Non-alcoholic steatohepatitis (NASH) is a more severe form of non-alcoholic fatty liver disease (NAFLD). It occurs when excess fat accumulates in the liver, leading to inflammation and liver cell damage, even though the person drinks little to no alcohol. >>Key Features of NASH: Fat buildup in the liver (steatosis) Liver inflammation (hepatitis) Possible progression to fibrosis (scarring), cirrhosis, or liver failure >>Causes & Risk Factors: Obesity Type 2 diabetes or insulin resistance High cholesterol or triglycerides Metabolic syndrome Sedentary lifestyle NASH can be serious if left untreated, but lifestyle changes like weight loss, exercise, and a healthy diet can help manage or even reverse the condition. Dr Amol Jadhav is one of the leading and best liver specialist for Non Alcoholic steatohepatitis (NASH), He is well qualified professional doctors and know as one of the best liver specialist in Pune and PCMC region. For more information please visit the clinic or call us.

Fatty Liver Disease Also called: Alcoholic Fatty Liver Disease, Alcoholic Steatohepatitis, NAFLD, NASH, Nonalcoholic Fatty Liver Disease, Nonalcoholic Steatohepatitis What is fatty liver disease? Your liver is the largest organ inside your body. It helps your body digest food, store energy, and remove poisons. Fatty liver disease is a condition in which fat builds up in your liver. There are two main types: >>Nonalcoholic fatty liver disease (NAFLD) >>Alcoholic fatty liver disease, also called alcoholic steatohepatitis •What is nonalcoholic fatty liver disease (NAFLD)? NAFLD is a type of fatty liver disease that is not related to heavy alcohol use. >>There are two kinds: Simple fatty liver, in which you have fat in your liver but little or no inflammation or liver cell damage. Simple fatty liver typically does not get bad enough to cause liver damage or complications. Nonalcoholic steatohepatitis (NASH), in which you have inflammation and liver cell damage, as well as fat in your liver. Inflammation and liver cell damage can cause fibrosis, or scarring, of the liver. NASH may lead to cirrhosis or liver cancer. >>What is alcoholic fatty liver disease? Alcoholic fatty liver disease is due to heavy alcohol use. Your liver breaks down most of the alcohol you drink, so it can be removed from your body. But the process of breaking it down can generate harmful substances. These substances can damage liver cells, promote inflammation, and weaken your body's natural defenses. The more alcohol that you drink, the more you damage your liver. Alcoholic fatty liver disease is the earliest stage of alcohol-related liver disease. The next stages are alcoholic hepatitis and cirrhosis. >>Who is at risk for fatty liver disease? The cause of nonalcoholic fatty liver disease (NAFLD) is unknown. Researchers do know that it is more common in people who: Have type 2 diabetes and prediabetes Have obesity Are middle aged or older (although children can also get it) Are Hispanic, followed by non-Hispanic Whites. It is less common in African Americans. Have high levels of fats in the blood, such as cholesterol and triglycerides Have high blood pressure Take certain drugs, such as corticosteroids and some cancer drugs Have certain metabolic disorders, including metabolic syndrome Have rapid weight loss Have certain infections, such as hepatitis C Have been exposed to some toxins NAFLD affects about 25% of people in the world. As the rates of obesity, type 2 diabetes, and high cholesterol are rising in the United States, so is the rate of NAFLD. NAFLD is the most common chronic liver disorder in the United States. Alcoholic fatty liver disease only happens in people who are heavy drinkers, especially those who have been drinking for a long period of time. The risk is higher for heavy drinkers who are women, have obesity, or have certain genetic mutations. What are the symptoms of fatty liver disease? Both NAFLD and alcoholic fatty liver disease are usually silent diseases with few or no symptoms. If you do have symptoms, you may feel tired or have discomfort in the upper right side of your abdomen.

