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Liver Health Awareness

Images Show the Stages of Liver Damage Want to Know more about Liver health and Get Aware of how to keep your liver healthy, and If u are suffering from any Liver disease? Look No more.

Visit: Best Gastroenterologist in Mumbai, India.

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What is Hiatal Hernia ?

Hiatus hernia or Hiatal hernia is a common condition affecting upto 10 to 15 percent adult population. It occurs due to enlargement or widening of the hole which lets the food pipe cross the diaphragm from the chest into the abdomen. There is weakening of the muscles around the normal hiatus(hole) which makes it enlarged.

As a resultant effect, a part of the stomach protrudes into the chest repeatedly and leads onto symptoms of reflux esophagitis or GERD. The larger the hiatal hernia, the severe is the reflux.

95 percent of hiatal hernias are sliding hiatal hernias. 5 percent are called para esophageal hernias.

Diagnosis of hiatus hernia is achieved by an endoscopy and barium meal examination. The length of the hiatus hernia is best diagnosed by esophageal Manometry.

In most cases of sliding Hiatal Hernia, patients don’t require any surgical treatment. Simple antacids serve as the treatment for the symptoms of reflux esophagitis. Surgical correction is required in extreme cases of reflux not controlled by antacids or if the patient is not tolerating antacids due to side effects. Fundoplication is the surgical treatment of hiatus hernia in which part of the stomach is wrapped around the food pipe strengthening the lower esophageal sphincter.

Paraesophgaeal hernias detected on tests require to be corrected by surgery even if the patients don’t have any complaints especially under 65 years of age. If the patient is older, it can be simply left alone untouched.

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Fatty Liver And What You Should Know

Fatty liver disease affects 25% of the worlds population. More common in urban areas than in villages. Just because it is common condition it does not mean it is normal. It often doesnt cause in any symptoms in the patients and that’s the reason why patients ignore it. It is the most common cause of liver cirrhosis, liver cancer leaving behind alcohol, hepatitis B, hepatitis C and all other causes of liver disease in India.

It not only causes liver illnesses it also causes heart attacks, cancers and obstructive sleep apnea.

The four most common reasons of fatty liver is obesity, diabetes, cholesterol issues and alcohol. Around 70% of the obese individuals and 55-60% of the diabetes patients suffer from it. Uncommon reasons include thyroid issues, PCOD and few medicines.

The first step one needs to undertake is to visit the liver specialist/Hepatologist. He will run few blood tests and liver scan called Fibroscan with CAP score(by Echosens- France)along with calculating BMI, Waist hip ratio. Managing fatty liver disease is extremely complex and it is doesnt recover with just by medications. Often your General practitioner/Physician may advise medications like Udiliv/Ursodeoxycholic acid, heptagon, Liv 52 and LIVERIL are all useless in managing the fatty liver. Kindly don’t consume any ayurvedic or homeopathic medication as they may cause further harm. Please dont undergo any detoxification or liver cleansing programmes for fatty liver. Liver itself is a detoxifiying organ.

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Obesity Causes & Complications:

What is Obesity?

Obesity is a multi-factorial chronic disease that occurs when a person has excess body fat (adipose tissue) that might put him or her at threat of increased health complications.

Over the period of time, Obesity is considered as common disease in many advanced Nations. Several health associations, including the Canadian Medical Association and the World Health Organization classify Obesity as common disease.

There are many factors which contributes to cause Obesity. Treatment is  much more complex to diagnose obesity, your Consultant will be measuring your weight and height to calculate your BMI, but there is more to it than BMI alone.

What are the Causes of Obesity?

The causes of Obesity are complex and multifaceted, which includes relation among multiple genes and also environmental factors. The most generally cited cause is food intake combined with inadequate exercise. While this is true in some cases, it's an over-simplification. Many other factors impact both appetite and weight gain, either by enlarging fat cells, which are always present in the body, or by creating further of them.

Genetics, specifics, poor sleep (including from sleep apnea), stress, internal health problems, socioeconomic status, hormones, endocrine diseases to contribute to the development of Obesity.

Hundreds of different genes are factors in fat and Obesity. We know they are main cause of Obesity in multiple ways, similar as by affecting your appetite, sense of wholeness (malnutrition), metabolism, food jones , body- fat distribution, tendency to use eating as a way to manage with stress. Some studies show that your parents and grandparents cultures can affect your body’s way of interacting with food.

What are the Complications?

