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Asked for Male | 72

How to manage liver cirrhosis with malignant transformation?

Liver cirrhosis with malignant transformation, along with significant ascites and pleural effusion, indicates serious complications, even such as cancer. Splenomegaly due to portal hypertension adds to his discomfort. Please consult a hepatologist urgently; they can provide specialized care to manage his pain, reduce swelling, and address liver-related issues.

Answered By

Dr. Gaurav Gupta

Dr. Gaurav Gupta

Surgical Gastroenterology

Answered on 29th May '24

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Asked for Male | 19

Why did my LFT levels increase rapidly?

When someone has jaundice, their skin and eyes may turn yellow. Liver function tests revealed high results of 6.56 and 16.46 which means that there could be a problem with it not working properly at all; this might be caused by infections or damage from things like alcoholism. Drinking lots of water, eating well regularly, and steering clear of alcohol can all help your liver heal itself again. See a hepatologist so that they can give you the right treatment and look after you properly.

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Dr. Gaurav Gupta

Dr. Gaurav Gupta

Surgical Gastroenterology

Answered on 27th May '24

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Asked for Male | 22

Do I have chronic jaundice symptoms?

Having jaundice for 7 years is not usual. Jaundice is when your eyes and skin turn yellow. This occurs when your liver does not work well. Infections, liver problems, or blocked bile ducts can cause it. Tests will be required to know what is causing it. After knowing the cause, treatment will be given to make your liver work better and reduce jaundice.

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Dr. Gaurav Gupta

Dr. Gaurav Gupta

Surgical Gastroenterology

Answered on 27th May '24

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Asked for Male | 21

Am I at Risk with HbsAg Positive 2.87?

A positive test result for the presence of HBsAg at 2.87 or above indicates potential infection with Hepatitis B virus. Symptoms may include fatigue, jaundice (yellowing skin/eyes), and abdominal pain. The disease is spread through contact with infected blood or other body fluids so if you think you may have been at risk it's best to get screened as soon as possible.

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Dr. Gaurav Gupta

Dr. Gaurav Gupta

Surgical Gastroenterology

Answered on 27th May '24

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Asked for Female | 75

What are normal SGPT levels in my body?

NORMAL SGPT LEVELS FOR MEN RANGE from 10 to 40.. NORMAL SGPT LEVELS FOR WOMEN RANGE from 7 to 35.. YOUR LEVELS ARE mildLY elevated, but not alarming.. HOWEVER, YOU SHOULD consult hepatologist for more information and advice.. LIFESTYLE CHANGES, such as limiting ALCOHOL CONSUMPTION and avoiding FATTY FOODS, may help lower YOUR LEVELS..

Answered By

Dr. Gaurav Gupta

Dr. Gaurav Gupta

Surgical Gastroenterology

Answered on 23rd May '24

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Asked for Female | 68

I am suffering from chronic liver disease and had ascites last month but now better after treatment. At Jan month My albumin 2.3, AST 102 & ALT 92 level is reduced albumin 2.7, AST 88 IU/L & ALT 52 IU/L. My USG report taken during ascites shows DCLD & liver reduced in size, measures 10.4cm & coarse parenchymal echo texture with surface irregularity noted.portal vein indistinct. Following a healthy diet. Kindly advise if my liver had chances to regenerate or symtoms goes worse. Any treatment to cure.

It is possible for the liver to regenerate, especially if the damage to the liver is not too severe. However, this is not always the case, and the extent to which the liver can regenerate may depend on the underlying cause of the liver damage. 

There are several treatments that may be helpful in managing chronic liver disease. These may include medications to control symptoms and complications, such as ascites, and lifestyle changes, such as following a healthy diet and avoiding alcohol. In some cases, a liver transplant may be necessary if the liver damage is severe and not reversible. 

You must follow your doctor's recommendations for treatment and to continue to monitor your liver function tests and other symptoms closely. It is also important to avoid activities that could further damage your liver, such as drinking alcohol and taking certain medications that may be harmful to the liver.

Answered By

Dr. Gaurav Gupta

Dr. Gaurav Gupta

Surgical Gastroenterology

Answered on 23rd May '24

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Asked for Male | 63

Doctor told me my liver is damaged and that I have hepatitis b. For 2 years I took his medicine but doctor told me about hepatitis b recovery and still me to take medicine for the life time and my liver report turned out to be bad. Since last 2 month I have had heavy stomach pain.

