Is Your Child at Risk of NAFLD (Non-Alcoholic Fatty Liver Disease)

Non-Alcoholic Fatty Liver Disease (NAFLD) is becoming increasingly common in children, especially with rising rates of obesity and sedentary lifestyles. NAFLD occurs when excess fat builds up in the liver of children who consume little to no alcohol. If left unmanaged, it can progress to a more severe condition known as Non-Alcoholic Steatohepatitis (NASH), which includes liver inflammation and damage.

So, how do you know if your child is at risk? Let’s explore the key factors that may increase the likelihood of NAFLD in children.

1. Excess Calorie Intake and Sedentary Lifestyle
Children who consume more calories than they burn—especially from sugary drinks, processed foods, and unhealthy snacks—are more likely to gain excess fat, including in the liver. A sedentary lifestyle, marked by minimal physical activity and long hours of screen time, further contributes to fat accumulation in the body.

2. Overweight or Obese
Obesity is one of the most significant risk factors for NAFLD. It often goes hand-in-hand with metabolic disorders such as insulin resistance, type 2 diabetes, high triglyceride or cholesterol levels, and high blood pressure—all of which are linked to liver fat buildup.

3. Sleep Apnea
Obstructive sleep apnea, a condition where breathing repeatedly stops and starts during sleep due to airway obstruction, has also been associated with NAFLD. Poor sleep quality can worsen metabolic health and increase liver stress.

4. Insulin Resistance
Insulin resistance means the body’s cells do not respond properly to insulin, leading to elevated blood sugar levels. This condition is common in obese children and is strongly associated with NAFLD. One of the visible signs of insulin resistance is Acanthosis Nigricans—dark, velvety patches of skin usually found on the back of the neck or folds of joints. This skin condition has been reported in 33%–50% of children diagnosed with NAFLD.

5. Family History and Genetics
Genetics can play a big role. If a parent or sibling has NAFLD or NASH, the risk of developing the disease significantly increases for the child. A family history of type 2 diabetes or obesity can also contribute to the likelihood.

6. Hormonal Disorders
Conditions like hypothyroidism (underactive thyroid) or Polycystic Ovarian Syndrome (PCOS) may put children, especially girls, at higher risk of developing NAFLD due to their impact on metabolism and hormone regulation.

Conclusion

If your child falls into any of these risk categories, it’s essential to take action early. Speak to your pediatrician about screening for liver health and making lifestyle adjustments that include a balanced diet, regular physical activity, and proper sleep hygiene. Early intervention can prevent the progression of NAFLD and support your child’s overall health and well-being.

Liver Health in Children: Essential Tips Every Parent Should Know

Liver health is crucial for children as it plays a significant role in their overall growth and development. Understanding how to maintain a healthy liver can help prevent various liver diseases and promote a healthier lifestyle for kids.

What Does the Liver Do?

The liver is the largest internal organ and performs several essential functions, including:

Digestive Aid
It produces bile, which helps digest fats and absorb vitamins from food.

Nutrient Storage
The liver stores vitamins and minerals, providing energy and nutrients as needed.

Detoxification
It filters toxins from the blood, helping to keep the body clean and healthy.

Immune Support
The liver contributes to a strong immune system by fighting off infections and illnesses.

Common Liver Conditions in Children

While liver diseases are less common in children than in adults, several conditions can affect pediatric liver health:

Hepatitis
This is an inflammation of the liver, often caused by viral infections such as Hepatitis A, B, or C. Hepatitis A can be contracted through contaminated food or water, while Hepatitis B and C are often spread through blood or bodily fluids.

Fatty Liver Disease
This condition occurs when excess fat builds up in the liver, often linked to obesity and poor dietary choices. It can lead to inflammation and liver damage if not addressed.

Genetic Disorders
Some children may be born with liver diseases, such as Wilson’s disease, which causes copper accumulation in the body, or hemochromatosis, where the body stores too much iron.

Metabolic Disorders
Disorders related to carbohydrate, protein, or fat metabolism can affect the liver, including storage disorders that may appear in early childhood.

Tips for Keeping Your Child’s Liver Healthy

1. Healthy Eating
Encourage a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Limit sugary snacks and processed foods, which can contribute to liver problems.

