Successful Bovine Liver Transplant for 1- year old Baby, First Time in Delhi-NCR India

Hoor, a tiny baby girl, was the world to her parents. Her birth completed their family, and there was nothing that they could want more.

The one-year-old infant, although the apple of eye to her parents, was not very lucky when it came to her physical health.

This baby girl from Saudi Arabia was detected to have biliary atresia. It is a disease caused due to an obstruction in the passage of the bile duct.

Biliary atresia is a fatal disease that ultimately leads to liver failure. Without corrective surgery, the life of the child suffering from biliary atresia is threatened.

When Hoor got diagnosed with this abnormality, her parent’s plight could not be quantified. They were at the edge to do anything possible to save their child.

A surgery was arranged in the country, which unfortunately turned out to be a failure.

Hoor’s parents then decided to come down to India to try their luck.

India offers quality treatment in such delicate cases. The doctors here are very experienced and well trained to perform complex surgeries.

Hoor, along with her parents, reached Artemis hospital in Gurgaon, one of the best hospitals in India.

After getting diagnosed again, Dr. Giriraj Bora, the chief consultant of the liver transplant department in the hospital, took almost no time to detect that the young baby needed surgery to be performed on her.

But, devils own luck!

Hoor was just an infant, and such a complex surgery was not a piece of cakewalk to both the patient and the doctor.

The major challenge was to obtain a cadaver vein donor.

But alas! Such surgery was not possible in India.

The child was so small and weighed only 5kgs 200 gm. To lay hands on such a small vein was not feasible.

The doctors in the hospital suggested a bovine jugular vein(animal vein) transplant.

Hoor’s parents were ready to take even the slightest of chance, and thus, they agreed tothe transplant.

Performing a bovine transplant in a malnourished infant was a task on its own.

This surgery, although was recorded to be the first of its kind in Delhi NCR.

With immense hope, the doctors conducted the surgery.

A mark was made with the success of the surgery. The doctors of Artemis agreed that this was a very rare surgery where an animal vein was used first time in the world to revive a patient.

The success of the story speaks for itself. The challenges faced by every individual in the situation was immense, but their zeal to not give up made history and saved the life of an infant who had yet a world of her own to make.

You can read through more about the struggles of the surgery from the link given below:

Liver Cirrhosis- not a death sentence!

Ravinder Hooda, a middle-aged man from Gurgaon, was living a pleasant life until reality struck him.

He got diagnosed with liver cirrhosis!

  • Anxiety, apprehending the outcome, took away his nights of sleep.
  • Living a diseased life reminds you of your failures in life and, worse.. makes you anticipate only negative premonitions.
  • Nothing different was happening to Mr. Hooda as well; life was at the lowest point for him now.
  • Tired and debilitated, he held on to the ‘ only twig in water.’ Visiting doctors after the doctor was all he did.
  • His days started with appointments and ended in tried failures.

After six months of the heavy burden and futile attempts, he met Dr. Giriraj Bora, joint chief- Liver Transplant and Sr. Consultant- GI and HPB surgery at Artemis Hospital.

  • No doctor could give him a full guarantee of successful operation or survival rate.
  • However, the doctors of Artemis Hospital laid the heroic act of managing a cadaveric donor amid Corona.

Dr. Bora said, “ An organ retrieval was done from Kolkata where a doctor had bravely decided to donate his organ after death. At Artemis Hospital, we made efforts to go to the city and airlift the organ, which was brought to us through the green corridor. All this was done when covid was at the peak.”

A clip of the doctors and Mr. Honda vocalizing their experience. Click on the link below to know the survival instinct of the man.

Indeed, the doctors at Artemis Hospital yet again proved that doctors are the saviors of our life!

  • Not just Artemis, but the large-hearted doctor who decided to donate his organ.
  •  Not one, but the lives of four patients were saved because of him.

Today Mr. Ravinder Hooda is doing well for himself and is obliged to the entire eminent team of doctors at Artemis.

