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Hepatology

20 questions answered by doctors & treatment decisions assisted by team clinicspots.

Treatment need for hepatitis b

Asked anonymously on 16th February, 2022 at 9:32 pm
1 Answer

S

Member of team ClinicSpots.

Last edited on 18th Feb 2022 at 2:16 pm

Refer our page to find doctors - Hepatologists.

 

Let us know if your preferred city is different, take care!

1 Answer

S

Member of team ClinicSpots.

Last edited on 18th Feb 2022 at 9:53 am

There are some clinical trials that show that stem cell therapy could effectively work on patients, but it is still under research and thus has not been granted approval by FDA yet.

You should either go with your doctor, or you can try consulting other doctors - hepatologists.

Let us know if your locational preferences are different. You can also drop us a message if you have any unresolved query, take care!

1 Answer
Dr. Sumanta Kumar Mishra's profile picture

Dr. Sumanta Kumar Mishra

6 years of experience

Urologist

Last edited on 7th Feb 2022 at 5:55 pm

Kindly visit a liver specialist for a check-up.

She suffering fever from last 6 months and liver assessment

Asked anonymously on 13th December, 2021 at 9:08 am
1 Answer

S

Member of team ClinicSpots.

Last edited on 27th Dec 2021 at 4:33 pm

We would advise you to reach out to a specialist - Hepatologist.

Our page should make your search easier.

 

Drop us a message if you have any other doubt, or want to find specialists from a different city, take care!

1 Answer

S

Member of team ClinicSpots.

Last edited on 9th Nov 2021 at 1:07 pm

There's no medication that has been approved to treat this condition, but lifestyle changes and home remedies can reverse or undo a lot of damage caused by this disease, may even stop or slow down its progress. We will recommend the following to you:

  • Avoid alcohol.
  • Reduce weight.
  • Ensure that your daily diet is nutrient-rich and has less of saturated fats, trans fats, and processed carbohydrates.
  • Constantly examine and regulate your blood sugar, triglyceride levels, and cholesterol levels.
  • If you are diabetic then stringently follow the recommended treatment plan without any delay or neglect.
  • Exercise at least 30 minutes.


We feel that nutritionist will play a crucial role in helping you improve your lifestyle, so check out our page - Dietitian/Nutritionists in Pune.
And if you have any complication which has resulted from your condition, then definitely consult a hepatologist - Hepatologists in Pune.

 

Let us know your city so that we can provide better and more personalized recommendations!

1 Answer
Dr. Sayalee Karve's profile picture

Dr. Sayalee Karve

6 years of experience

Clinical Pharmacologist

Last edited on 5th Jan 2022 at 9:19 am

Based on the complaints and elevated bilirubin levels you seem to be suffering from a type of liver disorder, a condition wherein excess accumulation of bilirubin (a brown yellow coloured compound formed in breaking down of red blood cells) occurs. With loss of appetite, vomiting, stomach tightness and bloating; fever, extreme fatigue and abdominal pain can also be seen in liver diseases.

• There are multiple causes for development of liver dysfunction such as infection, autoimmune liver diseases like cholangitis, Wilson’s disease, cancer, alcoholic liver (due to alcohol abuse) and non-alcoholic (due to excessive consumption of fats) and drug induced.

• When using a medicine that is known to have the potential to cause liver damage, your doctor may recommend you to have blood tests done on a routine basis after starting the medication so that any signs of liver damage may be recognised before symptoms develop.

• Common medications that can cause damage to the liver include Paracetamol, Statins – drugs for lowering cholesterol levels and certain herbs.

• Other liver function parameters such as AST(aspartate aminotransferase), ALT(alanine transaminase), ALP(alkaline phosphatase) and GGT(gamma-glutamyl transpeptidase) bilirubin are required to be evaluated and additional to this for determining the exact cause of dysfunction especially to confirm presence of jaundice; urinalysis, CT (for distinguishing between biliary obstruction and liver disease including cancer) and liver biopsy (for ruling out concern about possible liver cancer) needs to performed.

• The treatment is based on the underlying cause and damage levels and can range from dietary changes, medications such as antibiotics, sedatives, etc to liver transplants.

• Consult hepatologist near you for further assessment and treatment.

