Dr.Pathik Parikh

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Fatty Liver Treatment in Ahmedabad: Expert Care at ReLiver Clinic

Fatty liver disease is becoming increasingly common in India, especially in urban cities like Ahmedabad. Sedentary lifestyles, unhealthy eating habits, and rising stress levels have contributed to a sharp increase in liver-related conditions. If left untreated, fatty liver can progress into serious complications such as liver cirrhosis and liver failure.

If you’re searching for the best fatty liver treatment in Ahmedabad, expert care from Dr. Pathik Parikh at ReLiver Clinic offers advanced, personalized solutions for long-term liver health.

What is Fatty Liver Disease?

Fatty liver disease occurs when excess fat accumulates in liver cells. While small amounts of fat are normal, excessive fat can lead to inflammation and damage.

There are two main types:

Non-Alcoholic Fatty Liver Disease (NAFLD) — caused by obesity, diabetes, and poor lifestyle

Alcoholic Fatty Liver Disease — caused by excessive alcohol consumption

In Ahmedabad, NAFLD is more common due to lifestyle factors and dietary patterns.

Causes of Fatty Liver

Understanding the root causes is crucial for effective treatment. The most common causes include:

Obesity and weight gain

Type 2 diabetes

High cholesterol levels

Poor diet (high in processed foods and sugar)

Lack of physical activity

Alcohol consumption

At ReLiver Clinic, Dr. Pathik Parikh focuses on identifying the exact cause to provide targeted fatty liver treatment in Ahmedabad.

Symptoms of Fatty Liver Disease

Fatty liver is often called a “silent disease” because symptoms may not appear in early stages. However, as the condition progresses, you may experience:

Fatigue and weakness

Pain or discomfort in the upper right abdomen

Unexplained weight gain or loss

Loss of appetite

Mild jaundice in advanced stages

Why You Should Not Ignore Fatty Liver

Many people assume fatty liver is harmless — but that’s a dangerous misconception.

If untreated, fatty liver can lead to:

Liver inflammation (NASH)

Fibrosis (scarring of liver)

Cirrhosis

Liver failure

Early diagnosis and proper fatty liver treatment in Ahmedabad can prevent these complications completely.

Fatty Liver Treatment in Ahmedabad at ReLiver Clinic

At ReLiver Clinic, Dr. Pathik Parikh provides a comprehensive and patient-focused approach to liver care. The treatment is not just about medication — it’s about reversing liver damage and improving overall health.

1. Advanced Diagnosis

Accurate diagnosis is the first step. The clinic uses:

Liver function tests

Ultrasound & FibroScan

Blood investigations

2. Personalized Treatment Plans

Each patient receives a customized treatment plan based on:

Severity of fatty liver

Underlying health conditions

Lifestyle factors

3. Lifestyle Modification Programs

Lifestyle changes are the cornerstone of fatty liver treatment:

Customized diet plans

Weight management guidance

Exercise recommendations

4. Medical Management

When required, medications are prescribed to:

Reduce liver inflammation

Control cholesterol and sugar levels

Improve liver function

5. Continuous Monitoring

Regular follow-ups ensure progress tracking and treatment adjustments.This holistic approach makes ReLiver Clinic a trusted destination for fatty liver treatment in Ahmedabad.

Why Choose Dr. Pathik Parikh for Fatty Liver Treatment?

Choosing the right specialist is critical for successful treatment

Specialized Liver Care: ReLiver Clinic focuses exclusively on liver-related conditions, ensuring advanced and focused treatment.

Expertise You Can Trust: Dr. Pathik Parikh is known for his expertise in liver diseases and patient-centric care.

Evidence-Based Approach: Treatment is based on the latest medical research and global guidelines.

Patient-Centered Care: Every patient receives personalized attention and long-term care planning.

Diet Tips for Fatty Liver Patients

Diet plays a major role in reversing fatty liver. Here are some expert recommendations:

Eat more fruits, vegetables, and whole grains

Include healthy fats like nuts and seeds

Avoid fried, processed, and sugary foods

Reduce salt intake

Stay hydrated

Following the right diet along with expert fatty liver treatment in Ahmedabad can significantly improve liver health.

Lifestyle Changes to Reverse Fatty Liver

Simple lifestyle modifications can make a huge difference:

Exercise at least 30 minutes daily

Maintain a healthy weight

Avoid alcohol

Manage stress effectively

Get adequate sleep

Consistency is key when it comes to liver recovery.

When Should You See a Liver Specialist?

You should consult a liver specialist if:

You have persistent fatigue or abdominal discomfort

Your blood reports show abnormal liver enzymes

You have diabetes or obesity

You have been diagnosed with fatty liver

Early consultation can prevent serious complications.

Conclusion

Fatty liver disease is reversible if detected early and treated properly. With expert guidance from Dr. Pathik Parikh at ReLiver Clinic, patients can achieve significant improvement and prevent long-term damage.

If you are looking for reliable and effective fatty liver treatment in Ahmedabad, don’t delay your care. Take the first step towards a healthier liver today.

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Liver Transplant in Ahmedabad Cost, Process & What to Expect — A Complete Patient Guide

A liver transplant is one of modern medicine’s most remarkable procedures — offering a second chance at life to patients with end-stage liver disease. If you or a loved one has been told that a liver transplant may be necessary, it is natural to feel overwhelmed with questions.

This guide answers the most common questions patients and families ask: Who needs a transplant? What does the process look like? How much does it cost in Ahmedabad? And what can you expect after surgery?

When Is a Liver Transplant Needed?

A liver transplant is considered when the liver is severely damaged and cannot perform essential functions.

