevention!

Dr. Radhika A (Md) 92% (13 ratings)
MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Fatty Liver - Causes, Symptoms, Treatment And Prevention!

Fatty Liver
Building up of fat in the liver is known as a fatty liver. There is some amount of fat in the liver which is normal for a healthy individual, but excessive fat accumulation in the liver can be a matter of serious concern.

The liver is an important organ which performs various necessary functions. It is the second largest organ in the human body and performs the function of processing the food and water that the body intakes and filters the unwanted and harmful substances from the blood. This function of the liver might be compromised if there is excessive fat accumulation in the liver. In this condition, vacuoles of triglyceride fats are present in the cells of the liver because of the abnormal lipid retention in the cells. When the fat metabolism process is disturbed it leads to the accumulation of high amounts of fat which results in a fatty liver.

Fatty liver can be an indicator of serious conditions if left untreated. Collection of fat cells in the liver is termed steatosis. In case inflammation is caused in the liver tissue because of these excess fat cells, the condition is known as steatotic hepatitis which should be taken seriously. A major cause of steatotic hepatitis is alcohol consumption or conditions which cause biochemical changes in the body. In case the problem is because of reasons other than alcohol, it is known as Non-Alcoholic Steatotic Hepatitis or NASH.

In case there is inflammation of the fatty liver, it can lead to scarring and also fibrosis of the liver. This is a serious condition which is known as cirrhosis and can lead to difficulties if left untreated.

This condition is reversible and can most often be taken care of by making healthy changes in one’s lifestyle. Fatty liver shows no signs in most of the cases and does not lead to any permanent damage to the liver in most of the cases unless the situation worsens or progresses. This condition can also become hazardous in case the underlying cause is not timely recognized and treated.

Grades/Stages of Fatty Liver
Fatty liver is most often not a serious and critical condition. The levels of development of the disease are divided into three grades, Grade 1, Grade 2 and Grade 3. Each one of these stages is related to different signs and symptoms which become severe as the disease progresses. The first two stages can be handled with proper medicinal treatment but treating grade 3 fatty liver might be more challenging.

Fatty liver grade 1 is the onset of the disease. It is the beginning stage of accumulation of fats in the liver. The symptoms in this stage are not severe and it is not serious in most cases.

Fatty liver grade 2 is the situation when the amount of fat accumulation in the liver increases. As the level of the fat cells increases in the liver, the liver starts decreasing its functionality. Due to the invasion of fats into the cells of the liver, the cells that are responsible for carrying out different functions start dying. Medical attention is necessary at this stage.

Fatty liver grade 3 is the most severe and serious form of the condition. At this stage, the fat accumulation has spread to the entire liver. The liver becomes inflamed and the situation worsens. The blood vessels in the liver are not able to perform the function of pumping in the nutrients and pumping out toxins. Distension of the abdomen might also appear. The normal cells of the liver start fading and fibrotic cells start appearing. Significant diet changes are made at this stage. Fatty foods and red meat products should be avoided. Industrial cooking oils should not be used and should be substituted with coconut oil, flaxseed oil, sunflower oil etc. Intake of fresh fruits and vegetables should be increased.

Risk factors
The condition of fatty liver is due to the building up of more than normal fats in the liver. It is more prevalent in individuals who are obese or are overweight. Individuals suffering from Type 2 diabetes are also at a higher risk of developing fatty liver. Accumulation of fat is often connected to resistance to insulin which is the main cause of development of type 2 diabetes.

Other factors that are associated with the development of the condition are consumption of alcohol in excessive quantities, high levels of triglyceride fat cells in the body, a high level of cholesterol, high blood pressure patients taking long-term medicines for the condition, taking higher than usual and/or recommended dosage of some over the counter medicines like Tylenol etc. The risk is also heightened during pregnancy. Fatty liver might also affect individuals experiencing malnutrition. The condition of metabolic syndrome is also associated with the development of fatty liver.

Symptoms
Beginning stage of fatty liver disease generally shows no symptoms. Mild cases of fatty liver are mostly asymptomatic. Fatigue and abdominal discomfort might be experienced by the individual. This condition is usually uncovered during routine check-ups and physical examination. The liver might become enlarged which is detected by a physical examination.