2. Stay Active
Regular physical activity is essential. Aim for at least 60 minutes of exercise each day to help maintain a healthy weight and support liver function.

3. Hydration
Ensure your child drinks plenty of water to help the liver flush out toxins effectively.

4. Vaccinations
Ensure your child is vaccinated against Hepatitis A and B to protect against these viral infections.

5. Regular Check-ups
Schedule routine pediatric visits that include liver function tests if there are any concerns about liver health.

Conclusion

Promoting liver health in children is vital for their overall well-being. By encouraging healthy lifestyle choices and being aware of potential liver issues, parents can help their children maintain a healthy liver and prevent future health problems.

Screen Time and Digestive Health for Children

In today’s digital age, children are exposed to screens more than ever before. While technology offers numerous benefits, excessive screen time can have adverse effects on various aspects of health, including digestive health. This blog explores the relationship between screen time and digestive health in children and provides tips for parents to promote healthier habits.

Understanding Screen Time

Screen time refers to the amount of time spent in front of screens, including televisions, computers, tablets, and smartphones. The American Academy of Pediatrics recommends limiting screen time for children to ensure they engage in more physical activities and develop healthy habits.

The Impact of Screen Time on Digestive Health

1. Sedentary Lifestyle
Increased screen time often correlates with a sedentary lifestyle. Physical inactivity can lead to obesity, which is closely linked to digestive issues such as acid reflux and constipation.

2. Eating Habits
Children who eat while watching screens are more likely to consume unhealthy snacks and overeat. Mindless eating can disrupt digestion and lead to gastrointestinal discomfort.

3. Sleep Disruption
Excessive screen time, especially before bed, can interfere with sleep patterns. Poor sleep can negatively affect digestive health, as the body needs rest to repair and maintain proper function.

4. Emotional Well-being
High screen time can lead to increased anxiety and stress, which may affect digestion. Stress is known to exacerbate conditions like irritable bowel syndrome (IBS) and can lead to stomach aches.

Tips for Screen Time Management

Set Screen Time Limits
Establish daily screen time limits based on age and developmental needs. Encourage breaks every hour to promote physical activity.

Encourage Active Screen Time
Choose interactive and educational content that promotes movement, such as dance videos or fitness apps, to combine screen time with physical activity.

Mindful Eating
Encourage children to eat without screens. This can help them focus on their meals, recognize hunger cues, and promote better digestion.

Promote Outdoor Activities
Encourage outdoor play and physical activities to balance screen time and enhance overall well-being.

Model Healthy Behaviors
Parents should model healthy screen habits. Engage in physical activities as a family and prioritize screen-free time together.

Discuss Content Choices
Talk to children about the content they consume. Encourage programs that educate and promote healthy lifestyles.

Conclusion

While screens are an integral part of modern life, managing screen time is essential for maintaining children’s digestive health. By setting limits, promoting physical activity, and encouraging mindful eating, parents can help their children develop healthier habits that benefit their overall well-being. Balancing screen time with physical activity and family interactions will not only support digestive health but also foster a healthier lifestyle for the whole family.

Suspected Food Allergies or Intolerances in Kids

Food allergies and intolerances are increasingly recognized as significant health concerns among children. Understanding the differences between these two conditions, recognizing symptoms, and knowing how to manage them is crucial for parents and caregivers.

What Are Food Allergies?

Food allergies occur when the immune system mistakenly identifies a specific food protein as harmful. This triggers an immune response, which can range from mild to severe. Common allergens include:

  • Peanuts
  • Tree nuts
  • Milk
  • Eggs
  • Wheat
  • Soy
  • Fish
  • Shellfish

Symptoms of Food Allergies

Symptoms can appear within minutes to hours after consuming the allergen and may include:

  • Hives or rash
  • Swelling of the lips, tongue, or throat
  • Difficulty breathing
  • Abdominal pain or cramps
  • Nausea or vomiting
  • Anaphylaxis (a severe, life-threatening reaction)

What Are Food Intolerances?

Food intolerances, often confused with allergies, do not involve the immune system. Instead, they occur when the digestive system has difficulty processing certain foods. Lactose intolerance is a common example, where the body lacks the enzyme lactase needed to digest lactose, a sugar found in milk.

