Author Archive: admin

Stage 4 Liver Cancer Symptoms, Treatments, and Prognosis (1200 x 630 px) (1)

Stage 4 Liver Cancer: Symptoms, Treatments, and Prognosis

Posted on by

Introduction

Think of your liver as an internal filter, similar to the oil filter on cars. It cleanses blood, processes nutrients and helps keep things going smoothly. What is the next step when this vital organ comes in danger? A stage four liver cancer can be a grave and life-threatening illness that takes thousands of lives each year. The positive side? Knowing the signs as well as the treatment options and the role of skilled surgeons can have a significant impact in the outcomes.

If you’re looking for information for your self or your loved one This article will take you through all you should be aware of about stage 4 lung cancer. It’s written in simple clear, simple words. Let’s get started.

1. What Is Stage 4 Liver Cancer?

Stage 4 is considered the most severe type of cancer that affects the liver. In this stage, the cancer has been able to spread to other body parts like the bones or the lungs. This is known as metastasis..

In a nutshell, the tumor isn’t an issue local to the area. It has gotten out of its original place and makes treatment more difficult but not difficult.

2. How Liver Cancer Progresses

The majority of liver cancers begin with a small, benign tumour that develops within the liver. In time, if it’s not addressed and diagnosed, it will grow and spread to surrounding organs and tissues. Doctors categorise the progression of cancer into four stages, with stage 4 being the most severe.

The main difference between stage 4 lies in the spread to distant areas in the human body, and not only inside or around the liver.

3. Common Symptoms of Stage 4 Liver Cancer

The symptoms may not be apparent until after the cancer has progressed. This is the reason it’s usually detected late. Below are the top commonly reported symptoms:

  • Extreme pain in the upper abdomen.

  • Bloating or swelling

  • Weight loss that is not explained

  • A loss of appetite

  • Skin yellowing or eyes (jaundice)

  • The weakness and fatigue of HTML0

  • Nausea and vomiting

  • Memory problems or confusion (due to liver problems)

Are you so exhausted it’s like you’re running on “low batteries”? This is the way many patients describe their fatigue caused by late-stage liver cancer.

4. Why Early Detection Is So Hard

The liver is a “quiet” organ. It isn’t a complainer until experiencing real problems. A lot of people don’t experience any signs in the initial stages, but when they finally feel symptoms, the symptoms show uand p, it’s usually Stage 4.

Regular check-ups and imaging tests are sometimes able to detect liver cancer earlier, particularly for those at greater risk.

5. Causes and Risk Factors

Below are the top frequent causes of cancer in the liver:

  • Chronic Hepatitis B and C infections

  • Cirrhosis (often caused by drinking alcohol or fatty liver illness)

  • Diabetes and obesity

  • Exposure to Aflatoxin (a toxin derived from food that is contaminated by mould)

  • Family history or genetics

Like smoking cigarettes increases your risk for lung cancer the liver cancer also has its risk factors. Being aware of your risk could save your life.

6. How Doctors Diagnose Stage 4 Liver Cancer

Doctors employ a variety of tests to determine the severity of liver cancer.

  • The blood tests (including alpha-fetoprotein, also known as AFP)

  • Ultrasounds, CT scans, MRIs

  • Liver biopsy (removing one small amount to test)

  • PET scans to find cancer in different areas of the body

The aim is to determine if the cancer has been detected, to determine the extent to which it’s advanced, and to determine the best treatment.

7. Understanding the TNM Staging System

Doctors typically employ TNM to describe the extent of cancer. The TNM technique is used to define the extent to which cancer has advanced:

  • T (Tumour): Size and size of the tumour within the liver

  • N (Nodes): Whether it has spread to the lymph nodes

  • M (Metastasis): Whether it has expanded to distant organs

When in the stage 4 In Stage 4, In Stage 4 “M” is always positive and means metastasis is occurring.

8. Treatment Options: What’s Available?

The stage 4 cancer of the liver cannot normally be curable, however, treatments can ease symptoms and prolong the life of patients:

  • Therapy targeted: Medications that attack cancer cells in particular

  • Anti-inflammatory therapy: Enhances your body’s defences naturally

  • Chemotherapy kills rapidly-growing cells, but isn’t as effective in removing cancerous liver cells

  • Radiation therapy reduces tumours and reduces discomfort

  • Embolisation or Palliative Surgery: To reduce tumour size

Each patient is unique. Treatments are usually mixed.

9. Liver Transplant: A Ray of Hope

It’s possible to think that an organ transplant is not possible at this stage, but in certain instances, it’s still possible. If cancer has been located within the liver area and it meets certain guidelines (like Milan or UCSF criteria) it is possible to have it is possible to have a liver transplant may be a lifesaving option.

It’s not common however, when it’s successful it will replace the diseased liver completely, giving you an opportunity to live again.

10. Choosing the Best Liver Transplant Surgeon in India

India has many of the most highly skilled liver transplant surgeons around the world.. If you are looking for the Best Liver Transplant Surgeon in India , here’s the information to look for:

  • Experience with complicated cases, such as stage 4 of cancer

  • The rate of success and the number of transplants completed

  • Modern technology in hospitals and infrastructure

  • Customer testimonials and post-care services

The choice of the best surgeon can be the difference between despair and hope.

11. Alive with Stage 4 Cancer

Being diagnosed with cancer at a late stage can be physically and emotionally demanding. Patients can be affected by:

  • Chronic discomfort and pain

  • Digestive issues

  • Mobility and fatigue

However, with the right medical attention and a robust assistance system, many patients discover ways to improve their high quality of life.

12. Emotional and Mental Health Support

Cancer has more effects than the body does. Anxiety, depression and emotional strain are typical. Here’s how you can cope:

  • Therapy and counselling

  • Help groups (online and offline)

  • Meditation and mindfulness practices, such as meditation

  • Community or spiritual guidance assistance

Never overestimate how healing it can be by speaking about it.

13. Palliative Care and Pain Management

If a cure isn’t feasible and comfort is the only option, then comfort becomes the primary aim. Palliative treatment is focused on:

  • Managing pain

  • Eliminating nausea and other adverse side nffects

  • Supporting spiritual and emotional assistance

This is about improving your level of quality and not merely extending it.

14. Survival Rates and Prognosis

This is the truth: Stage 4 cancer of the liver has a poor survival rate. A 5-year survival percentage is lower than 10 per cent. But each person’s story is different for each person.

Factors that impact survival include:

  • Health overall

  • How far has it been able to spread

  • Treatment options selected

  • Medical expertise

There is hope. Certain patients can overcome the odds, especially with the proper medical treatment.

15. How can I help a Loved One who has Cancer of the Liver?

Being a caregiver can be an opportunity and a burden. This is how you could aid:

  • Be there, physically and emotionally.

  • Assistance with appointments for medical care and medication

  • Do not listen while looking to “fix” everything

  • Be mindful of your health, too.

Support can be a beacon of a bright spot in the darkest of times.

Dr. Neerav Goyal is a highly experienced surgeon with over 20 years of expertise in the field of liver and gastrointestinal surgeries. With more than 2,500 successful transplantations to his credit, he is renowned for his exceptional skills in liver transplants, organ surgeries, and advanced gastrointestinal procedures. Dr. Goyal holds DNB qualifications in Surgery and Gastrointestinal Surgery and is a member of MNAMS. He practices at the prestigious Indraprastha Apollo Hospital, New Delhi. For consultations, you can contact him at

+91 8527516541    or    email at [email protected].

Conclusion

A stage four liver tumour is a difficult diagnosis, and there’s no question about that. However, knowledge is power. Through understanding the signs as well as the treatment options and the potential for hope provided by a highly skilled surgeon — possibly the Best liver transplant surgeon in India–patients, along with their family members, can make informed choices.

You’re not the only one in this battle. If you have the right support in both a psychological and medical sense, you’ll always have a good reason for you to continue to fight.

