Dr. Pathik Parikh Hepatologist and Liver Transplant Physician

  Dr. Pathik Parikh Consultant Hepatologist & Liver Transplant Physician MD.DM Gold Medalist Fellowship in Hepatology & Liver Transplant (U.K.) Fellowship in Liver Intensive Care (U.K.) Dr. Pathik Parikh  is the only hepatologist in gujarat to be trained Mumbai (India), London (UK), Florida (US) and Osaka (Japan) He is the first and the only doctor to be awarded combined INASL-JSH fellowship for hepatologist best liver doctor in ahmedabad Make An Appointment Zydus Hospitals Road, Nr. Sola Bridge, S.G. Highway, Ahmedabad, Gujarat 380054 Website : www.drpathikparikh.com  

Liver Transplant after cirrhosis – When is the right time? Cirrhosis is end stage damage to liver. It means from the soft smooth liver like a sponge, it has become hard and irregular like a bark of a tree. Once an individual develops cirrhosis of liver, the process is irreversible. The disease progresses gradually over a period. Initially if we find the cause of cirrhosis, we can treat and stabilize the liver for a prolonged period. Eventually however, different complications set in. Initially these complications are manageable with medications and dietary restrictions. However, as the disease worsens, complications persist or recur and that is when doctors’advice you to undergo liver transplant. Most common causes of cirrhosis in adults in India 1.  Alcohol 2. Fatty Liver 3. Hepatitis B 4. Hepatitis C 5. Drug Induced Liver Injury 6. Autoimmune Hepatitis 7. Wilson’s Disease The treating#Hepatologist will look for these causes once you are diagnosed with cirrhosis. For Alcohol relat...

  Interesting Case – Drug Induced Liver Failure Successful Management of Anti Tuberculosis Therapy induced liver failure by Liver Team 50 year old female during routine follow up was diagnosed to have mild pericardial effusion. She was started empirically on 4 drugs anti tuberculosis therapy (ATT). She tolerated the therapy well and on completion of intensive phase her pericardial effusion disappeared. She was maintained on isoniazid, rifampicin and ethambutol therapy. 4 months after starting ATT, she noticed jaundice and consulted her physician who stopped ATT and started her on Ursodeoxycholic acid. However, her jaundice worsened and that is when she presented to Zydus Hospitals. At the first visit she had full blown liver failure. Her reports showed a bilirubin of 14 mg/dl, AST 157 IU/ml, ALT 90 IU/ml, Albumin 2.9 mg/dl and a International Normalized Ratio (PT-INR) of 7.1. Her ultrasound showed mild ascites and hypo echoic liver. She had over encephalopathy with flaps on examina...

  Kidneys in liver cirrhosis – Hepatorenal Syndrome What are different complications of cirrhosis? Liver Cirrhosis progresses to develop many complications.  It is prudent to be aware of the complications of liver cirrhosis, so that it can be picked up early and treated timely. Some of these are often ignored for long time before they become life threatening. The table shows different complications of liver cirrhosis. Blood Vomitus Swelling of feet Poor memory Black Stools Fluid in chest Altered behaviour (Brain Involvement) Blood in stools Ascites – Fluid in abdomen Hypoxia (Lung Involvement) Nasal Bleeding Jaundice Low BP (Heart Involvement) Increased bleeding tendency Loss of muscle mass Low Urine (kidney Involvement) Darkening of skin Bone weakness (Osteoporosis) Loss of sexual hair (Gonad involvement)   Usually, the initial complications are fluid collection and bleeding. Renal involvement is a sign of very advanced disease. Kidney involvement presents as hepatorenal...

  Let’s Stop the Progression of Liver Disease Did you know that hepatitis simply means inflammation of the liver? What is autoimmune hepatitis? Autoimmune hepatitis is a condition in which your own white blood cells attack the liver and damage it. Under normal circumstances, white cells in our body protect us against invasion of foreign substances.  Sometimes, these white cells fail to identify liver as our own and they start damaging it. Inflammation is the body’s natural response to injury and an important part of our healing, or immune, response. Think about when you get a cut or injury to your skin; the area around the wound becomes swollen or inflamed. Seeing the swelling is not the only way you experience the inflammatory phase; you may also experience pain, redness, or the wound may feel warm to the touch. Under the skin, your body is hard at work to stop the bleeding and prevent infection. Blood vessels near the wound widen, or dilate, making more room for special heal...

  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 ...

  5 myths about liver disease that needs urgent attention Myth 1 – Liver disease occurs only in those who take alcohol This is a common myth. In fact, Liver diseases can be caused by multiple reasons. Viral Infections, drugs and fatty liver (usually seen with obesity and diabetes) are some of the reasons. Viral hepatitis B and C, fatty liver as well all other etiologies can affect the liver in similar fashion as alcohol. Once cirrhosis occurs, it does not matter what has caused cirrhosis. The complications remain the same. Myth 2 – Fatty liver is common and can be ignored Fat is the new alcohol!! In last 2 decades, a significant increase in knowledge on fatty liver is obtained. Fat destroys the liver in same manner as alcohol does. In fact, liver biopsies appear similar in both cases. If someone has diabetes, blood pressure, obesity, their liver may have fat deposition and gradually it hardens the liver and causes cirrhosis. It may also cause liver cancer and may need liver transpl...