Best Doctors in India for Alcoholic Hepatitis Treatment

Profile Highlights:

  • Dr. K K Saxena is one of the top cardiologists in India, having nearly 36 years of experience in this field.
  • He is a senior consultant for interventional cardiology at Indraprastha Apollo Hospital in New Delhi.
  • Dr. Saxena diagnoses and treats cardiovascular problems in kids and adults. He is specialized in balloon dilation of the mitral and pulmonary valves, the renal and peripheral arteries, and aortic coarctation.
  • Dr. Saxena and his team performed several cardiac catheterizations and pacemaker implantations.
  • Prior to joining Apollo hospital, Dr. K K Saxena worked at many national and international hospitals.
  • He also completed research in interventional cardiology at the Royal Adelaide Hospital, Australia.

Profile Highlights:

  • Dr. Ashish Kakkar is a Dentist at Indraprastha Apollo Hospitals, New Delhi providing the best Dental care in India. He has an experience of more than 32 years.
  • Dr. Kakkar is a dental surgeon providing advanced dental care to patients. Patients can reach out to him for specialized services like dental checkups, teeth reshaping or remodeling, prosthodontic treatment or Cosmetic/Aesthetic dentistry, RCT, Pulpectomy, treatment of gum ailments, sinus augmentation, and identification & treatment of tooth decay.

Profile Highlights:

  • Dr. Indrapati Singh is one of the best cosmetic surgeons in India with extensive experience. He works as a senior cosmetic surgeon at the Indraprastha Apollo Hospital in New Delhi.
  • Dr. Singh specializes in Plastic, Cosmetic, and Reconstructive Surgery and has over 52 years of combined expertise.
  • He has successfully performed plastic and cosmetic surgery treatments on all parts of the body. His surgeries on the head, face, neck, and body improve one’s attractiveness. Aesthetic augmentation/reduction, liposuction, vaginal tightness, body contouring, and even hair transplantation are among the therapies available with him.

Profile Highlights:

  • Dr. Shashidhar Shree Niwas is a well-known nephrologist in Delhi/ NCR with expertise in nephrology, dialysis, kidney disease, and transplantation.
  • He has many National as well as International publications to his credit. Some of his national publications include ‘Acute Kidney Injury in HIV positive Patients’, ‘Coronary Artery Disease in Diabetes Mellitus’ etc. His paper on ‘Acute Kidney Injury in Developing Countries’ was published in a very prominent international journal.

Profile Highlights:

  • Dr. Lakshmi Kant Tripathi throughout his career has supervised around 54000 hemodialyses at different centers in Delhi NCR, with great clinical outcomes.
  • He is successfully engaged in kidney transplantations, including Incompatible & High-risk ones. He is a specialist in managing Resistant hypertension, difficult-to-treat Nephrotic Syndromes, Complicated UTIs & high-risk Transplants.

Profile Highlights:

  • Dr. Mahadev P is a radiation oncologist with 25+ years of experience and has played a major role in starting the Diplomate of National Board course in Radio Treatment in 2005.
  • After getting trained in Australia, Dr. Mahadev P started Prostate Brachy Treatment at Apollo Specialty Cancer Hospital.
  • Dr. Mahadev is also trained in Cyberknife radiosurgery – the only system in the world to treat tumors in the body with sub-millimeter accuracy.

Profile Highlights:

  • Dr. Manju Aggarwal is one of the leading nephrologists in India and has many years of experience in Nephrology at some of the best medical institutions including the University of Minnesota.
  • She has expertise in treating critically ill patients with acute and chronic renal failure and those on dialysis and renal transplant.
  • Dr. Aggarwal is also experienced in managing difficult and high-risk renal transplants, especially for those who need desensitization.

Profile Highlights:

  • Dr. Vikram Pratap Singh is one of the best oncology surgeons in India, with more than three decades of experience.
  • Currently, he is a Senior Consultant Surgical Oncologist at Indraprastha Apollo Hospital, New Delhi.
  • Dr. Vikram Pratap Singh underwent fellowships at The Royal Marsden Hospital London, The Royal Free Hospital, London, and The Royal Prince Alfred Hospital, University of Sydney.
  • Dr. Singh taught undergraduates and PG students at Armed Forced Medical College for 18 years.
  • In practice, he focuses on Clinical oncology, Stereotactic Radio Treatment and Radiosurgery, IMRT, IGRT, SBRT, and 3 D Brachy Treatment.
  • Dr. Singh has also written about 20 papers in professional national and international medical journals.

Profile Highlights:

  • Dr. Samuel Mathew is famously known as the Father of Angioplasty in India for being the first to introduce the procedure in the country.
  • He is a renowned interventional cardiologist and brought in several innovative techniques of angioplasty with coronary Stenting, Carotid Stenting, Percutaneous Bypass, Rotablator Atherectomy, and other such procedures.
  • Dr. Mathew holds over 4 decades of experience in interventional cardiology and has performed more than 10,000 angioplasties till date. He also holds the credit for more than 3000 Intra Coronary Stenting and 800 Rotablation cases.

Profile Highlights:

  • Dr. Sandeep Mehta is a renowned Head and Neck Onco Surgeon who specializes in Plastic and Microvascular Reconstructive surgery.
  • He has over three decades of experience in the field and performs Robotic and Laparoscopic surgeries for cancers of the head and neck.
  • He has advanced training in Maxillofacial Bioengineered tissue synthesis and reconstruction and therefore performs all kinds of cancer surgery affecting the head and neck regions.

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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