FAQs

1. Can Stage 4 liver cancer be cured? The cure isn’t likely, however, treatment may help control symptoms and improve the quality of life. In rare instances, transplantation may be an option.

2. How long does someone endure Stage IV liver cancer? This differs. Some are only able to live for a few months, while some live just a few years, with treatment and supportive treatment.

3. What is the purpose of the liver transplant in stage E? If cancer isn’t advancing beyond the liver and meets certain criteria, then a liver transplant could be in the cards.

4. What should I be looking for in the top Liver Transplant Surgeon in India? Do you look for the experience, high success rates, advanced facilities, and excellent patient care.

5. What can I do to manage discomfort and pain in the late stage of the liver? Palliative treatment experts use therapies and medications to ease nausea, pain and emotional stress.

Robotic surgery being performed for liver tumor removal by a surgeon in a high-tech operating room

The Benefits of Robotic Surgery in Liver Tumor Removal

Posted on by

 What Is Robotic Surgery?

A robotic procedure is a kind of minimally invasive surgery which uses robots to carry out surgeries with greater control and accuracy. It’s not the robot that is performing the work on its own — consider it as an extremely sophisticated tool that is that is controlled by a expert surgeon at a desk.

This technique is particularly beneficial for complex and delicate procedures, such as removing liver tumours.

Do you need expert advice for serious liver problems? Find our complete guide for selecting the Best Liver Transplant Surgeon in India, with a reputation for trust with top hospitals and everything you require to make the best choice for your liver health.

How Does Robotic Liver Tumour Surgery Work?

When performing a robotic liver tumor surgery the surgeon makes tiny incisions and inserts tiny tools as well as a camera. The instruments are connected to the robotic arms, which surgeons control in real time. The camera offers an immersive 3D view that allows the surgeon to be able to see clearly, similar as if you were zooming into your television.

With this system, the surgeon can take out the tumour using extreme precision and minimise the risk of injury to the healthy tissue of the liver.

Why Is Robotic Surgery Better Than Traditional Methods?

You may be wondering: What’s so great about robotic surgery in comparison to traditional surgical procedures?

Traditional liver surgeries require massive incisions and bleeding, and more time to recover. However, robotic surgery provides:

Smaller cuts

Less pain

Quicker healing

Better accuracy

Consider replacing your chainsaw by the laser pointer. both are able to cut, however one cuts with more precision.

Benefits of Robotic Surgery in Liver Tumour Removal

Let’s have a review of the important advantages of robots specifically designed for the removal of liver tumours:

Improved precision and control

Minimises the chance of contracting an infection

Lower injury to the body

Quicker return to everyday activities

Improved long-term outcomes

 Smaller Incisions, Less Scarring

With robotic surgery, the incisions typically are not much larger than an opening in a keyhole. This signifies:

Reduced loss of blood

Minimal scarring

Lower risk of wound infection

For a lot of patients, this means improved cosmetic results that can be essential for emotional recovery.

 Faster Recovery Times

There’s no doubt that no person wants to be recuperating in an hospital bed. Robotic surgery is often able to allow patients to return home earlier and sometimes in just several days. You will be able to return to normal routine sooner whether that’s activities, work or just having time with your family.

Precision That Matters in Delicate Areas

The liver is enclosed by blood vessels vital to life and organs. Any mistake could cause serious complications. With robots that provide 360° rotation and precise movement, surgeons can work in these areas of concern effortlessly.

It’s like threading needles instead of slicing into the cloth.

 Lower Risk of Complications

Because of greater control and visibility, robotic surgery can reduce the chance of

Bleeding

Infection

Post-op pain

Organs surrounding the damaged area

This is a huge victory for anyone having surgery on their liver.

 Better Visualisation for Surgeons

One of the most notable features that robotic surgeries offer includes their 3-D high-definition camera. It provides a clearer and more magnified view of the liver, which can help surgeons distinguish between healthy and tumour tissue with greater precision.

The result is a less invasive as well as better thorough removal of cancerous tumours.

 Shorter Hospital Stay

Patients who undergo a robotic liver procedure typically are required to stay much less time at hospital. This is not just a reduction in the cost of medical expenses, but also the possibility of contracting a variety of infections that are often seen in health care settings.

Additionally the luxury of the comfort of the privacy of your bed is better than sleeping in a hospital cot anytime.

The Truth About Patients Who Profited from Robotic Surgery

Let’s look at some real-world examples. Jane is a teacher of 52 years who was diagnosed with a tumour in her liver and removed with robotic surgery. Jane was released from the hospital in just three days and back at work in less than three weeks. In comparison to the six weeks of recovery her friend had to endure following open surgery, it was an impressive improvement.

The stories of these kinds are becoming commonplace as robotic surgery becomes more accessible.

 Are There Any Drawbacks?

There is no perfect medical procedure. Although robotic surgery comes with numerous benefits but there are a few things to consider:

Costs are higher (though usually paid by insurance)

The availability of HTML0 may be limited in certain regions.

The majority of surgeons are educated in robotics systems.

It’s crucial to discuss with your doctor if this is the best option for your particular circumstance.

Is Everyone a Candidate for Robotic Liver Surgery?

However, not every patient is eligible for a robotic liver surgery. Things like size, the location where the cancer is located, and general health can play a part. For instance, extremely deep-encased or large tumours could require traditional techniques.

This is why an in-depth medical examination is vital.

The Future of LivTumour Treatment

Robotic surgery is only the beginning. With the advancements in AI machine learning, as well as live-time images, this year’s liver surgeries are very promising. The future of liver surgery includes:

Much less intrusive

More personal

Highly precise

This is a sign of improved outcomes and better outlooks for patients across the globe.

 Conclusion and Final Thoughts

The robotic procedure for the removal of liver tumours isn’t simply a fancy technological upgrade, it’s an revolution in the field of medicine. With greater precision, speedier recovery and fewer complications, it can bring hope and healing for thousands who are suffering from this serious disease.

If you or someone close to you is thinking about having a liver transplant, don’t be afraid to inquire about information on robotic alternatives. Your well-being, comfort, and security are paramount.

Dr. Neerav Goyal is a liver transplant specialist:

To seek a consultation with the best liver transplant doctor in New Delhi, India:

Call us at 8527516541 | Email at [email protected]

FAQs

1. Are robotic liver surgeries risk-free? Absolutely. If performed by experienced surgeons, Robotic liver surgery is thought to be extremely secure and is often safer than open surgery.

2. How long is the recovery after removal of a tumour in the liver using robotic surgery?y Patients typically recover within two weeks, which is compared to 6-8 weeks with open surgery.

3. Do insurance companies will cover the cost of robotic surgery? In a lot of instances the answer is yes. The majority of insurance companies will will cover robotic surgery if medically required.

4. Does the entire procedure have to be performed by a robot? Not at all. The robot is completely controlled by the surgeon, who controls the entire procedure.

5. What is the success rate for the removal of tumors from the liver using robotics The success rates are very high especially for tumors that have been detected earlier. The accuracy of robotic tools can ensure the complete removal of tumours in many cases.

Alcoholic Liver Disease Insights from Dr. Neerav Goyal

Alcoholic Liver Disease: Insights from Dr. Neerav Goyal

Posted on by

Alcoholic Liver Disease (ALD) is a significant cause of liver health problems and death around the world, usually causing problems after one drinks alcohol heavily for a long time. The disease has various types of liver damage, from simple steatosis (fatty liver) to liver cirrhosis and even liver cancer. ALD is preventable, but remains underdiagnosed and undertreated due to overlooking its slow progression and nonspecific signs. To understand ALD with greater detail, we would like to reach out to Dr. Neerav Goyal, one of the hepatology specialists, who provided useful information regarding pathophysiology, diagnosis, treatment, and even preventive measures concerning this disease.