We advise you to not discontinue any treatment course on your own, especially that related to antivirals for hepatitis B. Hepatitis B treatment can also be life-long in some cases.

We recommend you to see a liver specialist, then discuss all available options, as well as their risk/side effects/patients eligibility/pre-operative measures/tips to deal with side effects as well as your health conditions & family hisotry, and then allow the specialist to tailor your treatment for you.

You can use this page to find specialists - Hepatologists in Mumbai. And reach out to me, any specialist working in the relevant field, or clinicspots team if you have any other doubt.

 

Also let clinicspots know if your city requirements are different, take care.

Answered By

Dr. Gaurav Gupta

Dr. Gaurav Gupta

Surgical Gastroenterology

Answered on 23rd May '24

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Asked for Female | 28

I am 28years old,female and I am hepB carrier. My dad has undergone liver transplant surgery due to liver cirrhosis and tumour. I checked my HBVDNA and it's quite high in level (in crores) and I have consulted a doctor and he advised me to take antiviral drugs(Tafero800mg-OD) as a preventive measures since my dad suffered from liver cancer. I have taken this medicine for more than 4month and it doesn't bring changes in Dna level counts. So I discontinued my treatment. My all blood reports as well as USG and liver fibroscan is normal but my HbvDna level is still up. My dad has been taking tab.entaliv 0.5mg and it helps my dad's level to come down drastically. Please do prescribed me the best and most effective medicine,Thank you.

• Hepatitis B carriers are persons who carry the hepatitis B virus in their blood but do not experience symptoms. Between 6% and 10% of persons infected with the virus will become carriers and will be able to infect others without knowing it.

• A considerable proportion of chronic hepatitis B (HBV) patients are in the inactive carrier state, which is characterised by normal transaminase levels, limited viral replication, and little liver necroinflammatory activity. After at least one year of frequent monitoring, a diagnosis is made, and lifelong follow-up is required to ensure that this status is maintained.

• In case there is no improvement in HBVDNA levels, consult your expert but do not stop the medication on your own.

• Drugs prescribed such as Tafero (tenofovir) acts by ceasing the production of new viruses, blocks or slows viral proliferation in human cells, and eliminates the infection and also boost the level of CD4 cells (white blood cells that fight infection) in your blood. Entaliv (entecavir) acts by inhibiting the viral replications processes like reverse transcription, DNA replication and transcription.

• Seek the advice of a hepatologist so that your treatment may be adjusted according to your specific needs and preferences.

Answered By

Dr. Sayalee Karve

Dr. Sayalee Karve

Clinical Pharmacologist

Answered on 23rd May '24

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Asked for Male | 55

I am suffering from chronic liver disease from may 2017. I was fine but now my serum bilirubin in 3.8 and early 10 days 5.01 without any symptom

• Cirrhosis is a late stage of liver scarring (fibrosis) induced by a variety of liver disorders and conditions, including hepatitis and persistent drinking. When your liver is damaged, whether through illness, excessive alcohol intake, or another cause, it attempts to restore itself. Scar tissue arises as a result of the procedure.

• It causes scar tissue to grow, making it harder for the liver to function (decompensated cirrhosis) and is considered to be potentially fatal by nature. The liver damage is often irreversible. However, if detected early and the underlying cause is addressed, additional damage can be reduced and, in rare cases, reversed.

• It often has no signs or symptoms until liver damage is extensive.

• On damage the following signs/symptoms can be seen  - Fatigue , easy bleeding/bruising , Loss of appetite, Nausea, pedal/ankle odema, Weight loss, Itchy skin, Yellow coloured eyes and skin, ascites(fluid accumulation in abdomen), spiderlike blood vessels, redness of palms, absence/loss of periods (not related to menopause), libido and gynecomastia(breast growth in males)/testicular atrophy, Confusion, sleepiness, and slurred speech (hepatic encephalopathy)

• Usually, the total bilirubin test shows 1.2 mg/dL for adults and 1 mg/dL for children under the age of 18. The normal value for direct bilirubin is 0.3 mg/dL.

• Normal findings may differ somewhat between men and women, and results may be influenced by particular diets, drugs, or severe activity. Bilirubin levels that are lower than normal are typically not a cause for worry. Elevated levels might be a sign of liver injury or illness.