Some people might experience vague symptoms such as fatigue even with little or moderate physical exertion, wanting to rest because of the feeling of discomfort, heaviness and fullness in the abdomen mostly in the upper right corner etc. Sometimes applying pressure might result in pain in the liver area. Liver inflammation might cause signs like confusion, pain in the abdomen, loss of weight, a poor appetite, weakness and fatigue etc.

If left unchecked and untreated, the fatty liver might transform into cirrhosis which is a serious and life-threatening condition. Symptoms of this condition include easy bleeding tendency, confusion, enlargement of the abdomen, fluid in the abdomen, symptoms of jaundice like dark coloured urine, yellow colour of the skin start appearing, inability of blood to clot, fine tremors of the fingers, poor memory and concentration, distending of veins in hands and legs, nauseavomiting, loss of appetite, giddiness etc.

Causes
Most often the fatty liver disease occurs in people who indulge in heavy drinking and their alcohol intake is higher. Though, it might occur in people without any drinking problems.

There are various causes other than alcohol for the occurrence of fatty liver disease. These include metabolic syndromes which lead to an imbalance in the metabolic capacity in the body like glycogen storage diseases, acute fatty liver of pregnancy, abetalipoproteinemia, Weber-Christian disease etc. Other conditions like diabetes, high blood cholesterol, high blood pressure, Wolman’s disease, Galactosemia, Wilson’s disease and infections like tuberculosis and malaria are also known to be causes of fatty liver disease.

Various nutritional causes like obesity, malnutrition, sudden weight loss, gastric bypass, total parenteral nutrition, refeeding syndrome, jejunal diverticulosis with overgrowth of bacteria, jejunoileal bypass etc. are also some of the factors aiding in the development of the fatty liver disease.

Certain drugs like Valproic acids used in epilepsy, Sedatives, Anti-retroviral drugs, corticosteroids, methotrexate, Vitamin A overdose, Tamoxifen which is used in the treatment of breast cancer, medications like amiodarone and diltiazem which are used in treatment of heart conditions like high blood pressure and irregular heartbeats environmental hepatotoxins like phosphorous and mushroom poisoning are also some causes of fatty liver disease. Inflammatory bowel diseasehepatitis C particularly genotype 3, HIVCeliac disease and alpha 1- antitrypsin deficiency can also be the cause of the development of a fatty liver.

Diagnosis
Most often the diagnosis of fatty liver is incidental. Most of the individuals suffering from this condition are asymptomatic and the disease is uncovered through incidental abnormal tests like liver function tests or hepatomegaly done for other medical conditions that are unrelated. There is no particular test that can show whether the accumulation of fats in the liver is because of alcohol use or other factors. Thus, the doctor will inquire about the alcohol consumption habits of the individual to establish the reasons. This information helps the physician in determining whether the condition is ALD or NAFLD.

Various tests can be used by the healthcare practitioner to diagnose the disease. Some of the tests used are-

Physical Examination: In case of inflammation of the liver, the doctor can detect it by the examination of the abdomen for any enlargement of the liver. The doctor needs to be informed if the patient is experiencing fatigue, loss of appetite etc. The doctor also enquires about the alcohol history, medications and the history of supplement usage.

Blood tests: Blood tests might reveal high levels of liver enzymes in routine tests. Abnormal liver enzymes level in the blood give a deeper understanding of the cause of the disease as well as is an identifier of the problem. Liver function tests also provide an understanding of the efficiency of the treatment and the improvement that can be expected. But, this test does not fully confirm the diagnosis. Further analysis of the situation is necessary.

Imaging studies: Ultrasounds can also be conducted to diagnose the problem of fatty liver. It is a painless and a non-invasive test and can most often detect the condition accurately. The fat in the liver shows as a white patch on the ultrasound image.

Computed Tomography scan also knows as CT scan can also be performed as it can measure the organs and the inflammation accurately through the use of X-Rays. MRI or Magnetic Resonance Imaging can also be used to scan the internal organs. But these tests cannot confirm whether the individual has a simple fatty liver or NASH. Another kind of imaging study is a FibroScan, which helps in determining liver density and the fat tissues and normal tissues areas.

