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drpathikparikh · 2 years ago
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Upper GI Bleed – Blood Vomitus or Black Stools - Dr. Pathik Parikh
https://www.drpathikparikh.com/upper-gi-bleed-blood-vomitus-or-black-stools/
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Upper GI Bleed – Blood Vomitus or Black Stools
Cirrhosis is diffuse permanent damage to the liver. Once somebody develops cirrhosis, they are likely to face some or the other complications in upcoming 3-5 years. It is good to keep oneself aware about possible complications. One of the complications is gastrointestinal bleeding.
Hematemesis means vomiting of blood. Whenever a person has blood in his vomit, we call it as hematemesis. It is major and life-threatening complication of cirrhosis of the liver.
Reason for Blood in Vomit in cirrhosis
Esophageal Varices
Gastric Varices
Under normal circumstances, the blood that flows from spleen and the intestines enters a vessel known as portal vein and it in turn enters the liver for filtration. The blood from the liver enters the hepatic veins and from where it enters the heart and goes into the systemic circulation. However, when there is cirrhosis of the liver, this liver does not allow the blood to pass smoothly and it provides a resistance to the blood flow because of, which the pressure in the portal vein increases. The blood must reach the heart by an alternative route. In this circumstance as a result, few vessels around your food pipe, what we call as oesophagus, carries the blood from the portal vein into the heart. Now, the calibre of this vessel is quite small as compared to the portal vein.So, the blood, which is supposed to. pass from a large vessel when it passes through a small vessel, the pressure increases significantly. As a result, this starts bulging into the food pipe. Now, whenever somebody has fever and the pressure increases suddenly, or somebody takes a painkiller or a corrosive agent or sometimes even without any intake of any substance, just spontaneously, the pressure increases and because of which there is a rupture of this vessel into the food pipe. The patients vomit this blood out. It is a life-threatening condition. Unless it is urgently treated a patient may lose his life.
More information: https://www.drpathikparikh.com/upper-gi-bleed-blood-vomitus-or-black-stools/
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anandkhakar · 1 year ago
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Paediatric liver disease can be a challenging journey for both parents and children. When liver diseases progress to a critical stage, liver transplant becomes a crucial option. Finding the right liver transplant surgeon in Gujarat and the best paediatric liver transplant specialist in Gujarat can make all the difference. In this blog, we'll explore the intricacies of paediatric liver transplants and guide you towards expert care.
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marketingseo1511 · 2 years ago
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Gastroenterologist in Ahmedabad : missiongastrohospital.com
MISSION GASTRO HOSPITAL – CHAIRMAN’S MESSAGE
Mission Gastro Hospital wants to create a world-class center in Gastroenterology with professional patient friendly attitude.
Looking forward to provide the best in the field of Gastroenterology, Hepatology and Endoscopy.
Mission Gastro Hospital in Ahmedabad
Dr. Chirag N Shah founded Mission Gastro Hospital (MGH) in 2019. Our vision is to ensure that world class quality care in the field of gastroenterology is accessible to everyone. Located in the heart of Ahmedabad, MGH is a 10 bedded hospital with a special focus on gastroenterology problems. State of the art equipment and facilities in our humble set-up have earned us the recognition of the best gastroenterology hospital in India.