Understanding Alcoholic Liver Disease: The Spectrum of Damage

ALD progresses over time, starting as a fatty liver and leading to advanced cirrhosis. Liver processing capacity for alcohol increases over time, but only to a certain point, after which the liver becomes overwhelmed. ALD can be described in components as follows:

Alcoholic Fatty Liver (Steatosis):

ALD’s first and most common stage is alcoholic fatty liver, which is characterised by fat accumulation in the liver cells. Most patients with steatosis are symptom-free, but the extra fat in the liver should alarm the patient because it means alcohol is beginning to impair liver metabolism. The positive news is, as Dr. Goyal points out, the liver can recover fully if alcohol intake ceases at this stage.

Alcoholic Hepatitis:

With further exposure to alcohol, liver inflammation and cell damage deepen, progressing toward alcoholic hepatitis. This condition is marked by jaundice, nausea, persistent abdominal pain, and fever, and in some cases, can progress to dangerously severe alcoholic hepatitis. Dr. Goyal says this condition is an emergency and needs to be treated right away. A timely treatment, on the other hand, can lead one to a healthier life.

Fibrosis and Cirrhosis:

Chronic drinking can lead to scarring of the tissue, known as fibrosis, which can advance to cirrhosis. The damage becoming permanent liver cirrhosis is the obliteration of the architecture and function of the organ. Complications include variceal bleeding, fluid buildup in the abdomen (ascites), and brain dysfunction due to liver failure (hepatic encephalopathy). “Dr. Goyal stated that while there is no turning back from cirrhosis, slowing down the liver’s deterioration is possible with early medical intervention.”

Hepatocellular Carcinoma (Liver Cancer):

Long-lasting cirrhosis, especially due to chronic alcohol consumption, sets the stage for liver cancer. Having liver cancer because of cirrhosis puts patients in a vulnerable situation. “Dr. Goyal emphasised the importance of continual monitoring for liver cancer in patients with cirrhosis, as the earlier it is diagnosed, the better the chances of surviving.”

The Pathophysiology: How Alcohol Damages the Liver

Dr. Goyal’s experience and research indicate that the harm to the liver from Alcoholic Liver Disease (ALD) is due to several reasons. It is mainly attributed to the breakdown of alcohol into acetaldehyde, due to alcohol dehydrogenase (ADH) and cytochrome P450 2E1 (CYP2E1). Acetaldehyde is such a substance that causes oxidative stress along with inflammation, and immune responses. All these lead to the liver cell damage.

Many other components worsen this process:

Oxidative Stress: The secondary damage to liver cells during oxidative stress is increased due to the free radicals caused by Alcohol metabolism.

Inflammatory response towards Acetaldehyde and its metabolites in the liver can start an immune response and release cytokines which invoke a fervent cascade inflicting additional damage to liver tissue.

Excessive inflammation is not alone, alcohol also disrupts the liver’s ability to break down and move fat which causes an increase of fat in liver cells.

As Dr. Goyal notes, steroid hormones have a considerable impact, too. Changes in the genes related to do with alcohol consumption, like ALDH2 (Aldehyde Dehydrogenase), greatly weaken someone’s resistance to Alcoholic liver Disease (ALD) because someone lacking ALDH2 is likely to suffer from severe injury to liver injury after consumption, while growing up in East Asian countries makes it even worse.

Main Danger Elements When Attempting to Diagnose Alcoholic Liver Disease

The primary suspect and tragic risk for ALD liver disease is severe drinking, but a variety of underlying factors could be contributing to simultaneously increasing ALD susceptibility:

Nationality is one of the most vital risk factors for suffering from ALD liver. As Dr. Goyal in-depth, changes in all metabolic uses and whether the immune system is involved in liver inflammation affect the rate of ALD cirrhosis.

Gender: Even taking into consideration a woman’s lower alcohol intake in comparison to males, they still tend to develop ALD at a greater rate. This is due to AFLD’s unique metabolism and hormonal composition, as well as body structure factors.

Comorbid Conditions: Existing causes like obesity, diabetes, and viral hepatitis worsen liver damage. These patients with double diseases are more susceptible due to the amplified impact these conditions tend to possess with alcohol intake. According to Dr. Goyal, these illnesses tend to enhance the already damaging impact alcohol has towards the liver.

Binge Drinking: The act of infrequently binge-drinking poses to be highly detrimental to the liver’s wellbeing. According to Dr. Goyal, binge drinking triggers acute alcoholic hepatitis, even in those who do not drink deeply.

Nutritional Deficiencies: In most cases, consuming alcohol for long periods without breaks leads to malnutrition. This does strenuous work to the liver since it greatly limits self-restoration capabilities. Dr. Goyal stresses full diet is essential in sustaining ALD and impersoning AFLD.

Diagnosing Alcoholic Liver Disease

As Dr. Goyal notes, to diagnose ALD, the history of alcohol intake along with ancillary methods of evaluation must be woven together.

Blood Tests: Liver function tests (LFTS) alongside some blood markers like gamma-glutamyl transferase (GGT) and mean corpuscular volume (MCV) can reflect some degree of liver damage. These do not cause alcoholic liver disorder; however, the diagnosis of ALD requires more answers. Investigations are usually incomplete.

Imaging: Fatty liver, liver fibrosis, and liver cirrhosis are some of the stages of the liver which can be evaluated using non-invasive imaging techniques like ultrasound, CT scan, or MRI. They play an important role in staging the disease.

Liver Biopsy: Liver biopsy is considered the gold standard of diagnosis ALD but it is seldom done because of its invasive nature. It is done while staging fibrosis of the liver in patients when there is some doubt regarding the diagnosis.

Management and Treatment of Alcoholic Liver Disease

Treating ALD is a complex process, as there are multiple strategies, but the common denominator remains preventing more damage and promoting repair to the liver. As presented by Dr. Goyal, these are some central principles of treatment:

Alcohol Abstinence: From the therapeutic perspective in ARL, the most effective measure is stopping alcohol. Dr. Goyal notes that even if the patient is in an advanced stage of the disease, stopping alcohol will control the damage, and liver function can improve.

Nutritional Support: Proper nutrition is essential for properly managing the health of ALD patients. Malnutrition is very common among patients with ALD. Having an increased dietary protein, while simultaneously lowering lipid intake, can enhance liver function and assist in recovery.

Medications: Corticosteroids and pentoxifylline are used in the treatment of severe alcoholic hepatitis to reduce inflammation. Patients who have cirrhosis also require treatment for complications of ascites, variceal bleeding, and hepatic encephalopathy.

Liver Transplantation: Liver transplantation is a therapy option for patients with end-stage liver disease (cirrhosis), but as Dr. Goyal points out, one of the requirements is having a history of abstaining from alcohol for a certain period.

Preventing Alcoholic Liver Disease

Dr. Goyal outlines focusing exclusively on prevention to manage ALD. He proposes public policy initiatives that aim to educate people on the dangers associated with alcohol misuse, as well as more proactive measures, such as early screening coupled with counselling for people prone to ALD.

Conclusion: Laying Out The Next Steps

ALD continues to be a public health concern for many people, and Dr. Goyal’s ALD lectures about the pathophysiology, diagnosis and treatment of the disease help accentuate the reality of proactive measures and the role of lifestyle modifications. The rising burden of ALD can be alleviated with timely diagnosis, increased healthcare access, lifted awareness levels, improved quality of care, and a shift towards responsible drinking practices.

ALD is complex in nature, and hepatologists from around the world highlight the importance of adopting a holistic strategy for prevention and management of the condition. This analysis advocates for tailored treatment strategies based on individual patient needs.

 

Yellowing eyes and skin – common symptom of jaundice

Jaundice: Understanding the Yellow Signal Your Body Sends

Posted on by

Jaundice. It’s one of those words you’ve probably heard from a doctor or seen in a movie. But do you know what it means? That yellowish tint in the eyes or skin isn’t just a random occurrence—it’s your body waving a big, yellow flag saying, “Hey! Something’s not right with the liver!”