Liver Biopsy: In liver biopsy is performed, a needle is inserted into the liver for removal of tissue for examination. Anesthetics are given to the patient to relieve the pain. Through a liver biopsy, the doctor can certify of the disease and also know the cause of the condition.

Treatment-
There is no set method of treatment for fatty liver. Undergoing treatment for the underlying cause of the problem can help reverse the changes that have happened in the liver. Reducing the risk factors is often recommended. Some of the most common recommendations that are prescribed are:

Controlling cholesterol levels: Reducing the number of saturated fats in the diet can be a healthy approach which can help control and reverse the situation. Also, medications that lower cholesterol levels are also prescribed which can be used along with exercise and regular workouts to reduce and reverse fatty liver.

Exercise and Weight loss programs: The objective of these programs should be to lower the body mass index of the patient by around two units in comparison to the existing BMI. Aerobics is an effective way to burn off excess fat in the body. In order to reap long-term benefits, dedication and sustenance matter more than the intensity of the workout.

Controlling Diabetes: Lifestyle changes are required to move towards a healthy body and control diabetes. Management of sugar levels in the body can be done by taking proper medication. Controlling diabetes can stop the disease from advancing to the more stage of cirrhosis or failure of the liver.

Avoiding harmful substances: Substances like alcohol, certain drugs and fatty junk foods should be avoided to prevent the condition from advancing. Certain medications which can cause complications should also be substituted by consulting with a healthcare practitioner.

 

Prevention
Protecting the liver from harmful substances is the most important way to avoid the occurrence of fatty liver. The reduction in alcohol consumption is the most important method to eliminate the risk of fatty liver. Smoking should also be reduced as it leads to various biochemical and hemodynamic changes which can cause liver damage.

A proper check should be kept on the weight. A healthy routine of exercising and a healthy balanced diet should be followed to maintain a healthy weight. Omega 3 fatty acids have been shown to prevent fatty liver. It is found in various natural sources like fish oils, walnuts and flaxseed oils. Leading a healthy lifestyle is the key to a healthy body.

2 people found this helpful

लिवर के लिए योग - Liver Ke Liye Yog!

Dr. Sanjeev Kumar Singh 91% (192 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
लिवर के लिए योग - Liver Ke Liye Yog!

आपको जानकार हैरानी होगी कि लीवर हमारे शरीर की सबसे बड़ी ग्रंथि है. इसके साथ ही लीवर, हमारे शरीर में एक ऐसे रासायनिक प्रयोगशाला की तरह है, जिसका कार्य पित्त तैयार करना है. यह वसा को पचाने के साथ ही आंतों में उपस्थित हानिकारक कीटाणुओं को भी नष्ट करता है. लेकिन कई आज बदली हुई जीवनशैली के कुछ बुरी आदतों के कारण हमारा लिवर खराब भी हो सकता है. लीवर खराब होने के कारणों में शराब ज्यादा पीना, धूम्रपान करना इत्यादि शामिल हैं. इसके अतिरिक्त आवश्यकता से अधिक नमक और खट्टा खाने से भी आपको लिवर की समस्या उत्पन्न हो सकती हैं. जाहीर है लीवर की समस्याओं से निजात पाने के कई तरीके हैं. यदि किसी कारण से लीवर में दोष उत्पन्न हो जाता है तो शरीर की पूरी प्रणाली अस्त-व्यस्त हो जाती है. योग के नियमित अभ्यास से लीवर को सशक्त रखा जा सकता है. आइए इस लेख के माध्यम से हम लीवर को ठीक करने के लिए योग के महत्व पर एक नजर डालें.
आसन-
लीवर के दोषों को दूर करने के लिए सूक्ष्म व्यायाम का नियमित अभ्यास बहुत लाभकारी होता है. इसके अतिरिक्त पवनमुक्तासन, वज्रासन, मर्करासन आदि का अभ्यास करना चाहिए. रोग की प्रारम्भिक स्थिति में कठिन आसनों को छोड़कर बाकी सभी आसन किये जा सकते हैं.

