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Overview

Liver Problems - Treatment, Procedure And Side Effects

What is the treatment?

Your liver is a significant organ that is essential for digesting the foods and getting rid of the toxic products from your body. The liver is also one of the strongest organs in the human body and is not easily susceptible to damages. However, there are factors –both internal and external that can cause considerable damages to the liver. The liver disease can be inherited by genetic nature, or they can be due to factors such as viruses, your lifestyle, drug and alcohol abuse and obesity. If these conditions are left unchecked, they result in the scarring of the liver known as cirrhosis. The symptoms can lead to liver failure on the whole and can often be life threatening. Many symptoms are associated with a liver condition. The common symptoms can include your skin and eyes appearing yellowish and abdominal swelling. You might also be experiencing an itchy skin symptom and dark urine color. Nausea, fatigue and general feeling weakness are the other common symptoms. Make sure that you consult your doctor if you notice these conditions. Also, do not ignore the abdominal pain and do not wait for it to become severe. Seek medical help immediately.

How is the treatment done?

Many causes can affect your liver, and the treatment will be based on the type of ailment you have. The most common types of liver infections can be through hepatitis virus including Hepatitis A, Hepatitis B, and Hepatitis C. There are medications available for treating these symptoms and once again your doctor will let you know on the effective treatment plan. In some cases, you might have to undergo these medications for a longer period to avoid the spread of the viruses. Sometimes genetics too can play the reason for liver complications. Also, ensure that when you are diagnosed, a biopsy of your liver is also undertaken to rule out a cancerous growth. If your liver disorder reason is found to be your lifestyle, then simply curbing them can lead to an effective change. You have to avoid alcohol and drug abuse at all cost and refrains from certain foods that cause obesity. Unprotected sex is also one of the major risk factors. Hence make sure that you are always safe in activities. Do ensure that you follow the treatment plan religiously. Liver complications can ultimately lead to liver failure if not treated properly. Under those circumstances, a liver transplant can be the only option available and even that might not be suitable for every individual.

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

Any individual who is affected by liver infections or who has the symptoms of a liver disease can undergo the procedures. It will be advisable if you can consult with your doctor immediately once you know the symptoms. The actual treatment may depend on the type of infection your liver has and the sooner you take action, the better.

Who is not eligible for the treatment?

Anyone can qualify for the treatment and irrespective of the medical condition you have, you must have the treatment for the liver problems. There can be some medications that may not work with you and your body type. Hence get a detailed consultation with your physician about your medical history and your allergic symptoms.

Are there any side effects?

It depends on the type of treatment you are undergoing. Some of the treatments can include just changes to your lifestyle and your dietary patterns, whereas others can include drugs and medications and surgeries. In the case of hepatitis condition, the drugs used are very strong in nature and can cause serious side effects. Discuss these symptoms with your doctor in detail, and they can guide you accordingly.

What are the post-treatment guidelines?

Liver disorders are a serious condition, and after the successful treatment, you have to ensure that the liver does not get affected in any way. Your doctor will lay out a detailed chart about your lifestyle and the dietary pattern that you should follow. You must avoid drinking, smoking and drug abuse. Obesity can also affect the liver. Hence you may be needed to undergo a strict weight loss regime.

How long does it take to recover?

Recovery period depends on the type of ailment you have and the treatment given to you. If your condition is minor, some lifestyle changes are needed. However, in cases of serious complications, you might have to take a complete course for the recovery to happen. For example, if you are diagnosed with Hepatitis condition you might have to take the drugs and medications for a longer period. Also, the drugs work differently for every person. Hence it depends on how robust your liver gets, after the treatment.

What is the price of the treatment in India?

Though the treatments have a high success rate, the cost of the treatments can be very expensive. The medications for hepatitis viral strains can go up to INR 2, 00,000 (Higher in the case of Hepatitis C virus). The treatment cost can also depend on the type medical center you are undergoing the treatment and the period of time you have to take the medications.

Are the results of the treatment permanent?