Symptoms of Food Intolerances

Symptoms usually manifest several hours after eating the offending food and can include:

  • Bloating
  • Gas
  • Diarrhea
  • Stomach cramps
  • Headaches

Identifying Food Allergies and Intolerances

Recognizing potential food allergies or intolerances in children can be challenging. Here are steps to help identify the issues:

  1. Keep a food diary to track what your child eats and any symptoms that occur. This can help identify patterns.
  2. Elimination diet under the guidance of a healthcare professional. Remove suspected foods from your child’s diet for a few weeks, then gradually reintroduce them to observe reactions.
  3. Consult a healthcare provider if allergies or intolerances are suspected. They may recommend skin tests or blood tests to confirm allergies.

Management and Treatment

For food allergies:

  • Avoidance is the primary treatment, requiring strict exclusion of the allergenic food.
  • Have an emergency action plan in place, including the use of epinephrine auto-injectors for severe reactions.
  • Educate your child about their allergies, including how to read food labels and communicate their needs.

For food intolerances:

  • Dietary adjustments can help, such as modifying your child’s diet to exclude problematic foods.
  • Enzyme supplements may aid digestion in some cases.

Conclusion

Suspected food allergies or intolerances in children can pose significant health challenges. Early identification and management are essential for ensuring your child’s well-being. If you suspect your child has a food allergy or intolerance, consult a healthcare professional for appropriate testing and guidance. By staying informed and proactive, you can help your child lead a healthy and active life.

Best Child Gastroenterologist in Ahmedabad: Meet Dr. Kinisha Patel

When it comes to your child’s health, finding the right specialist can make all the difference. Gastrointestinal issues in children can be challenging to diagnose and manage, as they often require a careful, patient-centered approach. If you’re searching for the best child gastroenterologist in Ahmedabad, look no further than Dr. Kinisha Patel. With her expertise, compassionate care, and dedication to pediatric gastroenterology, Dr. Patel has become one of the most trusted professionals for young patients in the city.

Who is Dr. Kinisha Patel?

Dr. Kinisha Patel is a highly qualified pediatric gastroenterologist with years of experience in diagnosing and treating a wide range of gastrointestinal conditions in children. From common digestive issues to more complex disorders, Dr. Patel provides specialized care for infants, children, and teenagers. Her approach combines medical expertise with a deep understanding of the emotional and physical needs of young patients, making her a go-to expert for families in Ahmedabad and beyond.

Why Choose a Pediatric Gastroenterologist?

Gastrointestinal issues in children can vary widely, from abdominal pain, reflux, and constipation to more severe conditions like Crohn’s disease, ulcerative colitis, and celiac disease. These issues not only affect physical health but can also impact a child’s growth, development, and quality of life.

Choosing a pediatric gastroenterologist, like Dr. Kinisha Patel, is crucial because children’s digestive systems are different from adults. Dr. Patel has dedicated her career to understanding these nuances and providing tailored treatments that ensure children receive the most effective, safe, and minimally invasive care.

Conditions Treated by Dr. Kinisha Patel
As one of the best child gastroenterologists in Ahmedabad, Dr. Patel treats a variety of pediatric digestive issues, including:

Abdominal pain: Persistent stomach aches in children can be due to a variety of causes. Dr. Patel uses gentle yet comprehensive diagnostics to pinpoint the issue and provide relief.
Gastroesophageal reflux disease (GERD): Common in infants and young children, GERD requires careful management to prevent discomfort and long-term issues.
Constipation and digestive disorders: With a holistic approach, Dr. Patel helps address these common concerns in children.
Liver diseases: Conditions like hepatitis and fatty liver can affect children, and Dr. Patel offers the expertise needed for accurate diagnosis and management.
Inflammatory bowel disease (IBD): Chronic conditions like Crohn’s disease and ulcerative colitis can severely impact a child’s life. Dr. Patel provides advanced care to manage these conditions effectively.
Food allergies and intolerances: Dr. Patel helps families identify and manage allergies, improving the child’s diet and quality of life.

What Makes Dr. Kinisha Patel Stand Out?

Dr. Kinisha Patel’s approach to pediatric gastroenterology goes beyond just medical treatment. She emphasizes clear communication, helping parents and children understand their health and treatment options. Her clinic in Ahmedabad is equipped with state-of-the-art facilities, ensuring that patients receive the best care possible.