In this article, we’re diving deep into jaundice in a way that’s easy to understand, even if you’ve never picked up a medical book in your life. We’ll also talk about what to do if things get serious, including how to find the Best Liver Transplant Surgeon in India—because when your liver talks, you need the right expert to listen.

1. What is Jaundice?

Jaundice isn’t an illness, but just a manifestation. Consider it an indication of a “check engine” light for the body, particularly your liver. If your eyes or skin change colour is due to the accumulation of a chemical known as bilirubin that your liver usually disposes of. When your liver isn’t functioning properly, the bilirubin levels start to build up, and the yellowing appears.

2. What Causes Jaundice?

Why does this alert turn yellow? There are a variety of reasons that can cause problems with the processing of bilirubin:

  • Liver ailments such as cirrhosis or hepatitis
  • Gallstones blocking the bile ducts
  • The infection that causes liver damage
  • Certain medications or alcohol damage
  • Gene-related disorders like Gilbert’s Syndrome

Simply put, everything that hinders or blocks the liver’s ability to perform its job could trigger jaundice.

3. Types of Jaundice

There are three major types of problems, based on the location where the issue first appears:

Pre-Hepatic Jaundice

It occurs before the liver gets involved. It’s typically due to ailments like sickle cell anaemia, in which red blood cells are destroyed too quickly.

Hepatic Jaundice

It is caused by issues in the liver that cause it, such as fatty liver disease, hepatitis, or cirrhosis.

Post-Hepatic Jaundice

Also referred to as Obstructive jaundice. Also known as obstructive, it happens following the liver is blocked, think of the liver ducts, because of cancerous gallstones.

4. Signs and Symptoms to Watch For

The most obvious indicator? The skin is yellowing or the eyes. But that’s not all. It is also possible to notice:

  • Urine with dark-colored hues
  • Pale-colored stool
  • Affective or weak
  • Nausea or vomiting
  • Abdominal discomfort or swelling
  • Itchy skin

If you notice any combination or combination of them, do not dismiss your liver’s attempt to speak to you!

5. Jaundice in Newborns

It’s normal for newborns to appear somewhat yellow following the birth. It’s because their livers still learning how to deal with the hormone bilirubin. Most times it will go away by itself. In some instances when bilirubin levels are too high the risk of a heart attack increases and require treatment such as the phototherapy (special treatment with light).

6. How Jaundice is Diagnosed

Doctors don’t simply go by appearances. Here’s how they make sense of things:

  • The blood tests are used to determine the liver’s function and levels of bilirubin
  • Ultrasounds or CT scans that look at the liver and bile ducts.
  • The biopsy of the Liver in certain severe instances

These tests allow you to pinpoint the exact cause and then identify the most effective treatment.

7. Is Jaundice Dangerous?

Sometimes, but not always. In cases of mild severity, especially when the cause is temporary, it’s possible to be cured by itself. If it’s related to an ongoing liver problem and is not treated, it could be dangerous if not addressed.

This is why obtaining the correct diagnosis in the early stages is vital.

8. How is Jaundice Treated?

The treatment is based on the cause:

  • Antibiotics to treat infections
  • Lifestyle modifications to treat fatty liver or alcohol-related issues
  • Stents or surgery to treat obstructions in the bile duct
  • Antiviral medication for Hepatitis
  • A liver transplant if the liver is damaged beyond repair

9. When is Liver Transplant Considered?

When the liver has reached an age where it is unable to no longer perform its function and the other treatment options have been unsuccessful, liver transplant is the only alternative. It’s a big decision, but it’s also life-saving.

Signs of warning that could cause a transplant:

  • Multiple jaundice episodes
  • Liver failure
  • Hepatocellular carcinoma (liver cancer)
  • Cirrhosis severe

This is why choosing the best liver transplant surgeon in India is essential, since experience can make all the difference.

10. Best Liver Transplant Surgeon in India

India is recognised globally for its highly skilled surgeons and sophisticated liver transplantation programs. The best Liver Transplant Surgeon in India will provide:

  • High rate of success during transplant surgeries
  • Modern medical facilities that have liver ICUS
  • Affordable treatment options
  • Post-transplant assistance and rehabilitation

No matter if you’re living in Delhi, Chennai, Hyderabad, or Mumbai, make sure you verify credentials, testimonials from patients and the hospital’s infrastructure before making a decision.

11. Preventing Jaundice – Can It Be Avoided?

In many cases, yes. Here’s how to keep your liver well:

  • Avoid excessive alcohol
  • Be vaccinated against Hepatitis A and B
  • Keep a healthy weight and diet. lose weight
  • Take your medication with care.
  • Do not share needles or personal objects

Consider your liver as the body’s filter. Take care of it!

12. Jaundice Diet – What to Eat and What to Avoid

Food can be your most effective remedy. Here’s how:

Eat More Of:

  • Fresh fruits (papaya, apples, berries)
  • Leafy greens
  • Turmeric (anti-inflammatory)
  • Plenty of water

Avoid:

  • Foods that are oily, fried or processed
  • Alcohol
  • Sugary drinks
  • Salt that is too much

Keep in mind that the food you put in your mouth can affect your liver’s function directly.

13. Myths and Facts About Jaundice

Let’s dispel a few of the most common myths:

Myth: Jaundice is transmitted from one person to the next.

Fact: It’s not contagious–unless it’s caused by an infectious disease such as Hepatitis.

The myth: You should avoid the use of turmeric in jaundice.

Fact: Turmeric has liver-protecting properties!

The myth: Only alcoholics get jaundice.

Fact: Even non-drinkers can be suffering from liver problems because of an unhealthy liver, infections or genetic issues.

14. Emotional and Mental Health During Liver Illness

A chronic liver problem can take a toll not only on your body, but also on your mental and emotional well-being. Stress, anxiety, and stress are all common. This is why counselling, support groups, and conversations with loved ones could be as effective as medications.

15. Final Thoughts – Listen to Your Liver

Jaundice isn’t just about the colour of your eyes. It’s a sign that your liver could be getting a little shaky. The faster you act on the signs, the greater your chance of avoiding damage that could last for a long time. If the problem becomes severe, do not be afraid to seek out the most reputable liver transplant surgeon in India. Because your liver deserves nothing less than the very highest quality.

Frequently Asked Questions (FAQS)

1. Does jaundice disappear by itself? Yes, mild jaundice will disappear in its own time, especially when it is caused by temporary problems such as minor infections or medication adverse effects.

2. What is the time frame to heal from jaundice? It’s dependent on the cause. For instance, viral jaundice could last a few weeks, while chronic liver problems can last for months or require a lifetime of treatment.

3. Is a liver transplant the only option for severe jaundice, but not always. A transplant is only required in cases of liver failure, and all other treatment options have not worked.

4. How can I locate the most effective liver transplant specialist in India? Do you look for surgeons who are board-certified in the top hospitals, who have excellent customer reviews with high success rates and excellent aftercare service?.

5. Does jaundice in adults differ from that of newborns? The answer is yes, newborn jaundice is generally harmless and only temporary, but adult jaundice typically suggests an underlying liver problem.

 

 

 

Dr. Neerav Goyal – Leading Liver Transplant Surgeon at Apollo Hospital, India

Minimally Invasive Donor Hepatectomy: A Safer Path to Saving Lives

Posted on by

By the Liver Transplant and HPB Surgery Unit, Indraprastha Apollo Hospital

At the Liver Transplant and HPB Surgery Unit at Indraprastha Apollo Hospital, we believe that saving a life should not compromise another. That’s why we’ve embraced the future of living donor liver surgery—Minimally Invasive Donor Hepatectomy (MIDH).

💡 What Is Minimally Invasive Donor Hepatectomy?

It’s a highly advanced surgical technique where a portion of a healthy person’s liver is removed using small incisions, laparoscopic tools, or robotic assistance. Unlike traditional open surgery, this approach focuses on reducing pain, scarring, and recovery time for the donor—who is usually a family member or loved one.