Our in-house team of gastroenterology specialists provides round the clock accurate diagnosis for all gastrointestinal diseases. With doctors having more than a decade of experience in the field, you will find our specialist gastroenterology consultant available to serve you 24/7. Patients can book an appointment with Dr. Chirag at our gastroenterology hospital in Ahmedabad for any stomach, liver or pancreatic problems
Contact Us
For appointment
07948959591 / 07929710071 / 7567859591
For Emergency Call
Dr. Chirag N Shah – 7567159591
Dr. Dhaval Gupta – 9664680034 / 9819277795
Dr. Pratin Bhatt – 9699643889
Address
603, Golden Icon,
Above Hyundai Showroom,
Besides Qaraar Banquets,
Shymal to Shivrajani Road,
132 Feet Ring Rd,
Satellite, Ahmedabad, Gujarat 380015
Gastroenterology Facility and Procedures at Mission Gastro Hospital
We are the leading center with advanced endoscopy, gastroenterology and hepatology facilities. Acclaimed as the best gastro hospital in India, we provide medicinal and surgical endoscopy for diagnosis of a multitude of gastrointestinal diseases:
• GERD                                                    
• Constipation
• Liver Cirrhosis                                    
• Crohn’s Disease
• H. Pylori                                              
• Ulcerative Colitis
• Hepatitis-A, B, C                                  
• Colon Cancer
• Irritable Bowel Syndrome                 
• Colonic Diverticulitis
• Jaundice                                             
• Tuberculosis (Abdominal & Intestinal)
• Pancreatitis                                        
• Obesity
• Liver Abscess                                    
• Fatty Liver
Dr. Chirag, our Head Consultant has ensured that regular and advanced procedures are all available at MGH for rapid diagnosis of patients. It ensures low turnaround time for patients traveling from outside the city as well. Some of the advanced diagnostic procedures followed at our gastroenterology hospital in Ahmedabad include:
Fibroscan
H Pylori Breath Test
Endoscopic Treatment of GERD
Pediatric Endoscopy
Obesity Balloon Placement
HD Endoscopy with Narrow Band Imaging
Esophageal Manometry
Flexible Sigmoidoscopy
Endoscopic Ultrasound (EUS)
24-Hr pH study (with & without impedance
Pediatric Gastroenterologist at Mission Gastro Hospital
While a majority of our patients are adults, Dr. Chirag Shah has successfully handled several complicated gastroenterology problems for children.
Ensuring that patients especially children feel cared for and safe at our hospital is our first priority and that is just one of the qualities that makes us the best gastroenterology hospital in India.
Services :
Gastroenterologist in Ahmedabad
Gastro Hospital
Top 10 gastroenterologist in India
Top gastroenterologist in India
Best gastrologist Doctor In India
Endoscopy Test in Ahmedabad
Gastrology endoscopy
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Gastrologist
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brahmhomeo · 3 years ago
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Homeopathic treatment of liver cirrhosis
What is cirrhosis of the liver?
Cirrhosis is a late-stage liver disease in which healthy liver tissue is replaced with scar tissue and the liver is permanently damaged. Scar tissue keeps your liver from working properly.Many types of liver diseases and conditions injure healthy liver cells, causing cell death and inflammation.This is followed by cell repair and finally tissue scarring as a result of the repair process. Late-stage cirrhosis is life-threatening.
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Symptoms:
Cirrhosis often has no signs or symptoms until liver damage is extensive. When signs and symptoms do occur, they may include:
Fatigue Easily bleeding or bruising Loss of appetite Nausea Swelling in your legs, feet or ankles (edema) Weight loss Itchy skin Yellow discoloration in the skin and eyes (jaundice) Fluid accumulation in your abdomen (ascites) Spiderlike blood vessels on your skin Redness in the palms of the hands For women, absent or loss of periods not related to menopause For men, loss of sex drive, breast enlargement (gynecomastia) or testicular atrophy Confusion, drowsiness and slurred speech (hepatic encephalopathy)
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Risk factors: Drinking too much alcohol: Excessive alcohol consumption is a risk factor for cirrhosis. Being overweight: Being obese increases your risk of conditions that may lead to cirrhosis, such as nonalcoholic fatty liver disease and nonalcoholic steatohepatitis. Having viral hepatitis: Not everyone with chronic hepatitis will develop cirrhosis, but it's one of the world's leading causes of liver disease.
#Best homeopathic doctor for "Liver Cirrhosis"is Dr. Pradeep Kushwaha in Ahmedabad,Gujarat,India.  Contact us 📞:+91 9429065457
Diagnosis:
A well qualified doctor will diagnose from clinical examination. USG Abdomen CT scan whole abdomen. Liver function test
Prognosis in homeopathy:
It is manageable with homeopathic treatment. Since how long you are suffering from disease, has to do a lot with treatment plan. No matter, since when are you suffering from your disease either from recent time or since many years -everything is manageable with us but in early stage of disease, you will be managed faster. For chronic conditions or in later stage or in case of many years of suffering, it will take longer time. Intelligent person always start treatment as early as he /she observe any sign and symptom of this disease, so immediately contact us as soon as you observe any abnormality in you.
