Best Doctors in India for Alcoholic Hepatitis Treatment

Profile Highlights:

  • Dr. Manish Kumar Srivastava is a renowned Interventional Radiologist in Mumbai.
  • Dr. Manish Shrivastava is working on cutting-edge research in the field of endovascular management of Cerebral Venous Thrombotic Disease.
  • In 2006, 2007, and 2008, he was an active participant in the Neuro-intervention teaching module.
  • He has a special interest in the treatment of strokes and vascular malformation specially dural AVFs of the brain.

Profile Highlights:

  • Dr. Pritam Chatterjee is a qualified Interventional Neuroradiologist (Endovascular-neurosurgeon) and Interventional Radiologist.
  • Dr. Pritam Chatterjee is actively involved in the research and development of advanced technology in his field to make these procedures and devices safe and affordable for patients from middle-income and low-income countries.
  • He is a faculty of the National Board of Examinations, New Delhi, and actively teaches doctors from all over India.
  • Dr. Pritam Chatterjee is also a mentor and faculty for the leading International FRCR (UK) examination courses.

Profile Highlights:

  • Dr. Vivek Saxena is the Head of Department & Senior Consultant – Interventional Radiology at Max Super Speciality Hospital, Saket.
  • Dr. Vivek Saxena has published a dozen research papers under his name. They all revolve around Interventional Neuroradiology at a global level.
  • He has treated patients inside and outside the country and has received fame for the same.

Profile Highlights:

  • Dr. N Sastri is a renowned cardiothoracic surgeon in India with extensive experience in critical heart surgeries.
  • He has nearly 36 years of experience and is a senior consultant- Cardiothoracic & Vascular Surgery with Indraprastha Apollo Hospitals, New Delhi.
  • Dr. Sastri specializes in the diagnosis and treatment of vascular disorders using advanced techniques. He has expertise in Total Anomalous Pulmonary Venous Connection Repair, Arterial and Ventricle Defects Surgery, Cardiac Resynchronization Therapy, Balloon Valvuloplasty, CABG LV restoration, PDA Device Closure, PPI, Valve Replacement, and Atrial Fibrillation Surgery.
  • Over the years’ Dr. Sastri had treated patients across various countries. In addition to the adult and neonatal cardiac surgeries, he is involved in research and put out many research papers in different medical journals.

Profile Highlights:

  • With more than 46 years of expertise in the area, Dr. H P Garg is one of the most accomplished surgeons in India. He is working as a Senior Consultant, practicing at Indraprastha Apollo Hospital.
  • Dr. Har Prakash Garg treats patients with abdominal trauma with the utmost care. He specializes in operation management via laparoscopy and patient tertiary care.
  • Dr. Garg was one of the few doctors in Delhi in the 1990s that pioneered limited access surgery.
  • He is also the co-editor of a number of surgery books on laparoscopy.

Profile Highlights:

  • Dr. Prashanta Kumar Ghosh is a senior cardiologist at Indraprastha Apollo Hospital in New Delhi with experience of nearly 47 years in the field.
  • Dr. Ghosh has expertise in testing and monitoring cardiac problems. The procedures mainly include minimally invasive cardiac surgery, implantations, device closure for congenital heart diseases, cardiac catheterization, Carotid Angioplasty, Stenting, etc. Half of his experience came from practicing non-invasive cardiology.
  • He has so far performed nearly 3 lakh Echos as well as thousands of Doppler and Trans Esophageal Echos in his professional journey.
  • Dr. Ghosh has participated in many studies and published papers in various conferences and journals. He also delivers lectures to the students of many institutions across India and abroad.

Profile Highlights:

  • Dr. Vijaya Raja Kumari is one of the top laparoscopy & Renal Transplant surgeons in India with nearly 30 years of experience in the field.
  • She is skilled in handling complex, high-risk transplant surgeries, and post-transplant problems.
  • She offers non-surgical fat loss treatment in addition to aesthetic procedures. A major part of Dr. Vijaya Raja Kumari’s experience comes from Laparoscopic donor nephrectomy.

Profile Highlights:

  • Dr. Aloy J. Mukherjee is one of the best laparoscopic surgeons in India, having brilliant skills in minimal access surgery.
  • He possesses a deep understanding of Clinical services, treating thyroid swelling and parathyroid surgery, fistula, and surgeries including Laparoscopic Surgery, Hepato-Pancreatic-Biliary surgery, Hernia Surgery, Abdominal surgery, etc.
  • Dr. Mukherjee has an experience of more than 20 years and practices at the Institute of Robotic Surgery in Apollo Hospital, New Delhi as a Senior Consultant for Bariatric Surgery, GI & Advanced Laparoscopic Surgery.
  • Dr. Aloy Mukherjee performs procedures using specializes and has performed over 19000 surgeries including 100+ bariatric procedures.

Profile Highlights:

  • As one of the most experienced orthopedic surgeons in Delhi, Dr. Chander Shekhar has been practicing for 42 years. He is associated with Indraprastha Apollo Hospital as a consultant.
  • Dr. Chander Shekhar is interested in Knee and Hip joint replacement and revision.
  • He honed his expertise by completing a fellowship in shoulder and knee arthroscopy in the United States. Besides replacement & revision surgery, he has expertise in Birmingham Hip Resurfacing, BHR with stem, and Minimally Invasive Surgery.

Profile Highlights:

  • Dr. Amit Kumar Agarwal is a Delhi-based orthopedic, joint replacement, and spine surgeon consultant who has been assuring joint and spine health for about 18 years.
  • Dr. Agarwal has garnered numerous accolades for his work in treating Joints and Musculoskeletal Disorders, pain management, sports injury, and articular degeneration during his career.

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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