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

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., TenofovirEntecavir) 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