Treatment Plan of Brahm Homeopathic Healing & Research centre:
Brahm research based, clinically proved, scientific treatment module is very effective in curing this disease. We have a team of well qualified doctors who observe and analysis your case systematically, record all the signs and symptoms along with progress of disease, understand its stages of progression, prognosis and its complications. After that they clear you about your disease in details, provide you proper diet chart [what to eat or what not to eat], exercise plan, life style plan and guide you about many more factors that can improve your general health condition with systematic management of your disease with homeopathic medicines till it get cured.
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gastrosurgerysurat · 5 years ago
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Fighting Liver Cancer: Be Alert; Be Proactive
According to the World Cancer Research Fund (WCRF), liver cancer is the sixth most common cancer worldwide. If categorized by gender, the cancer is the fifth most commonly occurring cancer in men and ninth in women. If you consider 2018, an astounding 8,40,000 new cases were registered across the world. It is essential that we pay attention to liver cancer, spread awareness and learn ways to reduce the risk factors that can cause the disease. Let’s begin by understanding the functions of the liver.
Liver: Why is it one of the Most Essential Organs of the Human Body?
Liver is the largest internal organ of the body. It is situated on the upper-right side of the abdomen. Hundreds of essential functions of the human body are associated with the liver. Along with gallbladder and pancreas, it performs an important function of digesting, absorbing and processing whatever food you consume. The liver helps in the production of bile to eliminate waste. It regulates the chemicals in the blood, processes and detoxifies it. It metabolizes the drugs and produces cholesterol and special proteins that help in blood clotting.
Liver Cancer: Learn the Details
The liver is made up of several types of cells and so, different tumors can form in the liver cells. Some tumors can be benign (non-cancerous) and others can be cancerous. Now, when it comes to cancerous tumors in the liver there are divided into two main types:
1. Primary Liver Cancer - A cancer that begins in the liver cells, mainly, is called primary liver cancer. Types of primary liver cancer include hepatocellular carcinoma (HCC), intrahepatic cholangiocarcinoma, hepatoblastoma, etc.
2. Secondary Liver Cancer – Metastatic liver cancer is one which did not start from the liver but has spread to the organ.
Primary liver cancer is very common in underdeveloped countries and that’s what needs our attention today.
What Causes Liver Cancer (Hepatocellular Carcinoma)?
Let’s take a look at the factors that increase the risk of Hepatocellular Carcinoma (HCC) in the human body:
1. Gender: HCC is more common among males than in females. However, the fibrolamellar subtype of HCC is more visible in females.
2. HBV/HCV: Chronic infection of Hepatitis B (HBV) or Hepatitis C (HCV) increases the risk of liver cancer in the human body.
3. Cirrhosis: The disease damages liver tissue and scars them irreversibly. Cirrhosis increases the chances of liver cancer.  
4. A few types of liver diseases such as hemochromatosis and Wilson's disease can increase the risk of HCC.
5. Non-alcoholic fatty liver disease, high blood sugar, etc. can also put you at risk.
6. Excessive consumption of alcohol, tobacco and long-term use of anabolic steroids.
7. Being overweight/obese can also increase the chances of liver cancer.
8. Exposure to aflatoxins can increase the risk of liver cancer.
Are there any Clear Symptoms of Liver Cancer?
1. Unexplained weight loss 2. Loss of appetite 3. Nausea or vomiting 4. Enlarged liver or spleen 5. Abdominal pain or swelling in the belly 6. Abdominal bruising and bleeding 7. Itching 8. Jaundice 9. White chalky stools, etc.
Please remember that the above-mentioned symptoms are not exclusive to liver cancer. If you have the symptoms, it doesn’t mean that you have liver cancer. However, none of the symptoms of digestive distress should be taken lightly because these underlying problems can be a sign of a bigger issue. If you have a couple of symptoms that manifest the existence of liver cancer, visit an experienced GI surgeon/liver surgeon immediately. The doctor will order a few tests including blood tests, liver function tests, kidney function tests, CT-scan MRI, ultra-sounds, Angiography, biopsy, etc.
Liver Cancer: The Course of Treatment
If liver cancer is confirmed by your surgical gastroenterologist, he will suggest a treatment depending on the type of cancer and the stage of disease. Your treatment may include:
1. Curative Treatment: Treatment that includes procedures and surgeries to overcome the disease.
a. Hepatectomy (Liver Resection) b. Liver Transplantation c. Radiofrequency Ablation (RFA)
2. Palliative Treatment: It focuses on offering relief to terminally-ill patients.
a. TACE/TARE – Trans-arterial chemo embolization or radio embolization b. Medical treatment- targeted chemotherapy
When it comes to liver cancer, early detection becomes of prime importance. Liver cancer has lower survival rates because the patient is diagnosed with the disease at a very late stage. So, it is very important to be alert and proactive. When you first notice any persistent problem with the digestive tract, it is best to visit an experienced surgical gastroenterologist.