Dr Amol Jadhav is one of the leading and best liver specialist in Maharashtra, He is recognised as one of the best Acute Liver Failure Treatment Specialist in Pune and PCMC region. What is Acute Liver Failure? Acute liver failure (ALF) occurs when many cells in the liver die or become very damaged in a short amount of time. This causes the liver to fail to work as it should. The liver removes toxins from the body, helps maintain blood glucose levels, is a part of the immune system and regulates blood clotting. When the liver fails it is an emergency and needs to be treated immediately. >>Causes of Acute Liver Failure •Acute liver failure has many causes. Some causes of acute liver failure are: •Metabolic conditions (problems with the physical and chemical processes inside the liver that must happen for a person to live) •Infections/viruses •Immunological dysfunction •Cardiovascular conditions (which cause a lack of blood supply to the liver) Often the cause of acute liver failure in children cannot be found. One study showed that this was the case for about 44% of all children with acute liver failure. This number is about 63% in children with acute liver failure under 2 years of age. For more information please visit the clinic or call us.

Liver cancer treatment can include surgery, chemotherapy, radiation therapy, and other treatments. The type of treatment depends on the stage of the cancer, the patient's health, and other factors. >>Surgery •Partial hepatectomy: Removes part of the liver that contains the cancer •Liver transplant: Replaces the entire liver with a healthy donor liver >>Chemotherapy •Systemic chemotherapy: Drugs that kill, shrink, or slow cancer growth •Chemoembolization: Drugs are delivered directly to the tumor >>Ablation therapy •Radiofrequency ablation (RFA): Uses heat to destroy cancer cells •Microwave ablation (MWA): Uses microwaves to destroy cancer cells >>Radiation therapy •External radiation therapy: Uses a machine outside the body to send radiation toward the cancer >>Other treatments •Targeted therapy: Uses drugs to identify and attack specific cancer cells •Immunotherapy: Uses the body's immune system to fight cancer •Palliative care: Helps reduce symptoms, relieve pain, and improve quality of life Early detection of liver cancer can lead to successful treatment. If you're at high risk for liver cancer, you should see your doctor regularly. For more information please visit the clinic or call us.

Dr Amol Jadhav is one of the leading and best Jaundice Treatment Specialist in Pune, PCMC And Maharashtra. he is currently associated with one of the leading Hospital chain in India. Jaundice, also known as icterus, is a yellowish or greenish pigmentation of the skin and sclera due to high bilirubin levels. Jaundice in adults is typically a sign indicating the presence of underlying diseases involving abnormal heme metabolism, liver dysfunction, or biliary-tract obstruction.The prevalence of jaundice in adults is rare, while jaundice in babies is common, with an estimated 80% affected during their first week of life.The most commonly associated symptoms of jaundice are itchiness, pale feces, and dark urine. >>Types of Jaundice There are four main types of jaundice, which are grouped by where the bilirubin collects in your body. A blood test can determine which type you have. •Prehepatic If bilirubin builds up before blood enters the liver, it's known as prehepatic jaundice. This means you're breaking down red blood cells and creating more bilirubin than your liver can process. •Hepatic If your liver isn't able to process bilirubin well, it's called hepatic jaundice. •Posthepatic Posthepatic jaundice is when bilirubin builds up after passing through the liver and your body can't clear it quickly enough. •Obstructive jaundice This condition is when bile isn't able to drain into your intestines because of a blocked or narrow bile or pancreatic duct. This type of jaundice has a high death rate, so it's important to catch and treat it early. >>Jaundice Symptoms Jaundice may have no symptoms. Any signs you have may depend on how quickly the condition is getting worse. Well-known symptoms are yellowing of the skin and jaundice eyes (also called scleral icterus). But there are others to watch for, including: •Fever •Stomach pain •Chills •Dark urine •Tar- or clay-colored stools •Flu-like symptoms •Itchy skin •Weight loss •Feeling unusually irritated •Confusion •Abnormal drowsiness •Bruising or bleeding easily •Bloody vomit

