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Questions & Answers on "Liver Resection" (146)
Sir I was affected HCV 13 years ago after treatment I was completely cured and my PCR negative. But when ever I go for my medical to abroad they declared me unfit and reject my visa because HCV antibodies are shown in my Blood Elisa . Is there any solution to solve out this problem please guide Can I go for Plasma therapy to remove these antibodies from blood ....?
Male | 29
My suggestion would be to go to a liver specialist and do the necessary tests. Immune memory of HCV infection may persist. Not plasma therapy is advised to eliminate the antibodies to HCV. A hepatologist can refer you to more specialized care or recommend other treatment options.
Answered on 23rd May '24

Dr. Gaurav Gupta
My wife has issue with abdomen pain & according to Dr the lever is fatty We have done USG of upper & lower abdomen & it shows bit enlargement of lever What shall we do next
Female | 62
Liver enlargement and fatty liver are generally associated together. If a patient has a fatty liver, the patient needs to be evaluated for all metabolic syndrome which includes diabetes, hypertension, cholesterol and thyroid problems. Such individuals need to undergo Liver function test, also these patients may or may not need liver fibroscan to know if liver fibrosis has set in. Treatment depends upon the degree of liver injury and associated comorbidities. diagnosis of fatty liver should be taken seriously as some of these patients may develop NASH (non alcoholic steatohepatitis) in long term. You can refer this page to find hepatologists - Hepatologist in Mumbai, let the clinicspots team know if your city is different, or you can reach out to me as well.
Answered on 23rd May '24

Dr. Gaurav Gupta
I have elevated levels of SGPT upto 116.What are the normal levels
Female | 75
NORMAL SGPT LEVELS FOR MEN RANGE from 10 to 40.. NORMAL SGPT LEVELS FOR WOMEN RANGE from 7 to 35.. YOUR LEVELS ARE mildLY elevated, but not alarming.. HOWEVER, YOU SHOULD consult hepatologist for more information and advice.. LIFESTYLE CHANGES, such as limiting ALCOHOL CONSUMPTION and avoiding FATTY FOODS, may help lower YOUR LEVELS..
Answered on 7th Oct '24

Dr. Gaurav Gupta
I am suffering from chronic liver disease from may 2017. I was fine but now my serum bilirubin in 3.8 and early 10 days 5.01 without any symptom
Male | 55
• Cirrhosis is a late stage of liver scarring (fibrosis) induced by a variety of liver disorders and conditions, including hepatitis and persistent drinking. When your liver is damaged, whether through illness, excessive alcohol intake, or another cause, it attempts to restore itself. Scar tissue arises as a result of the procedure.
• It causes scar tissue to grow, making it harder for the liver to function (decompensated cirrhosis) and is considered to be potentially fatal by nature. The liver damage is often irreversible. However, if detected early and the underlying cause is addressed, additional damage can be reduced and, in rare cases, reversed.
• It often has no signs or symptoms until liver damage is extensive.
• On damage the following signs/symptoms can be seen - Fatigue , easy bleeding/bruising , Loss of appetite, Nausea, pedal/ankle odema, Weight loss, Itchy skin, Yellow coloured eyes and skin, ascites(fluid accumulation in abdomen), spiderlike blood vessels, redness of palms, absence/loss of periods (not related to menopause), libido and gynecomastia(breast growth in males)/testicular atrophy, Confusion, sleepiness, and slurred speech (hepatic encephalopathy)
• Usually, the total bilirubin test shows 1.2 mg/dL for adults and 1 mg/dL for children under the age of 18. The normal value for direct bilirubin is 0.3 mg/dL.
• Normal findings may differ somewhat between men and women, and results may be influenced by particular diets, drugs, or severe activity. Bilirubin levels that are lower than normal are typically not a cause for worry. Elevated levels might be a sign of liver injury or illness.
• Higher-than-normal amounts of direct bilirubin in your blood may suggest that your liver isn't adequately removing bilirubin. Elevated indirect bilirubin levels may signal other issues.
• Gilbert's syndrome, a lack in an enzyme that aids in the breakdown of bilirubin, is a frequent and innocuous cause of high bilirubin. Further tests may be ordered by your doctor to explore your situation. Bilirubin test results can also be used to track the evolution of specific illnesses like jaundice.
• Further laboratory investigations such as AST(aspartate aminotransferase), ALT(alanine transaminase), ALP(alkaline phosphatase) and GGT(gamma-glutamyl transpeptidase); Total Albumin, Lactic Dehydrogenase, Alpha protein, 5’nucleotide, mitochondrial antibody and PTT levels need to be determined and procedures such as CT scan, MRI (for liver tissue damage) and biopsy (in case of chance of any cancerous growth) need to be performed.
You can also visit hepatologist for detailed treatment.
Answered on 23rd May '24

Dr. Sayalee Karve
Ast alt and globulin mild high
Male | 39
Liver and muscle problems sometimes cause higher AST, ALT, and globulin levels. You may not have symptoms. But fatty liver, infections, and certain medications could be reasons. Eating healthy foods, exercise, and avoiding alcohol helps. Still, see your hepatologist to check and get advice.
Answered on 16th Oct '24

Dr. Gaurav Gupta
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