Dr. Pathik Parikh Hepatologist and Liver Transplant Physician

  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 ...

  આજે અમદાવાદમાં આયોજિત કોન્ફરન્સ ‘રિસન્ટ એડવાન્સિસ એન્ડ કોન્ટ્રોવર્સીસ ઇન હેપેટોલોજી (રીચ)’માં ડોક્ટર્સે ગુજરાતમાં કોવિડ બાદ લીવર ફેઇલ અને લીવર કેન્સરના કેસમાં વધારો થયો હોવાનો મત વ્યક્ત કર્યો હતો. ગુજરાતમાં વિશેષ કરીને કોવિડ બાદ મોસમી વાઇરલ હેપેટાઇટિસના કેસમાં વધારાને તેના માટે કારણભૂત ગણવામાં આવ્યાં છે. ડોક્ટર્સે કહ્યું હતું કે આ પ્રકારના કેસોમાં લક્ષણો સામાન્યથી વધુ સમય સુધી જોવા મળે છે તેમજ લીવર ફેઇલ થવાની ઘટનાઓમાં વૃદ્ધિ થાય છે, જે કોવિડ પહેલાના સમયમાં સંભવ ન હતું. 100થી વધુ ગેસ્ટ્રોએન્ટેરોલોજીસ્ટ અને લીવર ટ્રાન્સપ્લાન્ટ સર્જને ભાગ લીધો આ કોન્ફરન્સમાં લીવર ટ્રાન્સપ્લાન્ટ, લીવર કેન્સર અને સિરોસિસ માં પડકારો તથા નવીન સારવાર પદ્ધતિઓ વિશે ચર્ચા કરાઇ હતી. તેમાં સમગ્ર ગુજરાતમાંથી 100થી વધુ ગેસ્ટ્રોએન્ટેરોલોજીસ્ટ અને લીવર ટ્રાન્સપ્લાન્ટ સર્જને ભાગ લીધો હતો. નિષ્ણાતોએ ‘ઇન્ફેક્શન્સ ઇન સિરોસિસ – વરિંગ ડેટા ફ્રોમ ગુજરાત’, ‘ઇમ્યુનોથેરાપી ઇન લીવર કેન્સર’, ‘ઓટોઇમ્યુન હિપેટાઇટિસ – ટ્રીટીંગ સ્ટીરોઇડ રેઝિસ્ટન્ટ કેસિસ’, ‘ચેલેન્જીસ એક્સેસિંગ લીવર ટ્રાન્સપ્લાન્ટેશન એન્ડ ઓવરવ્યુ ઓફ પીડિયાટ્રિક ટ્...

  Liver Cancer The liver is one of the largest internal organs in the body. It is the only internal organ that can regenerate. The liver functions can be broadly divided into following tasks To filter toxic substances from the blood To help digest food that by bile formation. To store vitamins and fat which can be utilised during starving To produce proteins, sugars and substances used for clotting Types of Primary Liver Cancer: The two most common types of primary liver cancers are – Hepatocellular carcinoma – Most common; 3 rd  leading cause of death worldwide Cholangiocarcinoma Risk factors for liver cancer: Chronic Viral hepatitis B and C Fatty Liver Cirrhosis due to any cause Toxic substance – Alcohol or aflatoxins Some rare disease – Hereditary hemochromatosis Alpha-1 antitrypsin deficiency Glycogen storage disease Porphyria cutanea tarda Wilson disease Hepatitis B is the most common cause of liver cancer in India. Hepatitis B, Hepatitis C and Fa...

  Usually associated with viral fever especially Dengue and Malaria. However, persistent low level of platelets needs investigation Liver Problems Doctors in Ahmedabad When an individual develops liver disease, it complicates as portal hypertension which leads to increase in size of the spleen. This causes excessive destruction of platelets. Early liver disease or cirrhosis will not have any symptom. Low platelets may be a clincher in these cases to get evaluated for liver disease. Usually patients have low platelets for few months before actually presenting with complication Do not ignore low platelets as viral fever if it persists beyond couple of weeks. Get investigated. More information:  https://www.drpathikparikh.com/low-platelets/  Make An Appointment Zydus Hospitals Road, Nr. Sola Bridge, S.G. Highway, Ahmedabad, Gujarat 380054 Website: drpathikparikh.com 

  How to treat alcohol associated liver disease best doctors for liver disease Treatment of alcohol related liver disease encompasses multiple steps. Just asking to stop alcohol is not enough. Here are the things which we need to look at while dealing with alcohol related liver disease Abstinence Counselling Alcohol withdrawal Alcohol Craving Alcohol associated fatty liver and hepatitis Fibrosis and Cirrhosis – Complication of cirrhosis Liver Transplant General Measures Alcohol abstinence is the cornerstone of therapy Early management of Alcohol dependence is recommended in all patients Considering the potential risk of Wernicke’s encephalopathy supplementation with B-complex vitamins is recommended Behavioural Treatment Cognitive behavioural Therapy Motivational enhancement Contingency management Nutritional Therapy High protein diet – Do not restrict proteins High calorie diet – Can eat routine home-made foods including roti, sabzi, dal and rice Can have milk and milk products – ...