Acute hepatitis is a clinical diagnosis characterized by acute inflammation or injury to hepatocytes, resulting in fever, abdominal pain, jaundice, and elevation of liver function tests. The cause of the injury may be viral (e.g. acute viral hepatitis A) or non-viral (e.g. drug-induced, alcoholic, or autoimmune acute hepatitis). Whilst normal imaging appearance of the liver does not exclude the diagnosis, CT and MRI features of acute hepatitis may include hepatomegaly, periportal edema (e.g. decreased attenuation on CT and increased T2 signal on MRI around the portal system and at the hepatic hilum), diffusely decreased parenchymal attenuation on noncontrast CT corresponding to areas of mild generalized increase in parenchymal signal intensity on T2-weighted images and decreased signal intensity on T1-weighted images, and occasionally areas of steatosis on chemical shift sequence. On post-contrast CT and MRI, the presence of heterogeneous enhancement and ill-defined regions of reduced enhancement along with reduced uptake of hepatobiliary contrast agents may simulate infiltrative HCC. The acute clinical onset, the presence of periportal edema, gallbladder wall thickening, and the reversibility of the heterogenous enhancement with improvement of liver function are useful tips for differential diagnosis. Imaging findings of acute hepatitis are nonspecific and final diagnosis is clinically made.

Hepato-pancreato-biliary (HPB) surgery consists of the general surgical treatment for benign and malignant diseases of the liver, pancreas, gallbladder, and bile ducts. These are among the most challenging and complex surgical procedures performed in General Surgery and require a high degree of expertise and skill. HPB (Hepato-Pancreatico-Biliary) surgery is a subspecialty of surgery specific to benign and malignant diseases of the liver, pancreas and biliary tree. Dr Amol Jadhav is one of the leading and best HPB Surgery Specialist in Pune PCMC and Maharashtra. Since last more than 15 years he is serving the society and help to patients to overcome from the Liver Disease. For more information please visit the clinic or call us.

What Is Bile Duct Cancer (Cholangiocarcinoma)? Bile duct cancer is a rare disease in which malignant (cancer) cells form in the bile ducts. Bile duct cancer is also called cholangiocarcinoma. A network of tubes, called ducts, connects the liver, gallbladder, and small intestine. Symptoms •Jaundice, or yellowing of the skin and whites of the eyes •Itchy skin •Pale stools •Dark-colored urine •Unintentional weight loss •Abdominal pain, usually a dull ache in the upper right abdomen •Fever of 38C (100.4F) or above and shivering •Loss of appetite >>Stages Stage 1 is small and localized Stage 2 is slightly bigger, but also localized Stage 3 has grown outside the liver into nearby tissues or lymph nodes Stage 4 has spread to another part of the body Treatment Surgery to remove the tumor, Liver transplantation, Transarterial chemoembolization (TACE), Transarterial radioembolization (TARE), and Ablation therapies.

Bile duct stones are gallstones in the bile duct. They can start in the gallbladder and migrate into the bile duct or they can form in the bile duct itself. The stones can become lodged in the bile duct, causing a blockage. >>Symptoms •Severe pain in the upper right abdomen, around the ribs •Pain that radiates to the back or shoulder •Nausea and vomiting •Fever •Jaundice, which can cause the skin or eyes to look yellow •Dark urine >>Complications •Inflammation •Bacterial infection •Severe organ damage •Chronic liver disease •Pancreatitis, which can cause fever, pain in the upper right abdomen, intense nausea, or white or clay-colored bowel movements >>Treatment Bile duct stones are typically removed using a minimally invasive procedure called endoscopic retrograde cholangiopancreatography (ERCP). ERCP combines X-ray, upper endoscopy, and an endoscope.