1 Answer
Dr. Sayalee Karve's profile picture

Dr. Sayalee Karve

6 years of experience

Clinical Pharmacologist

Last edited on 5th Jan 2022 at 11:05 am

• 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.

 

1 Answer

S

Member of team ClinicSpots.

Last edited on 28th Aug 2021 at 11:45 am

Extremely sorry to know about his condition, you can refer this page to find best doctors with affordable prices - Hepatologist in Mumbai, and their profiles mention the hospitals where they work and where you can book an appointment through us, hope this helps.

1 Answer

S

Member of team ClinicSpots.

Last edited on 10th Aug 2021 at 10:03 am

You will be given medication and a second round of injection, with liver transplant being the final resort if your liver is severely damaged. Get in touch with a doctor, our page can help with same - Hepatologist in Delhi, let us know if your city is different or if you have any unresolved query!

1 Answer

S

Member of team ClinicSpots.

Last edited on 5th Aug 2021 at 7:49 am

This might be a case of chronic hepatotoxicity, by being continuously monitored by the doctor and by avoiding certain drugs you could make a difference, find hepatologists on our page - Best Hepatologist in Mumbai. Let us know if your city is different!

1 Answer

S

Member of team ClinicSpots.

Last edited on 12th Aug 2021 at 9:16 am

In only rare cases is it observed that people get hepatitis B despite being vaccinated, in which case it could be blamed on unhealthy lifestyle or health problems as well, but then they respond more effectively to the second round of vaccine if in case they do acquire this disease despite vaccination. They are also known as vaccine non-responders. You can have baby though, the baby will be vaccinated against hepatitis A and B in the delivery room, followed by antibody titer test which will be conducted one month after the baby has been vaccinated, so as to see whether their body responded to the vaccine or not. Get in touch with hepatologists for second opinions, our page will help - Hepatologist in Chennai, let us know if your city is different or if there's any unaddressed question!

1 Answer
Dr. Sayalee Karve's profile picture

Dr. Sayalee Karve

6 years of experience

Clinical Pharmacologist

Last edited on 5th Jan 2022 at 11:06 am

• Based on the complaints, your mother is suffering from a disease associated with the liver function.

• Any disruption in liver function that produces ailment which is referred to as liver disease. The liver is in charge of several vital activities in the body, and if it becomes ill or damaged, the loss of such functions can cause serious harm to the body. Hepatic disease is another name for liver disease.

• Along with fever, vomiting, loss of appetite and extreme fatigue, stomach tightness bloating, abdominal pain can also be seen in individuals with liver diseases.

• Further investigations and procedures will provide you with a clarity.

• Laboratory investigations include AST(aspartate aminotransferase), ALT(alanine transaminase), ALP(alkaline phosphatase) and GGT(gamma-glutamyl transpeptidase) Total Albumin, Lactic Dehydrogenase, Alpha protein, 5’nucleotide, mitochondrial antibody and PTT levels and procedures such as CT scan, MRI (for liver tissue damage) and biopsy (in case of chance of any cancerous growth).

• Infection, autoimmune liver illnesses such as cholangitis, Wilson's disease, cancer, alcoholic liver (due to alcohol overuse), non-alcoholic liver (due to excessive fat consumption), and drug-induced liver dysfunction are all possible causes of liver dysfunction.

• Lifestyle and diet changes can help in to reduce the further damage of liver.

• Consult a hepatologist for further evaluation and treatment.

1 Answer
Dr. Gaurav Gupta's profile picture

Dr. Gaurav Gupta

8 years of experience

Surgical Gastroenterology

Last edited on 25th Aug 2021 at 12:47 pm

If your doctor has suggested that you are suffering from compensated cirrhosis, this means the patient is in the early stage of cirrhosis. such patients need to be evaluated thoroughly for the cause of cirrhosis. Also these patients need to be under regular follow up with liver specialists to diagnose and treat complications when and where these complications arise. Also these patients need to be under strict liver-related diet control. Diet is generally modified and custom made for each and every patient. Hope this clears your doubt and reach out if you do have unresolved queries!

1 Answer
Dr. Gaurav Gupta's profile picture

Dr. Gaurav Gupta

8 years of experience

Surgical Gastroenterology

Last edited on 25th Aug 2021 at 12:40 pm

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.

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