💪 Why It Matters to Us—and You

We’ve seen firsthand the generosity of our donors. They step forward selflessly, and we’re committed to honoring that act by making the process as safe and smooth as possible.

With MIDH, our donors experience:

  • ✅ Less postoperative pain
  • ✅ Smaller, almost invisible scars
    • ✅ Faster recovery and earlier return to normal life
    • ✅ Greater confidence in stepping forward
  • 🛠️ Our Approach at Apollo

    Our unit offers both:

    • Laparoscopic Donor Hepatectomy – Ideal for pediatric or left lobe donations.
    • Robotic Donor Hepatectomy – Preferred for right lobe donation, offering unmatched precision and surgeon control.

    Using the da Vinci robotic system, our experienced team performs complex liver surgeries with a focus on donor safety, exceptional outcomes, and rapid recovery.

    👤 Who Can Be a Candidate?

    Each potential donor undergoes a detailed assessment to ensure:

    • Safe liver anatomy
    • Good overall health
    • Appropriate lobe selection (left, right, or left lateral)
    • Full understanding of the process and risks
      • ✅ Faster recovery and earlier return to normal life
      • ✅ Greater confidence in stepping forward
    • 🇮🇳 A Leading Program in India

      Our center at Indraprastha Apollo Hospital is among the few in India offering robotic donor hepatectomy with outcomes that match global benchmarks. We’ve successfully performed numerous minimally invasive liver donations, with excellent recovery and feedback from donors.

      ❤️ A Donor’s Gift Shouldn’t Leave a Mark

      Minimally invasive liver donation is another way we honor our donors—with better safety, recovery, and dignity.

      If you or a loved one is considering living liver donation, we invite you to consult with our expert team  

    • By the Liver Transplant and HPB Surgery Unit, Indraprastha Apollo Hospital  
      • Looking for the best liver transplant surgeon in India? Meet Dr. Neerav Goyal at Apollo Hospital—renowned for world-class expertise, advanced minimally invasive techniques, and compassionate patient care. Book a consultation today 8527516541
Worried About Fatty Liver? Here’s What You Need to Know

Worried About Fatty Liver? Here’s What You Need to Know

Posted on by

Initially, the term fatty liver may feel foreign to some. Many people are facing the condition, even if they don’t know it. The moment you hear about NAFLD or fatty liver from either your doctor or healthcare provider, the level of concern rises. Such moments can be fortunate when one possesses the right set of information that can help alter one’s lifestyle, heal the liver, and add life.

Every organ of the body comes with a certain level of responsibility. When it comes to a ‘detoxifying plant’ or the icor of purification in the body, there lies the liver. Like any other organ, your liver performs its own set of tasks — filtering toxins, energizing the body, healing and even aiding digestion, among other essential duties. Imagine a case where everything you enjoy starts stopping the machine. The fatty liver congestion can impact the health of several parts, and ultimately, it is not ideal and is where help is needed.

Worried about fatty liver? Learn about NAFLD, ALD, symptoms, causes, diagnosis, and how to reverse fatty liver naturally. Discover prevention tips, treatment options, and the best liver transplant surgeons in India.

What Is Fatty Liver Disease?

When excess fat builds up in the liver, one is now facing fatty liver disease. Relatively, a small quantity of fat does not harm; however, the imbalance can impair crucial liver functions. In other words, it’s akin to operating a car with a blocked oil filter. All may seem well at first, but maintenance and repairs incur heavy losses.

There are two forms: one linked to alcohol (ALD) and the other non-alcoholic (NAFLD). Both have different sets of causes and treatment options, though they can be equally damaging.

Types of Fatty Liver: NAFLD vs ALD

NAFLD (Non-Alcoholic Fatty Liver Disease) is particularly prevalent among individuals who do not consume alcohol, but have obesity, diabetes, and high cholesterol.

Alcohol-Related Liver Disease (ALD) is a direct result of heavy drinking or alcoholism. The two can lead to inflammation of the liver, scarring (fibrosis), and even cirrhosis.

What Causes Fatty Liver?

There are several reasons why fat accumulates in the liver:

Unhealthy diet- Intake of sugary, processed, and deep-fried foods significantly increases.

Obesity- Especially visceral fat.

Diabetes- Heightened insulin resistance significantly contributes.

High cholesterol or triglycerides.

Rapid weight loss.

Genetic Factors.

Some medications.

It is rarely one contributing factor, as the reasons tend to be multi-faceted in terms of lifestyle behaviors and genetic factors.

 Signs and Symptoms You Should Not Disregard

Many people suffering from fatty liver do not notice symptoms in the beginning. That, right there, is what makes it dangerous. But as it progresses, look out for:

Lower energy levels
Discomfort in the upper right portion of the stomach
Unexplained weight loss
Abdominal swelling
Skin or eyes turning yellow (jaundice)

Feeling ‘off’ for a few days? It makes sense to consider a visit to the clinic.

What Is the Process of Diagnosing Fatty Liver?

Your practitioner may start with blood tests where elevated liver enzymes are shown. If those numbers are high, they will likely proceed with:

Ultrasound or CT scan
Fibroscan (To evaluate the stiffness of the liver)
Liver Biopsy (For more serious cases)

Timely diagnosis is crucial to avoid complications.

Is There a Chance Fatty Liver Can Be Reversed?

This is the deeply hopeful part; in most cases, fatty liver tends to be reversible, especially in the early stages. The liver is unique in a way that it can heal itself. Think of it like how a lizard regrows its tail. But, you must create the right conditions for it to do so.

Healthy Lifestyle Changes That Help

This is not only recommendations, but life-changing suggestions as well:

Lose weight achieved through gradual methods (say no to crash dieting!)
Regular exercise (even a simple 30-minute walk does the job!)
Avoiding alcohol of any form (especially with any liver problems)
Controlling blood sugar and diabetes
Drinking adequate water

Small changes have the potential to do a lot.

Foods That Heal (and Harm) Your Liver
Best foods for your liver:
Spinach & Kale (leafy greens)
Whole grain oats
Salmon (a type of fatty fish)
Walnuts (all nuts but mostly these)
Olive oil
Green tea
Fried foods
White bread, pasta, Sugary drinks, and red meat in excess
Alcohol
Colorful, well-balanced meals aid your liver.

Fatty Liver Gets Serious

Hiding until turning into NASH, fibrosis, or Cirrhosis is where fatty liver tends to silently go. Those are warning indicators of the liver being damaged or inflamed.
Cirrhosis and liver failure, along with liver cancer, er are where fatty liver disease can once left untreated. Action right on it early is crucial.
10 What Is Cirrhosis and Why It Matters

A permanently damaged scarred Liver is known as Cirrhosis. Losing the ability to function will result in the end stage needing continuous treatment, regular checks, and, in the worst case, liver replacement.

It is the body’s method of signaling that, “I’ve experienced enough.”

Role of Liver Transplants in Severe Cases

In some instances, when the liver has sustained so much damage that it cannot function even with lifestyle changes and medications, a liver transplant may be the only solution.

For many, it is a daunting prospect, but it can be a life-altering opportunity. When comparing liver transplants, India boasts of its great saviors and facilitiesthe of its physicians. India is also known for its skilled surgeons as well.

The Best Liver Transplant Surgeon in India

In the case that you or someone close to you undergoes a transplant surgery, select the Best Liver Transplant Surgeon in India. They are bound to make an incredible difference.

Consider The Following:

Experience: A minimum of several years of performing transplants.

Specialization: Exclusive to liver and gastrointestinal surgery.

Hospital affiliation: Owning an up-to-date hospital.

Hearing patient reviews: Genuine stories, not fabricated. Indias best.

With these guidelines, Indoaborad can provide you with a transit to India and arrange a meeting with world-renowned doctors, who provide flawless assistance even at favorable rates.