• Higher-than-normal amounts of direct bilirubin in your blood may suggest that your liver isn't adequately removing bilirubin. Elevated indirect bilirubin levels may signal other issues.

• Gilbert's syndrome, a lack in an enzyme that aids in the breakdown of bilirubin, is a frequent and innocuous cause of high bilirubin. Further tests may be ordered by your doctor to explore your situation. Bilirubin test results can also be used to track the evolution of specific illnesses like jaundice.

• Further laboratory investigations such as 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 need to be determined and procedures such as CT scan, MRI (for liver tissue damage) and biopsy (in case of chance of any cancerous growth) need to be performed.

You can also visit hepatologist for detailed treatment.

Answered By

Dr. Sayalee Karve

Dr. Sayalee Karve

Clinical Pharmacologist

Answered on 23rd May '24

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Asked for Male | 62

I have some reports of my father. As per doctor suggested it is a liver cancer. So, I want to more suggestions on its. Like what is the reason behind it? Treatment?. Best hospital for this treatment?

  • There are various types of liver cancer, out of which the most common is hepatocellular carcinoma, it begins from the liver cell (hepatocyte), and others are intrahepatic cholangiocarcinoma and hepatoblastoma, they are more rare.
  • Cancer can either originate from liver, or it can start from another organ and then travel to liver which is also known as metastatic cancer.
  • There's no clarity as to what causes it, but there is a link between chronic hepatitis infection and this cancer.
  • People who have Cirrhosis, certain inherited liver diseases, diabetes, nonalcoholic fatty liver disease, consumed poorly stored crops, or who excessively consume alcohol are more prone to getting liver cancer.
  • Treatment will vary depending on the type, but you can find our page attached which lists all the relevant hospitals - Best Liver Cancer Treatment Hospitals in India.
  • Further, our blog will enlighten you on cost break down and other types - Liver Cancer Treatment.

We pray for speedy recovery of your father, and are also extremely sorry for replying late.

Answered By

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Samruddhi Bhartiya

Member of team ClinicSpots.

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Asked for Female | 62

My wife has issue with abdomen pain & according to Dr the lever is fatty We have done USG of upper & lower abdomen & it shows bit enlargement of lever What shall we do next

Liver enlargement and fatty liver are generally associated together. If a patient has a fatty liver, the patient needs to be evaluated for all metabolic syndrome which includes diabetes, hypertension, cholesterol and thyroid problems. Such individuals need to undergo Liver function test, also these patients may or may not need liver fibroscan to know if liver fibrosis has set in. Treatment depends upon the degree of liver injury and associated comorbidities. diagnosis of fatty liver should be taken seriously as some of these patients may develop NASH (non alcoholic steatohepatitis) in long term. You can refer this page to find hepatologists - Hepatologist in Mumbai, let the clinicspots team know if your city is different, or you can reach out to me as well.

Answered By

Dr. Gaurav Gupta

Dr. Gaurav Gupta

Surgical Gastroenterology

Answered on 23rd May '24

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Asked for Male | 38

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.

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 By

Dr. Gaurav Gupta

Dr. Gaurav Gupta

Surgical Gastroenterology

Answered on 23rd May '24

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Asked for Male | 48

Hai i am male 49 years, from few months my platelets count reduced up to 27000. Gastro dr. do sonography and endoscopy, and find compensated cirrhosis of liver. i want to Know what is the long term effect and what kind of diet should i take. Thanks

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!

Answered By

Dr. Gaurav Gupta

Dr. Gaurav Gupta

Surgical Gastroenterology

Answered on 23rd May '24

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Asked for Female | 50

Sir meri mom ko pichle kuch dino se levar me problem hone ki wajh se jo bhi kha rahi hai bus womitting ho jati hai uski wajh se fevar bhi a jata hai sardi lagati hai zor se aur womitting ki wajh se khana bhi nhi kha pa rahi to weakness ho gyi plz suggest me

• 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.

Answered By

Dr. Sayalee Karve

Dr. Sayalee Karve

Clinical Pharmacologist

Answered on 23rd May '24

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Asked for Male | 40

I am hapitatis b positive I had given vacination to my wife, what is the validity of vaccine and I am planning for baby.

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!

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Samruddhi Bhartiya

Member of team ClinicSpots.

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