The results of the treatment are not permanent and can depend on how much your liver is damaged initially. Also, there are various factors involved that determine the permanency of the treatment. You have to change your lifestyle and your dietary habits for the treatments to be permanent. Taking care of your liver by curbing on alcohol and drug abuse can also go a long way for the treatments to be a success.

What are the alternatives to the treatment?

There are no valid alternative treatments available to treat your liver. There can be some herbal remedies that can work up to an extent, but there is no proof either in these. Your damage to the liver can be irreplaceable in most cases. Hence it is always better to be safe and treat your condition with care in the first place.

Safety: Medium Effectiveness: Medium Timeliness: High Relative Risk: Medium Side Effects: Medium Recovery Time: High Price Range: RS. 2,00,000 and above

Popular Health Tips

Liver Cirrhosis - 7 Ways To Deal With The Problem!

MBBS
Surgical Gastroenterologist, Ernakulam
Liver Cirrhosis - 7 Ways To Deal With The Problem!

Dealing with liver Cirrhosis largely depends on its stage. While it is good to know and read about Cirrhosis, referring to some qualified medical personnel is the best course of action. If a person is already undergoing medical treatment, there are simple ways to deal with this condition.

  1. Get treated in the early stages: Liver being one of the most self-healing organs, a person has good chances of healing, if a donor donates partial-liver. A doctor eradicates the distorted portion of the liver and replaces the same with a partial transplant from the donor. For the donor, it takes about 3-4 months to grow back the donated portion of the liver, while the patient might take 10-12 months to fully recover. This is possible in the early stages of Cirrhosis.
  2. Stop the catalyst of liver Cirrhosis: It is essential to stop the underlying cause of Liver Cirrhosis. Stuff like saturated fat, alcohol, salt, OTC pain relievers, excess sugar etc should strictly need to be avoided to ensure the progression of liver Cirrhosis is slow. Studies have shown that moderate consumption of coffee can help to deal with Liver Cirrhosis.
  3. Sodium free food: It is advised by most doctors that Cirrhosis patients refrain from consuming sodium-rich food. It helps a cirrhosis patient to bypass edema and ascites. This is extremely challenging, since food without sodium tastes bland and unappetizing. It is therefore suggested that healthy herbs, paprika, pepper etc are consumed to make up for sodium.
  4. A balanced diet: A liver Cirrhosis patient should be extremely careful when it comes to choosing the right diet. They should consume lots of fresh fruits and green vegetables. While consumption of animal protein is not advised, the quota of protein should be fulfilled from peas, tofu, quinoa, etc.
  5. A good exercise regime: Patients with liver Cirrhosis should ensure that an adequate exercise regime is followed so that the muscles do not get wasted. Exercise for half an hour also helps to lose weight and negate the chances of water retention in the body. Exercise should also be followed by lots of sleep, so that the body gets enough time to recover from the stress of exercise.
  6. Avoid NSAIDs: If a person is suffering from liver Cirrhosis, using drugs such as naproxen, aspirin, ibuprofen, acetaminophen etc should be strictly avoided for mild pain and inflammation. These drugs can be highly toxic for a person suffering from Cirrhosis. It is wise to consult a doctor before consuming any medication.
  7. Stay away from infection: A patient with liver Cirrhosis suffers from a compromised immune system. It is therefore advised that a patient stays away from possible bacteria, viral and such other chronic infection. Any infection can result in inflammation of the bile duct that causes scarring of the liver tissue.

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

1838 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 - Can Their Be Complications?

M. Ch., FEBS, MBBS, MS - General Surgery
Liver Transplant Surgeon, Delhi
Liver Transplant - Can Their Be Complications?

Complications! This one word can bring in all the feelings of insecurity, anxiety, and restlessness. If you are having a liver transplant surgery, a very common question that keeps on disturbing you is the surgery complications that might arise. Some of the problems specific to liver transplantation that may be encountered include Primary non-function, or reduced function of the newly transplanted liver occurs in approximately 1-5% of new transplants. If the role of the liver does not improve sufficiently or quickly enough, the patient may urgently require a second transplant to survive. 