1. पवनमुक्त आसनछ:- पीठ के बल जमीन पर लेट जाइए. दांयें पैर को घुटने से मोड़कर इसके घुटने को हाथों से पकड़कर घुटने को सीने के पास लाइए. इसके बाद सिर को जमीन से ऊपर उठाइए. उस स्थिति में आरामदायक समय तक रुककर वापस पूर्व स्थिति में आइए. इसके बाद यही क्रिया बांयें पैर और फिर दोनों पैरों से एक साथ कीजिए. यह पवनमुक्तासन का एक चक्र है. प्रारम्भ एक या दो चक्रों से करें, धीरे-धीरे इसकी संख्या बढ़ाकर दस से पन्द्रह तक कीजिए.

2. धनुरासन:- जिन्हें फैटी लिवर की समस्या है उनके लिए ये आसन बहुत उपयोगी है. इस आसन में आपको उल्टा लेटकर अपने पैरों को पकड़ना होता है. आप जितनी देर तक आराम से इस आसन को कर सकते हैं तब तक करते रहिए. जितना हो सके इस आसन को दोहराएं.

3. गोमुख आसन:- ये आसन आपके लिवर से विषैले पदार्थों को बाहर निकालता है. ये आसन लिवर सिरोसिस के लिए बेहतर माना जाता है. लिवर सिरोसिस में संक्रमित व्यक्ति का लिवर अपने आप सिकुड़ता रहता है और कठोर हो जाता है. इसे करने के लिए पालथी मारकर बैठें. फिर बाएं पैर को मोड़कर बाएं तलवे को दाएं हिप्स के पीछे लाएं और दाएं पैर को मोड़कर दाएं तलवे को बाएं हिप्स के पीछे लाएं. फिर हथेलियों को पैरों पर रखें. इसके बाद हिप्स पर हल्का दवाब डालें और शरीर के ऊपरी भाग को सीधा रखें. अब बायीं कोहनी को मोड़कर हाथों को पीछे की ओर ले जाएं, सांस को खीचते हुए दाएं हाथ को ऊपर उठाएं. दायीं कोहनी को मोड़कर दाएं हाथ को पीछे ले जाएं फिर दोनों उंगलियों को आपस में जोड़ें. दोनों हाथों को हल्के-हल्के अपनी ओर खींचें.
4. नौकासन:- ये सबसे आसान आसन होता है. इसे करने का तरीका भी काफी आसान है. इसे करने के लिए शवासन की मुद्रा में लेटना होता है. फिर एड़ी और पंजे को मिलाएं और दोनों हाथों को कमर से सटा लें. अपनी हथेली और गर्दन को जमीन पर सीधा रखें. इसके बाद दोनों पैरों, गर्दन और हाथों को धीरे-धीरे उठाएं. आखिर में अपना वजन हिप्स डाल दें. करीब 30 सेकेंड तक ऐसे ही रहें. और धीरे-धीरे शवासन अवस्था में लेट जाएं.

5. अर्ध मत्सयेंद्रासन:- अगर आपका लिवर खराब हो गया है तो ये आपके लिए बहुत उपयोगी साबित हो सकता है. दोनों पैरों को फैलाकर बैठें. फिर बाएं पैर को मोड़कर बायीं एड़ी को दाहिनें हिप के नीचे रखें. अब दाएं पैर को घुटने से मोड़ते हुए दाएं पैर का तलवा लाएं और घुटने की बायीं ओर जमीन पर रखें. इसके बाद बाएं हाथ को दाएं घुटने की दायीं ओर ले जाएं और कमर को घुमाते हुए दाएं पैर के तलवे को पकड़ लें और दाएं हाथ को कमर पर रखें. सिर से कमर तक के हिस्से को दायीं और मोड़ें. अब ऐसा दूसरी ओर से भी करें.

प्राणायाम
1. शीतली प्राणायाम:- लीवर बढ़ने की समस्या से ग्रस्त लोगों को शीतकारी या शीतली प्राणायाम का अभ्यास करना चाहिए. शीतली प्राणायाम के अभ्यास की विधि इस प्रकार है-
पद्मासन, सिद्धासन, सुखासन या कुर्सी पर रीढ़, गला व सिर को सीधा कर बैठ जाइए. दोनों हाथों को घुटनों पर सहजता से रखें. आंखों को ढीली बन्द कर चेहरे को शान्त कर लें. अब जीभ को बाहर निकालकर दोनों किनारों से मोड़ लें. इसके बाद मुंह से गहरी तथा धीमी सांस बाहर निकालें. इसकी प्रारम्भ में 12 आवृतियों का अभ्यास करें. धीरे-धीरे संख्या बढ़ाकर 24 से 30 कर लीजिए.