The overnight complicated liver transplant, the efforts of the doctors to revive Mr. Hooda, all of the struggles was compensated when the surgery was a success, and Artemis Hospital held the pride of saving yet another patient.

Story of a young warrior!

Paediatric liver transplants account for around 12.5% of all liver transplants. Most children suffering from end-stage liver disease are recommended a transplant. It is when a child will not be able to live without the transplantation.

In the last few decades, paediatric liver transplant has evolved considerably. But, the whole liver transplant procedure is very exhaustive.

The child first has to go through a series of diagnostic tests. These include;

  • Blood tests.
  • Diagnostic tests to evaluate the general health of the child and analyse the liver.
  • Psychological evaluation.

With the availability of a healthy, matching donor, a lot of problems are solved. But, a few other challenges remain yet to be faced.

The child’s health has to be maintained before he goes for the transplant. This period involves proper care of the child’s diet, medications, and overall well-being. In case the child’s health deteriorates, the doctor has to be immediately informed. The whole preparatory stage of the transplant is a mandatory criterion for a successful surgery.

In the present scenario, significant cases of chronic liver diseases in children are being reported. The final hope remains attached to undergoing a successful liver transplant surgery. The survival rate of children after the transplant is remarkably high.

It is essential that you opt for a good hospital with experienced doctors in the field of liver transplants. The surgery is very crucial, and it can be trusted to be performed by only the best doctors.

Many children have bravely fought liver failure and come out of it victorious. One such story is of the young warrior, Amirkhon Maratov. The story is dictated by his mother and has given a light of hope to many people…

Story voiced by Amirkhon Maratov’s mother herself-

We were grateful when our son, Amirkhon Maratov, was born to us. He is now 11 months old. But things were not so smooth before. Right after he was born, we noticed he was frail and had a low birth weight compared to other babies of his age. No matter how much we tried to neglect that fact with our happiness, destiny came striking to us! It was tested after 3 months that Amirkhon was suffering from jaundice. We were aghast when we were later told that our son had liver cirrhosis. Our world crashed there!

Financially we are not very well to do it. Choosing surgery as an option was not suitable for our budget. We are thankful enough to our neighbours and close ones in Uzbekistan who raised money to treat our child.

We had heard India offers quality treatment that can be afforded to many people. We flew down to India on the 4thof June, 2021. The best decision that we had ever made.

A preoperative evaluation was done, which disclosed that our baby had a bile duct missing congenitally. This had a significant impact on the delicate liver of our child. My husband voted on being the donor for the liver transplant surgery. But the battle had just begun for Amirkhon!

He had jaundice, a skinny body, and a tiny portal vein to give inflow to a new liver. Amirkhon underwent the surgery on 16thof June 2021. The boy fought a long and brave battle. Although he was so young at the time of surgery, he endured the procedure successfully.

Now, we plan to go back to our country in 7 days. Both my son and husband are doing well.

Two unforgettable heroes of my life would be the gracious people of Uzbekistan and the skilled and passionate team of doctors, staff of Artemis hospital.

Dr. Giriraj Bora, the Chief Liver Transplant surgeon at Artemis hospital,was our only hope. He performed the surgery brilliantly and with ease. We felt we were not far from home and looked after with a lot of care and concern. We would life-long be grateful for this gift that we received from Artemis!

Liver transplant: A financial obligation?

We are already aware that the challenges come down not as one but many while going through a transplantation journey.

Highlighting the most significant factor is the problems faced by the people on the financial front.

Of course, we cannot neglect the burden of seeking a perfect healthy liver for a liver transplant recipient. The families of the liver patient are continuously in search of a healthy donor with a matching blood group. Many times, when an apt donor cannot be found in terms of mandatory condition( amongst family, near relatives, or a living liver donor), the families opt for a brain-dead donor( cadaveric liver donor).

Unfortunately, there is a massive gap in the ratio of people needing a donor and the ones donating it. The organ shortage is the number one cause of waiting list mortality.

