Hepatitis-C

HEPATITIS C-BY DR SHRI DHAR
DEAR DRS
HERE IS SUMMARY OF HEPATITIS C
HEPATITIS C THIS VIRUS COMES MAINLY THROUGH BLOOD TRANSFUSION .
IF ANY PATIENT WHO HAS HAD A BLOOD TRANSFUSION AND NOW DEVLOPS AN ATTACK OF VIRAL HEPATITIS THINK OF HEPATITIS C
OR IF A PATIENT IS FOUND TO HAVE PERSISTENT ABNORMAL LIVER FUNCTION TEST ON TWO OR THREE OCCASIONS THEN THINK OF HEPATITIS C
SYMPTOMS OF HEPATITIS C ARE==There may no symptoms at at all it remain silent for a long until it causes cirrohsis of liver or liver cancerSymptoms of acute hepatitis C infection may be decreased in appetite, fatigue, abdominal pain, jaundice, itching, and flu-like symptoms (headache ,bodyaches,marked weakness and asthenia
Mode of transmission
1. Blood transfusion
2. Sharing needles
3. From dental procedures(through hepatitis c infected equipment)
4. Tattoo making
5. Nose and ear pierceing
6. Sharing tooth brush,razors,scisors etc
Note: Hepatitis c is not transmitted by sexual intercourse(rare if it occur),hugging,kissing,eating others food bites, using utensils of of an infected person.
it is not transmitted by brestfeeding to baby.
Diagnosis=Hepatitis C testing begins with serological blood tests used to detect antibodies to HCV. Anti-HCV antibodies can be detected in 80% of patients within 15 weeks after exposure, in >90% within 5 months after exposure, and in >97% by 6 months after exposureCourse and Prognosis =Hepatitis C may ends in cirrohsis of liver or liver cancer
NO VACCINATION IS AVAILABLE TILL TO DATECHAMPANZIANS WHICH RESEMBLES TO HUMANS ARE PROTECTED FROM HEPATITIS C, OTHERWISE IT’S VACCINATION MIGHT HAVE AVAILABLE TODAY.WHEN HEPATITIS C VIRUS IS INJECTED TO CHIMPENZEES THEY GOT ITS INFECTION BUT THE DISEASE DOES NOT PROGREES IN THEM THAT IS WHY IT’S VACCINATION IS NOT AVAILBLE ,HUMAN DNA RESEMBLE TO CHIMPENZEES IN A GREAT EXTEND

Discussion of Alcoholic hepatitis

The patient is a 45 years old.
He used to take alcohol and non-veg occasionally.
On examination there was tenderness in whole abdomen and on percussion bloating.
He told me that he was on fast two days back and at night he had 5-6 large pegs of wine and non-veg.
So to clear the Ama condition i gave him Chitrakadi vati 2 tabs tds for 3 day with bland diet only.
On third day his tenderness reduced but there was yellowishness in his eyes.
There was no fever.
I send him for routine blood and LFT.
As the LFT readings were very high i send him for USG.
But in USG liver and other organs were Normal.
Then I applied a this formula—
SGOT(AST) > SGPT(ALT)=Alcoholic Hepatitis
SGOT < SGPT= Viral Hepatitis
As SGOT (2930) was more than SGPT(2200),which show it is a case of Alcoholic Hepatitis.
I am the only Ayurveda physician practicing purely in Ayurveda so my other colleagues told me to refer it to Allopathy hospital and even I was not confident to handle this alone. Even I consulted a reputed specialist of my town at my own.He told to hospitalize the patient immediately. But my patient refused and asked me to give my Ayurveda treatment only.
So i tried Liv 52 drops in high dose i.e 2 tsf twice a day and Drakshadi kashyam 3 tabs bd(for pitha dosha).
After 5 days of treatment his appetite improved and his dahaalso reduced.
I stopped Drakshadi tabs and switched to Liv 52 DS syp 2 tsf bd and Nirocil 1 tab tds
.Patient reported again after 5 day.
I repeated the test for progress of my treatment of 10 days.
And there was such a remarkable improvement in LFT.
ALT and AST were normal and bilirubin was still 4.
Now the patient is on Liv 52 DS syp 2 tsf bd only and has very gud relief in his symptoms.
This proves the efficacy of Ayurveda medicines even in acute cases and even strengthened my belief in Ayurveda.Jai AYURVEDA.

Coutesy: Dr.G.S.Dehal
dear dr

this is a case of viral hepatitis not alcholic hepatitis,please read article Heapatitis abcde on this site as i have written in my article it is self limiting disease only patience in dr and patient is required.very soon i shall write a short article on alcholic hepatitis,but for your knowledge PLEASE REMEMBER THIS LINE WHILE DIAGNOSING ALCHOLIC HEPATITIS

The ratio of aspartate aminotransferase to alanine aminotransferase should be 2 or more

In most cases, the liver enzymes do not exceed 500.

the formula is SGPT DIVIDED BY SGOT=VALUE SHOULD BE MORE THAN TWO (ONLY TRUE IN ALCHOLIC HEPATITIS)

