Best Doctors in India for Alcoholic Hepatitis Treatment

Profile Highlights:

  • Dr. Vipul Gupta is one of the most highly experienced and skilled interventional neurologists in India with expertise in AVMs, Intracranial Aneurysms embolization, tumor embolization, and angioplasty.
  • He holds the credit of performing over 300 brain AVM procedures and more than 1000 intracranial aneurysms along with 100 DAVF procedures for the endovascular treatment of intracranial aneurysms and arteriovenous malformations.
  • Dr. Gupta specializes in stenting of arterial stenosis as well as carotid stenting and intra- arterial thrombolysis for acute stroke. His expertise also lies in neurovascular imaging techniques and procedures.

Profile Highlights:

  • Dr. Manjinder Sandhu is a leading interventional cardiologist based in Gurugram who holds an extensive experience of over 27 years in the field.
  • His primary interest lies in Complex Coronary Interventions, Trans-radial Interventions, and Balloon Valvuloplasty, and has performed a large number of such procedures in his career mainly while serving in the Army Medical Corps.
  • Dr. Sandhu has been teaching and training postgraduate students in Cardiology and Medicine and has been a guide to several successful cardiologists in India.

Profile Highlights:

  • Dr. Yash Gulati is a leading Orthopedic Surgeon and one of the best hip and knee replacement surgeons in India.
  • For his contributions towards orthopedics in India, he was awarded the Padma Shri in 2009 and is the youngest orthopedic surgeon to receive the honor.
  • Dr. Yash Gulati is an expert in all types of hip, knee, and spine joint replacement surgeries and holds the credit for performing the highest number of total knee replacements with I- Assist Navigation technique in India. He also performed the largest number of total hip replacement surgeries for Sickle Cell disease.
  • With several firsts to his name, Dr. Gulati performed the first-ever total hip replacement surgery on the youngest patient in India. He pioneered the Gyroscope-based Computer Navigation Knee Replacement surgery in India and is the best in the procedure.
  • He holds more than 2 decades of experience in primary and revision total hip and knee replacement surgeries and has performed a large number of complex surgeries with excellent outcomes.
  • Dr. Yash Gulatiis one of the very few surgeons in India to perform Minimally Invasive Transforaminal Interbody Fusion surgeries.
  • Dr. Gulati has been associated with prestigious and the best orthopedic hospitals in India. He is the orthopedic surgeon for the President of India and has also performed surgeries on some of the notable personalities of the country.
  • He is also an experienced sports surgeon and holds a Diploma in Sports Medicine. He has performed surgeries on some of the well-known sportsperson and athletes of India. He has also been an honorary orthopedic surgeon for the Border Security Forces and the Armed Forces.
  • Dr. Yash Gulati is regularly invited as a speaker and presenter to attend conferences and seminars all over the world. He has delivered over 500 lectures at several national and international meetings. He also delivered orations on several occasions and has been appreciated and awarded for his work on numerous instances.
  • He is also invited to various orthopedic workshops and CMEs where he has given live demonstrations of knee and hip replacement procedures both in India and other countries of the world. He did a live demonstration of microdiscectomy at the Indian Orthopedic Association Annual Conference held in Patna.
  • He is a keen researcher and has been developing new and better techniques for orthopedic and joint replacement surgeries in India. His work has been published in renowned national and international medical journals.
  • Dr. Gulati is also active in social work and has been associated with a number of NGOs to provide for the underprivileged. He also organizes free health camps to help poor and elderly patients with orthopedic care.

Profile Highlights:

  • Dr. Rajagopalan Krishnan is a well-known orthopedic and spine surgeon in India.
  • He is one of the most highly accomplished and successful spine surgeons in Delhi performing more than 350 spine surgeries every year.
  • He provides management and treatment of spinal disorders that includes disc and degenerative disorder, spinal tumor, spinal fractures, spinal trauma, and spinal infections.