In western countries, a person is given a priority score based on three tests- creatinine, bilirubin, and INR. This score is called the MELD score in adults and the PELD score in children.

Patients getting a high score top the list. If their condition worsens, their position rises in the list, and they become a ‘more qualified candidate’ to get a liver.

However, such a mature system of organ allocation is absent in our country. Most hospitals in the country have their specific waiting list in terms of organ rotation.

Thus, instead of the preferable method in the western world where allotment is based on the stage of risk an individual is in, on the contrary in India, an organ is allocated based on hospital rotation and not on the MELD/PELD priorities.

Finances involved in Liver Transplant-

Finances rule the world. It is an unruly factor in the path of your liver transplant journey.

A liver transplant is one of the most complicated and costly procedures that any hospital has to offer. The cost of a liver transplant in the US is 250,000 dollars.

Compared to India, the cost of a liver transplant is close to 25,000 to 30,000 US dollars.

Our country charges a minimum cost for such high-end surgery. Even government hospitals in India have a basic charge pay of Rs. 14 lacs minimum for a liver transplant surgery!

Unfortunately, this massive amount cannot be afforded by the majority of people here.

In India, many people struggle even to meet their daily requirements. They are, therefore, incapable of getting health insurance policies. Even individuals who have a policy are not entirely aided financially to take up the cost of a liver transplant.

Yet, liver transplant surgery is very economical in our country compared to most of the countries in the world. People from outside come here to get the treatment done, which is available to them at a cost-effective value, and also the quality of the treatment is of premium excellence.

State governments have come forth to help their residents to bear the financial constraints. Tamil Nadu, in the present day, runs the most successful donation program in the country. It has already approved 384 transplants summing up to Rs. 548.34 crores to eligible candidates. Goa is next on the list to finance liver transplant surgery. Karnataka and Andhra Pradesh, on the other hand, provide health insurance to specific sectors of society.

However, the sad reality is only a few people benefit from these schemes, and no colossal differences have yet been made. Most people are either unaware of such government schemes or are not eligible candidates to receive financial aid.

A number of crowdfunding platforms are gaining eminence as they are coming up to help grieving families. These fundraisers help in giving financial assistance to people who are in dire need. These platforms ensure that medical emergencies( not only liver transplants but all life-threatening diseases) are met quickly. They offer to give healthcare expenses that are raised online by family, friends, and even strangers.

Recently, one such online help service has set a perfect example that was widely circulated on social media. It helped to raise a total amount of Rs. 16 crore as a fund for a boy undergoing a rare genetic disease.

The financial burden, thus, is a major setback to the untimely death of liver disorder patients. If they manage a surgery, the survival rates are usually high, and it uplifts their chances to live many more years.

The government has taken few steps in concern to free liver patients from the above restrictions. However, the initiative is not as remarkable compared to the rise in liver dysfunction in patients.

Either due to finances or inability to get a healthy donor and sometimes both the criteria involved, a person loses his life.

Hopefully, the government will develop more plans and better control of the system to help people at least get the treatment they require.

For the time being, we should remain extremely grateful to the crowdfunding platforms that are helping every sector of society to avail such expensive treatments that they usually could not afford.

Life After Liver Transplant

A liver transplant is the removal of the entire or a portion of a liver that is not functioning effectively with a healthy liver.

The transplants taking place are majorly from cadaveric liver donors, I.e., from the owner of the liver who has died. At times, a patient receives a living liver donor (a healthy matching liver from a living candidate).

A liver transplant is the last option a surgeon opts for. After all other medications, treatment plans have failed.

However, did you know that the second most common transplant after a kidney transplant is a liver transplant?

Every year around 2,00,000 patients require transplantation to survive!

Liver transplant has significantly evolved—theprimary reason being the hike in survival rate. People have been reported to get a lot many years in a lease now after they undergo a liver transplant.

Survival rate stats-

Studies have shown a survival rate of 72% for 5 years in patients. This is a drastic change that has come up in decades.

