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Asked for Female | 42

Iam manju. I was in Netherlands. Iam 42 years old. I took antifungals 1 year back. My liver enzymes are elevated. Still it was elevated. Need to consult a hepatologist

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!

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Samruddhi Bhartiya

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Asked for Female | 34

Sir i am 34 yr female...i am recently diagnosed with HBs +ve.I have one child 5.6 yr,maritel life 7 yr ,i also vaccinated Hbs in 2017 what should I do?Is any treatment available

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!

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Samruddhi Bhartiya

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Asked for Male | 62

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Samruddhi Bhartiya

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Asked for Male | 30

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?

• 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 By

Dr. Sayalee Karve

Dr. Sayalee Karve

Clinical Pharmacologist

Answered on 23rd May '24

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Asked for Male | 19.5

treatment for high bilirubin levels

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.

Answered By

Dr. Sayalee Karve

Dr. Sayalee Karve

Clinical Pharmacologist

Answered on 23rd May '24

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Asked for Female | 48

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

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!

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Samruddhi Bhartiya

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Asked for Female | 67

She suffering fever from last 6 months and liver assessment

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!

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Samruddhi Bhartiya

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Asked for Female | 21

Answered By

Dr. Sumanta Mishra

Dr. Sumanta Mishra

Urologist

Answered on 23rd May '24

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Doctor, i am 45 years old, and i have chronic pain in my abdomen due to my liver disease, doctors said only possibility is to remove the liver. I dont want to do that, could I get my stem cell treatment done for liver from mumbai, could you please suggest a clinic and a specific doctor who can help me through this.

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!

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Samruddhi Bhartiya

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Asked for Female | 57

Treatment need for hepatitis b

Refer our page to find doctors - Hepatologists.

 

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

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Samruddhi Bhartiya

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Asked for Male | 26

I am 26 year old and Mera abhi accident hua h. And blood test m hepatitis b+ve surface antigen - CLIA ki value 4230 ae h. To ye+ ve h kya or kita risk h

A positive hepatitis B surface antigen (HBsAg) on a blood test shows that you are currently infected with the hepatitis B virus (HBV). The CLIA value in the test is 4230 which is considered a high level of HBsAg, that indicates a higher risk of transmission to others. Consult a hepatologist and with proper precautions to prevent transmission, its possible to manage hepatitis B.

Answered By

Dr. Gaurav Gupta

Dr. Gaurav Gupta

Surgical Gastroenterology

Answered on 23rd May '24

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Asked for Female | 33

Hi what does it mean if you have lost immunity to hip b ?

If you have lost immunity to hepatitis B, it means that your body is no longer protected against the hepatitis B virus. Immunity to HBV is typically acquired through vaccination or prior infection.

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Dr. Gaurav Gupta

Dr. Gaurav Gupta

Surgical Gastroenterology

Answered on 23rd May '24

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Asked for Male | 56

When you have liver cirrhosis does your belly get hard and tight and uncomfortable can't eat everything taste nasty got a bad knee that looks a bad infection like someone ate his knee off bad...

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 By

Dr. Gaurav Gupta

Dr. Gaurav Gupta

Surgical Gastroenterology

Answered on 23rd May '24

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