Do not ignore the symptoms of liver cancer. Early detection and accurate treatment by a liver surgeon can save your life. Visit the experienced surgical gastroenterologist in Surat today to seek medical treatment for liver cancer. Book an appointment with South Gujarat’s first National Board Certified HPB and GI surgeon.
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Gallbladder Removal Treatment in Ahmedabad, Gujarat
On the off chance that you are pondering what to eat after gallbladder surgery, you will discover a few answers here. Nonetheless, you should converse with your specialist about this. Patients are dependably advised about the most vital activities previously, then after the fact the gallbladder surgery doctor in Ahmedabad. 
Gallbladder surgery is done when all other treatment techniques come up short. Gallbladder issues can happen because of a few elements, yet gallstones appear to be the most well-known reason. Gallstones don't generally prompt complexities. A few stones are little, and many individuals don't know they have them. These stones are asymptomatic, so it is difficult to recognize them. Nonetheless, these stones can be wiped out in a normal way, utilizing some natural cures. Swasti Gastroenterology and Abdominal Surgery Center are providing a gallbladder surgery doctor in Gujarat.
Expansive stones can cause confusion. On the off chance that you are determined to have gallstones, your specialist will enlighten you concerning the best choice for taking care of this issue. Now and again, the surgery must be finished. This medicinal system once in a while brings about inconveniences, however, the patient should adhere to a few tenets, particularly with regards to his/her eating routine. The gallbladder is known as a fairly littler body organ in the human physical structure which would help in the stomach related separate of additional fat in addition to permits to hold all the bile that has been created in the liver.
What to Eat After Gallbladder Removal
Gallbladder surgery will be done if every other alternative falls flat. After the strategy, you should make a few balances to your eating routine.
Nourishments to evade include:
- Broccoli
- Cereals
- Cabbage
- White bread
- Mayonnaise
- Margarine
- Fatty sauces
- Sugary nourishments
- Artificial sweeteners
- Junk nourishments
- Fatty meats
- Fatty dairy items
Nourishments to eat include:
- Liquid nourishments. After the surgery, you should expend fluid nourishments, in light of the fact that these sustenances won't put any weight on your stomach related tract.
- After a while, you will be permitted to expend strong sustenances, yet just the low-fat ones. Lean meat, organic products, vegetables (tomatoes, sweet potatoes, and cucumbers regard eat), and a lot of water will be beneficial for you.
- You should be restrained, with regards to your suppers. You should abstain from eating expansive suppers. Eat a few little suppers consistently. Converse with your nutritionist about the most ideal approach to set up your sustenance. You will see that the gallbladder eating routine isn't excessively prohibitive. It incorporates sound nourishments, so you will feel vastly improved. Your specialist will reveal to you what to eat amid a principal couple of days after the surgery. On the off chance that you have some other inquiries identified with your future eating regimen, converse with your specialist.
Swasti Gastroenterology is offering the best gallbladder surgery doctor in Rajasthan as well. Dr. Tushar S. Lakhia is the leading gastroenterologist delivering world-class gallbladder removal treatment in Ahmedabad, Gujarat, and Rajasthan.
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anandkhakar · 1 year ago
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Navigating the Complexity of Paediatric Liver Transplants in Gujarat
 Introduction:
Paediatric liver disease can be a challenging journey for both parents and children. When liver diseases progress to a critical stage, liver transplant becomes a crucial option. Finding the right liver transplant surgeon in Gujarat and the best paediatric liver transplant specialist in Gujarat can make all the difference. In this blog, we'll explore the intricacies of paediatric liver transplants and guide you towards expert care.