Liver transplant shows a high success rate. However, the extension of life bestowed upon a person is dependent upon the following factors;

  • Body mass index (BMI).
  • The health factor before the surgery.
  • Medical history of the patient.
  • Associated health conditions.
  • The cause of liver failure.
  • Age of the person.
  • The severity of the liver failure.

The 2017 study revealed that the survival rate was lower for individuals who were old and overweight.

The 2013 study reports that when the cause of the liver failure was due to the run-down lineage, the survival rates were higher.

Another factor is the long waiting list to receive a healthy liver. Unfortunately, many patients have died waiting for 5 years or more for a suitable liver donor. The reason being there is a shortage of liver donors when compared to the need for a healthy liver donor. The rates of deathsolely due to this reason have gone up by 30%.

How is the recovery after the transplant?

The patients who are lucky enough get a liver donor and undergo the surgery.

After the invasive procedure, the patient is shifted to the ICU (Intensive care unit) for two days before moving him to the regular ward. Strict vigilance is maintained upon him by intensive care physicians, and his health status is monitored closely. A patient, after the transplant, is kept on a ventilator to ensure he does not have any breathing difficulties.

Immunosuppressants are the most vital medicine given so that the body does not reject the new liver. The patient has to be on this medication his entire life.

Would life change after the transplant?

Most people can continue with their everyday life after a few months. But, the health factor has to be maintained throughout.

In the course of making the body accept the new liver, immunosuppressants are taken the entire life. The side effect of it is the person becomes vulnerable to all kinds of infections.

People who have undergone a liver transplant are at a higher risk to have cardiovascular problems. It is, therefore, mandatory to be in close association with your doctor even after the surgery. He will keep a check on your risk factors.

Maintaining proper health is the key to a longer life after the transplant.

It is common for patients to feel a wave of emotions after extensive surgery. You may feel a high level of stress. This comes as part and parcel of living a significant time with a life-threatening disease. Therefore, theafter-effects too are not going to be very easy to handle psychologically. Having a solid pillar of support will ease out your problems.

In fact, it is studied that many patients have also benefitted psychologically after the liver transplant!

Problems like memory impairment, anxiety, and depression are common in people with end-stage liver disease. After the transplant, all these issues improve considerably.

Living everyday life-

To increase your life span, living a healthy life is a must. There are a few dos and don’ts that your doctor will ask you to follow after the surgery. Follow them as a part of your ritual! The healthy lifestyle changes that you need to make are;

  • Eat a balanced healthy diet after the transplant. Your appetite will, however, increase after the transplant. Taking the good and nutritious food will help in your recovery.
  • Maintain a healthy weight. This will increase your chances of a long healthy life.
  • Drink an ample amount of water and always stay hydrated.
  • Quit smoking and stop the consumption of alcohol.
  • Do not skip on your medicines.
  • Visit your doctor from time to time.
  • Avoid undercooked food.
  • Keep distance from known allergens.
  • Do not take part in any strenuous activities for at least 3 months after the operation.
  • Avoid swimming.
  • Consult your doctor every time you take any new medication, plan a vacation, or make any changes to your lifestyle.

Suffering from asevere liver disorder to getting in line with the cumbersome evaluation steps, waiting for a donor, a life-altering surgery, and your recovery state. The whole journey reflects on your zeal for living a good life.

The survival rates are remarkable with a successful liver transplant surgery.

As long as you follow a good lifestyle, take care of your health with all diligence, and take your prescribed medicines timely, you are entitled to a long and healthy life.

You can always look up to patients who have faced this traumatizing illness bravely and yet, added glorious years to their lives.

The longest surviving liver patient is Gordon Bridewell, who recently turned 70!

After all, it is not hard to live a worthwhile life! So make one for yourself!

Liver Cancer Treatment: Liver Cancer is not the end of the Road Always

Liver cancer is one of the leading causes of death in India and the world. Cancers are hard to deal with and multiply rapidly, and spread to distant body parts via blood and lymph nodes if not treated at the correct time. Harmful substances, like alcohol, fat deposition due to several causes like diabetes, obesity, and virus infection, damage the liver and eventually lead to liver cancer or liver cirrhosis in many patients.