Pancreatitis is the swelling (inflammation) of the pancreas. This may happen when digestive juices or enzymes attack the pancreas. The pancreas lies behind your stomach on the left side of your belly. It's close to the first part of your small intestine (the duodenum). The pancreas is a gland. Dr Amol Jadhav is recognised as one of the leading and best Pancreatitis Treatment Specialist in Pune, PCMC, Maharashtra. For more information please visit the clinic or call us.

Dr Amol Jadhav is recognised as one of the leading and best Gall Bladder Stone treatment Specialist in Pune PCMC and Maharashtra. Since last more than 15 years he said serving valuable patient to overcome from such types of serious diseases. Gallstones are hardened deposits of digestive fluid that can form in your gallbladder. Your gallbladder is a small, pear-shaped organ on the right side of your abdomen, just beneath your liver. The gallbladder holds a digestive fluid called bile that's released into your small intestine. Gallstones are hardened deposits of bile that can form in your gallbladder. Bile is a digestive fluid produced in your liver and stored in your gallbladder. When you eat, your gallbladder contracts and empties bile into your small intestine (duodenum). Gallstones range in size from as small as a grain of sand to as large as a golf ball. Some people develop just one gallstone, while others develop many gallstones at the same time. >>Symptoms Gallstones may cause no signs or symptoms. If a gallstone lodges in a duct and causes a blockage, the resulting signs and symptoms may include: •Sudden and rapidly intensifying pain in the upper right portion of your abdomen •Sudden and rapidly intensifying pain in the center of your abdomen, just below your breastbone •Back pain between your shoulder blades •Pain in your right shoulder •Nausea or vomiting Gallstone pain may last several minutes to a few hours. People who experience symptoms from their gallstones usually require gallbladder removal surgery. Gallstones that don't cause any signs and symptoms typically don't need treatment.

Gallbladder cancer is a growth of cells that begins in the gallbladder.The gallbladder is a small, pear-shaped organ on the right side of the belly, just beneath the liver. The gallbladder stores a fluid called bile that the liver makes to digest food. Gallbladder cancer is not common. The chance for a cure is good when gallbladder cancer is found when it's small. But most gallbladder cancers are found when they've grown beyond the gallbladder. Then the chance to survive, called prognosis, often is poor. Gallbladder cancer may not be found until it's advanced because it may cause no symptoms. When they happen, the symptoms may be like those of common conditions. Also, the gallbladder is hidden inside the body. This makes it easier for gallbladder cancer to grow without being found. Gallbladder cancer may have no symptoms. When there are signs and symptoms, they may include: •Belly pain, mostly in the upper right part of the belly. •Belly bloating. •A mass you can feel through the skin. •Losing weight without trying. •Yellowing of the skin and whites of the eyes, called jaundice. Yellowing of the skin might be harder to see on Black or brown skin. Jaundice typically happens when the gallbladder cancer is very advanced. For details information please visit the clinic or call us.

Lifestyle and Dietary Management Weight Loss: Losing 7–10% of body weight is highly effective at reducing liver inflammation. Dietary Changes: Adopt a Mediterranean-style diet, which emphasizes vegetables, fruits, whole grains, and healthy fats (olive oil, nuts) while restricting sugar, white bread, and red/processed meats. Exercise: A combination of aerobic exercise (brisk walking, swimming) and resistance training (weights) reduces liver fat. Aim for at least 150 minutes of moderate-intensity activity per week. Avoid Alcohol: Eliminate or strictly limit alcohol, as it accelerates liver damage. Medical Management Manage Underlying Conditions: Effectively treat diabetes, high blood pressure, and high cholesterol to reduce cardiovascular risk. Medication: Currently, no specific drug is approved for reversing fat buildup; however, doctors may prescribe medicines to manage related metabolic conditions. Supplements: Certain supplements like Omega-3 fatty acids may help reduce liver fat.