The following are the Liver Transplant Surgery Complications: 

  1. Hepatic artery thrombosis or clotting of the hepatic artery: Hepatic artery is the blood vessel that brings oxygenated blood from the heart to the liver. This kind of thrombosis occurs in 2-5% of all deceased donor transplants. The liver cells (hepatocytes) themselves usually do not receive blood supply from the hepatic artery. The liver cells (hepatocytes) are nourished by blood by the portal blood flow. The bile ducts, in contrast, depend strongly on the hepatic artery for nutrition. So, loss of the hepatic artery flow ( HAT) may lead to bile duct complications. 
  2. Biliary complications: In general, there are two types of biliary problems: leak or stricture. Biliary complications affect nearly 15% of all deceased donor transplants and up to 40% of all live donor transplants. A biliary leak is a condition where bile is leaking out of the bile duct and into the abdominal cavity. Most commonly, this occurs where the donor and recipient bile ducts were sewn together. This is often handled by placing a stent across the connection through the stomach and small intestine and then providing the connection to heal. Bile can also leak from the cut edge of the liver in the case of living donor or split liver transplants. Typically, along the cut edge drain is placed and left during the transplant operation to eliminate any bile that may leak. Sometimes the bile tends to collect in the abdomen and complications can arise. 
  3. Bleeding: A little bleeding after a liver transplantation is normal because of the widespread nature of the surgery and due to liver failure the coagulation factors are critically depleted. Most transplant patients bleed a minor amount and may get additional transfusions after the operation. It is best to consult a doctor if bleeding is substantial. 
  4. Infection: It is important to take precautions as wound created by any operation can be often lead to infection. Liver transplant receivers are also at danger for infections deep within the abdomen, especially if there is an accumulation of blood or bile from a bile leak.

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

2086 people found this helpful

Liver Transplant Surgery - When Is It Necessary?

M. Ch., FEBS, MBBS, MS - General Surgery
Liver Transplant Surgeon, Delhi
Liver Transplant Surgery - When Is It Necessary?

Did you know that liver stands second among the most transplanted organs in the human body? Liver diseases are becoming more prevalent today. A liver transplant becomes necessary when a person’s liver is diseased or injured. Through surgical procedures, a part or the complete healthy liver is transplanted from the donor.

Here are some of the typical reasons for a liver transplant:

  1. Autoimmune Hepatitis: In this kind of hepatitis, the body's immune system is not able to recognize its own liver tissue. It thus begins to injure the liver cells and that finally leads to scarring, liver cirrhosis, and end-stage liver disease. Unlike chronic viral hepatitis, this disease is not caused by a virus.
  2. Chronic viral hepatitis B, C, D:  Hepatitis is caused by the viral infection which results in swelling, inflammation, and cell damage. All these lead to liver destruction or scarring. The different types of hepatitis are A, B, C, D and E. Hepatitis B is the leading indicator of liver cancer worldwide.
  3. Non alcoholic fatty liver disease:  Fat accumulation in the liver cells causes this disease. It is said that excessive alcohol is the leading cause of a fatty liver. But this condition is also seen in patients with diabetes and obesity. This condition can cause liver cirrhosis.
  4. Primary sclerosing cholangitis: In this disease, the bile duct becomes progressively damaged by inflammation. This results in scarring that narrows the bile duct and causes obstruction to the flow of bile.
  5. Biliary cirrhosis: Sometimes there is a blockage in the bile duct. The liver creates bile which passes from the bile duct to the gallbladder. From here it is slowly released into the small intestine and helps in digesting fats. When the bile duct is blocked, all the bile that is produced accumulates in the liver and causes swelling and eventually loss of liver function.
  6. Active liver failure or toxic exposures: People suffering from acute liver failure caused by other reasons such as viral infection, fatty liver, etc. can undergo liver transplant surgery. Exposure to certain pesticides, herbicides, lead, asbestos and other hazardous pollutants can be the cause of a potentially life-threatening liver disease.
  7. Caroli's disease and choledochal cyst: The bile ducts become dilated and result in the formation of cysts or sacks. This causes infection and obstruction of the bile ducts. Choledochal Cyst, On the other hand, is a congenital disorder. A choledochal cyst is formed due to a structurally flawed bile duct. In both these scenarios getting a transplant is mandatory.
  8. Hepatic tumorsTumors that spread either from other parts of the body or those that develop in the liver itself can cause severe damage to this organ.