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anandkhakar · 1 year ago
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The Impact of Sugar on Your Liver and the Role of Liver Transplant Surgeons in Gujarat
Liver transplant is a replacement of diseased liver in a patient with end-stage liver failure with a healthy organ. Liver transplant surgery in India
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anandkhakar · 1 year ago
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Liver transplant is a replacement of diseased liver in a patient with end-stage liver failure with a healthy organ. Liver transplant surgery in India
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anandkhakar · 1 year ago
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Liver transplant is a replacement of diseased liver in a patient with end-stage liver failure with a healthy organ. Liver transplant surgery in India
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anandkhakar · 1 year ago
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Introduction:
Liver transplant is a life-saving procedure for individuals with severe liver diseases. If you're searching for the best liver transplant surgeon in India , you've come to the right place. In this blog, we will delve into essential facts about liver transplants, including medical necessity, donor options, the matching process, organ rejection, recovery and rehabilitation, lifetime medication, and success rates. Let's explore the world of liver transplants and the hope they bring to those in need.
Medical Necessity:
Liver transplants are often necessary for individuals facing end-stage liver disease, liver failure, or other severe liver conditions. This procedure becomes a viable option when all other treatments have failed. It is crucial to consult with the best liver transplant surgeon in Gujarat to determine if a liver transplant is medically necessary for your condition.
Donor Options:
Liver transplant recipients can receive a liver from two primary sources: deceased donors or living donors. Deceased donor livers come from individuals who have passed away but chose to donate their organs. Living donors can donate a portion of their liver, which regenerates over time. Both options have their advantages and considerations, and your transplant team will help you decide the best course of action.
Matching Process:
Finding the right donor match is a critical aspect of liver transplantation. Compatibility is determined based on blood type, size, and other factors. The best liver transplant surgeon in Gujarat will conduct thorough assessments and testing to ensure a successful match and minimize the risk of complications.
Organ Rejection:
One of the primary concerns after liver transplantation is organ rejection, where the recipient's immune system mistakenly attacks the transplanted liver. To prevent this, recipients must take immunosuppressive medications as prescribed. These drugs help suppress the immune response and reduce the risk of rejection.
Recovery and Rehabilitation:
Recovery after a liver transplant can be challenging, but it is a vital step towards reclaiming a normal life. Patients will undergo a period of rehabilitation and close monitoring to ensure the new liver functions correctly. The best liver transplant surgeon in Gujarat will provide guidance and support throughout this process.
Lifetime Medication:
Liver transplant recipients will need to take immunosuppressive medications for the rest of their lives to prevent organ rejection. It's crucial to follow the prescribed medication regimen meticulously and attend regular follow-up appointments with your medical team.
Success Rates: The success rates of liver transplantation have improved significantly over the years. The best liver transplant surgeon in Gujarat will have a track record of successful surgeries and high patient survival rates. Success is measured not only in the immediate post-transplant period but also in long-term outcomes and quality of life
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anandkhakar · 1 year ago
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Dr.. Anand Khakhar, a renowned hepatologist in India, is widely regarded for expertise in liver diseases, offering exceptional care and innovative treatments to patients nationwide.
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drpathikparikh · 2 years ago
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drpathikparikh · 3 years ago
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How to treat alcohol associated liver disease – Dr. Pathik Parikh
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How to treat alcohol associated liver disease
Treatment of alcohol related liver disease encompasses multiple steps. Just asking to stop alcohol is not enough. Here are the things which we need to look at while dealing with alcohol related liver disease
best doctors for liver disease
Abstinence Counselling
Alcohol withdrawal
Alcohol Craving
Alcohol associated fatty liver and hepatitis
Fibrosis and Cirrhosis – Complication of cirrhosis
Liver Transplant
hepatic problem treatment in ahmedabad
General Measures
Alcohol abstinence is the cornerstone of therapy
Early management of Alcohol dependence is recommended in all patients
Considering the potential risk of Wernicke’s encephalopathy supplementation with B-complex vitamins is recommended
Behavioural Treatment
Cognitive behavioural Therapy
Motivational enhancement
Contingency management
Nutritional Therapy
