Liver diseases and its Homoeopathic management

The liver is a large, organ that sits on the right side of the belly. Weighing about 3 pounds, the liver is reddish-brown in color and feels rubbery to the touch. Normally you can't feel the liver, because it's protected by the rib cage. The liver has two large sections, called the right and the left lobes. The gallbladder sits under the liver, along with parts of the pancreas and intestines. The liver and these organs work together to digest, absorb, and process food. The liver's main job is to filter the blood coming from the digestive tract, before passing it to the rest of the body. The liver also detoxifies chemicals and metabolizes drugs. As it does so, the liver secretes bile that ends up back in the intestines. The liver also makes proteins important for blood clotting and other functions. Liver function Tests Blood Tests: Liver function panel: A liver function panel checks how well the liver is working and consists of many different blood tests. ALT (Alanine Aminotransferase): An elevated ALT helps identify liver disease or damage from any number of causes, including hepatitis.AST (Aspartate Aminotransferase): Along with an elevated ALT, the AST checks for liver damage.Alkaline phosphatase: Alkaline phosphatase is present in bile-secreting cells in the liver; it's also in bones. High levels often mean bile flow out of the liver is blocked. Bilirubin: High bilirubin levels suggest a problem with the liver.Albumin: As part of total protein levels, albumin helps determine how well the liver is working. Ammonia: Ammonia levels in the blood rise when the liver is not functioning properly.Hepatitis A tests: If hepatitis A is suspected, the doctor will test liver function as well as antibodies to detect the hepatitis A virus.Hepatitis B tests: Your doctor can test antibody levels to determine if you have been infected with the hepatitis B virus. Hepatitis C tests: In addition to checking liver function, blood tests can determine if you have been infected with the hepatitis C virus. Prothrombin Time (PT): A prothrombin time, or PT, is commonly done to see if someone is taking the correct dose of the blood thinner warfarin (Coumadin). It also checks for blood clotting problems. Partial Thromboplastin Time (PTT): A PTT is done to check for blood clotting problems. Imaging Tests: Ultrasound: An abdominal ultrasound can test for many liver conditions, including cancer, cirrhosis, or problems from gallstones.CT scan (computed tomography): A CT scan of the abdomen gives detailed pictures of the liver and other abdominal organs. Liver biopsy: A liver biopsy is most commonly done after another test, such as a blood test or ultrasound, indicates a possible liver problem.Liver and spleen scan: This nuclear scan uses radioactive material to help diagnose a number of conditions, including abscesses, tumors, and other liver function problems. Paracentesis. ERCP (Endoscopic retrograde cholangiopancreatography): Using a long, flexible tube with a camera and tools on the end, doctors can diagnose and even treat some liver problems. Liver Diseased conditions. Hepatitis: Inflammation of the liver, usually caused by viruses like hepatitis A, B, and C. Hepatitis can have non-infectious causes too, including heavy drinking, drugs, allergic reactions, or obesity. Cirrhosis: Long-term damage to the liver from any cause can lead to permanent scarring, called cirrhosis. The liver then becomes unable to function well. Liver cancer: The most common type of liver cancer, hepatocellular carcinoma, almost always occurs after cirrhosis is present. Liver failure: Liver failure has many causes including infection, genetic diseases, and excessive alcohol. Ascites: As cirrhosis results, the liver leaks fluid (ascites) into the belly, which becomes distended and heavy. Gallstones: If a gallstone becomes stuck in the bile duct draining the liver, hepatitis and bile duct infection (cholangitis) can result. Hemochromatosis: Hemochromatosis allows iron to deposit in the liver, damaging it. The iron also deposits throughout the body, causing multiple other health problems. Primary sclerosing cholangitis: A rare disease with unknown causes, primary sclerosing cholangitis causes inflammation and scarring in the bile ducts in the liver. Primary biliary cirrhosis: In this rare disorder, an unclear process slowly destroys the bile ducts in the liver. Permanent liver scarring (cirrhosis) eventually develops. Intervention planning and Homoeopathic Therapeutic planning done according to the stage of disease presentation as under: Acute HBV Hepatitis Assessment

• Reversible pathology Therapeutic Aim: -Promotion of natural recovery. Intervention: General measures Supportive symptomatic treatment. Suitable Homeopathic Drugs: Pre-icteric stage: Aconite napellus Arsenic album Belladonna Bryonia Chelidonium majus China officianalis Eupatorium perf. Gelsemium Icteric stage. Andrographis paniculata Arsenic alb Bryonia Alba Carica papaya Chelidonium majus China officianalis Chionanthus Leptandra Lycopodium clavatum Mercurius Sol Myrica Nux vom Phos Convalescence Andrographis paniculata Arsenicum alb Chelidonium China off Phos Chronic HBV Hepatitis Assessment Reversible pathology Therapeutic Aim Identification,assesment and treatment to promote natural seroconversioñ. Intervention General measures Intercurrent antimiasmatic/constitutional drug as per individual assessment. Suitable Homeopathic Remedies. Arsenicum Alb Carcinosin Lycopodium clavatum Nux vom Phos Sulphur Syphilinum Thuja Compensated Cirrhosis Assessment: Irreversible pathology Therapeutic Aim Control of disease progression by precipitating and maintaining causes. Subsequent sustenance of the condition. Intervention. General measures. Organospecific Drugs Intercurrent antimiasmatic/ constitutional drug as per individual assessment. Suitable Homoeopathic Remedies. Andrographis paniculata Arsenic alb Carduus marianus Lycopodium Nux vom Phos Sulphur Syphilinum Thuja occ De compensated Cirrhosis Assessment: Irreversible pathology. Therapeutic Aim Control and Management of complications Improvement of patient's survival Intervention General measures Symptomatic/palliative Drugs. Suitable Homoeopathic Remedies. Hepatic decompensation. Arsenicum alb Carduus marianus Crotalus horridus Hydrastis Lachesis Mercurius Sol Phosphorus Hepatic encephalopathy and coma. Opium Hepato-cellular carcinoma Arsenicum album Carcinosin Carduus marianus Cholestrinum Conium mac Hydrastis Lycopodium Phos Taraxacum End point of successful therapy. Cessation of inflammation Absence of HBV DNA. Seroconversioñ of HBeAg and HBsAg with appearance of anti-HBs. Pls note : The above Remedies are indicative only. Consult your Homeopathic physician for individualistic treatment.