Treatment Options Alcohol Cessation & Lifestyle Modifications Complete Alcohol Abstinence: The most crucial step in stopping disease progression Nutritional Therapy: A high-protein, liver-friendly diet to support healing Regular Exercise & Weight Management: Helps improve liver function Medical Management Liver-Protective Medications: To reduce inflammation and prevent further damage Vitamin Supplements (B1, B6, B12): To address deficiencies caused by alcohol Management of Complications: Treatment for ascites, varices, and hepatic encephalopathy if needed Advanced Interventions (For Severe Cases) Endoscopic or Surgical Procedures: For bleeding varices or liver-related complications Liver Transplant: In cases of end-stage liver failure or cirrhosis

Liver Transplant Guide Skim through this blog guide that covers every important aspect of Liver Transplant In Maharashtra. 1. Symptoms If you are not a potential patient and if there is someone in your family or social circle who is exhibiting the following symptoms, then they are in dire and immediate need of a liver transplant: i. Jaundice (yellowing of the eyes) ii. Ascites (fluid in the abdomen) iii. Encephalopathy (confusion or even coma) iv. Bleeding in the upper and lower gastrointestinal tract varices (large veins that form in the food pipe in patients with cirrhosis) v. Severe fatigue vi. Frequent bruising vii. Loss of muscle mass viii. A diminished sex drive 2. Who is eligible to donate a liver? Stringent rules created by the government and the transplant centers will apply to your loved one, friend, or acquaintance if they want to apply to be a liver donor. There is a protocol involved with being a donor. You should have the desire to do it and you should also have enough courage to sign a consent form related to it. Some other requirements to be an eligible blood donor are: 1. The donor and the recipient should have a matching blood type. Chances of a blood relative having the same blood group as the liver recipient are quite high. 2. The age range of a donor can vary. Children and teenagers are advised against becoming donors. However, if we ballpark it, anyone from the age of 18-30 may donate. 3. It is considered ideal if the donor and the liver recipient have the same height and weight. 4. The liver donor should be mentally healthy and have a reliable social, financial, and emotional system set up for after the surgery. 5. A donor should be in excellent physical shape. For that to be confirmed, he/she will have to go through a general physical exam. Or, if they are over 50, blood tests, urine tests, mammograms, colonoscopy, X-rays, and heart tests will also need to be conducted. 6. A perfect donor cannot be pregnant, obese or a smoker. He/she should also not have any underlying diseases such as: i. Diabetes (or a strong family history of the disease) ii. Heart, kidney, or lung disease iii. Gastrointestinal disease, autoimmune disorders, neurologic disease, and certain blood disorders iv. HIV/AIDS v. Cancer or a history of it vi. High blood pressure that’s not under control vii. Current or long-term infections, including hepatitis C viii. Drug addiction The Matching Process for the Liver Transplant When you require a liver transplant, you will be thoroughly evaluated by your chosen liver transplant surgeon and his/her team. After becoming eligible, you will be put on a waiting list with other people who have the same physical conundrum as you. Your position on this list will be determined by a Model of End-Stage Liver Disease (MELD) score. This score monitors factors such as your level of creatinine (how well your kidneys are working) and your international normalized ratio (how well your liver is making blood-clotting proteins). The scores can range from 6-40 and help estimate the risk of death within the next 90 days if the patient is to live on without a transplant. As one’s liver health worsens, their MELD score is updated. Those whose scores are higher tend to be sicker and are placed highest on the list. A person who has been on the list for a longer period of time has more chances of receiving a liver transplant. However, a person with a rare blood type may take time to find a suitable donor. As previously discussed, those with acute liver failure are in imminent danger and are therefore given more preference than those with other liver diseases. We realize and understand that the process to find the ideal liver transplant donor can be a long and drawn-out one. However, in such cases, one must envision the light at the end of the tunnel, no matter how much darkness they have to endure to get there. 3. How is a liver transplant performed? The surgical procedure involves removing the failed liver and replacing it with a healthy liver or a part of the healthy liver from a donor. Keep in mind that a living-donor liver transplant is only possible because the human liver tends to regenerate and return to its original size in some time. 4. Types of liver transplant There are 4 different types of liver transplant: 1. ORTHOTOPIC TRANSPLANT: This refers to the transplant of a liver from a recently deceased donor. This is the most common liver transplant in which the entire liver is taken from the deceased donor who had already agreed to donate their organs before their demise. It is also made sure that the deceased donor did not have any illnesses or cancer of any kind. 2. LIVING DONOR TRANSPLANT: This refers to the transplant of a liver from a person who is alive and healthy. As one would expect, the donor has the operation first in which the right side or the left side (lobe) of the liver is removed. A right lobe transplant is recommended for adults because that lobe is bigger and a left lobe transplant is recommended for children as that lobe is smaller. When the recipient is operated on, the diseased liver is removed and the new liver is introduced into the body by making connections with the blood vessels and the bile ducts. 3. SPLIT TYPE OF LIVER TRANSPLANT: This refers to the transplant of a liver from a deceased person to two recipients. This will only be possible if the recipients are an adult and a child. That way, the donated liver can be split so that the right lobe can be transplanted to the adult and the left lobe can be transplanted to the child. 4. AUXILIARY LIVER TRANSPLANT: In this type of liver transplant, the recipient’s liver is not completely removed. This is done in hopes of spontaneous recovery or if there is a future gene therapy available in case of hereditary or metabolic liver diseases (except primary oxalosis, Wilson’s disease, or tyrosinemia in which there is a risk of cancer in the residual liver). 