 Preventing Fatty Liver — Start Early

Start Prevention before the symptoms arrive.

A primary step is scheduling regular medical checkups
Attendance in ensuring physical activities is a must
Having appropriate measures concerning sugar is essential
Substituting sodas with water is ideal. Your liver will repay you in time.14 — Mental Health And Liver Disease

Health problems can be overwhelming to deal with, but the psychological impacts should not be neglected. Anxiety and depression are quite common alongside persistent health problems, one of which can be fatty liver disease.

Talk to someone. You can build a coping strategy and stay motivated through therapy, counseling, or support groups.

Your Next Steps — Take Action Now

So what happens next?

Have a conversation with your healthcare provider.

If you’re at risk, get screened.

Implement small changes to your everyday routine.

Instruct your family members.

Look into treatment options early.

Do not put off seeking help until the situation worsens because your liver is a silent workhorse, and you should start being its hero now

Dr. Neerav Goyal as a liver transplant specialist:
To seek a consultation with the best liver transplant doctor in New Delhi, India:
Call us at 8527516541 | Email at [email protected]

FAQs

1 — Is fatty liver disease life-threatening?

Not in every case. During the initial stages, it’s usually reversible, but it can progress into serious conditions, including cirrhosis and liver failure, if neglected.

2 — Can I drink alcohol if I have fatty liver?

Drinking in moderation is still not recommended, as it can exacerbate damage to the liver.

3 — How long does it take to reverse fatty liver?

With the right lifestyle changes, you could notice improvements within a few months, and full reversal could take between six months to a year.

4. Which foods are harmful to those with fatty liver?

Steer clear of fried foods, sugary drinks, refined carbohydrates, and alcohol. Instead, focus on whole and unprocessed foods.

5. When is it appropriate for me to see a liver transplant surgeon?

It’s time to consider the Best Liver Transplant Surgeon in India if you have cirrhosis, end-stage liver disease, or liver cancer.

Liver transplant procedure for cancer types with survival

Liver Transplant: Treatment for Cancer Types & Survival

Posted on by

The procedure of liver transplantation (LT) is now an important method of treatment for certain kinds of cancers that affect the liver. When a liver is replaced by a healthy liver, it provides not only an opportunity to treat cancer but also gives patients the possibility of living longer and healthier lives. This article explores the significance of liver transplantation in the treatment of various types of cancer, as well as the rate of survival that comes with this procedure, as well as the major advancements made in this area.

In this article, we’ll explore how liver transplants serve as an effective treatment option for various cancer types, the role of the best liver transplant surgeons in India, and what patients can expect in terms of survival and recovery after the procedure.

Introduction to Liver Transplantation

The procedure of liver transplantation can be described as a procedure that involves the removal of the damaged or diseased liver and replacing it with a healthy, functioning liver from an organ donor. It’s a viable treatment for patients suffering from end-of-life liver disease as well as specific forms of cancers in the liver, particularly when the cancer is restricted to the liver. While a liver transplant isn’t appropriate for every cancer patient, however, it is typically looked at when other treatment options like chemotherapy or surgery are not viable anymore or if cancer has progressed. For many patients, a liver transplant may give the possibility of
an opportunity to live again. 

Kinds of Cancer Treatable with  Transplantation of the Liver

Liver transplants are most often utilized to treat two kinds of liver cancers, Hepatocellular
Cancer (HCC) and cholangiocarcinoma. Each one has its distinct characteristics as well as
treatment needs and results

Hepatocellular Carcinoma (HCC)
Hepatocellular cancer is by far the most prevalent type of liver cancer that usually occurs in
people with chronic liver disorders like cirrhosis. HCC is a form of cancer that develops when
the liver cells are cancerous due to damage sustained over time that is usually caused by
hepatitis C infections, alcohol dependence, or non-alcoholic fatty liver disease.
For patients suffering from advanced-stage HCC restricted to the liver, a liver transplant is a
great option for ensuring long-term survival. In certain cases, it’s the only treatment that is
curative, particularly when the tumor is not surgically removed because of the liver’s deficient
function.
Other Types of Cancers
Although HCC is by far the most commonly diagnosed liver cancer that is treated through
transplantation, other types of cancer like cholangiocarcinoma (bile duct cancer) and liver
metastases (cancer that has taken hold of the liver after having spread to other organs) can
be treated through the transplantation of a liver, but the incidence of these types is less.
Cholangiocarcinoma may be difficult to treat, however, liver transplants may provide patients
with a possibility of treatment if the cancer is located in the liver, and there is no evidence of
spreading. 

Indications for Liver Transplantation
The decision of whether to undergo the idea of a liver transplant to help with cancer
treatment depends on various aspects.
Cancer Stage and Liver Function
The stage of the cancer, as well as the general condition of the liver, are key factors. Inmanyn 
instances, a transplant is suggested when the tumour is not large and restricted to the liver
and when your liver is not functioning properly due to cancer or cirrhosis.
In patients with a severe stage, liver transplants may be le

How Does a Liver Transplant Work?
A liver transplant is an extensive procedure that involves taking out the damaged liver before
transferring the healthy liver from an organ donor. The procedure is carried out under general
anesthesia, and typically, the procedure takes up to an hour

Surgical Procedure
The surgeon cuts an incision through the abdomen to allow access to the liver. A damaged or
destroyed liver will be removed, and the donor’s liver is then carefully transferred into the
body of the patient. The bile ducts and blood vessels are connected so that the liver can
perform as it should.
Donor Liver Types
Donor livers can be derived from deceased donors or living donors

Living Donor Vs. deceased Donor
In a live-donor transplant, the donor is healthy and donates part of their liver. Because the
liver can regenerate, both the donor’s and the recipient’s livers can likely grow with time.
Donors who have died will receive organs from deceased donors, and the organs must be
sized to match the body of the recipient as well as blood types.

Success Rates of Liver Transplants

for Cancer
The rate of success for liver transplantation for cancer is dependent on many factors, which
include the kind of cancer, the stage of the disease, as well as the general health of the patient.
Statistical Data on Survival Rates
The general rule is that the survival rate for transplants to the liver can be very high.
According to the latest statistics, the five-year survival rate of recipients of liver transplants
is between 70 and 80 per cent, however, this can vary depending on the patient’s medical
condition and the kind that is being received.

Factors Affecting Survival
Many factors affect the chance of survival, including patients’ age and general health as well
as to what degree the patient’s liver is compatible with the donor’s liver, and whether the cancer
will recur following transplantation. For instance, younger patients who are
diagnosed with hepatocellular cancer in early stages are more likely to survive as compared
to patients with higher-grade cancer

Post-Transplant Care and Management

Following a liver transplant, the patient’s recovery requires a long and extensive treatment
regimen.
Lifelong Care for Liver Transplant Recipients
After this procedure, the patients are required to be on immunosuppressive medication to
stop the body’s rejection of the newly created liver. These medicines must be taken for the
rest of their lives.
Lifestyle modifications, like eating a balanced diet and consistent exercising, are crucial to
keeping the health of the new liver. Regular follow-up visits with the medical team will make
sure your transplant is working properly and that there are no indications of cancer
recurrence.
Risks and Complications
Like any major operation, liver transplantation comes with risks. Possible complications
could include rejection, infection of the donor’s liver and the recurrence or recurrence. Close
monitoring of the transplant is vital in identifying any problems in the early stages.

Survival Rates and Prognosis
The outlook for patients who have received a liver transplant and have cancer is generally
good, particularly when they meet the requirements for a successful transplant. Cancer
recurrence is a possibility; however, advancements in medical treatment, such as
post-transplant surveillance, have led to improved survival rates over the long term.
Advances in Liver Transplantation
Technology
In recent times, there have been major improvements in technology for liver transplantation, 
which include improved immunosuppressive medications and better methods for preserving
organs. These advancements continue to improve the safety and effectiveness of liver
transplants.