The liver is vulnerable to several types, such as Hepatocellular Carcinoma, Intrahepatic Cholangiocarcinoma, Hepatoblastoma, etc. At times, cancer in the liver may be due to a secondary spread from cancer from other parts of the body. The American Cancer Society (ACS) estimates the 42030 people will receive a liver cancer diagnosis. In 2019. Of these, 29,480 will be men, and 12,550 will be women. Since 1980, annual liver cancer diagnoses have trebled.

Symptoms of liver cancer do not usually become apparent until the disease reaches an advanced stage. Liver cancer may cause Jaundice, abdominal pain, pain close to the right shoulder blade, enlarged liver and spleen, weight loss, swelling in the abdomen, fatigue, nausea, and vomiting. Liver cancer might also cause swollen veins that are visible under the abdominal skin. It may also lead to high levels of cholesterol and low blood sugar levels.

No liver cancer is the same. Get individualized treatment.

Liver cancer or Hepatocellular carcinoma (HCC) is one of the most typical cancers in India.

Unfortunately, like many other cancers, liver cancer may go undetected until a late stage because of no symptoms at an early stage. It is often brought to attention by an ultrasound or CT scan done for nonspecific symptoms. It commonly develops in a person previously known to have cirrhosis of the liver. Therefore, doctors recommend regular liver cancer screening by simple blood test [Alfa Feto Protein (AFP)] and ultrasound abdomen for those at high risk (like patients with hepatitis B & C virus infection, diabetic patient and liver cirrhosis due to any reason) at regular intervals. Early diagnosis of liver cancer gives us a hope of ray for curative treatment either surgically or by burning of cancer radio logically..

To help guide treatment and define the outlook of liver cancer, there are four stages. The first stage is where the tumor remains in the liver and does not spread to another organ. In the second stage, several small tumors remain in the liver, or one big tumor reaches the blood vessel. In the third stage, various large tumors or one tumor or one tumor reached a main large blood vessel. In the fourth stage, cancer metastasized, meaning it has spread to other parts of the body. Once a Doctor has diagnosed and identified the stage, a person will start to receive treatment.

Lack of awareness and ignorance will lead to diagnosis at the later stage of cancer in many patients when no treatment is possible, or they require more complex & extensive treatment. The best available treatment for liver cancer is surgery if it is confined to the removal portion of the liver, wherein the affected portion of the liver is removed. All kinds of major liver resections, depending on the tumor location in the liver, can now be performed with a high degree of success in India.

The emergence of novel techniques advanced CT machines, a better understanding of liver anatomy, and bloodless liver splitting techniques with the help of the CUSA machine-made liver resection a safe & effective procedure with a very high success rate. The use of laparoscopy has been the most recent innovative advancement in the field of liver surgery. The robotic system is another minimally invasive approach that has also been widely used in liver surgery nowadays; the initial experiences showed that the robotic system could be used not only for minor but also major liver resection. With growing experience and expertise in living donor liver transplantation, minimal invasive surgery will become the standard of care in the future. Mastering major resection by minimally invasive approach is a challengeable work indeed; surgeons should perform it with great cautiousness even though they have been quite familiar with laparoscopic surgery. Key advantages of laparoscopic/Robotic surgery are reduced postoperative pain, smaller scar, early ambulation, and early discharge from the hospital.

One of the most unique features of the liver that helps in the good recovery of patients is the power of regeneration, due to which the liver recovers its original size within a few weeks after removal of up to 70% of the liver.