While the main symptom of Obesity can be consider as increased body fat, particularly around the tummy, numerous health complications can arive from this disease. Excess weight influences biology in multiple different ways, which can range from excess pressure in the abdominal region to hormonal goods, since adipose tissue can lead to certain hormone levels increasing. Individualities with obesity are at an increased threat for a wide range of conditions.

insulin resistance

type 2 diabetes

high blood pressure

heart disease

stroke

gout

sleep apnea

osteoarthritis

headache or migraine

endocrine conditions (e.g., polycystic ovary syndrome)

infertility

diminished sex drive

mental health problems (e.g., low self-esteem, anxiety, depression)

reduced quality of life

skin problems

hirsutism

phlebitis

kidney disease

gynecomastia

several types of cancer (e.g., breast, cervical, uterine, prostate, colorectal)

several digestive conditions

Women with Obesity also have an increased threat of complications during pregnancy, similar as blood clots, preeclampsia, gravid diabetes, and confinement, and their babies are at advanced threat of being born with certain birth blights or being born unseasonable.

Obesity is a complicate surgery but you can best results consulting Dr. Vasudev Chowda at Dr. Vasudev’s GI and Endoscopy Centre. Along with trying to manage weight, treatment can focused  on reducing the effects of obesity, such as balancing blood sugar in case if the person has high diabetes.

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Fatty Liver Diet- Foods to eat and avoid

The body stores fat in many places, including the liver, for energy and insulation. A high fat content in the liver may be a sign of fatty liver disease. The first-line treatment for this condition is dietary changes and life style intervention.

Include below foods in your diet if you notice symptoms of fatty liver-

Coffee: One of the best foods to include in your daily routine for the health of your liver is by consuming two cup of black coffee every day. (without sugar)

Whey Protein: Due to inflammation, a low-protein diet might result in a fatty liver. Thus, the ideal protein intake is required for the body to function healthily. (19/Kg body weight)

Green Vegetables: Green vegetables like spinach and broccoli can lessen the accumulation of fat in the liver. Try to consume a lot of lettuce, methi, mustard, broccoli, spinach, and other cruciferous vegetables every day. Including lots of greens to your diet is another excellent weight-management strategy. They not only contain antioxidants but also provides protein in moderate quantity.

Nuts and Seeds: Almonds, walnuts, cashew nuts, flax seeds, chia seeds, pumpkin seeds, and other nuts and seeds are high in poly and monounsaturated fatty acids. This unsaturated fat is known as "good fat" because it is beneficial to the body. Furthermore, nuts and seeds contain omega 3 fatty acids. This, in turn, helps to reverse fatty liver disease. (consume not more than 5-10 nuts a day)

Chicken and Egg: Proteins that are biologically active can be found in chicken and eggs. The body easily assimilates and digests the bioactive protein. A sufficient amount of protein can aid in the treatment of fatty liver disease because a low protein diet is a primary contributor to the fat buildup in the liver.

7 Foods to Avoid on a Fatty Liver Diet

NAFLD is more commonly caused by diets high in sugar and carbohydrates than you might think. Of course, avoiding saturated fat is crucial for both weight loss and general health. But, cutting back on carbohydrates will contribute to improving your fatty liver condition.

Following foods should be avoided if you have fatty liver-

Alcohol: Alcohol is one of the things that should be avoided the most when suffering with NAFLD. Consumption of alcohol will not only cause fatty liver but also can worsen an already existing condition.

Sugar: Reduce your intake of sweets. Even naturally occurring sugars from things like citrus juice and honey should be cut down.

Refined carbs: White carbs like spaghetti and bread should be avoided. You can swap them out for whole-grain substitutes like quinoa, whole wheat bread, and pasta made from black beans.

Fried foods: Fried foods are rich in fat and sugar, including French fries, chips, chicken wings, doughnuts, etc. Thus, eating these meals causes your blood sugar to increase, which is one of the causes of NAFLD.

Saturated fat: Any form of saturated fat should be avoided, including that found in butter and red flesh. Instead, swap it out for healthy fats like cold-pressed nuts, avocado, and olive oils.

Red meat: Saturated fats are prevalent in red meats like beef and pig. If you have fatty liver, it is not advised to eat red meat as it will add to the excess fat content in the liver. If these foods are not processed properly they can cause inflammation which will worsen the condition of the liver.

Poor diet, obesity, pre-diabetes, genetics, and poor gut health can all contribute to Fatty Liver Disease. If you have a fatty liver, avoid sugar, white carbs, alcohol, salt, and saturated fat. Overall, you must eat a healthy diet and maintain a healthy weight and blood sugar level. A healthy lifestyle, regular physical activity, water, and sleep patterns all help in maintain to a healthy liver and overall good health. Consult a specialist as soon as possible to begin treatment for fatty liver, which will help the condition improve more quickly.