What You Need to Know Before a
Liver Transplant
Anyone considering a liver transplant must be aware of the conditions for being put on the list
for transplants that include medical examinations, tests and the necessity to keep a healthy
lifestyle.

FAQs

Q1 Who is eligible for liver transplants for cancer?
A1 The eligibility criteria are based on the kind of cancer it is, its stage, liver function and
general health. A1: The Milan Criteria are commonly used to determine whether a patient is
eligible.

Q2 How long will it take to heal from an organ transplant?
A2 Recovery may take a few weeks, the initial couple of weeks of recovery being the most
crucial. Recovery and returning to normal activities could take as long as 1 year.

Q3 What are the dangers of undergoing a liver transplant?
A3 The risks include rejection of the organ as well as bleeding, infection and an increase in
cancer recurrence. Monitoring and treatment with care can help manage these risks.

Q4 What is the survival rate of liver transplant recipients?
A4 Five-year rate of survival of recipients of liver transplants is between 70-80%, based on
factors such as health, age and the stage of cancer.

Q5 What is the possibility of a liver transplant to help treat liver cancer?
A5 In certain instances, the liver transplant can treat liver cancer, particularly in cases where
the cancer is located within the liver and has not progressed.

Q6. What can I expect following the liver transplant?
A6 The post-transplant treatment includes the use of immunosuppressive drugs along with
lifestyle changes and regular checks to check the function of the liver and identify indications
of cancer or recurrence.

Conclusion
Liver transplantation can be a lifesaving procedure for a lot of cancer patients, providing an
opportunity to live and an improved quality. Although the procedure and recovery
process require meticulous planning and monitoring, the results are significant. As
technology advances, the prospects for patients who undergo liver transplantation remain
positive with higher success rates and better handling of any complications.

Dr. Neerav Goyal is the Best liver transplant surgeon in India, specializing in complex liver surgeries. With years of experience, he is dedicated to providing the best care for his patients. Contact him today to explore the best treatment options for your liver health.

Advanced Liver Transplant and HPB Surgery Unit at Indraprastha Apollo Hospital, providing expert care for liver diseases

Living with Hepatitis B or C: How We Manage and Treat Chronic Liver Disease

Posted on by

By the Liver Transplant and HPB Surgery Unit, Indraprastha Apollo Hospital

At the Liver Transplant and HPB Surgery Unit at Indraprastha Apollo Hospital, we meet hundreds of patients each year silently battling Hepatitis B and C—the two leading causes of chronic liver disease and cirrhosis in India and across the world.

The good news? With timely diagnosis and the right treatment, most people can live full, healthy lives—and even avoid liver failure.

🦠 The Long Shadow of Hepatitis B & C

These viruses infect the liver and, over the years, lead to:

  • Liver inflammation
  • Fibrosis (scarring)
  • Cirrhosis (end-stage liver damage)
  • Liver cancer in some cases

In many patients, there are no symptoms for years until liver damage is already advanced.

📍 Real Stories from Our Unit

A 42-year-old man came to us with mild fatigue and bloating. Routine blood work revealed he had chronic Hepatitis C—something he didn’t even know he was carrying for over a decade. Within 3 months of starting antiviral therapy, his viral load was undetectable and his energy returned.

In another case, a young woman with Hepatitis B was initially told she would eventually need a transplant. With the proper medication and monitoring, her liver function has stabilized—and she continues to work, travel, and raise her children.

🔍 How We Diagnose

  • Liver function tests (LFTs)
  • Viral markers (HBsAg, Anti-HCV, HBeAg, HBV DNA, HCV RNA)
  • FibroScan (non-invasive liver stiffness assessment)
  • Ultrasound or MRI to check for fibrosis, nodules, or cancer
  • Occasionally, a liver biopsy

💊 Treatment Options We Offer

✅ For Hepatitis B:

  • Long-term antiviral medications (e.g., Tenofovir, Entecavir) to suppress the virus
  • Regular monitoring for liver function and liver cancer.
  • ✅ For Hepatitis C:
    • Curable in most patients with oral Direct-Acting Antivirals (DAAs) for 8–12 weeks
    • 95–98% success rate—even in patients with cirrhosis

    🧠 What We Tell Every Patient

    • You are not alone. Millions are living with hepatitis and doing well.
    • Get regular follow-up. Liver cancer can develop silently—we screen every 6 months.
    • Tell your family. Early testing and vaccination (for Hep B) can prevent spread.
    • If needed, we are ready for transplant. For those with advanced liver damage, we offer world-class living donor and deceased donor liver transplantation.

    🌿 Your Liver Can Heal—Let’s Help It

    At our unit, our approach is never one-size-fits-all. Whether you’re newly diagnosed or have lived with hepatitis for years, we offer:

    • Personalized treatment plans
    • Supportive diet and lifestyle guidance
    • Liver transplant evaluation if needed
    • Compassionate care from a dedicated team
    • Consult Dr. Neerav Goyal, one of the best liver transplant surgeons in India, offering expert care and advanced treatments

Acute Liver Failure: When Every Hour Counts

Posted on by

By the Liver Transplant and HPB Surgery Unit, Indraprastha Apollo Hospital

At the Liver Transplant and HPB Surgery Unit at Indraprastha Apollo Hospital, we see many lives changed by liver disease—but few situations are as urgent and emotionally charged as Acute Liver Failure (ALF). It strikes suddenly and without warning. In India, the most common culprits are Hepatitis A and E, viruses often spread through contaminated food and water.

The Silent Threats: Hepatitis A & E

Unlike chronic liver conditions, ALF from Hepatitis A or E affects previously healthy individuals, including:

  • Young adults
  • Pregnant women (especially vulnerable to Hepatitis E)
  • People with no history of liver disease

It often begins like a flu—fever, nausea, or mild jaundice. But within days, the liver stops working.

How Fast Does It Progress?

Very fast.

ALF can lead to:

  • Confusion or coma (due to hepatic encephalopathy)
  • Bleeding (from impaired clotting)
  • Kidney failure
  • Multi-organ dysfunction

We’ve seen patients go from being fully functional to critically ill in just 48–72 hours.

What We Do at Apollo

As one of India’s premier liver transplant centers, we act immediately. Our multi-disciplinary team—hepatologists, intensivists, and liver transplant surgeons—work together to:

  1. Stabilize the patient in ICU
  2. Start CRRT (Dialysis) or plasma exchange to improve chances of salvaging the patient without transplant. Almost 60% of acute liver failure patients can be salvaged without transplant at our centre.
  3. Identify the cause and prognosis
  4. Prepare for emergency liver transplantation if needed

 Liver Transplant: A Second Chance at Life

For patients who don’t improve with supportive care, timely liver transplant is often the only option. At our unit, we’ve successfully performed emergency transplants for ALF, including young mothers and teenagers struck by viral hepatitis.

With timely intervention, survival rates exceed 88-90%. Many of our patients return to school, work, and family life completely healthy.

A Real Story (De-identified)

One of our most inspiring recoveries was a 19-year-old boy who developed ALF from Hepatitis A. He was unconscious when admitted. Within 48 hours, he underwent a successful living donor liver transplant. Today, he’s back at college, playing cricket, and mentoring other young patients.

What You Should Know

  • Prevention matters: Hepatitis A and E spread through unsafe water and food. Vaccination (for Hep A) and good hygiene can prevent infection.
  • Early signs: Jaundice with confusion, vomiting, or drowsiness is a red flag. Seek immediate care.
  • Apollo is equipped: We are among the few centers in India performing life-saving liver transplants 24×7 for acute liver failure.

