Best Doctors in India for Alcoholic Hepatitis Treatment

Profile Highlights:

  • Dr. Kornad P Kosygan is one of the few Orthopedic surgeons in India with a double FRCS degree.
  • He has been successful in the diagnosis and treatment of severe Orthopedic problems throughout his career.
  • Dr. Kornad is invited as an exclusive Orthopedics Specialist from over six countries in the Asian and European subcontinent.
  • Dr. Kosygan has sought extensive training and exposure in the department of Orthopaedics.

Profile Highlights:

  •  Dr. T Sundar is one of the best cardiothoracic surgeons in India.
  • He is having extensive exposure to critical heart diseases and he has operated on them successfully.
  • Dr. T Sundar is a Senior Consultant at Apollo Hospitals since 2003.
  • He has been associated with international standards of surgery and diagnosis since his education period.

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:

  • 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:

  • Currently serving as a Senior Consultant in Orthopaedic Surgery at Apollo Hospitals Indraprastha, New Delhi.
  • Dr. Amit Kumar Agarwal is a highly esteemed Orthopaedic surgeon with over 15 years of comprehensive experience.
  • Dr. Agarwal holds an impressive array of qualifications, including MBBS, MS (Ortho), DNB (Ortho), MCh (Ortho), MNAMS, MIMSA, and Dip SICOT.

Profile Highlights:

  • Dr. Vibhu Bahl is one of the finest Orthopedist and Joint Replacement Surgeon in India. He has experience of over 22 years in this field.
  • Dr. Bahl has successfully performed multiple complex and primary total knee and hip replacements over his career. Besides these, he specializes in computer-assisted total knee replacements. Patients seeking Arthroscopy for shoulder dislocation, degeneration, and repair must consult him.
  • Dr. Bahl participated as a Faculty in many Arthroscopy conferences.
  • He is passionate about research and has a long list of publications in prestigious national and international journals.

Profile Highlights:

  • Dr. Aakanksha Chawla is one of the best young pulmonologists in Delhi. She is a practicing consultant in Respiratory Medicine/ Pulmonology at Indraprastha Apollo Hospital, New Delhi.
  • Dr. Chawla holds a diploma and fellowship in critical care medicine. She specializes in Chest, Critical Care, Respiratory, Pulmonology, Asthma, COPD, TB, ILD, and Tuberculosis treatment.
  • Dr. Chawla has offered great satisfaction from her treatment with a small experience of 10 years. She is a good communicator too.
  • Dr. Chawla has co-authored many research studies on Respiratory Distress

Profile Highlights:

  • Dr. Bellarmine Vincent Lawrence is a well-known Medical Oncologist in South India with a specialization in the treatment of breast cancers.
  • He provides overall both pre and post-operative treatment of breast cancer that includes diagnostic, therapeutic as well as palliative care.
  • He also provides services for other types of cancers including blood cancer and does procedures like Chemotherapy for the treatment and biopsies for the detection of cancer.

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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