Dr. Pathik Parikh Hepatologist and Liver Transplant Physician

  Fatty Liver is no longer an unheard term. The prevalence of fatty liver in India is approximately 30% and that means that nearly one in three person suffers from it. The disease is not as benign as the name and prevalence suggest. This disease is the most common liver disease worldwide. It is on path to become the number 1 reason for liver cirrhosis, liver cancer and liver transplant. New Terminology The disease has gone significant change in terminology and is now known as  MASLD – Metabolic-Dysfunction Associated Steatotic Liver Disease  and recently in 2023 the experts of the world met and proposed the following terminology for types of  SLD (Steatotic Liver Disease)  or  Fatty Liver Disease MASLD – Previously NAFLD or Fatty Liver MASH – Previously NASH MetALD – No previous terminology (Patients also take alcohol in addition). Risk Factors MASLD and MASH is usually seen in patients who are obese, overweight and suffer from diabetes, hypertension, seden...

  Deciding the right time for a liver transplant after cirrhosis involves a careful evaluation of several factors. Liver transplantation is typically considered when the liver damage is severe, and the patient's life is at risk. Here are some key considerations: Severity of Cirrhosis: The progression of cirrhosis is categorized into stages (usually classified as stages 1 to 4). Transplantation is generally considered when a patient reaches advanced stages (3 and 4) and experiences significant liver dysfunction. Symptoms and Complications: The presence of complications related to cirrhosis, such as ascites (fluid accumulation in the abdomen), hepatic encephalopathy (brain dysfunction due to liver failure), and variceal bleeding, may indicate the need for transplantation. Liver Function Tests: Monitoring liver function tests, including measures of liver enzymes, bilirubin levels, and blood clotting factors, helps assess the degree of liver dysfunction and guides decisions about tr...

  Intermittent fasting (IF) has gained popularity in recent years as a potential strategy for managing various health conditions, including fatty liver disease. Fatty liver disease, also known as non-alcoholic fatty liver disease (NAFLD), is characterized by the accumulation of fat in the liver. It can range from simple fatty liver (steatosis) to a more severe condition called non-alcoholic steatohepatitis (NASH), which can lead to liver inflammation and scarring (fibrosis). There is some evidence to suggest that intermittent fasting may be beneficial for individuals with fatty liver disease, although more research is needed to fully understand its efficacy and safety. Here are some key points to consider: Weight Loss: Intermittent fasting may lead to weight loss, which is a primary goal in managing fatty liver disease. Losing excess weight can help reduce the fat buildup in the liver and improve liver function. Improved Insulin Sensitivity: Intermittent fasting may improve insuli...

  Diet plays a crucial role in managing cirrhosis, a condition where the liver becomes scarred and damaged due to long-term injury. A cirrhosis-friendly diet focuses on reducing the workload on the liver, preventing further damage, and providing essential nutrients. It is essential to consult with a healthcare professional or a registered dietitian before making any significant changes to your diet. Here are some general dietary guidelines for cirrhosis: Limit Sodium Intake: Excessive sodium can lead to fluid retention and worsen swelling (edema) and ascites (fluid accumulation in the abdomen). Aim to reduce salt intake and avoid high-sodium processed foods. 2. Manage Fluid Intake: If you have fluid retention, your doctor may recommend restricting your fluid intake. This can help control edema and ascites. 3. Consume Adequate Protein: Protein is essential for maintaining muscle mass and supporting the liver’s function. However, in advanced cirrhosis, the liver’s ability to process ...