Cirrhosis — end-stage scarring due to alcohol, hepatitis B/C, NAFLD, autoimmune disease

Acute Liver Failure — sudden severe liver function loss

Hepatocellular Carcinoma — liver cancer within transplant criteria

Biliary diseases — PSC or PBC

Genetic liver diseases — Wilson’s disease, Haemochromatosis, Alpha-1 Antitrypsin Deficiency

Your hepatologist uses the MELD Score to determine urgency.

Types of Liver Transplant

1. Living Donor Liver Transplant (LDLT)

A healthy relative donates part of their liver. Both donor and recipient liver regenerate within weeks.

Who Can Be a Living Donor?

Age 18–55 years

Compatible blood group

BMI under 30

Medically fit

No fatty liver

Voluntary donation

Close family relation

2. Deceased Donor Liver Transplant (DDLT)

Liver received from a brain-dead donor via NOTTO waiting list.

The Liver Transplant Process

1 Initial Evaluation Tests, scans, MELD scoring and referral.

2 Recipient Workup Full body evaluation for surgery fitness.

3 Donor Evaluation Medical & psychological fitness checks.

4 Legal Approval Ethics committee clearance.

5 Surgery 8–12 hour procedure by two expert teams.

6 ICU & Recovery ICU care followed by ward recovery.

7 Follow-Up Lifelong monitoring and medications.

Book a Consultation: www.drpathikparikh.com

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Liver Pain in Ahmedabad: Causes, Diagnosis & Best Treatment Options

Liver pain is one of the most commonly overlooked symptoms, yet it can indicate several underlying liver diseases that need timely medical attention. In Ahmedabad, thousands of patients experience discomfort in the upper right abdomen without realizing it could be linked to conditions such as fatty liver disease, hepatitis, liver inflammation, gallbladder issues, or even serious liver damage.

This blog explains the causes, symptoms, and treatment options available for liver pain in Ahmedabad, helping patients recognise when it’s time to consult a specialist.

Liver pain usually presents as a dull ache or sharp discomfort on the right side of the abdomen, sometimes accompanied by fatigue, nausea, loss of appetite, bloating, or jaundice. These symptoms should not be ignored, as early diagnosis significantly improves treatment outcomes.

Ahmedabad is home to advanced liver care facilities, and Dr. Pathik Parikh, a leading hepatologist and liver specialist, provides world-class evaluation and treatment for a wide range of liver conditions. Using cutting-edge diagnostic tools, personalised treatment plans, and evidence-based therapies, he helps patients manage liver diseases effectively and prevent long-term complications.

If you suspect liver pain, timely consultation can make a major difference. Understanding the root cause and receiving expert guidance ensures better liver health and improved quality of life.

👉 Learn more about liver disease treatment options here: https://www.drpathikparikh.com/service/liver-disease/

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Hepatic Problem & Hepatitis A Treatment in Ahmedabad

Liver disease can take many forms — from viral hepatitis and fatty-liver to acute liver failure — and timely diagnosis and expert care are paramount to effective treatment and long-term health. In Ahmedabad, patients seeking top-notch liver care often turn to Dr. Pathik Parikh, a distinguished hepatologist and transplant physician, whose training spans India, the UK, USA and Japan.

This blog explores the spectrum of hepatic problems commonly seen in Ahmedabad — especially viral infections like Hepatitis A — and outlines how expert care, supportive treatment, prevention and patient awareness combine to safeguard liver health. We highlight what patients should know: symptoms, risk factors, when to consult a hepatologist, what the treatment journey looks like, and how to choose the right care in Ahmedabad.

Whether someone’s dealing with a sudden acute liver issue, chronic disease, or simply wants to understand prevention and maintenance — this post aims to serve as a helpful guide. We base the discussion on up-to-date medical understanding, and show how having an experienced specialist like Dr. Pathik Parikh can make a critical difference.

What the Blog Should Cover (Sections / Subheads)

Overview of common liver problems — viral hepatitis (A, B, C, etc.), fatty liver, drug-induced liver injury, alcoholic liver disease, acute vs chronic liver conditions.

Why Ahmedabad needs good liver care — local context, risks, importance of sanitation & safe water in viral hepatitis (for example Hepatitis A).

Understanding Hepatitis A (and similar acute liver infections) — how the virus spreads, typical symptoms (jaundice, malaise, fever, raised liver enzymes), phases — incubation, icteric, convalescent.

When to seek specialist care — why a hepatologist (and not just a general physician) matters especially for liver-related conditions; early diagnosis reduces risk of complications like acute liver failure.

What comprehensive liver treatment looks like in Ahmedabad — supportive care/home-based care for acute but non-severe cases; advanced care (ICU, transplant-ready centres) for severe liver injury.

Preventive measures and long-term liver health — importance of clean water, sanitation, hygiene, vaccination (where applicable), avoiding self-medication or unverified herbal supplements, healthy diet & lifestyle.

Why choosing the right doctor matters — Spotlight on Dr. Pathik Parikh — his qualifications, experience, services at hospitals and liver transplant centres, his multi-lingual care (English/Hindi/Gujarati) which helps in Ahmedabad’s diverse population.

Practical advice for patients & caretakers — what to do if someone shows jaundice or liver-related symptoms, when to get tests, follow-up, supportive care, importance of early intervention.

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Best Liver Cancer Doctor in Ahmedabad: Expert Care for Liver Health

Introduction

Liver cancer is a serious but treatable disease when detected early and managed by experienced specialists. The liver performs vital functions like detoxification, digestion, and protein production. If you’re searching for the best liver cancer doctors in Ahmedabad, it’s important to consult experts who offer advanced treatment with compassionate care.

