Mahesh Gopasetty on Prevention of Liver Disease



I am dr. Maha Shiva Fischetti transplant surgeon at for this hospital when I get the road manual today I will be talking about how do we prevent liver diseases liver is an organ which is located in the right upper part of the abdomen it weighs roughly about one and a half to two pillows in an adult and you know it has more than 500 functions and it's a very silent worker what we have is about 70% in excess of liver that means when until more than 70% of the liver is damaged person will not even know that he has liver disease and symptoms will not appear so that's why most of the time you know by the time we identify liver disease you know more than 70% of your liver is already damaged common causes for liver damage are infections like hepatitis a b c and hepatitis B and nowadays it is common to have this is called as non-alcoholic steatohepatitis for nash or it is also called as NAFLD these patients are typically obese and they may also have diabetes and this is coming up in a big way people that is this this is called nash and the third most common cause for lower damage is alcohol intake so let's start talking about infections you know hepatitis a b c and e how do we prevent these and what to do if you have hepatitis B one of these infections hepatitis A and hepatitis E are preventable by vaccination and they are spread by contamination through the water or vegetables so one has to wash the and wedgies clean before consuming them raw you know before eating with your hands these patients with hepatitis A and E they typically start to have fever and they suddenly notice that they are weak and they develop jaundice people with hepatitis A and E typically recover fully once the infection is under control and it does not continue to damage liver and lead to chronic liver disease hepatitis A and E are preventable by vaccination hepatitis B and C spread through the blood and body fluids who should get tested for hepatitis B now these are the people who work in healthcare industry or who are exposed to blood and body fluids people who have received blood transfusions before 1992 before that we did not even know that there existed this hepatitis B and C and and the blood in the blood bank was never tested for them prior to that and people who have multiple sexual partners who are who share needles you know for drug use or any if any member of the family has hepatitis B or if your spouse or partner has hepatitis B or C or if you are born to a parent you know who has either hepatitis B and C you know these people need to get themselves tested for this disease you know hepatitis B has a vaccination and if you are don't have hepatitis B you can get yourself fractionated and prevent this disease from infecting your liver once you get affected with hepatitis B you know you can have a little slight amount of illness to start with and that may disappear completely you may think that you have recovered but this hepatitis B continues to damage your liver and when the patient develops end-stage liver disease no that's that's when you realize you actually have had this hepatitis and these patients you know by the time they may come up with any signs of liver failure like swelling in the leg fluid accumulation in the abdomen feeling weak developing jaundice or you know even sometimes vomiting blood or passing blood in stools hepatitis B like I said is preventable and you can vaccinate your search hepatitis C we don't have a vaccine but the good news is that we have very good effective treatment available for hepatitis C and we can cure hepatitis C with the latest available medications let's move on to this lifestyle disease which is called as non alcoholic steatohepatitis and who are the people in a who develop this fatty liver or nash most common cause for nash is alcohol intake you know people who consume alcohol and on a regular basis now tend to develop fatty livers and if you if you consume alcohol and you have a fatty liver you better start stop taking alcohol immediately if you continue to take alcohol this can ultimately lead to chronic liver disease and liver failure people who have diabetes or who take chronic medications who are obese these are the people who have a common tendency to develop nash how do we prevent this Nash if you if you are a chronic alcoholic better stop taking alcohol if you know that you have some kind of liver disease which is ongoing and you take alcohol the injury gets compounded and you know if you stop taking alcohol at least you can slow down the process and you know prevent yourself from get getting into this liver failure stage if you have diabetes you know you control your diabetes that again helps if you have if you're obese you have if your BMI is more than 23 for that matter for all of us Indians now you have to get into some kind of lifestyle and help yourself in order to reduce your weight medications work only in conjunction with weight reduction and taking medications and not reducing your weight typically it does not help you with your mash of fatty liver we already spoke in another video about alcohol intake and the effects of alcohol intake I will just touch up on it very briefly so there is nothing called as a safe all Kahala intake if you really have to take alcohol you take it with responsibility you know if you have fatty liver or you have any other underlying liver disease you should not be taking alcohol and if you if you really want to take alcohol make sure that you don't take it on empty stomach you don't drink alone and for some reason if you really have to take alcohol on a regular basis make sure you refrain or abstain from taking over all six consecutive weeks every year this this is to help you to true to yourself that you are not addicted to alcohol and you have not dependent on dependent on

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