Best Doctors in India for Alcoholic Hepatitis Treatment

Profile Highlights:

  • Dr. Hari Goyal is the head of the Oncology unit comprising some of the finest oncologists in the country. The team effort gives an edge & advantage to the patients’ management.
  • His contribution to oncology is immense & has developed drugs for the management of chemotherapy side effects. This development has helped millions of cancer patients since 2004.
  • Dr. Hari Goyal was a part of a large number of clinical trials of cancer research including one of the FDA audited trials.

Profile Highlights:

  • Dr. Lakshmi Chirumamilla is a Gynecologist and Obstetrician based out of Hyderabad and specializes in all types of Assisted Reproductive Techniques (ART).
  • She has been part of various infertility clinics in the UK as an Infertility Specialist and is also a trainer for assisted reproduction, IUI, embryo transfer, and the management of infertile couples accredited by British Fertility Society.
  • Dr. Chirumamilla has completed her certificate courses in assisted reproduction and infertility under the aegis of the British Fertility Society as well as the Royal College of Obstetricians and Gynecologists.

Profile Highlights:

  • Dr. Manjinder Sandhu is a leading interventional cardiologist based in Gurugram who holds an extensive experience of over 25 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:

  • 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.

Profile Highlights:

  • Dr. Sanjiv Jasuja is a Nephrologist & Transplant Physician at the Indraprastha Apollo Hospitals, Sarita Vihar, and at Apollo Hospitals, Noida. Along with an MBBS, his educational qualifications include an MD in Medicine, a DNB in Nephrology, and an MNAMS in Nephrology.
  • His 22 years of medical practice are highlighted by his memberships in various prestigious national and international medical societies including the Indian Society of Nephrology, Indian Society of Organ Transplant, Indian Society of Critical Care, Indian Society of Clinical Research, International Society of Nephrology, and European Dialysis & Transplant Society.
  • Dr. Sanjiv Jasuja maintains a dedicated medical practice which is evident by his busy schedule in switching between the two branches of Apollo Hospitals, which he manages efficiently. Due to his firm hand and calm demeanor during operations, he has earned a respect among his patients which is evident by his high patient satisfaction rate.

Profile Highlights:

  • Dr. Kailash Nath Singh is one of the best Nephrologists working in New Delhi.
  • Dr. K.N. Singh is currently working as a leading Senior Consultant in Nephrology & Multi-Organ Transplant unit at Indraprastha Apollo Hospital, New Delhi, India.
  • He has also been felicitated recently by his Holiness “DALAI LAMA” for his excellent work in Kidney Transplants.

Profile Highlights:

  • Dr. Mahesh Chandra Garg is an Interventional cardiologist working at Indraprastha Apollo Hospital in New Delhi with experience of over five decades in the field. He has an interest in Cardiovascular Intervention and Imaging.
  • Dr. Garg has specialized in Enhanced External Counterpulsation, Chest Pain Therapies, Diabetic Cardiovascular complexities, and Coronary Artery Bypass Graft Surgery.
  • He achieved excellence in invasive cardiology as a result of his participation in specialized training programs and conferences. Dr. Garg provides valuable care for his patients while also encouraging them to adopt a healthy lifestyle.
  • He delivered presentations at numerous conferences and published papers in well-known national and international medical journals.

Profile Highlights:

  • Dr. Bijendra Kumar Sinha is a highly skilled laparoscopic and GI surgeon with an extensive experience in advanced laparoscopic GI Surgery.
  • He has done more than 7000 laparoscopic surgeries including lap hernia surgeries, lap GI surgeries, and lap solid organ surgeries.
  • He has got hands-on training in MIPH for piles surgery and STARR procedure for partial prolapse and obstructive defecation syndrome by Dr. Antonio Longo inventor of the procedure.

Profile Highlights:

  • Dr. Ravi K Joshi is an expert dermatologist who has over 48 years of experience in this field.
  • Dr. Joshi is proficient in treating chemical peel and pigmented papillomas on the face.

Profile Highlights:

  • Dr. Vipul Narain Roy is one of the best practicing Cardiologists in India, currently associated with the Indraprastha Apollo Hospital in New Delhi.
  • After completing his MD, Dr. Roy travelled to UK where he spent eight years in Liverpool at Regional Adult Cardiothoracic Center.
  • In 1994, he came back to India and joined Interventional Cardiology at Escorts Heart Institute in New Delhi as a consultant.

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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