Understanding Liver Cancer

Liver cancer develops when abnormal cells grow uncontrollably in the liver. It may be primary (originating in the liver) or secondary (spread from another organ). Main types:

Hepatocellular Carcinoma (HCC) — Most common type

Cholangiocarcinoma — Cancer of the bile ducts

Risk Factors

Common causes and risk factors include:

Chronic Hepatitis B or C infection

Fatty liver disease

Cirrhosis (due to alcohol or other causes)

Toxin exposure (like aflatoxins)

Genetic diseases such as Wilson’s Disease

Symptoms

Early liver cancer often shows no symptoms. As it advances, you may experience:

Pain or heaviness in the right upper abdomen

Jaundice (yellow eyes/skin)

Loss of appetite, fatigue, or weight loss

Abdominal swelling (ascites)

Diagnosis & Treatment

Diagnosis includes Ultrasound, CT/MRI scans, and AFP blood tests. Treatment depends on the stage and may involve:

Surgery or Liver Transplant

Ablation or Embolization (TACE/TARE)

Targeted or Immunotherapy

Why Choose Dr. Pathik Parikh

Dr.Pathik Parikh is among the best liver cancer doctor in Ahmedabad, with specialized training in hepatology and liver transplantation.

MD, DM (AIIMS, New Delhi)

Expertise in advanced liver cancer management

Patient-focused care with modern facilities

Conclusion

Choosing the right specialist can make a life-changing difference in liver cancer outcomes. For expert care, consult Dr. Pathik Parikh, leading hepatologist and liver cancer doctor in Ahmedabad.

📞 Book an appointment today for personalized liver care.

👉Visit : https://www.drpathikparikh.com/service/liver-cancer/

[drpathikparikh]

Best Liver Specialist in Ahmedabad — Expert Care for Liver Diseases

The liver is one of the most vital organs of our body, performing over 500 essential functions including digestion, metabolism, detoxification, and energy storage. Unfortunately, liver diseases are becoming increasingly common in India and worldwide.

Contrary to popular belief, liver problems are not limited to alcohol consumption. Over the last two decades, non-alcoholic and metabolic liver conditions have emerged as major causes of liver failure.

Common Types of Liver Diseases

Some of the major liver diseases include:

Non-Alcoholic Fatty Liver Disease (NAFLD)

Alcoholic Fatty Liver Disease

Viral Hepatitis (A, B, C, E)

Autoimmune Hepatitis

Drug-Induced Liver Injury

Primary Biliary Cholangitis

Primary Sclerosing Cholangitis

Vascular & Metabolic Liver Diseases

Liver Cancer & Cirrhosis

Among these, fatty liver disease has become the most common cause of liver problems in India, while cases of viral hepatitis are reducing due to improved treatments.

Symptoms of Liver Disease

Liver diseases may present in different ways:

Asymptomatic (detected during routine check-ups)

Acute hepatitis with or without jaundice

Cirrhosis of the liver (ascites, leg swelling, blood in vomit/stool)

Chronic hepatitis

Acute liver failure

Liver cancer

It is important to note that jaundice is a symptom, not a disease. Not every liver condition will present with jaundice.

Diagnosis of Liver Disease

Your doctor may recommend several investigations such as:

Complete blood count & liver function profile

Viral, autoimmune, and metabolic markers

Ultrasound / CT scan of the liver

Fibroscan or liver elastography

Rarely, a liver biopsy for confirmation

Since liver diseases may affect multiple organs, tests for the heart, kidneys, and other systems are sometimes necessary.

Treatment of Liver Disease

Treatment depends on the exact diagnosis and cause. It may involve:

Managing the underlying condition (alcohol, hepatitis, metabolic causes)

Liver-supportive medications & nutritional supplements

Lifestyle modifications (diet, exercise, avoiding alcohol)

Advanced therapies for cirrhosis and liver cancer

Why Choose Dr. Pathik Parikh for Liver Disease Treatment in Ahmedabad?

At our clinic, we provide: ✔️ Comprehensive liver care services ✔️ Advanced diagnostic facilities (Fibroscan, Elastography) ✔️ Patient education in simple language ✔️ Evidence-based treatment & prevention strategies ✔️ Compassionate care with focus on long-term liver health

If you or your loved one is facing symptoms of liver disease, don’t ignore them. Early diagnosis and treatment can prevent serious complications.

👉 Book a consultation with Dr.Pathik Parikh — Liver Specialist in Ahmedabad and take the first step towards better liver health.

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Fatty Liver Disease — What You Need to Know

Fatty liver disease is now the most common liver disorder globally, affecting nearly 30% of the population. With declining cases of hepatitis B and C, fatty liver is fast becoming the leading cause of liver failure, liver transplant, and even primary liver cancer. This silent epidemic poses a serious public health burden.

Can Fatty Liver Be Prevented or Treated?

Yes — but early detection and proper management are essential.

In the past, a diagnosis of fatty liver on ultrasound was often ignored. Today, with increasing awareness, both patients and doctors recognize its potential severity. However, ultrasound grading and liver enzymes like SGPT (ALT) are not reliable indicators of disease stage. A thorough evaluation, including elastography, is necessary to assess liver damage.

Additionally, individuals diagnosed with fatty liver must be screened for diabetes, high blood pressure, thyroid problems, obesity, high cholesterol, sleep apnea, and heart disease — all of which can contribute to disease progression.