BUT IN OTHER CASES IT SHOULD BE MORE THAN 1 -------Dr.Shridhar

I Agree with Dr ShriDhar that the ratio in alcoholic hepatitis is more then 2.Infact The SGOT/SGPT ratio is significantly elevated in patients with alcoholic hepatitis and cirrhosis (2.85 +/- 0.2) compared with patients with post necrotic cirrhosis (1.74 +/- 0.2), chronic hepatitis (1.3 +/- 0.17), obstructive jaundice (0.81 +/- 0.06) and viral hepatitis (0.74 +/- 0.07).But in your case the symptoms are more suggestive of alcoholic hepatitis rather then viral.Just ve a feeling the lab reports have been goofed up----------Dr.Rishi

VARICELLA-CHICKENPOX

there r 6 common fevers with rashes in general practice
there is one formula to know the name of that fever,count the day of the apperance of rashes from the of day of the starting of fever
VERY SICK PEOPLE MUST TAKE DOUBLE TEA
1.very = varicella (chichen pox)
2.sick =scarlet fever
3.people=small pox
4.must.=measles
5.take=typhus
6.double=dengu fever
7.tea=typhoid fever
In chicken pox only symptomatic treatment should be given as it is a case of viral fever keep in mind complication of encephlopathy(viral encephlitis symptoms r stupor,coma,convulsion no doubt it is very rare complication only1-2% but still keep in mind)ANOREXIA MAY BE PRESENT DUE TO GASTRITIS (WHICH IS DUE TO THE TOXINS LIBRATED BY THE VARICELLA VIRUS)SO WHEN VIRUS BECOMES INEFFECTIVE EVERY THING WILL BE REVERSED AUTOMATICALLY

Hepatitis-D (Delta virus)

INFECTION OF HEPATITS D NEVER OCCUR ALONE .
HEPATITIS D VIRUS ALWAYS DEPEND ON HEPATITIS B OR C VIRUS .
THE INFECTION OF HEPATITS D OCCUR MAINLY BY THE INTRAVENOUS ROUTE OR DRUG USERS.
THIS VIRUS MAINLY CAME FROM SPECIAL SHORT STATURED PLANTS
THIS VIRUS COULD NOT CREATE ANY PROBLEM IF IT IS PRESENT ALONE IN THE BODY, BUT WHEN OCCUR ALONG WITH THE INFECTION OF HEPATITIS B OR C , IT MAKES THE INFECTION OF HEPATITIS B&C MORE FATAL,CHANCES OF DEVELOPING HEPATO-CELLULAR AND CIRROHSIS OF LIVER INCREASES MANY TIMES.

Footnote on Hepatitis-B

DEAR DRS,
HERE IS FOOT NOTE ON HEPATITIS BHEAPATITIS B
1 IT IS ALSO INFECTIOUS DISEASE
2.INCUBATION PERIOD IS 50-150 DAYS
3.TRANSMITTED THROUGH NEEDLE,BLOOD PRODUCTS,SEXUAL INTERCOURSE,DEEP FASINATING KISS,AND IN ANY CONDITION WHERE EXCHANGE OF FLUID OCCUR BETWEEN TWO BODIES,TATTO MAKING,FROM BARBAR SHOPS,PIRECING OF EAR AND NOSE ETC
4.GRADUAL ONSET
5.MORE SERIOUS
6.CHRONIC HEPATITIS MAY OCCUR AND MAY PERSIST FOR YEARS.CHRONIC ACTIVE HEPATITIS MAY OCCUR WHICH CAUSES LIVER DAMAGE AND THIS MAY LEAD TO FIBROSIS OF LIVER LEADING TO CIRROHSIS OF LIVER.
7.THE PATIENT MAY BECOME THE CARRIER OF HEPATITIS B.
8.RECOVRY IS 80%
9.AUSTRIALIAN ANTIGEN IS ALWAYS POSITIVE
IF AUSTRIALIAN ANTIGEN IS POSITIVE (HBsAG) THEN GO FOR HEPATITIS Be ANTIGEN IF IT IS POSITIVE------- IT MEAN THE VIRUS IS REPLICATING AND ACTIVE WHICH POSITIVELY NEED ANTI-VIRAL THERPY LIKE LAMIVADINE WHICH IS THE ONLY FDA APPROVED MEDICINE FOR HEPATITIS B
COMPLICATIONS=
A) CIRROHSIS OF LIVER---PORTAL HYPERTENSION OR HEPATO-CELLULAR FAILURE OR BOTH
B) CANCER OFLIVER
C) RECURRENT ACTIVE HEPATITIS
D) RENAL FAILURE
E) HEPATO-ENCEPHLOPATHYNOTE = IN 80% OF THE PATIENT AUSTRIALIAN ANTIGEN BECOME NEGATIVE WITH IN 6MONTHS
TREATMENT=Rasayana therapy(Pippali,Ashwagandha,Sariva,Jiraka,Draksha: for fatigue, immunomodulation and rejuvenation and to decrease the viral load.
Antiviral herbs:Bhumyamalaki,Kalmegha,Kutki..Hepatoprotective herbs:Punarnava, Bhringaraja,Pipali, Ghritakumari..
Liver Detoxyfying:Moolaka,Apamarga,Arka,Chirayata.
PLEASE PUT ONTAB LAMIDAC 100MG DAILY FOR 1YEAR IF HEPATITIA Be ANTIGEN IS POSITIVE