High protein diet – Do not restrict proteins
High calorie diet – Can eat routine home-made foods including roti, sabzi, dal and rice
Can have milk and milk products – add protein powder to it
Low salt diet – Avoid papad, pickles
All fruits and vegetables including coconut water
Multivitamin supplementation
Alcohol Withdrawal
Chlordiazepoxide is preferred if patient do not have advanced liver disease
Lorazepam is preferred in advanced cirrhosis
Diazepam is avoided
Alcohol Craving
Baclofen and acamprosate may be preferred
Disulfiram to be used only under supervision
Gabapentin, Ondansetron, Topiramate has off label use
Alcoholic Hepatitis
Nutrition is the treatment of choice. All patients should get adequate nutrition. Do not restrict any foo
Steroids to be used in patients with severe alcoholic hepatitis
Pentoxyfylline, UDCA, Glutathione, Silymarin, Metadoxine, SAMe – all have non proven benefit
Hepatologist consultation is must as those patients who do not respond may need transplant
Alcohol cirrhosis
These patients are treated as same way as any other cirrhosis
Need screening for varices and hepatocellular carcinoma
Liver Transplant
Liver transplant should be considered in such patients when alcoholic hepatitis fails to respond to medical management
Liver transplant to be considered for cirrhosis of liver and its complications
Psychiatric fitness stating willingness to abstain is of paramount importance
The above is the management in brief about alcohol related liver disease. If you have any patient suffering from alcohol and associated liver problems, do consult your hepatologist. To know more, feel free to call 8652119730
Make An Appointment
Zydus Hospitals Road, Nr. Sola Bridge, S.G. Highway, Ahmedabad, Gujarat 380054
Website: www.drpathikparikh.com
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drpathikparikh · 3 years ago
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Kidneys in liver cirrhosis – Hepatorenal Syndrome
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Kidneys in liver cirrhosis – Hepatorenal Syndrome
What are different complications of cirrhosis?
Liver Cirrhosis progresses to develop many complications.  It is prudent to be aware of the complications of liver cirrhosis, so that it can be picked up early and treated timely. Some of these are often ignored for long time before they become life threatening. The table shows different complications of liver cirrhosis.
For More Details click this link - https://www.drpathikparikh.com/kidneys-in-liver-cirrhosis-hepatorenal-syndrome/
Contact your  Hepatologist Physician in ahmedabad
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drpathikparikh · 3 years ago
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5 myths about liver disease that needs urgent attention
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5 myths about liver disease that needs urgent attention
Myth 1 – Liver disease occurs only in those who take alcohol
This is a common myth. In fact, Liver diseases can be caused by multiple reasons. Viral Infections, drugs and fatty liver (usually seen with obesity and diabetes) are some of the reasons. Viral hepatitis B and C, fatty liver as well all other etiologies can affect the liver in similar fashion as alcohol. Once cirrhosis occurs, it does not matter what has caused cirrhosis. The complications remain the same.
Contact your Liver Problem Doctors in Ahmedabad
Myth 2 – Fatty liver is common and can be ignored
Fat is the new alcohol!! In last 2 decades, a significant increase in knowledge on fatty liver is obtained. Fat destroys the liver in same manner as alcohol does. In fact, liver biopsies appear similar in both cases. If someone has diabetes, blood pressure, obesity, their liver may have fat deposition and gradually it hardens the liver and causes cirrhosis. It may also cause liver cancer and may need liver transplant.
Myth 3 – Taking detox tonics and nutritional supplements can keep liver healthy
Liver does not need any tonics or detox treatment. It needs healthy diet and exercise. Vaccination against hepatitis and avoiding high risk behaviors is enough to keep liver healthy. Avoid Obesity to keep liver safe. Tonics are not alternative for exercise. The so called “Liver Protectives” are the reason sometimes they cause liver failure and may warrant an urgent liver transplant. Unlicensed drugs and herbal supplements are now recognized causes of liver damage. There are recent publications on liver damage caused by GILOY – which individuals take to keep liver safe and immunity better.
Contact your Liver Specialist in Ahmedabad
Myth 4 – In jaundice – avoid all foods except juices
This is a myth even some doctors are harboring. Even in very high jaundice, liver needs nutrition to recover. The standard Indian diet with dal, roti, sabzi and chawal has to be taken. In fact, diet should be taken every couple of hours and fasting is detrimental to liver regeneration. Milk avoidance is no longer recommended unless it causes nausea. The more calories and protein you take, more is the likelihood of liver recovery. Do not starve!
Myth 5 – Jaundice is a disease
Jaundice is a symptom. It is not a disease. It is a manifestation of liver injury most of the times. It can also occur when red blood cells are being broken down by body rapidly. Sometimes, the bile duct blockage also cause jaundice. Like fever, jaundice is also a symptom. When one gets fever, we investigate for the cause, same way, we need to investigate for the cause for jaundice.
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