Steps to Manage Fatty Liver Disease:

Exercise Engage in at least 150 minutes of physical activity per week, combining cardio and strength training. It helps reduce liver fat and build lean muscle.

Diet Control Follow a hypocaloric diet focused on healthy, sustainable eating. Mediterranean or keto diets show some benefit. Avoid fructose-rich foods, and steer clear of extreme diets or prolonged fasting.

Weight Loss A 10% reduction in body weight can significantly improve liver health and even reverse early-stage fibrosis caused by fatty liver.

Medications Avoid over-the-counter liver tonics and detox products — they offer no proven benefit and may delay real treatment. Certain medications like Vitamin E, Pioglitazone, Saroglitazar, GLP-1 RA, and SGLT2 inhibitors are backed by research and included in international guidelines. Treatment must be tailored based on your liver stage and associated conditions — always consult your specialist.

Obesity Treatment If your BMI is over 35, endoscopic or surgical options such as bariatric procedures may be recommended to manage obesity and improve fatty liver.

📞 Book an appointment: [phone]

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The Surprising Link Between Liver Health and Your Eyesight

By Dr. Pathik Parikh — Liver Specialist at Reliver Clinic, Ahmedabad

When we think about liver health, we usually associate it with digestion, metabolism, or detoxification. However, few people know that your liver plays a significant role in your eye health too. Yes — there is a fascinating connection between your liver and your vision.

In this blog, we’ll explore how liver dysfunction can impact your eyesight and what symptoms to watch out for.

👁️ How Are the Liver and Eyes Connected?

The liver filters toxins from your blood, produces bile to digest fats, and helps store essential vitamins — especially vitamin A, which is crucial for good vision. When your liver is under stress or damaged, it can impact your body’s ability to absorb and store vitamin A, potentially affecting your night vision, clarity, and even eye moisture.

🔬 Eye-Related Symptoms of Liver Problems

Here are some common eye symptoms that could point to underlying liver dysfunction:

Yellowing of the Eyes (Jaundice): A classic symptom of liver disease. When bilirubin builds up due to liver damage, the whites of your eyes may turn yellow.

Dry or Itchy Eyes: Poor liver function can reduce bile production, affecting fat digestion and vitamin A absorption — leading to dry or irritated eyes.

Blurred Vision or Night Blindness: Vitamin A deficiency caused by chronic liver issues like cirrhosis can lead to impaired night vision or difficulty focusing.

Puffy or Dark Circles Around Eyes: Liver congestion may cause fluid retention and poor circulation, which can appear as puffiness or dark shadows under the eyes.

⚠️ Conditions Where This Link Is Often Seen

Hepatitis B & C

Fatty Liver Disease (NAFLD)

Cirrhosis

Alcoholic Liver Disease

Liver Cancer

These conditions often lead to systemic changes that may show up in the eyes before more serious symptoms are noticed.

🩺 What You Can Do

Regular Liver Check-ups: Especially if you have risk factors like alcohol use, obesity, or diabetes.

Eat Liver-Friendly Foods: Leafy greens, beetroot, turmeric, walnuts, and plenty of hydration.

Avoid Self-Medicating: Many drugs can be toxic to the liver if misused.

Monitor Eye Health: Don’t ignore recurring dryness, yellowing, or vision changes — these could be liver-related.

👨‍⚕️ Expert Advice from Dr. Pathik Parikh

“As a liver specialist, I’ve seen many patients ignore early signs — especially when they appear in the eyes. I always advise people to pay attention to these subtle changes. Your eyes can often reflect the health of your internal organs — especially your liver.”

📍 Visit Reliver Clinic — The Clinic for Comprehensive Liver Care in Ahmedabad

If you’re experiencing unusual eye symptoms along with fatigue, abdominal discomfort, or skin changes, it’s time to get your liver function tested. Reliver Clinic is a trusted center for liver disease treatment in Ahmedabad, led by Dr. Pathik Parikh, a reputed hepatologist.

👉 Book Your Liver Health Check-up at Reliver Clinic Today!

🏥 About Dr. Pathik Parikh & Reliver Clinic

Reliver Clinic — For Liver Disease Treatment in Ahmedabad The Clinic for Comprehensive Liver Care by Dr. Pathik Parikh

Dr. Pathik Parikh is a renowned liver specialist and hepatologist in Ahmedabad with years of experience in managing liver diseases such as hepatitis, fatty liver, cirrhosis, and liver cancers.

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Liver Transplant: A Lifesaving Solution for End‑Stage Liver Disease

When Is a Liver Transplant Needed?

Liver transplant becomes essential when the liver is severely damaged and no longer able to perform vital functions. This often happens due to cirrhosis — a condition in which healthy liver tissue is replaced by scar tissue. While early-stage liver diseases can be managed with lifestyle changes and medication, advanced cases require a liver transplant, especially when complications like ascites, jaundice, internal bleeding, or hepatic encephalopathy appear.

Timing is crucial. Delaying transplant evaluation can reduce the chances of successful outcomes, especially if the liver failure progresses into multi-organ dysfunction. Early intervention offers the best chance of recovery and long-term survival.

If you’re unsure about your condition, consulting the Best Liver Specialist in Ahmedabad can help you understand whether a transplant is necessary and when to plan it.

Causes of Liver Failure Leading to Transplant

In India, the most common causes of end-stage liver disease include:

Alcohol-related liver damage

Non-alcoholic fatty liver disease (NAFLD)

Chronic Hepatitis B or C infections

Autoimmune liver diseases

Genetic disorders like Wilson’s disease

Drug-induced liver injury

Accurate diagnosis and specialist-led care are essential for determining whether a transplant is the right course of action. That’s why it’s important to connect with the Best Liver Specialist in Ahmedabad for timely and precise treatment guidance.