The Role of the Liver in Metabolism: Understanding Its Functions and Importance for Overall Health

Posted on by

The liver is an amazing organ that plays a crucial function in maintaining a healthy lifestyle. Being the largest organ inside, the liver has many functions that affect the overall health and metabolism. From the elimination of harmful substances to the production of digestive bile, the liver is a vital organ for metabolism that helps ensure that the body’s intricate processes function smoothly. In this article, we’ll look into the many ways how the liver can influence metabolism and the reasons why it’s essential to overall health. We’ll look at its role in the processing of nutrients, detoxification and hormone regulation, and lots more.

What is the Liver and Its Functions?

The liver is situated in the upper right of the abdomen. It is an important organ responsible for carrying out more than 500 important functions. It plays a role in a variety of processes like regulating metabolism, as well as storing nutrients, creating hormones, and detoxifying harmful substances. Here are a few of the liver’s main functions:

  • Metabolic regulation, The liver aids in transforming food into energy by breaking down the nutrients, such as carbohydrates, fats and proteins.
  • The storage of nutrition is a storage device for essential nutrients like sugar (as glycogen), Vitamins, glucose, and minerals.
  • Detoxification The liver cleans out waste products and toxins from the This protects our body from damaging substances.
  • Production of Bile Bile is a compound created by the liver that assists in digestion and absorption of fats.

Understanding the multifaceted function of the liver is essential to recognize its influence on general well-being and metabolic health.

The Liver’s Role in Digestion

The liver plays an essential part in digestion through the production of Bile, a chemical essential to break down and absorb fats. It is stored inside the gallbladder till required during digestion. As fat enters through the small intestine, bile gets released to help emulsify the fats, which allows enzymes to reduce them for absorption. If the liver did not produce bile, the body would struggle to break down fats, leading to malnutrition and digestive issues.

Metabolism: What Is It and How Does the Liver Help?

Metabolism is the term used to describe those chemical reactions that happen in the body for maintaining health, which includes the transformation to energy from food, production of proteins, as well as the control in blood sugar levels. The liver is an essential part of metabolic processes and plays a significant role in the breakdown of fats, carbohydrates and proteins. Let’s examine how the liver is involved in these processes:

Carbohydrate Metabolism

One of the main liver duties is to control the blood sugar level. After eating carbs, our liver transforms glucose into glycogen to store it. If blood sugar levels fall and the liver discharges glycogen again into the bloodstream in the form of glucose to ensure the energy levels of the body. This process is vital to prevent blood sugar imbalances and for ensuring an uninterrupted supply of energy during the entire day.

Fat Metabolism

The liver also plays a role in the process of breaking down fats. It assists in the metabolism of fats for energy and produces lipoproteins, which transport cholesterol throughout the bloodstream. The role of the liver in the metabolism of fat is vital to maintain healthy cholesterol levels as well as supporting the production of energy.

Protein Metabolism

Proteins are broken into amino acids, which is the organ responsible for the synthesis of non-essential amino acids as well as making surplus amino acids into beneficial substances. This aids the body in creating proteins that are required for a variety of functions such as muscle growth and enzyme production.

Detoxification and Waste Removal

One of the most important liver tasks is detoxification. The liver is responsible for removing harmful substances out of the blood, such as alcohol, drugs and environmental contaminants. This process of elimination is crucial to protect the body from illness and maintain a healthy environment.

The liver also removes substances that are a waste product of the body’s metabolism. It converts them into water-soluble substances that are then flushed out by bile or urine. This makes sure that waste products are effectively removed from the body.

The Importance of Bile Production

Bile, an alkaline liquid that assists in digesting and absorption of fats within the small intestine. It is created through the liver. It is then stored within the gallbladder. After eating and drinking, bile is released in the small intestine to aid in breaking down fats into smaller molecules that are taken in through the body. Without proper production of bile, it would be difficult for the body to absorb the essential fat-soluble vitamins and fatty acids and nutrients, resulting in nutrition deficiencies.

Liver Enzymes and Their Role in Metabolism

Liver enzymes play an important function in breaking down substances like drugs, nutrients and toxins. The most significant liver enzymes are:

  • Alanine transaminase (ALT): An essential enzyme that assists in the breakdown of amino acids.
  • Transaminase Aspartate (AST): Involved in amino acid metabolism as well as energy
  • The enzyme known as Alkaline Phosphatase (ALP) Plays an important role in breaking down fats, and aids in the production of bile.

These enzymes aid in metabolic processes and help eliminate toxic substances from the body.

Hormonal Regulation and the Liver

The liver also plays a role in the regulation of different hormones. It is for instance, it assists to regulate insulin levels, which in turn helps regulate blood sugar levels and also produces proteins such as albumin that affect the fluid balance and blood pressure. Through the balance of hormones, the liver makes sure that metabolic processes, including storage of nutrients, energy production and blood sugar control can be carried out effectively.

The Liver’s Impact on Cholesterol Levels

Cholesterol is a substance that resembles fat that is present in blood. It is vital to build cells and produce certain hormones. The liver plays an important part in ensuring cholesterol levels are healthy by generating and breaking down cholesterol when needed. But, if the liver isn’t able to regulate cholesterol properly, it could lead to higher levels of cholesterol, thereby increasing the risk of suffering from cardiovascular disease.

The Role of the Liver in Immune Function

The liver is a vital part of the immune system since it produces immune cells to fight diseases. It also removes viruses and bacteria from the blood, and creates antibodies that protect the body from harmful pathogens. The health of the liver is crucial to maintain a strong immune system and for preventing illness.

The Connection Between the Liver and Gut Health

The gut and the liver are tightly linked, and the liver receives nutrients through the digestion system. The liver processes the nutrients and stores them for use later. Healthy guts ensure that the liver gets the essential nutrients. And as a result, an active liver is beneficial to the health of your digestive system. If one of these systems is compromised, it could lead to digestive problems, inadequate absorption of nutrients, as well as liver problems.

Signs of Liver Dysfunction and Poor Metabolism

Liver problems can manifest in various ways, such as fatigue and jaundice (yellowing of the eyes and skin) and abdominal pain and swelling. A poor metabolism can trigger signs like unprovoked appetite gain or digestive issues as well as a high level of blood sugar. If you notice any of these symptoms, it is imperative to seek out medical advice.

How to Support Liver Health for Optimal Metabolism

It is crucial to maintain the health of your liver to ensure a healthy metabolism. Here are some tips to improve liver function

  • A balanced die, Concentrate on high-nutrient foods like vegetables, fruits, as well as whole grains.
  • Beware of excessive consumption of Alcohol can harm liver cells and affect the functions of the liver.
  • Regularly exercise Regular physical exercise helps to maintain an ideal weight and promotes metabolic health.
  • Keep Drinking ample amounts of water helps your liver eliminate toxins effectively.

FAQs

1.    What happens if your liver isn’t working properly?

If the liver isn’t operating properly, it could result in a range of health issues, such as digestive disorders, metabolic imbalances and the buildup of toxins.

2.    Can the liver be rebuilt after injury?

The liver is blessed with amazing regenerative capabilities. But, long-term damage caused by drinking alcohol or illnesses like hepatitis could hinder its capacity to heal.

3.    How do I know whether my metabolism isn’t as fast?

Common symptoms of a slower metabolism are the feeling of fatigue, weight gain that is not explained and difficulty in losing weight.

4.    Can it be done to improve the liver’s function regularly?

Yes, an appropriate diet, staying hydrated, working out, and avoiding toxins will help improve the health of your liver.

5.    Can stress affect liver health?

Chronic stress can negatively impact the liver’s function by inducing inflammation and affecting the normal metabolic process.

6.    What food items are beneficial for the liver?

Green leafy vegetables, berries, garlic, as well as fatty fish are all known to help support the health of the liver.

Conclusion

The liver is an essential organ that plays an integral role in the numerous metabolic functions that are essential to healthy living. From controlling blood sugar levels and producing bile, cleansing harmful substances, and assisting the immune system, the liver is a vital component in maintaining the health of your metabolism. If we take steps to improve the function of our liver, we will make sure that our body functions well, keeping us healthy and well-rested for the decades to come.

Read More Article