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Liver Disease Health Feed

My father suffering from non alcoholic liver disease last 20 days. Please give me some medicine advice.

Dr. Sorubini Loganathan 91% (132 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Rasa Shastra & Bhaisajya Kalpana
Ayurveda, Vijayawada
My father suffering from non alcoholic liver disease last 20 days. Please give me some medicine advice.
This condition is detected since 20 days but it occurs long before. Liver has the highest power of regeneration ,this aspect has to be enhanced.
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My weight is 79 kg and hight is 5.7"what is my approx normal liver size .my present liver size is 153 mm.

Dr. Karuna Chawla 95% (10281 ratings)
BHMS
Homeopath, Noida
By ultrasound, a normal liver is less than 16 cm in the midclavicular line. So it’s more or less normal size.
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My son is 18 old. He frequently complains of stomach ache and in ultrasound results shown fatty liver. What precautions should be taken.

Dr. Col V C Goyal 93% (10527 ratings)
CCEBDM, PG Diploma In Clinical Cardiology, MBBS
General Physician, Ghaziabad
My son is 18 old. He frequently complains of stomach ache and in ultrasound results shown fatty liver. What precautio...
1.no alcohol 2. Reduce body wt 3. No smoking/ tobacco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water Medicine can not be advised for open question ,for medicine contact on private chat.
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Sir fatty liver or enlarged liver ka treatment ho skta hain. Jisse fatty liver sahi ho jaye.

Dr. Dheeraj Kumar M.D 88% (43 ratings)
MD - Internal Medicine
Internal Medicine Specialist, Mysore
Sir fatty liver or enlarged liver ka treatment ho skta hain. Jisse fatty liver sahi ho jaye.
Aap dieting shuru karna hi. White rice ke jagah brown rice ya pulka kaane ka, fry items kam kaaneka. Red meat stop karnekaa aur sabse important kaam daily walking karna hi.
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Hl Dr. I have fatty liver grade 2.when I have gas and acidity I feel nauseaness. I am very worried. I wanted to know why I feel nauseaNess?

Dr. Pahun 97% (7573 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Jaipur
Hl Dr. I have fatty liver grade 2.when I have gas and acidity I feel nauseaness. I am very worried. I wanted to know ...
Its common symptom with fatty liver. Ayurveda has very effective medicines to cure fatty liver. With few liver activating and rejuvenating medicines and just one to two sittings of virechan (a panchkarma procedure could be done at home) Patient get almost 80% of relief. I am dealing with such patients on daily basis with excellent results. You can consult us online for with complete history for ayurveda treatment. Medicines would be prepared according to the body type of patients. And they would be delivered to your address via courier.
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Hi, I have tested my LFT. Where total bilirubin is 1.01. Where is direct is. 21 and indirect is .8. Is it ok? All are parts of LFT are within the prescribed range.

Dr. Shriganesh Diliprao Deshmukh 89% (3480 ratings)
International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
Nat sulph 12c 4tims day for 10days Nux v 12c 3tims day for 10days Cardusmar 6c 3tims day for 10days Lyco12c3tims day for 10days
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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
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Hi found in scanning fatty liver and 4-5 mm kidney stones .My symptoms under ribs stomach pains and sometime back pains .This pain due to kidney stone?

Dr. Amit Tuli 93% (1604 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
Hi found in scanning fatty liver and 4-5 mm kidney stones .My symptoms under ribs stomach pains and sometime back pai...
These are small stones which should not be the cause of pain unless there are small stones in kidney pipe. You can get contrast enhanced CT abdomen to still further look for other causes of pain. If there is a stone in kidney pipe which is troubling you then get it removed endoscopically by a urologist.
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