It is best to consult an expert to know if a liver transplant is necessary for you. Hence, when you have problems related to liver seek medical advice without delay.

1874 people found this helpful

Can Surgery Help Reduce Enlarged Breasts In Men?

MBBS, MS - General Surgery, M.Ch - Plastic Surgery
Cosmetic/Plastic Surgeon, Gurgaon
Can Surgery Help Reduce Enlarged Breasts In Men?

Men also suffer from breast enlargement, medically called gynecomastia. This usually happens when the levels of female sex hormones, in the affected male, overshadow the male sex hormone levels.

Gynecomastia is different from fat accumulation in the male upper chest. It is typically characterised by an increase in the glandular tissue, which can produce milk.

Lots of adolescent boys suffer from male breast enlargement due to the adolescent hormonal surge, though, the condition can present in men at any age. Adolescents lose the breast enlargement typically in periods ranging from 6 months to a year. Beyond this period, a man with enlarged breasts has to seek medical intervention for treatment.

Typically, gynecomastia occurs due to certain medications like for renal failure and hypertension. It can also be caused due to conditions like hyperthyroidism or kidney failure, liver cirrhosis or problems with testes which causes changes in hormones in the male body.

Treatments-

Whatever be the reason, gynecomastia is a deeply distressing condition for men of all ages. Treatments are available, both surgical and medicinal and they help especially surgery.

Male Breast Reduction Surgery- Facts

Surgery for male breast reduction can be performed safely and successfully on teenagers and adult men alike.

In male breast reduction surgery, the surgeon makes an incision around the nipple and removes the excess glandular tissue and fats causing the appearance of the breast. This is the only effective treatment for gynecomastia that has long-lasting, if not permanent, results. Male breasts may also appear due to excess fat in the upper chest. Liposuction is generally very effective in treating this. The surgeon removes fats and some glandular tissue and then sculpts a new chest contour that looks natural for your body.

More severe cases of gynecomastia may require more than this. The surgeon has to then go for something called ‘surgical tissue excision’ to achieve optimal results. Older males with gynecomastia with sagging skin also require tissue excision. This technique allows the surgeon to remove a major chunk of glandular tissue and/or skin that cannot be successfully removed by mere liposuction.

If you are planning to go for breast reduction surgery, find the best cosmetic surgeon. This will go a long way in you getting the best results and minimise scars.

Also be prepared for the after-effects of the surgery. Even though it is typically performed as an outpatient procedure using general anaesthesia or local anaesthesia with sedation, you must be prepared for soreness and swelling. Recovery time is usually a week and a patient is often given a compression garment to wear for the first few weeks after surgery to support the healing breast tissue. Also, be prepared to be off exercise for a month or so after surgery. If you wish to discuss about any specific problem, you can consult a endocrinologist and ask a free question.

3007 people found this helpful

Popular Questions & Answers

I have done a liver test. My S.G.O.T (AST) -IFCC is 50 U/L and S.G.P.T.(ALT) IFCC is 160U/L I drink alcohol occasionally. What precautions should I do now. And what's is the medicine for that.

MD - Psychiatry
Psychiatrist, Chennai
Alcohol consumption seems high from LFT, need to stop it completely for 3 months and then repeat test and find if it normal. You can also take some tablets to help the liver recover soon. Good luck.
1 person found this helpful

Plz advice for a SGPT reading of 42.9 what is maximum safe value? What are causes and consequences. How to recover. I rarely take alcohol (50 ml) in a month. Also advice on RBC count 5.61 x 10^6.

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
The normal range of values for AST (SGOT) is about 5 to 40 units per liter of serum (the liquid part of the blood). The normal range of values for ALT (SGPT) is about 7 to 56 units per liter of serum. Elevated levels. Significantly elevated levels of ALT (SGPT) often suggest the existence of other medical problems such as viral hepatitis, diabetes, congestive heart failure, liver damage, bile duct problems, infectious mononucleosis, or myopathy, so ALT is commonly used as a way of screening for liver problems. Your result is not alarming and therefore you can talk to your doctor. Don't panic. Take care

I want to know what are the tests for liver and kidney which tell the current condition of these. I don't have any illness and gone through appendicitis minor surgery 4 years back.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, Warm welcome to Lybrate.com I have evaluated your query thoroughly. Those are CBC, LFT,creatinine, urine microscopy reports. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance. Regards take care.