Liver Transplant Advancements in India

Thanks to improvements in medical infrastructure and transplant regulations, liver transplants are now more accessible across many Indian cities. Ahmedabad, in particular, has emerged as a center for advanced liver transplant procedures.

Patients can now benefit from:

High success rates for both living and cadaveric donor liver transplants

Shorter waiting times and faster evaluations

Advanced surgical techniques and post-operative care

Reduced cost compared to transplants performed abroad

Availability of state and central government assistance programs for eligible patients

These benefits are best realized under the guidance of a seasoned hepatologist. If you are in Gujarat, consider reaching out to the Best Liver Specialist in Ahmedabad to explore your options with confidence.

Choosing the Right Liver Transplant Center

A good liver transplant program includes:

Experienced liver specialists and transplant surgeons

Comprehensive pre- and post-transplant care

Facilities for immunosuppressive therapy and infection control

Patient counseling and family support services

Transparent organ allocation policies

Centers with multidisciplinary teams and advanced technology significantly improve transplant outcomes and patient recovery. Partnering with the Best Liver Specialist in Ahmedabad ensures you are in safe hands throughout your transplant journey.

Latest Trends and Technologies

Modern liver transplant programs now use innovations like:

Normothermic perfusion for preserving liver function before surgery

Minimally invasive techniques for living donor procedures

Personalized immunosuppressive therapies to minimize side effects

Data-driven assessments to improve long-term survival

Post-transplant rehab and nutritional support to speed up healing

These advancements are making transplants safer and more effective, with many patients returning to normal life within months.

When to Consult a Liver Transplant Specialist

If you or your loved one has been diagnosed with advanced liver disease and is experiencing:

Uncontrolled fluid buildup (ascites)

Frequent confusion or drowsiness (encephalopathy)

Yellowing of eyes or skin (jaundice)

Swelling in the legs

Internal bleeding

Severe fatigue or weight loss

…it may be time to consult a liver transplant specialist for further evaluation. For those living in Gujarat or nearby regions, booking a consultation with the Best Liver Specialist in Ahmedabad can be a crucial first step toward treatment and healing.

Final Words

A liver transplant offers renewed hope for individuals facing irreversible liver damage. With timely diagnosis, expert care, and advanced surgical techniques, survival rates continue to improve. Ahmedabad is now home to leading transplant centers providing comprehensive care close to home — making this critical procedure more accessible than ever.

To ensure the best possible outcome, make sure you’re guided by the Best Liver Specialist in Ahmedabad who understands your unique condition and treatment needs

[drpathikparikh]

Liver Function Test in Ahmedabad – Early Diagnosis, Better Health

If you’re looking for a Liver Function Test in Ahmedabad, you’re making a proactive move toward ensuring your liver health. The liver plays a vital role in metabolism, detoxification, and digestion. Any dysfunction can significantly affect your overall health. That’s why timely liver testing is essential — especially if you’re experiencing symptoms like fatigue, jaundice, abdominal pain, or have a history of alcohol use or hepatitis.

What is a Liver Function Test (LFT)?

A Liver Function Test (LFT) is a blood test that measures enzymes, proteins, and substances produced by the liver. These tests help assess the liver’s health and detect inflammation, damage, or infection. Key parameters include:

ALT (Alanine transaminase)

AST (Aspartate transaminase)

ALP (Alkaline phosphatase)

Bilirubin

Albumin and total protein

When Should You Get a Liver Function Test?

You may need an LFT if:

You have symptoms like yellow skin or eyes (jaundice), dark urine, or abdominal pain

You consume alcohol regularly

You are on long-term medications

You have been diagnosed with hepatitis or other liver conditions

You are overweight or have diabetes

Where to Get a Liver Function Test in Ahmedabad?

If you’re in Ahmedabad and need a trusted specialist for liver health, visit Dr. Pathik Parikh. As a leading liver specialist and gastroenterologist, Dr. Parikh offers comprehensive liver care — from diagnostics to treatment — with years of experience and modern diagnostic facilities.

His clinic provides:

Advanced Liver Function Testing

Accurate Diagnosis of Liver Conditions

Personalized Treatment Plans

Follow-up and Lifestyle Advice

Why Choose Dr. Pathik Parikh?

Expertise in Liver and Digestive Health

Compassionate, Patient-Centric Care

State-of-the-Art Diagnostic Tools

Convenient Location in Ahmedabad

Book Your LFT Today

Don’t wait for symptoms to worsen. Early detection can prevent long-term complications. Schedule your Liver Function Test in Ahmedabad with Dr. Pathik Parikh and take control of your liver health today.

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MASLD & Fibroscan (Liver Elastography) Demystified!!

Fatty Liver is no longer an unheard term. The prevalence of fatty liver in India is approximately 30% and that means that nearly one in three person suffers from it. The disease is not as benign as the name and prevalence suggest. This disease is the most common liver disease worldwide. It is on path to become the number 1 reason for liver cirrhosis, liver cancer and liver transplant.

New Terminology

The disease has gone significant change in terminology and is now known as MASLD – Metabolic-Dysfunction Associated Steatotic Liver Disease and recently in 2023 the experts of the world met and proposed the following terminology for types of SLD (Steatotic Liver Disease) or Fatty Liver Disease

MASLD – Previously NAFLD or Fatty Liver

MASH – Previously NASH

MetALD – No previous terminology (Patients also take alcohol in addition).

