In advanced stages of liver cirrhosis, the abdomen can become distended and feel firm or tight due to fluid accumulation (ascites). This can cause discomfort and difficulty eating. Whereas changes in taste perception and a knee infection are not directly related to liver cirrhosis and would require separate evaluation

Answered on 23rd May '24

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My husband got have HBV reactive in recent health check up, I just got hep b jab last year Jul 22. Do I have the immunity?

Male | 43

"Reactive" means positive and "immunity" depends on antibody levels. Your vaccination status is promising.

Answered on 23rd May '24

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My brother is hospitalized in nair hospital since last 15days because of alcoholic liver infection, not getting improvement .. So i want to consult with you.

Male | 38

If a patient has alcohol related liver injury generally treatment depends upon the degree of liver injury. some of the patients will recover after alcohol related liver injury but in case of severe alcoholic hepatitis liver transplant may be needed. You can refer this page - Hepatologist in Mumbai, or you can get in touch with me as well.

Answered on 23rd May '24

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I'm 30 years Male & suffer from Liver disease (Fatty Liver G-1) I have lose my wait 6 kg from 66( height 5'.5") How can i recover from this disease?

Male | 30

• Fatty liver disease is a condition caused by fat buildup in the liver (i.e., when fat percentage exceeds 5 - 10% of your liver's weight), which can be caused by alcohol intake and/or a high fat diet. Individuals who are obese/overweight, have poor glycemic control/insulin resistance, have metabolic syndrome, and are taking specific drugs such as amiodarone, diltiazem, tamoxifen, or steroids are at risk of developing fatty liver.

• In some situations, it is thought to be symptomless, but in others, it can cause substantial liver damage. The good news is that it is frequently avoidable or reversible with lifestyle modifications.

• It progresses through 3 stages which include Steatohepatitis (swelling and damage of liver tissue), Fibrosis (scar tissue formation where your liver is damaged) and Cirrhosis (extensive scar tissue replacement with healthy tissue). Cirrhosis can lead to liver failure or cancer.

• Laboratory investigations consists of Liver functions tests such as AST, ALT, ALP and GGT; Total Albumin and Bilirubin, CBC, Test for viral infection, Fasting Blood Glucose, HbA1c and Lipid profile.

• Imaging procedures such as Ultrasound, CT /MRI, Elastography (for measuring stiffness of liver) and Magnetic resonance elastography and Biopsy (for ruling out any cancerous growth and for signs or any inflammation and scarring).

• If a patient has a fatty liver, he or she should be checked for the entire metabolic syndrome, which includes diabetes, hypertension, cholesterol, and thyroid issues.

• The best way to treat fatty liver is with making some lifestyle changes which can significantly improve your health which includes – Avoiding alcohol and High fat diet, Losing weight, taking medications for controlling glucose and fat(Triglyceride and Cholesterol) levels and Vitamin E with Thiazolidinediones in specific instances.

• Currently, no drug treatment is approved for management of fatty liver disease.

In order to prevent further progression of disease one can:

 Maintain a healthy weight by consuming food less/minimal in in its fat percentage.

 Follow a Mediterranean diet which is high in vegetables, fruits and good fats.

 Exercise regularly for 45 minutes where in you can include combination of cycling with walking, cardio, CrossFit and yoga with meditation.

 Restrict alcohol consumption

 Consult a hepatologist near you for further evaluation and treatment and your dietician for advice on fat loss.

Answered on 23rd May '24

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My liver is damaged water is filling how can be treated

Male | 46

You might have a condition known as ascites; this occurs when the abdomen fills with fluid because of liver damage. This could be caused by alcoholism, hepatitis C, or non-alcoholic steatohepatitis. The way we treat it is by managing what caused your liver to become unhealthy in addition to drugs that decrease water retention and changes in diet plans. You should go see a hepatologist who can help you figure out what’s going on.

Answered on 16th Oct '24

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Sir liver me sujan and ant me infection hai

Male | 21

send your abdomen ultrasound report initially

Answered on 22nd July '24

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Hello Doctor, I did liver function test. I want to share the result with your for your professional advice.

Other | 27

please send your report initially

Answered on 5th July '24

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Sir liver me hepatomegaly with multiple liver abscess hai

Male | 41

Your liver is enlarged, with pockets of infection - abscesses. This causes tiredness, fever, stomach pain. Bacteria spread, leading to infection. Treatment includes antibiotics killing bacteria. Drainage may remove abscesses. Following doctor's advice ensures full recovery.

Answered on 11th Sept '24

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What are complications seen in celiac disease and elevated liver enzymes?

Male | 41

Elevated liver enzymes in celiac disease can cause liver injury or inflammation which can damage your liver. Get your liver function tests done.

Answered on 25th Sept '24

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I GOT DIAGNOSED WITH GRADE 1 FATTY LIVER. I AM SUFFERING FROM PAIN IN MY ABDOMEN SINCE 1 YEAR. WHAT SHOULD I DO NOW?

Female | 48

If your fatty liver has been diagnosed and you are also suffering from abdominal pain, it is very crucial to see a gastroenterologist for further analysis. They can suggest certain dietary adjustments, lifestyle changes and further tests or treatments depending on a the patient’s situation. For effective management of the fatty liver disease, it is very important to seek professional medical advice.

Answered on 23rd May '24

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Hello Doctor, I am 36 year old male had fatty liver grade 2 since July 2019, having Udilive 300 mg morning and evening till August 2020. fatty liver convert in grade 1 .till last Dec.2020 continued Udilive300 mg with Vitamin E 400., left the medicine for 3/4 months in from the January 2021.again repeat the same medicine for two month.in the mid of 2021 I left medicine to intake permanently .in 2022 For Routine health check up I go through LFT and Whole Abdomen ultrasound .the report are shocking .The corsean echo texture are found in ultrasound and LFT is abnormal.the General physician whom I treated is MBBS, MD, DTM& H. He raised his hand and advised me to leave all things on All mighty God.He also suggest me to Refer High advance Liver disease Hospitals. Kindly suggest me . mda010786@gmail.com 9304241768

Male | 36

kindly do not take or discontinue medicines without the doctor's advice. Please consult a gastroenterologist or hepatologist for your problems.

Answered on 23rd May '24

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I am 50years.i am dialysis patient.now my HCV report is positive.now I'm very weak, can't stand properly.what i eat then vomit after few minutes.my RNA titre report will get next Wednesday. Now what should i do?pressure is always fluctuating.i follow nephrologist prescription and take the medicines but now i become very incapable to do anything. Please suggest me.hepatologist of sskm suggested 1st collect the hepatitis c reports then visit him.

Male | 50

Do exactly what your doctor said

Answered on 23rd May '24

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I have liver infection from two years

Female | 30

A liver disease might've troubled you for a while. Hepatitis viruses or alcohol excess can infect the liver. You may feel exhausted, have yellow skin, and dark urine. Treatment involves medicines, rest, and nutritious food. Carefully follow your doctor's instructions to manage your liver infection properly.

Answered on 29th Aug '24

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