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My 17-Year-Old Relative Needs Help After Liver Transplant - What Should I Do?

Dr Karthiyayini Mahadevan |1067 Answers |Ask -Follow

General Physician - Answered on Aug 27, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more

Question by Mohammed on Aug 18, 2024Hindi

Health

sir, one of my relative, aged 17 years old boy with kasai operation at the age of 2 months( new born baby) has gone liver transplant last month 24th, first 5 days he was fine with no major issues, but on 29th of july evening fever was there, then we went to hospital.. they said water was formed near the liver, from that day doctors are doing their best to stop the water formation. plz give use second opinion. operation was done at bangalore. for every 4 days there are doing surgery to remove the water. his health condition is getting deteriorate day by day.

Ans: Post transplant, fluid collection in the abdomen denotes there is tissue rejection
Sometimes soon after transplant there will be these reaction
This should settled own within 4 weeks
If this is not the case, then there is an immune reaction happening whi h is rejecting the organ transplanted.
Kindly follow up with surgeons

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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Sir my mom who is 63 yrs old has undergone a liver transplant 10 days back. Unfortunately the doctors realised that the donated liver of donor was Basically of a person who was a heavy drinker and had drink alchol on the day of surgery as well. My mother is shifted to ward now and as per the doctor she is doing fine. But she in the night is getting scared and becomes very anxious and feels as if she doesnt wnt to continue her life. During the day time she is completely ok. Just wanted to know the consequences of getting a toxic liver and would my mother have any pblms in future

Ans: Hello. This is an unusual problem. Typically, before transplant doctors run a very extensive battery of tests to understand the function of the donor liver as the surgery is very complex and should not be done without all parameters being met. I'm quite sure in this case also a similar level of due diligence would've been performed. It is possible that the liver of the donor remained normal and functioning well despite the fact that the donor consumed alcohol. Every liver behaves differently with alcohol, and it is only if the alcohol consumption was very high for a long time that the liver gets affected. Also, some people naturally are protected against liver damage. It is likely that this person was one such who could metabolize the alcohol very well. So, please reassure your mother that she is very safe and has recovered well from a very complex surgery. There are some medications and care to be taken but she's over the most complicated part. She can be comfortable with the knowledge that this liver is very strong and will work well for her as well. All the best!

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Ans: Liver cell degeneration is, what the central problem
Am sure you have addressed any alcohol intake.
With respect to eating meals support liver with an early dinner by 6 pm. Avoid fatty food and animal protein. Sometimes becoming a vegan helps to balance the internal system.

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Asked by Anonymous - Apr 04, 2024Hindi

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Hello Madam, I am 40 year old male working in the IT sector. I am 5’ 11” tall and weigh 110 kgs. Two years back, when my father passed away due to cancer, I got a whole body check up done. In the USG whole abdomen scan, my liver was found to be enlarged and was categorized as type 3 fatty liver. Also my spleen was enlarged. I took ayurvedic medicines for the same. Last week I retook the USG scan (whole abdomen). I still have type2/type3 fatty liver (as per the report) and an enlarged spleen. Pls tell me the following: Which type of allopathic doctor should I consult for both the problems pls? How much time do these abnormalities usually take to heal. Do let me know if you need any more inputs from my side. Thanks in advance.

Ans: Considering your height ,your ideal weight should be around 66 kg up to a max of 76 kg.So you are obese.This is where you need to address the issue.Please consult a functional nutritionist to lay out a Customised nutritional diet for you.
Tips from my side
1.Regular physical activity -30 M ts of moderate intensity 5 days a week
2.Early dinner by 6 pm
3.Light dinner with no fat and animal protein

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Ans: Mainly liver abscesses are generally due to Amoebiasis
This may be due to eating outside. Avoid eating out as far as possible
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Asked by Anonymous - Jun 21, 2024Hindi

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My husband ( 59) was detected with mild fatty liver condition in November '22. We consulted a specialist and he advised fibroscan, biopsy of liver and confirmed that alcohol consumption if any should be done away with and gave a huge list of medication. Some how the condition didn't improve much. Last year , June '23 my husband's ggt levels went extremely high n the entire lft report was bad and he was also diagnosed with high bilirubin ( jaundice). Since then, without wasting much time we consulted an Ayurvedic Dr. Since then things improved tremendously and even the fibroscan value started getting better. The lft reports were also improving, vut suddenly again this June we found that the bilirubin is getting sometimes higher and sometimes lower on different tests. Dr has changed the diet pattern and meds once again buu the surprising part is he has no symptoms of jaundice at all. No pain in the abdomen, no yellowing of skin or eyes. What could be the reason for this sudden fluctuations. Kindly suggest why this problem ???? Thank you.

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DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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