Best Doctors in India for Alcoholic Hepatitis Treatment

Profile Highlights:

  • With over 15 years of dedicated experience in the field, Dr. Neerav Goyal stands out as a leading Liver Transplant Specialist based at Apollo Hospitals Indraprastha, New Delhi.
  • His extensive qualifications include MBBS, DNB, and specialized diplomas in General Surgery and Surgical Gastroenterology.
  • Dr. Goyal’s expertise spans a wide range of liver-related conditions including Cirrhosis, Hemochromatosis, Hepatitis B, and other complex liver diseases.

Profile Highlights:

  • Dr. Arun Saroha is a renowned Neurosurgeon with extensive experience in the surgical treatment of all kinds of brain and spine disorders.
  • He holds an experience of over 20 years in the field and has performed over 8000 neurosurgeries till date for different types of neuro and spinal diseases.
  • Dr. Saroha is an expert in minimally invasive spine surgery, neuro-onco surgery, trauma surgery and is also among the few neurosurgeons with expertise in Pediatric neurosurgery.
  • His interest lies in brain and spine disorders like degenerative spine disorder, brain tumorsdisc replacements, pediatric neurosurgery surgery for stroke, brain and spine tumor surgery, brain aneurysmsspinal fusion, and decompression surgery.

Profile Highlights:

  • Dr. Ashok Kumar Vaid is a reputed Medical Oncologist in India with expertise in the treatment of blood, lung, skin, breast, and gastrointestinal cancers.
  • He is famously known for performing among the first 25 BMTs in a private hospital in India.
  • Dr. Vaid’s primary area of focus lies in Leukemia, Lymphoma, Solid tumors, and the treatment of organ-specific benign and malignant tumors.
  • He prefers to treat his patients using non-surgical and pain-free techniques that include Hormone Medicine, Biological Treatment, Targeted Treatment, and Chemo Treatment.

Profile Highlights:

  • Dr. Praveer Agarwal, the Executive Director of Interventional Cardiology at Fortis Escorts Heart Institute in New Delhi, is a highly esteemed cardiologist recognized for his substantial contributions to the field of Interventional Cardiology in India.
  • With an MBBS, MD, and DM, Dr. Agarwal has built a distinguished career dedicated to advancing cardiac care and training.
  • His expertise spans a wide range of interventional procedures, making him one of the most versatile cardiologists in the country.

Profile Highlights:

  • Dr. Nishchint Jain is one of the bright young Interventional Neurologists in Delhi NCR who has experience treating brain tumors, head injuries, acute spinal cord surgeries, Bell’s palsy, muscular dystrophy, migraine, cluster headaches, etc.
  • He began his medical journey as a senior resident at AIIMS and is now associated as a Consultant Interventional Neuroradiologist at Indraprastha Apollo Hospital, New Delhi and Fortis Hospital, Shalimar Bagh, New Delhi.

Profile Highlights:

  • Dr. Vishal Peshattiwar is a leading Spine Surgeon in Mumbai specializing in Minimally Invasive Spine Surgeries (MISS)
  • He has an experience of more than 2 decades in spine surgery and holds the credit of performing over 4000 spinal surgeries to
  • He is the first in India to use the MISS technique on a patient with liver failure and Tuberculosis.
  • Dr. Vishal Peshattiwar’s most notable case till date was performing a Revision Spine Surgery through MISS on the oldest patient 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 the 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 3 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.

Profile Highlights:

  • With over 35 years of experience, Dr. Rajesh Mistry is one of the best surgeons for Thoracic and Head & Neck Surgeries.
  • He is an expert in performing all types of head and neck cancer surgeries including the thoracic region and has performed more than 700 thoracic onco-surgeries, 350 minimally invasive surgeries, 350 open surgeries, 200 Lobectonomies, 250 Esophagectomies, and more than 40 Robotic surgeries for Head and Neck related cancers.

Profile Highlights:

  • Dr. D. K. Agarwal is a distinguished Nephrologist with over 27 years of experience in the field of Nephrology, specializing in Renal Transplantation, Hemodialysis, Continuous Ambulatory Peritoneal Dialysis (CAPD), and the management of complex kidney diseases.
  • He is currently affiliated with Apollo Hospitals Indraprastha in New Delhi, where he has earned a reputation for his expertise in managing a wide range of kidney-related conditions.
  • Dr. Agarwal has held senior consultant positions at prestigious institutions, both nationally and internationally, including Nizam’s Institute of Medical Sciences, Hyderabad, and Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow.

Profile Highlights:

  • Dr. Jatin Ahuja is a highly experienced orthodontist with over 24 years in the field. He currently works at Max Super Speciality Hospital, New Delhi, where he has been a consultant since 2007.
  • Before joining Max Hospital, he served as a teaching faculty member at a dental college from 2002 to 2013 and has been in private practice since 1999.
  • He has been treating several diseases related to oral health. Some of his specialties include Invisalign treatments, DAMON or self-ligating braces, treatment of cleft lip and palate, surgical orthodontics in collaboration with plastic surgery, and smile design using orthodontics.

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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