My liver enlarged in size of 12.5 cm than usual may be due to alcohol consumption from 2010 to 2015. Sometimes I get itching sensation below left lung. Please advise.

MBBS, MD-General Medicine, DM-Gastroenterology, Advanced endoscopy fellowship
Gastroenterologist, Visakhapatnam
HI Mr. lybrate-user since you stopped alcohol since 2015 you don't have any further risk of liver disease because of alcohol. 12.5 cms of liver is really subjective and doesn't worry me at all. Moreover your liver size depends on your height also sometimes. Itching below left lung is unrelated to the liver problem. Kindly see your deo 's perfumes soaps powder and creams etc and also your type of clothing to prevent any allergic or Contact related dermatitis good luck.
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
Cirrhosis of Liver
Hello, I am Dr. Somasekhar Rao, gastroenterologist and hepatologist at the Apollo Hospitals, Jubilee Hill, Hyderabad. I would like to talk about cirrhosis of liver and its complications and how to manage those things. Basically cirrhosis of liver is nothing but the liver get shrunken and it becomes nodular and hard so the functions of the liver comes down. The functions which are there are 600 vital functions that a liver does normally in a human being and all these functions are compromised in a patient with cirrhosis.

Most important cause for cirrhosis is always alcohol and next comes viruses called hepatitis B and hepatitis C. The evolving most increasing cause no is nonalcoholic fatty liver disease. Fatty liver disease which we see on ultrasound can cause cirrhosis. Any patient in early cirrhosis may not present with any symptoms. The initial symptoms of decompensations would be:-

There will be swelling in the fluid
Swollen feet
There will be distinction of abdomen because of accumulation of fluid in the abdominal cavity
Patients may have jaundice.
Sometimes they may present with a history of passing black color motion that means this patient is having bleeding in the gastrointestinal tract. It can be most common because of the swollen blood vessels called viruses in the esophagus.
So other presentations would be disorientation. Patient can have hepatic encephalopathy, the functions of the liver because the liver acts as a filter to many toxins. All these toxins enter into your brain and cause disorientation this is called hepatic encephalopathy.

So now we will talk about the treatment of cirrhosis. Whenever we see a patient with cirrhosis, most important thing is we will try and evaluate the cause of cirrhosis. See if the patient is a chronic alcoholic. We are taking a history of all college. The first thing is to cut down and stop intake of alcohol when the patient is in early cirrhosis. It can reverse the cirrhosis to normal liver. Most important and nutritional aspects along with some supportive medication but when a patient presents with complications already, then we will be treating only the complications. Once the cirrhosis sets in and he is in CTP. By the time. you see that the patient eventually progresses most of the time. We are trying to treat the complications of cirrhosis. Then a patient presents to us with bleeding then we will find out whether it is very variceal bleeding and there is a procedure called endoscopic variceal ligation to decrease the pressure of the varices blood pressure in the esophageal varices.

We have some medications which decrease the pressure. We treat these patients and we control the bleeding and a patient presents with fluid in the stomach abdominal cavity or fluid in the legs. These patients are treated with so called restricted diet. Also we give some tablets called diuretics which increase the urine output and decrease the fluid in the legs and in the abdominal cavity and a patient presents with hepatic encephalopathy. We treat hepatic encephalopathy by medications and we try to decrease the ammonia level which is released by cleansing the gut and all those things. So all these things are managing complications of cirrhosis. Very rarely we see a patient in early cirrhosis then we treat the host.

The cirrhosis can be reversible. It is very rare but eventually when we see a patient in complications, he would always be in a stage called CTPB where he will progress to CTBC. CTBC is the end stage of cirrhosis and at that point of time the patient is left only with option of liver transplant.