  Complications of Liver Cirrhosis Liver Cirrhosis means permanent irreversible damage to most of the liver. The complications develop when more than 80% of functioning parenchyma is lost. As liver has more than 500 functions, the complications are not limited to one or two systems but has systemic effects. Complications of Liver Cirrhosis should be managed in a tertiary care setup where multiple specialists are available round the clock. We describe complications of liver cirrhosis for all patients to comprehend in simple language.   best liver cancer doctors in ahmedabad 1. Ascites – Fluid accumulation in the tummy This is a common feature of cirrhosis.It is an accumulation of excessive fluid within the peritoneal cavity due to the increased plasma volume ‘spilling over’ into the abdominal cavity. This isusually accompanied by swelling of the feet (Edema). Whenever you develop fluid in your tummy for the first time, you need a needle aspiration and testing. You also need to ...

Covid-19 is a disease caused by a novel type of coronavirus now termed as SARS-CoV-2. The virus originated from Wuhan, #China and has now spread throughout the world now responsible for more than 50,000 deaths worldwide. The disease is primarily responsible for causing lung injury and acute respiratory distress syndrome or ARDS. In the 1.4 million cases noted so far # liver  involvement is also seen. The cells of the bile duct contain the same receptors as the ones present in lung by which the virus causes lung damage. Theoretically, it was expected to cause damage by the same mechanism – ACE2 receptors. However, practically we have not noted significant liver injury. No case of #LiverFailure caused by the virus per se is noted. There is rise in transaminases and non-specific abnormalities are noted in # LiverFunctionTests   or # LiverProfile . Most studies have found elevation of AST and total bilirubin similar to injury caused by other non hepatotrophic viruses. Initia...

Liver biopsy is a procedure where a small piece of your liver tissue is obtained and sent for examination. Not all patients with liver disease warrant Liver Biopsy. Your Liver Specialist or Hepatologist will look at your disease course – history and clinical examination, blood reports including  Liver Function Tests  and reports for  HepatitisB ,  HepatitisC ,  Wilson’s Disease ,  Autoimmune Hepatitis  and then take a decision on need for  liver biopsy . Why does Hepatologist advice Liver Biopsy? Reason for abnormal liver tests (Diagnose) Determine the stage of your liver disease (Stage) Determine the severity of your liver disease (Grade) Decide on need and success of the treatment (Treatment) If there is any suspected tumour in the liver (HCC Hepatocellular Carcinoma Liver Tumour) Unknown reason of fever Is there different ways to carry out liver biopsy? Most common is via Ultrasound (Sonography) guided biopsy through the skin ...

The answer is yes and no. It indeed is a liver problem and it indicated that there is fat accumulated in your liver. However, it is not just a  liver problem  and it is one of the manifestations of a complete metabolic problem. Liver is a store house. Whatever we eat, the excess amount is converted to fat and is stored in the liver. If on a daily basis, we have a positive balance between calories we eat and calories we burn, the difference is converted to fat and stored in the liver. Over a period of time the fat accumulated to such a great extent that it starts damaging your liver cells and they start dying. This is the time when your liver function tests start becoming abnormal. If no corrective action is taken at that moment, the liver tries healing itself with abnormal fibrosis and eventually it becomes cirrhosis. Once cirrhosis happens, it is irreversible and can then lead to all complications like blood in vomit, blood in stools, abnormal behavior, fluid accumula...

Liver  as you all know it, is not only the second largest organ of the body after skin, but also a major organ for metabolizing. Whatever we eat goes to liver before reaching anywhere else in the body. The liver stores the excess energy as fat and condensed glucose known as glycogen. So whenever we eat excessively, the energy is stored in liver as fat. If we continue to do so for months and years together, the liver starts accumulating fat and enlarges in size. A point comes when liver no longer can take it and starts undergoing destruction. What is Fatty Liver? Whenever the fat accumulation in liver crosses 5% of liver weight it is known as fatty liver. Though in last century alcohol was believed to be the major cause of fatty liver, the diet and lifestyle is rapidly becoming the major cause of fatty liver now. The disease is known as non alcoholic fatty liver disease or NAFLD. Once it starts destroying liver it is called as steatohepatitis or NASH. Who is likely to ha...