Risk Factors

MASLD and MASH is usually seen in patients who are obese, overweight and suffer from diabetes, hypertension, sedentary lifestyle, thyroid disease and is habituated to eating processed foods and high-fat high carbohydrate diet.

Progression

MASLD can progress over years to end stage liver disease and leads to complications similar to alcohol associated liver disease. It leads to cirrhosis and then ascites, pedal oedema, bleeding, jaundice, encephalopathy, liver cancer and may warrant liver transplant. In early stage when the disease is reversible, it has no symptoms and hence often ignored. When symptoms do develop, it is usually too late to reverse.

Diagnosis

The diagnosis of fatty liver is based on a sonography or abdominal ultrasound where radiologist will let you know if you have fatty liver. Although, blood tests like liver function tests, lipid profile, HBA1c, CBC and others are often recommended to find out predisposing conditions and complications, it fails to give exact nature of underlying severity or stage of liver disease. For this, non-invasive tests are recommended. These tests are very important to understand the prognosis and treatment prescription. Following image is an idea about some of these tests.

There is a lot of confusion currently in terminology of Fibroscan, Elastography and ARFI. I have created following flow chart to understand this difference.

Fibroscan

It is Transient Elastography. It is the name of the machine which carries out the test of Transient Elastography. Unfortunately, since this is the first elastography technique and is accepted worldwide, the name is used synonymously for the technique. It is similar to XEROX and photocopy where XEROX is the name of the machine and the function is photo company. Fibroscan is produced by a French company called Echosens. This is the only approved and accepted modality worldwide.

The currently available machines of Fibroscan (430,430 Mini, 502, 530, 630) provide following details

CAP – Controlled Attenuation Parameter – It tells the patient about the amount of fat in the liver. The ultrasound when gives Fatty liver Grade1,2 or 3, it is a subjective finding while CAP is an objective number which can be used to monitor treatment and risk stratification. A value above 230 is considered significant

LSM – Liver Stiffness Measurement– It tells you how stiff the liver has become. Stiffer the liver worse is the outcome. The vibration wave generated by the probe travels through the liver and the velocities then picked up to give a definite number. Usually, the number is less than 8 kPa. When the value crosses 14 kPa or above, the chances that the liver has irreversible damage are high. The risk of complications also increases when the value crosses 20 or above.

SSM – Splenic Stiffness Measurement – It is measured over the spleen and it gives risk of developing bleeding from the foodpipe and stomach secondary to liver cirrhosis. These values still require validation and widespread acceptance

The 402 version of the machine is outdated and no longer accepted. The machine has SMART EXAM to improve the efficiency, interoperability and accuracy.

Fibrotouch

Similar to Fibroscan, this machine is made in Asia and available also in India. It works exactly on the same principle as Fibroscan. Instead of CAP, the machine gives UAP. Although used frequently, a lot of Indian doctors, hepatologists and Gastroenterologists have raised questions about its accuracy.

pSWE – Point Shear Wave Elastography

This is type of Elastography which radiologists carry out with the use of their sonography machine. The technique used is different from Fibroscan. Instead of Vibration, the machine uses Acoustic waves and the technique is known as ARFI. The machine provides an advantage of being able to do an ultrasound and elastography with the same machine but it cannot give CAP value and it requires validation to be used as a Fibroscan alternative as of now.

MR Elastography

It is considered one of the best techniques. Availability although is a problem. Only few centres in India provide this facility. It is expensive.

Treatment

The treatment of MASLD is lifestyle modification. If there is fibrosis on the above tests, your doctor might prescribe you medicines to protect the liver in addition. The control of predisposing factors is of paramount importance.

If you suffer from Fatty Liver – MASLD, please contact your Liver Specialist or Hepatologist

[drpathikparikh]

Liver Disease

Liver is a complex organ with more than 500 functions. Liver diseases are not just limited to alcohol. Over the last two decades, liver diseases besides alcohol have been considered as a cause for liver failure. The list below is just to name a few.Non-Alcoholic Fatty Liver DiseaseAlcoholic Fatty Liver diseaseViral HepatitisMetabolic liver diseaseAutoimmune hepatitisDrug induced liver injuryVascular liver diseaseCongenital liver diseasePrimary biliary cholangitisPrimary sclerosing cholangitisInfectious liver diseaseGranulomatous liver disease

Fatty Liver disease is the most common cause of liver disease in India and worldwide. Alcohol related liver disease is constant through these years while viral hepatitis thanks to good treatment availability is decreasing.

These liver diseases can present as any of the following manner.

Asymptomatic – Incidental finding on investigations

Acute hepatitis with or without jaundice

Acute Liver failure

Chronic hepatitis

Cirrhosis of liver

Acute on chronic liver failure

Liver cancer

Rarely extra hepatic manifestations of liver disease

The routine clinical symptoms of liver disease unlike popular perception is not indigestion of food but is based type of hepatitis. Jaundice is not a disease but a symptom of liver disease and not all liver disease produce jaundice. Jaundice in some situations is early like in chronic hepatitis while it is late in chronic hepatitis or cirrhosis of liver. Cirrhosis of liver presents with ascites or swelling of legs and very commonly with blood in stools or blood in vomit.

The investigations required for liver diseases are not limited to few basic reports. The doctor advises multitude of tests like complete blood count, full liver profile, viral markers, autoimmune or metabolic markers. Special tests for fibrosis may be advised. A sonography or a CT scan of liver may be requested. Fibroscan or liver elastography is usually carried out. Liver biopsy is rarely requested as certain diseases can only be confirmed on liver biopsy. Since liver disease is usually multi system disease the tests for heart, lungs, kidney, brain may be occasionally asked for. Also, cholesterol, thyroid, diabetes is simultaneously tested.