Liver transplantation is again transplantation. It can be a live donor transplantation or deceased donor transplantation. So Eventually when you see a patient in CTBC we have to plan for liver transplantation. In these patient he can wait maybe for 2 or 3 months meanwhile we will be managing for complications.

Play video
Know More About Liver Transplantation
Hello everyone. I am Dr Manoj Gupta. I am a consultant Liver transplant surgeon and a Gastroenterologist. Today I am here to discuss things about Liver Transplantation.

What is Liver Transplantation?

Liver transplantation is an operation in which a diseased liver is removed and replaced with the healthy liver from a donor.

Who needs a Liver Transplantation?

It is a life saving treatment for the patients with liver failure. A condition liver is not able to sustain according to body needs. A patient with either acute liver failure or chronic liver failure will get benefit from the transplant.

What is living donor Liver transplant?

If a living person donate the liver, it is called living donor liver transpant. A living donor can be a family member or a closed relative of the patient.

A living donor should have complatible blood group.
Donor must be from the family like 1st, 2nd or 3rd degree family relative.
Donor should be between 18-50 years.
Donor should not be over weight.
Donor should have healthy physical and mental health.
Donor liver should be large enough to provide adequate liver volume to the recepient and that too is accessed with multiple tests.
Is it safe for the living person to donate the part of a liver?

Yes, liver donation operation has a very small risk because liver is an only oragn which is being reserved. Even 25% of the liver can provide sufficient function to the donor. At the end of operation, only 30% of liver is left behind withb the donor. So, it is an only organ which regnerate. It is having capacity to regenerate back to its normal life. Normal size liver regenerate upto 90% within 2-3 months after operation.

What is success rate of Liver Transplant?

Success rate are usually more than 95% if a patient is in healthy state.

Life after Liver Transplant?

Recepient lives the normal productive life. He is capable of working and supporting family with the help of lifelong medication.

Life after Liver Donation?

Liver donor lives a normal life. Quality of life is not affected by Liver Donation. Few donors have returned to the army as well after donating their liver and ladies have given birth to children even after liver donation.

Thank you.
Play video
Know More About Healthy Liver
Hello everyone. I am Dr Manoj Gupta, I am a consultant Liver transplant surgeon and surgical gastroenterology in New Delhi. Today I will provide you tips to keep your liver healthy.

Good health is the best wealth. To safeguard the best wealth, you must protect your crucial organs. One such organ is a liver. Your liver is a key player in the body digestive system. It is an organ which can easily damage if you don't take good care of it. So, here are some tips;

Eat a healthy diet and involve in regular exercise. High fibre food such as fruits, vegetables and whole grain food are good for health. At the same time, you must also increase protein intake from the sources such as fish, beans and nuts. Be careful with herbs and dietary supplements. Avoid food which you are allergic and sensitive too. As it weakens the liver function and stress the immune system.
Reduce your body weight as Obesity is the major factor. People who are obese start following the healthy diet and work out regularly to maintain your body weight.
Avoid the consumption of alcohol, smoking or illegal drugs. The small quantity of alcohol on regular basis can burden your liver.
Liver helps in detoxifying the alcohol. So, having complete breaks from the alcohol helps your liver.
Learn how to prevent viral Hepatitis. It is a serious disease that harms your liver. They are of several types like Hepatitis A, B, C, E.

You can get Hepatitis A and E from drinking the water having virus which will ultimately cause a disease. You can also get a vaccine

Hepatitis B and C are spread through blood and body floats. To cut the risks, do not share items such as razers, toothbrushes or needles.

Limit the number of sex partners you have and always use barrier protections while having sex.
Hence, get vaccinated and see the family whether they are vaccinated. This may reduce the risk of diseases.
Always avoid self medications. Nowadays everyone rushes to the medical store rather than rushing to the doctor.
Over intake of drugs can harm the liver and in several situations, may lead to liver failure also. Although, prevention is better than cure. But once diagnosed with decompensated liver disease, early liver transplant can give better long term outcome.
If you want to take appointment with me, you can take it through Lybrate.
Play video
Liver Disorders
Tips for Healthy Liver
Having issues? Consult a doctor for medical advice