Profile Highlights:

  • Dr. Rajeev Agarwal is among the very first surgical oncologists in the country with a specialization in breast surgery.
  • He performs all kinds of breast surgery – primary breast-conserving and reconstruction surgery for breast cancer. He also specializes in sentinel node biopsies.
  • He played a pioneering role in the introduction of organ-based oncology specialization in the Northern part of India.

Profile Highlights:

  • Dr. Sunita Arora is a leading infertility specialist in New Delhi who specializes in IUI, IVF, laparoscopies, hysteroscopies, and repeated IVF failure cases
  • After completing her education, she joined the Department of Obstetrics and Gynecology, at Govt Medical College as a consultant. Later she moved to Mount Sinai Hospital, New York, from where she received her training in IVF and Reproductive Medicine.

Profile Highlights:

  • Dr. Subhas Chandra is a leading Interventional Cardiologist who holds close to 20 years of experience and specializes in coronary interventions, endovascular interventions, device implantation, and structural heart diseases.
  • He has performed more than 25,000 coronary interventions (complex angioplasty and rotablation), 4000+ for structural heart diseases, and has done more than 3000 permanent pacemaker implants.

Profile Highlights:

  • Dr. Y Vijayachandra Reddy is an interventional cardiologist with 25+ years of experience.
  • Dr. Reddy’s work experience includes more than 7000 PCIs, 30000 invasive procedures, 550 PCIs in cardiogenic shock, 700 Cardiac devices, 400 PTMCs, and several EVAR and TEVAR procedures.
  • His expertise lies in pacemaker implantations, pediatric interventions, ICDs, CRTs, endovascular repairs, and more.

Profile Highlights:

  • With over 25 years of experience, Dr. Sanjay Mahendru is a fully qualified aesthetic plastic and reconstructive surgeon.
  • He went to receive advanced training in Cosmetic Surgery at the Melbourne Institute of Plastic Surgery, Melbourne, Australia.
  • He was also awarded the Advanced Aesthetic Plastic Surgery Fellowship in 2008. The fellowship is recognized by the International Society of Aesthetic Plastic Surgery (ISAPS) and is highly sought after the world over.

Best Hospitals in India for Alcoholic Hepatitis Treatment

ALCOHOLIC HEPATITIS

Alcoholic hepatitis is a liver infection, which is mainly caused by frequent, heavy use of alcohol. Fat can build up in the liver cells, which might lead to inflammation as well as scarring of the liver.

Alcoholic hepatitis might be mild or severe. A patient might even need a liver transplant if proper treatment is not provided, or if they don’t stop consumption of alcohol.

It is also notable that all heavy drinkers don’t develop this condition, and sometimes this condition even develops in people who drink moderately. However, if you are diagnosed with this condition, it is important for you to quit drinking alcohol. People who continue drinking alcohol might face a huge risk of serious liver damage as well as death.

Symptoms

Depending on the amount of damage to the liver, the symptoms can vary. If you are having a mild form of the disease, you might not even experience any symptoms at all. However, as the damage continues to grow, you might experience the following:

  • Changes in appetite
  • Dry mouth
  • Weight loss
  • Pain or swelling in the abdomen
  • Jaundice, or yellowing of the skin or eyes
  • Fever
  • Nausea and vomiting
  • Easy bleeding or bruising
  • Changes in your mental state, including confusion
  • Fatigue

 

The symptoms of this condition are similar to those caused by a few other health conditions. Therefore, if you develop any of these symptoms, it is best to get a proper diagnosis as well as begin treatment.

Causes & risk factors

Alcoholic hepatitis generally develops when the alcohol you drink causes damage to your liver. However, it is not clear why alcohol does this damages only to some heavy drinkers.

Few factors that are known to play a role in this condition include:

  • The body’s process that breaks down alcohol produces some toxic chemicals
  • These chemicals can trigger inflammation that can destroy the liver cells
  • Thus, over time, scars replace healthy liver tissue, thus interfering with the function of the liver
  • This irreversible scarring, which is also termed cirrhosis, is the final stage of alcoholic liver disease

If you have hepatitis C and continue to drink, even moderately, you are more likely to develop cirrhosis.