5. Some pre-liver transplant guidelines 1. Take your prescribed medicines on time. 2. Make efforts to stay healthy and active. 3. Exercise daily. 4. Never miss scheduled appointments with your transplant surgeon or their team. 5. Spend quality time with your friends and family. 6. Keep a hospital bag ready (just in case) 7. Keep updating your liver transplant team of any changes to your health, no matter how big or small. 6. Liver transplant cost Now that you know the definition of the liver transplant procedure and why it is caused, you should also be privy to information such as how much the transplant costs. Liver transplant cost in India ranges from 12-15 Lakhs. Additionally recipient and donor workup for fitness and matching of the liver require 80 to 90 thousand one time. We realize that the liver transplant cost may sound intimidating but think of it this way: after this procedure, there are high chances that new life will be breathed into you and you will feel healthy again. If you need a liver transplant, this means that your body is already in turmoil and your liver is in such bad shape that it needs medical attention right away. Practice rationality when your brain starts to conjure reasons as to why you should NOT get a liver transplant done. We value your life and so should you. 7. Care after the liver transplant procedure After the strenuous 8-12 hour-long liver transplant operation, you will be kept in the hospital for three more weeks so that the doctor can monitor your progress. It may take somewhere from six months or one year for you to feel healthy and be able to stand on your own feet. Make sure that before getting discharged, you converse with your liver transplant surgeon about your mental and physical health in detail. An organ transplant of this stature may affect you mentally. Therefore, seek the support of your family members and friends to feel safer and more secure. 8. Risks of liver transplant There is no reason to ring alarm bells. Just as with any other surgery, there are risks involved with liver transplant surgery as well. Therefore, complications such as excessive bleeding, blood clotting, infection, and rejection of the new liver are feared but not guaranteed. Don’t let the risks outweigh your decision to undergo a liver transplant procedure as all these risks can be eliminated by treatment. 9. How to choose a transplant centre? Your general health physician will recommend and refer to a transplant center to you if they think that you are eligible for a liver transplant. You are, of course, allowed to choose a transplant center of your choice or one that aligns with your insurance company’s policies. Embark on the journey to know as much as you can about the transplant center. Or, have someone do it for you. Factors such as the number and types of transplants had done at the transplant center annually, the liver transplant survival rates, costs before, during and after the procedure, extra perks such as support groups or travel arrangements and whether the transplant center is on the same page as today’s medical technology and techniques ought to be considered. 10. What to expect ? Before the procedure Many medical tests will be conducted which will allow doctors to assess the severity of your illness, the urgency of a transplant, and where you should be placed on the transplant waiting list. Before finding a donor, your doctor will try to make you feel as healthy and comfortable as possible. During the procedure If a liver from a deceased donor becomes available, you will be notified and asked to come to the hospital. After arrival, you will undergo a taste which will confirm that you are healthy enough to go ahead with the surgery. You will be given general anesthesia during the surgery as a long incision across your abdomen will be made to access your liver. After this, your liver will be replaced with the donor’s liver. Then, the surgeon will connect your blood vessels and bile ducts to your new liver. The last step of the surgery will involve the surgeon closing the incision by a series of staples and stitches. If you are receiving a liver from a living donor, your surgery will be scheduled in advance but follow the same surgical procedure, more or less. After the procedure You will be taken to the Intensive Care Unit (ICU) so that you will have plenty of time to recover. Expect to stay there for at least 5-10 days. During this time, the doctors and nurses will keenly observe your new liver in case of any complications or infections. Frequent check-ups will also be maintained by your liver transplant team. You may need to take a few blood tests once in a while. You will also be taking medication and immunosuppressants for the remainder of your life. The latter will disallow your immune system to attack your new liver. Expect to go back to normal life soon after the surgery. But, remember that your recovery time will correlate with how sick you were before the liver transplant. 11. Liver transplant survival rate To raise your optimism levels, we would like to divulge the fact that a liver transplant survival rate is as high as 91%. Factors such as whether you are receiving a liver from a deceased donor or a living donor also contribute to the survival rate. Your doctor will evaluate your body’s reaction to the liver transplant months after the operation. To truly comprehend how your body is adjusting, you may need to take regular blood tests or anti-rejection medication for the rest of your life. 12. Diet & nutrition after liver transplant A diet that is low on cholesterol, salt, fat, and sugar will be recommended by your nutrition specialist (dietician). It is exceedingly important that you maintain a balanced diet after your liver transplant is done. This is to ensure that you and your liver recover nicely. Some important dietary tips to follow are: ● Avoid alcoholic drinks or adding alcohol to your food. ● Switch to eating tons of fruits and vegetables (ideally five servings a day). Abstain from eating grapefruit as it can harm a group of immunosuppressant medications. ● Slurp on lentil soup as it is high in dietary fiber. ● Poultry, lean meats, and fish are highly recommended. ● Drink plenty of water and other fluids throughout the day. Drinking low-fat or dairy-free products will also be suggested so that optimal calcium and phosphorous levels can be maintained

