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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!

1840 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!

2554 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!

2087 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

Hi Sir, My age is 26. My liver size is 14.5 cm in ultrasound. It is enlarged. I have slight pain in liver Please tell me what to do. My liver function test is normal. Urine and blood test is completely normal.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Most of medical challanges need doctor to listen to detailed medical history in form of questions and answers, examination of patient and sometimes reports so meet concerned doctor.-Gastroenterologist or hepatologist.

My father is suffering from liver cirrhosis from last 5 years. His liver cirrhosis cause is cryptogenic as per investigation in Delhi Apollo. He is taking lasilactone 50 mg alternate day. Water 1litre per day. Now the kidney stone measuring 52×58 mm lower pole. So is it possible for a liver cirrhosis patient to go for kidney stone removal operation? At this age of 70 years.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
If the stone is troubling or it is causing damage to the kidney then surgery should be done otherwise it is little risky at this age with liver cirrhosis but still it is possible with understandable risk acceptance.
1 person found this helpful

I am 27 years old fit mail not taking alcohol and not smoking as well. Drinking minimum 3 litre of water Daily. Taking normal diet, after all these my sgpt level is high from last 4 years and yesterday one more test carried out in which my ALT/SGPT Is 68 U/L. I go to gym for 40mint. 5 day a week too taking Davisco whey protien pre-digested 25-30gm after workout from last 6 months. The normal range shown is hi limit is 45 u/l so, please please help me to lower the sgpt level.

Pain Medicine Externship, Fellowship In Addiction Psychiatry & Addiction Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery
Psychiatrist, Panchkula
Hello lybrate-user I am glad to see you are working to keep yourself fit. Possible reasons for your raised sgpt could be some other medications you maybe taking? Or possibly some infectious cause. There are some other tests you must get done for us to establish the cause for raised sgpt. You may consult me online OR see a local doctor as per your preference. Meanwhile another thing I would suggest is try getting retested again - SGPT and SGOT, then setup an appointment with me. Please do not worry as SGPT of 60 even though high, is not too high. Once we identify a cause, you will be helped.

I am male of 33 year old. My food is not digest whenever I go to toilet only gas passes. I don't have gas and constipation. I have one gallstone. Right now I am taking lupizyme syrup. My l.F. T test is OK. Should I replace e lupizyme syrup with liv52ds syrup or unienzyme syrup?

MBBS, MS - General Surgery, Diplomate of National board in Surgical Oncology
General Surgeon, Kolkata
Hi lybrate-user you should get operated for gallstones they lead to gall cancer all yur problems can be explained by presence of gall stones.

Sir I have doubt that whether rosuvastatin 10 mg will cause elevated in liver enzyme because I have earlier history that when I take atorvastatin 10 mg daily my liver enzyme elevated severely 5 times in a month so I stop using atorvastatin for two years. And now I have coronary artery disease.

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Cardiology, Interventional Fellow- Interventional Cardiology
Cardiologist, Hyderabad
Rosuvastatin can certainly raise liver enzymes. It is a good medicine though for people with coronary artery disease and offers significant benefits. You can do periodic blood tests for liver enzymes for next 2 months or so, and every 2-3 months thereafter. You should take a combined decision with your cardiologist whether you should continue the drug or stop it.
1 person 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
How To Prevent Liver Damage?
Liver functioning in our body is as critical as any other organ. One needs to be cautious and take certain simple yet important measures to prevent any damage or loss here.
Having issues? Consult a doctor for medical advice