2. कपालभाति प्राणायाम:- इसमें आपको सिद्धासन, पदमासन या वज्रासन में बैठना होता है. इसके बाद गहरी सांस लें और इसे नाक से निकालें. एक बार सांस लेने की क्रिया पांच से दस सेकेंड के बीच होनी चाहिए. इसमें सबसे ज्यादा ध्यान आपको सांस निकालने पर देना है. इस योग को रोजाना पंद्रह मिनट के लिए करें. इसे करने से लिवर की कार्यक्षमता सुधरती है.

नोट: कफ की समस्या से ग्रस्त लोग इसका अभ्यास न कर नाड़ी शोधन का अभ्यास करें. लीवर की समस्या से ग्रस्त लोगों को ध्यान का प्रतिदिन अभ्यास करना चाहिए.

Hepatitis - Knowing The Types & Their Causes!

MBBS , DNB MEDICINE, DM GASTRO
Gastroenterologist, Bhopal
Hepatitis - Knowing The Types & Their Causes!

Hepatitis is an inflammatory condition of the liver, which may often progress to dangerous complications. There are many types of Hepatitis and each has its own particular set of causes, symptoms, mode of contraction and treatment procedures. Here are the main types of Hepatitis as well as some of the factors which may cause Hepatitis:

Types

  1. Hepatitis A: Hepatitis A virus infection causes this condition. The Hepatitis A virus comes from food or water contaminated with the feces of someone contaminated with Hepatitis A. This is not a chronic form of Hepatitis.
  2. Hepatitis B: This is a chronic form of Hepatitis. It is spread through body fluid, such as blood, saliva and semen. The possible causes of Hepatitis B include use of drugs through injections, having sex with an infected partner and sharing razors or other intimate articles with someone who is infected.
  3. Hepatitis C: This is also a chronic form of Hepatitis.The most common causes of Hepatitis C are injection drug use or having sex.
  4. Hepatitis D: This is a not a chronic form of Hepatitis and is also very uncommon. It is usually contracted along with Hepatitis B. It is usually caused due to puncture wounds or contact with infected blood.
  5. Hepatitis E: This is the most uncommon form of Hepatitis. It is due to poor sanitation and ingesting fecal matter. It is usually found in developing countries.

Causes

  1. Virus: This is the usual way of contracting Hepatitis. The virus attacks the liver and causes inflammation leading to the breakdown of a number of body systems.
  2. Alcohol and other toxins: Alcohol and certain prescribed medications cause the liver to swell and that is why this form of Hepatitis is known as alcoholic Hepatitis.
  3. Autoimmune disease: This is the rarest cause of Hepatitis. The immune system malfunctions and begins destroying its own tissues. It attacks the liver because it perceives the liver to be a foreign object.
2190 people found this helpful

Liver Transplant Surgery - Situations Where Is It Required!

Dr. Ankur Garg 89% (498 ratings)
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

Alcohol - How Over Consumption Affects Your Body?

Dr. Anil Yadav, Md (A.I.I.M.S) 93% (124 ratings)
MBBS, MD Psychiatry
Psychiatrist, Gurgaon
Alcohol - How Over Consumption Affects Your Body?

Alcohol addiction commonly known as alcoholism is a fairly common problem that has shown to affect people from every walk of life. Scientists have tried to pinpoint the absolute cause behind alcoholism, but to no success. Certain factors like sex, genetic, and socioeconomic factors have shown to have some effect on alcoholism. The cause of alcoholism is never singular. Alcohol addiction is indeed a disease, where a person may not have full control over his actions and is seen to change the neurochemistry of the brain.

The symptoms of alcohol addiction can be seen in many ways and the severity of the situation varies from person to person. Other factors such as the frequency of consumption may also be specific. While some people are heavy drinkers and drink throughout the day; others may drink occasionally and remain sober for a few days.