Dr Amol Jadhav is one of the leading and best liver specialist doctor in Pune, PCMC and Maharashtra. He is currently associated with so many renowned Hospital in Maharashtra. He is recognised as one of the best liver specialist doctor for Alcoholic liver Disease. What is alcoholic liver disease? Alcoholic liver disease (ALD) is liver damage caused by drinking too much alcohol over time. It's a spectrum of liver damage that includes fatty liver disease, hepatitis, and cirrhosis. Alcoholic liver disease (ALD) can affect men in many ways, including weight loss, fatigue, and changes in the appearance of the testicles. >>Symptoms •Weight loss: Men with ALD may lose weight due to poor nutrition and loss of appetite •Fatigue: Men with ALD may feel tired due to liver damage •Testicular changes: Men with ALD may experience shrinking testicles or gynecomastia (swollen breasts) •Decreased libido: Men with ALD may experience a decreased interest in sex •Spider angiomas: Men with ALD may develop small red spider-like blood vessels on their skin >>Other symptoms •Jaundice (yellowing of the skin and eyes) •Abdominal pain or discomfort •Nausea and vomiting •Fluid buildup in the abdomen (ascites) •Swelling in the legs or ankles (edema) •Confusion or drowsiness •Bleeding in the gastrointestinal tract •Kidney failure For more information please visit the clinic or call us.