Liver Disease

Types Of Liver Diseases

Chronic Hepatitis-B 

  • Hepatitis B is a virus affecting the liver and can lead to acute and chronic hepatitis
  • Hepatitis B infection can be treated effectively with the available new antiviral medications
  • Untreated Hepatitis B can lead to liver cancer/cirrhosis and liver failure
  • Family members of the patients should be screened for Hepatitis B infection

Transmission Routes and Risks

  • Vertically, between a mother with chronic infection and her babyC
  • lose person-to-person contact, usually in childhood (through open cuts or sores)
  • Sexually from male to female or vice versa
  • Parenteral route, transfusion of contaminated blood products
  • Sharing of needle amongst drug abusers

Risk Factors

  • Household contacts of people who are HBsAg positive
  • Intravenous drug abuse
  • Contaminated blood products transmission
  • Contaminated surgical equipment usage
  • Tattoos
  • Haemodialysis.
  • Hepatitis B virus can lead to both acute and chronic hepatitis
  • Acute hepatitis is sudden onset severe inflammation of the liver

Symptoms

  • Usual symptoms are fever, bodyache, nausea and vomiting followed by jaundice
  • Liver function test usually reveals increased bilirubin, markedly elevated SGOT/SGPT.
  • HBsAg and IgM anti HBc are positive
  • Acute hepatitis is mostly self limiting, and body clears the virus in more than 90% of cases, however 5 % of patients may develop chronic hepatitis
  • 1 % of patients may develop features of liver failure and may requires ICU admission and liver transplantation
  • Chronic hepatitis B is characterized by low grade inflammation of the liver, which manifest as tiredness, and slightly elevated liver enzymes
    Four stages of Chronic hepatitis B are immune tolerance phase, immune clearance, immune control and state of immune escape
  • 30 % of patients with chronic hepatitis B are at risk for cirrhosis and liver cancer
  • Treatment strategy is to identify the patients who are at high risk for progressive liver disease and treating these patients with potent antiviral agents

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Reviews
I have come across Dr Vikas post lots of research via internet,going through the various feedbacks& I hope my feedback will help anybody who is in dilemma in selecting right doctor.Without a doubt he is one of the top doctors in GI. Dr Vikas is one of the wonderful,gentle&talented doctor I have come across,he provides the correct direction &also helps in clearing all the doubts/concerns. Moreover his attendent is also very helpful& will heIp you in all possible way.I am very pleased on the overall experience & highly recommend.Thanks doctor for you wonderful support in all ways.May God bless you more & keep on giving great service !!! Catherine Dear DGOC Dr Vikas Singla and team is a very good, nice and soft spoken today 22 Feb we attend a camp for full lever checkup very good service and well maintained every things we wish a very good luck to Dr Vikas Singla and team (Amit) Gaurav khare The best doctor i ever met. A very cordial person in nature and very talented doctor. He is a good person to talk and have advice. I was suffering from gastritis for last 2 years. I had consulted 2 to 3 doctors but did not see any sign of improvement. I almost lost my hope to get relief from this disorder. I thought this is something I will have to endure with. But doctor Singhla treated it very well with patience and now i am feeling much much better. Thanks DR. Vikas for treating my disorder. Ankit sharma I am at loss for words in describing Dr Singla’s dedication towards his patients. Last month my father was treated by him for gastric polyps. His forte lies in listening to the patients and putting across the problem in a comprehensive manner. He was also very prompt in diagnosing the problem and comping up with the solution which speaks for his experience and expertise in his field. By God’s grace and through his treatment my dad is recovering. I value his professional opinion and will forever remain grateful to him. He surely is the best Gastroenterology in North India.
Ojaswita
Best and thorough The one who is incredible in doing hard and difficult procedures With smiling face and human touch Proud of U dear teacher.
Dr. Noor Ahmad Noori
The best doctor i ever met. A very cordial person in nature and very talented doctor. He is a good person to talk and have advice. I was suffering from gastritis for last 2 years. I had consulted 2 to 3 doctors but did not see any sign of improvement. I almost lost my hope to get relief from this disorder. I thought this is something I will have to endure with. But doctor Singhla treated it very well with patience and now i am feeling much much better. Thanks DR. Vikas for treating my disorder.
Ankit Sharma
Dear DGOC Dr Vikas Singla and team is a very good, nice and soft spoken today 22 Feb we attend a camp for full lever checkup very good service and well maintained every things we wish a very good luck to Dr Vikas Singla and team (Amit).
Gaurav Khare
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