The treatment of liver disease is based on clinical diagnosis. The underlying risk factor and aetiology are treated. Many times, liver supportive and nutritional supplements are needed to help liver recover. Although more than 5000 liver tonics or liver detox are available in the market, there is no evidence that they work but on the contrary, there is enough evidence that it may have side effects.

We provide comprehensive liver care services and help manage above diseases with utmost care. Getting you and your relatives understand these disease with simple language and making sure that we have goal driven activities for not just treatment of these disease but also prevention and progression of liver complications.

[drpathikparikh]

Understanding Drug-induced Liver Injury (DILI): Symptoms, Causes, and Treatment

"Understanding Drug-induced Liver Injury (DILI): Symptoms, Causes, and Treatment" is a clear and informative title that covers the essential aspects of DILI. Here's an outline of what each section might include:

Symptoms of Drug-induced Liver Injury (DILI):

Overview of common symptoms such as fatigue, jaundice (yellowing of the skin and eyes), abdominal pain, nausea, vomiting, and loss of appetite.

Discussion on the variability of symptoms depending on the severity and type of liver injury caused by different drugs.

Causes of Drug-induced Liver Injury (DILI):

Explanation of how certain medications and drugs can lead to liver injury.

Classification of DILI based on mechanisms, such as direct hepatotoxicity, idiosyncratic reactions, and immune-mediated responses.

Risk Factors for Drug-induced Liver Injury (DILI):

Identification of factors that increase the likelihood of developing DILI, including specific drug characteristics, patient-related factors (e.g., age, genetics), and underlying liver disease.

Treatment Approaches for Drug-induced Liver Injury (DILI):

Overview of general principles of management, including discontinuation of the offending drug.

Discussion on supportive care measures to alleviate symptoms and promote liver recovery.

Mention of specific antidotes or therapies used in certain cases of severe DILI.

Prevention and Monitoring:

Importance of drug monitoring, patient education, and avoidance of high-risk medications in susceptible individuals.

Strategies to prevent DILI and minimize adverse drug reactions in clinical practice.

Prognosis and Long-term Effects:

Outlook for patients with DILI, including recovery rates and potential complications.

Discussion on the importance of long-term follow-up and monitoring for liver function after experiencing DILI.

By structuring your content around these key points, you can create an informative and comprehensive resource on Drug-induced Liver Injury (DILI) that addresses the needs of your audience and provides valuable insights into this important medical condition.

[drpathikparikh]

fibroscan for liver inflammation - overview

FibroScan is a non-invasive medical procedure used to assess liver health by measuring liver stiffness and determining the degree of liver fibrosis. While it's not specifically designed to detect liver inflammation, it can provide valuable information about overall liver health.

Liver inflammation, also known as hepatitis, can result from various causes such as viral infections (like hepatitis B or C), alcohol consumption, fatty liver disease, autoimmune disorders, and other factors. It's a crucial aspect of liver health assessment as chronic inflammation can lead to liver damage and fibrosis over time.

Although FibroScan primarily evaluates liver stiffness and fibrosis, it indirectly reflects liver inflammation. Inflammation can contribute to liver fibrosis, which in turn affects liver stiffness. Therefore, higher levels of liver stiffness detected by FibroScan may suggest the presence of inflammation. However, FibroScan alone may not provide a complete picture of liver inflammation, and additional tests such as blood tests measuring liver enzyme levels (ALT, AST) and imaging studies (ultrasound, MRI) are often used alongside it for a comprehensive assessment.

FibroScan is a valuable tool in the management of liver diseases, providing a non-invasive alternative to liver biopsy for assessing fibrosis and monitoring disease progression. However, its role in detecting liver inflammation is more indirect, and healthcare professionals typically use a combination of tests to evaluate liver health comprehensively. If you suspect liver inflammation or have concerns about your liver health, it's essential to consult with a healthcare provider for proper evaluation and management.

MASLD & Fibroscan (Liver Elastography) Demystified!! - Dr Pathik Parikh

Fibroscan is produced by a French company called Echosens. This is the only approved and accepted modality worldwide.

[drpathikparikh]

Reliver Clinic - For Liver Disease Treatment In Ahmedabad

The clinic boasts of one of the leading hepatologists in the state of Gujarat providing exclusive Hepatology and Liver Transplant Services.

[drpathikparikh]

MASLD & Fibroscan (Liver Elastography) Demystified!!

Fatty Liver is no longer an unheard term. The prevalence of fatty liver in India is approximately 30% and that means that nearly one in three person suffers from it. The disease is not as benign as the name and prevalence suggest. This disease is the most common liver disease worldwide. It is on path to become the number 1 reason for liver cirrhosis, liver cancer and liver transplant.

New Terminology

The disease has gone significant change in terminology and is now known as MASLD – Metabolic-Dysfunction Associated Steatotic Liver Disease and recently in 2023 the experts of the world met and proposed the following terminology for types of SLD (Steatotic Liver Disease) or Fatty Liver Disease

MASLD – Previously NAFLD or Fatty Liver

MASH – Previously NASH

MetALD – No previous terminology (Patients also take alcohol in addition).

Risk Factors

MASLD and MASH is usually seen in patients who are obese, overweight and suffer from diabetes, hypertension, sedentary lifestyle, thyroid disease and is habituated to eating processed foods and high-fat high carbohydrate diet.