A person who is dependent on alcohol will prioritise drinking over other essential activities and will eventually cause disruption in his social life, work or other areas of his life. It can also create a negative effect in the victim’s life along with their families and their near and dear ones.

What are the signs of alcohol addiction and alcohol abuse?

The signs and symptoms of alcoholism or addiction are rather conspicuous. Since drinking alcohol is common in social events in most cultures around the world, it becomes difficult to recognise when someone is addicted to alcohol, unlike drugs like cocaine and heroin.

The physical signs of alcohol abuse include:

  1. Loss of control over the quantity of alcohol consumed.
  2. Lack of adequate sleep, followed by overcompensation for sleep.
  3. Expression of anger and other negative behaviours my increase in inappropriate places and situations.
  4. Lack of proper attention towards the priorities in life.

How does alcohol affect the body?

Chronic abuse of alcohol can have negative effects on almost every part of your body and plays havoc in your system. Alcohol is liable to cause irreversible damage to several organs of the body which is vital for sustenance:

  • Nervous system
  • Stomach or Intestines
  • Liver
  • Heart
  • Brain

Alcoholism in itself can lead to several diseases like:


 

4368 people found this helpful

Fatty Liver - Symptoms, Types And Treatment!

Dt. Neha Pundir 89% (10 ratings)
M.Sc - Dietitics / Nutrition, Diploma in Diet and Nutrition, B.Sc. - Dietitics / Nutrition, National Diabetic Educator Program
Dietitian/Nutritionist, Pune
Fatty Liver - Symptoms, Types And Treatment!

The liver is a key organ in metabolism and will have some amount of fat. However, excessive fat accumulation in the liver can be abnormal and is referred to as fatty liver. If the fat content exceeds anything more than 5% to 10% of the liver’s weight, it would be referred to as fatty liver.

Types - There are mainly two types based on causes:

  1. Alcoholic fatty liver: This is very common in people who consume excessive amounts of alcohol. Even a one-off instance of binge drinking can cause increased fat accumulation in the liver, but it would not produce any symptoms though. Preexisting hepatitis, pregnancy, obesity, and genetic predisposition may also lead to alcoholic liver disease.
  2. Non-alcoholic liver disease: This is the less common type of fatty liver, and there would be no alcoholic abuse history here. However, there could be genetic predisposition, obesity, autoimmune liver disease, malnutrition, which can lead to this condition.

Symptoms

Fatty liver disease is a chronic condition with insidious onset (meaning to say, the exact time of onset cannot be pinpointed). However, as the disease condition progresses, symptoms will become evident, which can trigger a medical evaluation to identify the fatty liver. Some of the symptoms include:

  1. Excessive fatigue and weakness
  2. Unexplained weight loss
  3. Loss of appetite
  4. Nausea
  5. Trouble focusing and concentrating
  6. Impaired judgment
  7. Constant, slow enlargement of the liver can cause pain in the right upper quadrant of the abdomen (where the liver is)
  8. There could be jaundice, where the skin and the white of the eyes turn pale yellow
  9. Symptoms of liver failure, including increased levels of proteins in the chemical tests.

Diagnosis

As noted earlier, it is not easy to identify liver disease, as there are no specific symptoms. However, the above symptoms could point to a potential fatty liver.

  1. Blood tests, especially for liver enzymes
  2. Ultrasound, where the liver is imaged to look for any structural changes
  3. Biopsy, where liver tissue is extracted to confirm the diagnosis of fatty liver

Treatment

There is no specific treatment for fatty liver. It can be managed through the following, where symptoms reduce in severity, and overall prognosis improves.

  1. Diabetes control: There is a relation between how well diabetes is controlled and severity of fatty liver. Improving diabetes control ensures fatty liver does not progress.
  2. Alcohol: Cutting down or even better quitting alcohol, definitely helps improve symptoms. If it is alcohol induced fatty liver, alcohol should be stopped.
  3. Weight management: Obesity and fatty liver are related, so weight management is essential.
  4. Healthy diet: Eating a healthy diet and regular exercise regimen also helps improve symptoms of fatty liver.
2286 people found this helpful
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