In some suitable cases, especially those where the liver has advanced cirrhosis along with cancer with no evidence of cancer outside the liver, liver transplantation is the best possible treatment. This procedure can treat both liver cirrhosis and cancer at the same time. If an operation is not possible due to advanced disease or safe due to advanced age with multiple co morbid illnesses, there are several other treatment options available, although they are inferior to surgical removal of cancer. Alcohol injection, burning the tumor with a special radiofrequency probe (RFA), and Injection of chemotherapy drugs along with selective embolization through the liver arteries (transarterial chemoembolization or TACE) are the available options. All above treatments should only be carried out in specialized liver centers by experienced Interventional radiologists.

Prevention: Liver cancer has a low survival rate in comparison to some other cancers. However, people can reduce their risk of experiencing the disease. They can also improve their chances of early detection. There is no way to prevent liver cancer completely, but the following measures may help to reduce the risk. Moderating alcohol intake, regularly consuming high volumes of alcohol on a long-term basis significantly increases the risk of cirrhosis and liver cancer. Limiting tobacco use, This can help avoid cancer of the liver, especially in people who have hepatitis B and C. Maintaining healthy body weight, Obesity is a risk factor as fatty liver disease and cirrhosis can lead to liver cancer and diabetes. Looking after physical health and maintaining a moderate body weight can help reduce liver cancer risk. Treating underlying conditions: Some other conditions can lead to liver cancer, such as diabetes and hemochromatosis. Treating these before they develop into liver cancer can reduce the risk of complications.

It is best to seek consultation with a doctor if someone suspects they may have the early symptoms of liver cancer. Regular screening is vital for people with a high risk of the disease.

The liver is a critical organ the body cannot live without and needs a healthy liver to survive.

Liver Diseases

Learn to Love your liver

The liver is one of the most vital organs in our body. Comprising of 2% to 3% of average body weight, it, therefore, becomes one of our sole reasons to take utmost care of it. The decades of researching, practicing as a liver doctor, I now believe people around the globe have been partaking a hand in a ‘liver cross-fit.’

The liver, to say, is the ‘commander in chief‘ to the body’s toxins removal. So, shouldn’t we all be guarded up in protecting it?

Intruders to a healthy liver:

There has been a progressive increase in Liver cirrhosis patients globally in the last few years. Thanks to people adopting an unhealthy lifestyle. Teenagers going for alcohol and smoking has become a style trend, and the problematic fact is that these bad habits have involved kids even at the school level. Thus, a sedentary lifestyle has resulted in having subsequent liver problems.

As Michael Friedman puts in, ” You never appreciate the functions your liver provides for you until it stops working.”

Let’s talk about the important causes and their distribution in the general population!

  • Alcohol is one of the offenders for your disturbed liver functions. The age at presentation for the alcoholic liver disease has come down to 30-40 years in India compared to those in western countries where it is 45-55 years. An inherent susceptibility to liver damages exists in our population ( as compared to the west ), and underlying fatty liver has been the reason for more severe injuries caused by alcohol to our liver (compared to some races where the fatty liver has not been so common ).
  • NAFLD (NON-alcoholic fatty Liver disease ), more commonly labeled as the fatty liver. This has been described as the most common cause of liver cirrhosis in the last few years. India being the diabetic capital of the World, this disease ( diabetes ) usually has an association with hypertension, hypothyroidism, obesity, and fatty liver ( known as metabolic syndrome ). With effective treatment available for many stubborn viruses now, NAFLD is likely to become the most crucial cause of liver cirrhosis in the coming years.
  • Infections like hepatitis B and hepatitis C are important causes of cirrhosis. Viral hepatitis can infect you by use of shared needles ( drug abusers ), unsafe sex practices, and transfusion of infected blood ( seen less commonly now )
  • Autoimmune hepatitis is an autoimmune disease where the body attacks its host cells, making the liver inflamed. Statistics say this is a problem that affects females more than males.
  • Genetic liver disease is an inherited disease that runs down the lineage. Some of these affect the Liver more than other organs, while others affect the liver as part of their organ involvement.

Unfortunately, most liver diseases show no early signs and symptoms. So by the time you realize that your liver has started to dysfunctional, it might already be a little too late! A simple question asked here is, “How can I access I am having a liver problem at an early stage?

