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Information on liver diseases

Serious diseases can occur due to liver disfunctioning. Some of the diseases are silent in nature. You would never know it is harming you until tested and diagnosed. Thankfully, most are treatable, curable and preventable. Read on to know more.

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Information on liver diseases

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  1. BEWARE! - LIVER FOR LIFE! World Liver Day – 19th of April GI Rendezvous - 2019 Dr. Gurbilas P Singh https://gastroenterologyservices.com/

  2. Campaign for Healthy Liver Dr. Gurbilas P Singh

  3. Discussion points • Why is World Hepatitis Day important? • Why we come here to speak about it? • What is the take home message? • Are we any wiser? • What are the do’s to have a healthy liver? Dr. Gurbilas P Singh

  4. What does the liver do? Hard working organ doing hundreds of complex functions • Fighting infections and illness • Regulating blood sugar • Removing toxic substances from body • Managing cholesterol levels • Helping blood to clot • Helps in digestion (particularly fats) with bile. Dr. Gurbilas P Singh

  5. Liver Diseases – causes • Alcohol • Hepatitis B • Hepatitis C • Drugs and diabetes • Obesity Dr. Gurbilas P Singh

  6. Alcohol and Liver diseases • Liver diseases in USA – 40% secondary to alcohol. More than 60% of the population over 18 years is taking alcohol. • No safe limit of taking alcohol known. • Females and youngster’s livers get affected more readily! Dr. Gurbilas P Singh

  7. United Nations Office on Drugs & Crime (UNODC) • Critical age for the initiation of substance abuse • Early to late adolescence (12-17 years). • Peak among young people (18-25 years). • Global deaths directly caused by drug abuse have increased by 60% from 2000 to 2015. Dr. Gurbilas P Singh

  8. INDIA: Substance Abuse Stats • According to a UN report, 1 million heroin addicts are registered. • Unofficially, there are as many as 5 million. Dr. Gurbilas P Singh

  9. Punjab Drug Abuse Stats • According to a survey, 66% of the school going students in the state consume “gutka” or tobacco. • Every third male and every tenth female student have taken to drugs. • Seven out of ten college-going students are into drug abuse. Dr. Gurbilas P Singh

  10. Hepatitis B and C - Spread • Sharing of infected needles • Receiving infected blood • Accidental exposure to infected blood Hepatitis B is preventable (Vaccination available) and treatable! Hepatitis C is treatable Dr. Gurbilas P Singh

  11. Hepatitis B • 100 times more infective than HIV • 45% of world’s population lives in high endemicity area for this virus. • 350 million across the world are chronic carriers of this virus. • 25% of these will go on to have chronic liver disease (Cirrhosis). Hence leading cause of Cirrhosis. Dr. Gurbilas P Singh

  12. Hepatitis C • Almost 3% of world population infected • Free treatment in India and newer drugs are very effective • No vaccination • Second leading cause of chronic liver disease (Cirrhosis) Dr. Gurbilas P Singh

  13. Drug Induced Liver Injury(DILI) • Over the counter drugs! • Unnecessarily prescriptions (patients’ in control) • Indiscriminate use of alternative medicines without prescription • Substance abuse Dr. Gurbilas P Singh

  14. DILI > 1000 HEPATOTOXIC DRUGS Predictable – dose related, frequent Unpredictable – not dose related, rare Immune mediated Idiosyncratic Dr. Gurbilas P Singh

  15. NAFLD (Non Alcoholic Fatty Liver Disease) Fatty Liver (no symptoms) Blood tests, Ultrasound scan, Other imaging(Fibro scan, CT scan, MRI scan) Fatty Liver is one end of a spectrum which can lead to Hepatitis (inflammation of liver) and to chronic liver disease (Cirrhosis) Dr. Gurbilas P Singh

  16. NASH – Non Alcoholic Steato Hepatitis • Associated with • Obesity • Diabetes • Metabolic (hereditary and acquired) • Drugs Dr. Gurbilas P Singh

  17. Non Alcoholic Steato Hepatitis - Prognosis • 15% – 50% --severe fibrosis • 20% -- Cirrhosis • Progressive liver disease within a decade of diagnosis Dr. Gurbilas P Singh

  18. PROTECT YOUR LIVER • Vaccination • Avoid alcohol • Diagnose diabetes early (screening and health checks) and treat appropriately • Active life style with regular exercise • Be vigilant and go to standardised places for and medical & surgical procedures Dr. Gurbilas P Singh

  19. Gastroenterology Services Gastroenterology | Hepatology | Liver Specialist | Gastro Physician Dr. Gurbilas P. Singh practices at Jeevandeep, Centre of Digestive Diseases (No. 88, Sector, 16A, Chandigarh) Paras Hospital (Panchkula, Haryana) Apollo Clinics (Sector 8, Chandigarh) He also provides clinical services and is Director, Education & Training at SarvhitGastrocity (Smt. Paarvati Devi Hospital, A-Block, Ranjit Avenue, Amritsar)

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