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What is Crohn`s Disease ?

Crohn’s disease is a chronic inflammatory condition of the gastrointestinal tract. It can affect any portion of the intestine starting from mouth till anus. It falls under the category of disorders called Inflammatory bowel disease. Ulcerative colitis is also a chronic inflammatory bowel disorder just like Crohn’s disease. Ulcerative colitis affects only colon or large intestine but Crohns can affect any part of intestine

The most often location Crohns affects is the terminal portion of small intestine (Ileum) and beginning of the colon. It affects the entire thickness of the wall of intestine. It can lead to ulcers, strictures in the intestine and can also result in intestinal obstruction rarely. Typically patients suffer from abdominal pain, bleeding, loose motions and weight loss over months to years. It can also cause anal fissures, Perianal fistulas and anal abscesses. Rarely it can also present as acute intestinal obstruction. Patients of Crohn’s disease can also suffer from extra intestinal symptoms such as joint problems, eye problems, mouth ulcers, skin manifestations, kidney stones, Osteoporosis due to bone loss.

Testing often includes a Colonoscopy and biopsy, an endoscopy and a biopsy, CT enterography, Stool calprotectin, capsule endoscopy along with basic blood work up. No single test confirms the diagnosis and the tests are repeated from time to time to assess the progress and severity of disease.

Treatment involves combination therapy of corticosteroids, Immunosupressants/immune Modulator, Biological therapy. Roughly, 20% of the patients may require surgery in their life time to manage complications of Crohn’s disease. Surgery becomes necessary if the medical therapy can no longer control the symptoms for conditions like anal fissure, fistula, abscess, intestinal obstruction. It’s a life long disease requiring life long treatment with regular monitoring of the disease severity to keep it under control

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Fibroscan

What is Fibroscan?

A non-invasive diagnostic tool called Fibroscan Testing, which is FDA-approved, is used to detect liver fibrosis brought on by various liver illnesses. Outpatient Fibroscan testing is similar to receiving a standard liver ultrasound examination in that it is rapid, painless, simple, and offers a non-surgical substitute for the standard liver biopsy to evaluate liver disease.

What to expect once you arrive for the Test / How should I get ready for the fibroscan?

There are basically no strict protocols to follow before Fibroscan, except that you have to maintain a fast for 3 hours prior to the procedure

Plan to arrive 15 minutes before the procedure's scheduled start time.

Please bring a list of your current medications and your ID.

There is no sedation required with Fibroscan. To and from the test, you can drive yourself.

The process lasts for roughly five minutes. About 30 minutes will pass throughout your appointment.

Your right arm will be elevated behind your head as you lay on your back for the surgery, exposing your right abdominal region (wear loloose-fittinglothing)

A water-based gel will be applied to your skin by a medical professional, who will then place a non-invasive probe over your liver.

You could experience a tiny vibration on the skin at the probe's tip when it delivers ultrasonic waves to the area to be measured during the examination.

How is Fibroscan different from a traditional biopsy?

The measurement of scarring and fat accumulation, or "fatty change," in your liver using a specialist ultrasound-based device is a more recent method for identifying fatty liver disease. Fibroscan is rapid, simple, and painless like other ultrasound examinations. Also, it doesn't carry the same hazards as an invasive biopsy because it is non-invasive.

There is no specific preparation needed for a Fibroscan, but you might be advised to fast for a few hours prior to the procedure. It simply takes a few minutes, is absolutely painless, and doesn't require sedation. You won't need any extra instructions or recovery time after a Fibroscan; you'll be back on your feet in a matter of minutes.

How does Fibroscan work for fatty liver?

In fatty liver disease, an accumulation of fat cells results in fibrosis, a form of scarring. The amount of liver fibrosis is one indicator of the severity of the fatty liver disease. The liver tissue becomes stiff due to fibrosis.

Vibration-controlled transient elastography is a technique employed by fibro scan, which gauges the velocity of ultrasound waves as they pass through the liver. The normal liver tissue and the areas of fibrosis are both affected by the ultrasound waves' varying velocities.

Immediately after the scan, the results of a Fibroscan are available. You can create a plan for therapy or additional testing with the help of your doctor, who can also interpret the test results.

Lifestyle changes can help reverse Fatty Liver in many cases. If you are concerned about developing fatty liver disease, you can consult an experienced liver specialist about Fibroscan.