Based on the experience of many years, I have been asked this question multiple times. As doctors, the best suggestion we give is to undergo an annual health check-up. But, unfortunately, most of the patients only ask the question but forget to follow the suggestion of the treating doctors. Like any other problem, even here, people neglect the advice given by doctors and fail to understand the severity of the underlying problem.

People give a hind-thought, forethought, and I do not know how many other thoughts before considering to visit us and get the periodic health check-ups done or, in many cases, even get a treatment done. Simple reasoning coming out from them against paying a visit to a doctor comes in the form of a shallow pocket, ignorance, and prejudice as well. Alternatively, people resort to alternative medicine, home-based methods, which aggravate the severity of the disease on many occasions. So what is more to it?? A rapidly degenerating shut-down liver function! The result of it is brought about by irreversible damage to the liver.

Any liver disease will remain asymptomatic till there has been a significant portion of damage to the liver. The signs and symptoms of liver malfunction are noticed only at a later stage. After the onset of cirrhosis, the early-stage problems can be managed medically with regular medicines and periodic check-ups. Unfortunately, late-stage cirrhosis has many associated complications, and a liver transplant is the only intervention that can be taken to revive the patient’s life.

Most Indian patients come to us at a very late stage, and unfortunately, many of them had no idea about the life-threatening nature of this liver disease. Some people have never been told they need liver transplants, and others suffered from misbelief, had financial and donor-related issues. Medicines prescribed to a patient are aimed at only symptomatic control. No medicine can reverse the damage that has occurred to your liver or can even cure it! ( a fact which is unknown to most people ).

Nevertheless, any symptoms of a dysfunctional liver should be kept an eye on and consulted by a doctor at the earliest. The symptoms may be:

  • Jaundice
  • Ascites ( water in the abdomen )
  • Pain abdomen with fever
  • Irrelevant talks, forgetfulness, or even coma
  • Respiratory problems
  • Sudden anorexia and weight loss

It is imperative to do all the blood tests and USG diagnosis as per your doctor’s suggestion to address a problem at the earliest.

How bad is my Liver? : google and know

A patient with liver cirrhosis can fall in three different stages of disease severity, and there are scoring systems available to help you find the extent of damage and the best treatment for you ( as per your stage ). The scoring systems are namely:

  • Child-Pugh Turcott’s
  • MELD
  • PELD

Only after a proper diagnosis can the doctor refer to all these tests and diagnostics, so delaying a doctor’s visit can cost you your life.

Thus, ‘A step in advance is an ounce of lesser pain later.’


Unfortunately, Liver cirrhosis is an irreversible disease. Patients in the early stages are managed medically for their associated problems ( there is no medicine to reverse the process of liver fibrosis and liver cirrhosis ), while those with more advanced stage liver cirrhosis qualify for a liver transplant.

Some essential medicines used for medical management of early cirrhosis;

: Diuretics ( in patients with leg swelling, water in abdomen or chest )

: Multivitamins

: Calcium and Magnesium

: Ursodeoxycholic Acid

: Albumin

: Rifaximin

All these medicines must be prescribed by your doctor and have to be taken under the proper supervision of your treating physician.

A liver transplant, however, is the only option left for those with advanced stages of liver cirrhosis.

However, its major hurdle comes in managing the resources and getting an organ for the patient’s ailing body. This wonderful treatment is, however, practical to a small proportion of the patients only. Contrary to 20,000 patients requiring liver transplants annually, we hardly perform 1500-2000 transplants in a calendar year.

We have to take steps to reduce this demand-supply discrepancy and save valuable human lives.

‘Prevention is better than cure.’

  • Consuming hazardous substances like alcohol should be avoided
  • Regular exercise and avoiding junk food will undoubtedly play a part in maintaining your body weight.
  • Protect yourself from hepatitis virus infection

Finally, I would like to end by saying, ‘We should hold our liver as dear to our life.’

‘Keep your Liver healthy and disease-free.’