Progression

MASLD can progress over years to end stage liver disease and leads to complications similar to alcohol associated liver disease. It leads to cirrhosis and then ascites, pedal oedema, bleeding, jaundice, encephalopathy, liver cancer and may warrant liver transplant. In early stage when the disease is reversible, it has no symptoms and hence often ignored. When symptoms do develop, it is usually too late to reverse.

Diagnosis

The diagnosis of fatty liver is based on a sonography or abdominal ultrasound where radiologist will let you know if you have fatty liver. Although, blood tests like liver function tests, lipid profile, HBA1c, CBC and others are often recommended to find out predisposing conditions and complications, it fails to give exact nature of underlying severity or stage of liver disease. For this, non-invasive tests are recommended. These tests are very important to understand the prognosis and treatment prescription. Following image is an idea about some of these tests.

There is a lot of confusion currently in terminology of Fibroscan, Elastography and ARFI. I have created following flow chart to understand this difference.

Fibroscan

It is Transient Elastography. It is the name of the machine which carries out the test of Transient Elastography. Unfortunately, since this is the first elastography technique and is accepted worldwide, the name is used synonymously for the technique. It is similar to XEROX and photocopy where XEROX is the name of the machine and the function is photo company. Fibroscan is produced by a French company called Echosens. This is the only approved and accepted modality worldwide.

The currently available machines of Fibroscan (430,430 Mini, 502, 530, 630) provide following details

CAP – Controlled Attenuation Parameter – It tells the patient about the amount of fat in the liver. The ultrasound when gives Fatty liver Grade1,2 or 3, it is a subjective finding while CAP is an objective number which can be used to monitor treatment and risk stratification. A value above 230 is considered significant

LSM – Liver Stiffness Measurement– It tells you how stiff the liver has become. Stiffer the liver worse is the outcome. The vibration wave generated by the probe travels through the liver and the velocities then picked up to give a definite number. Usually, the number is less than 8 kPa. When the value crosses 14 kPa or above, the chances that the liver has irreversible damage are high. The risk of complications also increases when the value crosses 20 or above.

SSM – Splenic Stiffness Measurement – It is measured over the spleen and it gives risk of developing bleeding from the foodpipe and stomach secondary to liver cirrhosis. These values still require validation and widespread acceptance

The 402 version of the machine is outdated and no longer accepted. The machine has SMART EXAM to improve the efficiency, interoperability and accuracy.

Fibrotouch

Similar to Fibroscan, this machine is made in Asia and available also in India. It works exactly on the same principle as Fibroscan. Instead of CAP, the machine gives UAP. Although used frequently, a lot of Indian doctors, hepatologists and Gastroenterologists have raised questions about its accuracy.

pSWE – Point Shear Wave Elastography

This is type of Elastography which radiologists carry out with the use of their sonography machine. The technique used is different from Fibroscan. Instead of Vibration, the machine uses Acoustic waves and the technique is known as ARFI. The machine provides an advantage of being able to do an ultrasound and elastography with the same machine but it cannot give CAP value and it requires validation to be used as a Fibroscan alternative as of now.

MR Elastography

It is considered one of the best techniques. Availability although is a problem. Only few centres in India provide this facility. It is expensive.

Treatment

The treatment of MASLD is lifestyle modification. If there is fibrosis on the above tests, your doctor might prescribe you medicines to protect the liver in addition. The control of predisposing factors is of paramount importance.

If you suffer from Fatty Liver – MASLD, please contact your Liver Specialist or Hepatologist

[drpathikparikh]

Liver Transplant Timing

Deciding the right time for a liver transplant after cirrhosis involves a careful evaluation of several factors. Liver transplantation is typically considered when the liver damage is severe, and the patient's life is at risk. Here are some key considerations:

Severity of Cirrhosis: The progression of cirrhosis is categorized into stages (usually classified as stages 1 to 4). Transplantation is generally considered when a patient reaches advanced stages (3 and 4) and experiences significant liver dysfunction.

Symptoms and Complications: The presence of complications related to cirrhosis, such as ascites (fluid accumulation in the abdomen), hepatic encephalopathy (brain dysfunction due to liver failure), and variceal bleeding, may indicate the need for transplantation.

Liver Function Tests: Monitoring liver function tests, including measures of liver enzymes, bilirubin levels, and blood clotting factors, helps assess the degree of liver dysfunction and guides decisions about transplantation.

MELD Score: The Model for End-Stage Liver Disease (MELD) score is a numerical scale used to prioritize patients for liver transplantation. It takes into account factors such as bilirubin levels, creatinine levels, and INR (International Normalized Ratio). A higher MELD score indicates a greater need for transplantation.

Quality of Life: The impact of cirrhosis on the patient's quality of life is an important consideration. If the patient's daily life is significantly compromised, transplantation may be considered to improve their overall well-being.

Response to Medical Therapy: The response to medical treatments for cirrhosis, such as medications to manage complications or symptoms, is taken into account. If these treatments are no longer effective, transplantation may be considered.

Medical History and Comorbidities: The patient's overall medical history, including the presence of other health conditions, is considered when evaluating the suitability for transplantation.

Psychosocial Factors: The patient's ability to adhere to post-transplant care, including medication regimens and lifestyle changes, as well as their support system and mental health, are important factors in the decision-making process.

Ultimately, the decision to undergo liver transplantation is made on an individual basis, taking into consideration the unique circumstances of each patient. It involves collaboration between hepatologists, transplant surgeons, and other healthcare professionals. Patients with advanced cirrhosis should be referred to a liver transplant center for a thorough evaluation and to determine the appropriate timing for transplantation. Early consultation with a transplant team is crucial to ensure timely assessment and preparation for transplantation if deemed necessary.