Some heavy drinkers are also malnourished because they don’t eat a proper balanced diet. Alcohol and its byproducts also prevent the body from absorbing nutrition properly. Lack of nutrition can contribute to liver cell damage.

Some other risk factors that can lead to this condition include:

  • Your sex- Women are usually at a higher risk of developing alcoholic hepatitis since the way alcohol is processed in women is different.

 

  • Binge drinking- Having over five drinks within two hours for men and four or more for women can increase the risk of alcoholic hepatitis.

 

  • Obesity- Heavy drinkers who are overweight are also more likely to develop alcoholic hepatitis and to progress from that condition to cirrhosis.

 

  • Race and ethnicity- Hispanic and Negroid people might be at higher risk of alcoholic hepatitis.

 

  • Genetic factors- According to studies, there may be a genetic component in alcohol-induced liver disease. However, it is difficult to separate genetic and environmental factors.

Diagnosis

If you are showing symptoms of alcoholic hepatitis, your doctor will first inquire about your medical history and alcohol consumption. Next, he/she will perform a physical exam to see if you have an enlarged liver or spleen. They might also need a few more tests to confirm your diagnosis, such as:

  • Complete blood count (CBC)
  • Liver function test
  • Ultrasound of the liver
  • Abdominal CT scan
  • Blood clotting tests

 

In some cases, a liver biopsy might also be needed to confirm the diagnosis of alcoholic hepatitis. A liver biopsy requires your doctor to remove a tissue sample from your liver, which is then tested in the lab. This method helps to show the severity and type of liver disease.

Treatment

Stopping alcohol consumption is the most important treatment for alcoholic hepatitis. There is no cure for this condition, but treatment can help in reducing or eliminating symptoms, or stopping its progression.

It is also important to note that scarring of the liver is permanent, but treatment can aim to restore as much function as possible.

Dietary changes

Your doctor might also recommend dietary changes, vitamin supplements, or a focused diet plan to correct the imbalance of nutrients in the body.

Medication

Doctors might also prescribe medicines to prevent inflammation of the liver.

Liver transplant

In severe cases, the only chance for survival may be a liver transplant. Unfortunately, in such cases, the process of finding a donor can be long and complicated.

The best hope of recovery is to be aware of the signs and symptoms as well as to reduce, manage, or if possible, completely stop consumption of alcohol.

Complications

Alcoholic hepatitis might lead to severe other complications such as:

  • Enlarged veins (varices)- In this condition, blood that is unable to flow freely through the portal vein, can back up into other blood vessels in your esophagus or stomach.
  • Hepatic encephalopathy- This condition can be caused by the buildup of toxins if your damaged liver is unable to remove all the toxins from your body. It involves confusion, drowsiness, and slurred speech.
  • Ascites- Ascites is a condition in which the fluid that accumulates in the abdomen may get infected and thus, require treatment with antibiotics. Although this condition is not life-threatening, it can be a sign of advanced alcoholic hepatitis, or cirrhosis.
  • Kidney failure- A damaged liver affects blood flow to the kidneys, thus resulting in kidney failure.
  • Cirrhosis- The scarring of the liver might lead to liver failure.

Prevention

Alcoholic hepatitis might be prevented if you take the following steps:

  • Drink alcohol in moderation, if at all- For healthy adults, moderate drinking means no more than one drink a day for women of all ages and men older than 65, and not over two drinks a day for men aged 65 and younger. However, if you prevent all alcohol, it is a certain way to prevent this condition.

 

  • Check before mixing medications and alcohol- Ask your doctor if it’s safe to drink alcohol while you are taking medications. Consider reading the warning labels on over-the-counter medications as well. Don’t drink alcohol when you are taking medications that warn of complications when combined with alcohol.

 

  • Protect yourself from hepatitis C- Hepatitis C is an infectious liver disease that is caused by a virus. If it is left untreated, it may lead to cirrhosis. If you are having hepatitis C and you consume alcohol, you’re generally more likely to develop cirrhosis than if you don’t drink.

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