Patient testimonials often highlight Dr. Patel’s compassionate approach, patience, and ability to put children at ease. This unique combination of skills has made her one of the most respected pediatric gastroenterologists in the region.

Schedule a Consultation
If you’re in Ahmedabad and need a trusted, experienced gastroenterologist for your child, Dr. Kinisha Patel is here to help. With a commitment to compassionate, high-quality care, she stands out as the best child gastroenterologist in Ahmedabad. Book a consultation today and give your child the care they deserve.

Understanding Liver Health in Children: A Guide for Parents

Liver health is crucial for children as it plays a significant role in their overall growth and development. Understanding how to maintain a healthy liver can help prevent various liver diseases and promote a healthier lifestyle for kids.

 

What Does the Liver Do?

The liver is the largest internal organ and performs several essential functions, including:

– Digestive Aid:

It produces bile, which helps digest fats and absorb vitamins from food.

-Nutrient Storage:

The liver stores vitamins and minerals, providing energy and nutrients as needed.

– DetoxificationIt:

It filters toxins from the blood, helping to keep the body clean and healthy.

– Immune Support:

The liver contributes to a strong immune system by fighting off infections and illnesses.

 

Common Liver Conditions in Children

While liver diseases are less common in children than in adults, several conditions can affect pediatric liver health:

-Hepatitis:

This is an inflammation of the liver, often caused by viral infections such as Hepatitis A, B, or C. Hepatitis A can be contracted through contaminated food or water, while Hepatitis B and C are often spread through blood or bodily fluids

– Fatty Liver Disease:

This condition occurs when excess fat builds up in the liver, often linked to obesity and poor dietary choices. It can lead to inflammation and liver damage if not addressed.

– Genetic Disorders:

Some children may be born with liver diseases, such as Wilson’s disease, which causes copper accumulation in the body, or hemochromatosis, where the body stores too much iron

– Metabolic disorders:

Disorders related to carbohydrate, protein or fat metabolism can be present like storage disorders in early childhood

 

Tips for Keeping Your Child’s Liver Healthy

 

  1. Healthy Eating: Encourage a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Limit sugary snacks and processed foods, which can contribute to liver problems.

 

  1. Stay Active: Regular physical activity is essential. Aim for at least 60 minutes of exercise each day to help maintain a healthy weight and support liver function.

 

  1. Hydration: Ensure your child drinks plenty of water to help the liver flush out toxins effectively.

 

  1. Vaccinations: Ensure your child is vaccinated against Hepatitis A and B to protect against these viral infections.

 

  1. Regular Check-ups: Schedule routine pediatric visits that include liver function tests if there are any concerns about liver health.

 

Conclusion

Promoting liver health in children is vital for their overall well-being. By encouraging healthy lifestyle choices and being aware of potential liver issues, parents can help their children maintain a healthy liver and prevent future health problems.

What Happens When a Child’s Digestive System Is Not Working Properly?

A well-functioning digestive system is crucial for a child’s overall health and development. When the digestive system is not working properly, it can lead to a range of issues that affect not just physical health but also emotional well-being and daily activities.

Common Digestive Problems in Children

1. Constipation
This occurs when a child has infrequent or difficult bowel movements. It can cause discomfort, pain, and irritability. Long-term constipation can lead to more severe issues, such as fecal impaction, fissure, rectal prolapse.

2. Diarrhea
Frequent loose or watery stools can result from infections, dietary intolerances, or other medical conditions. Diarrhea can lead to dehydration, which is particularly dangerous for young children.

3. Abdominal Pain
Persistent stomach aches may indicate underlying digestive issues. It can be caused by various factors, including gas buildup, food intolerances, or infections. Long duration pain with other significant symptoms could be due to various pathological causes or surgical problems.

4. Nausea and Vomiting
These symptoms can arise from a range of issues, including infections, overeating, or food allergies.

5. Gastroesophageal Reflux Disease (GERD)
This condition involves stomach acid flowing back into the esophagus, causing discomfort and sometimes leading to feeding difficulties.

Effects on Health and Behavior

When a child’s digestive system is not functioning properly, several consequences may arise:

– Nutritional Deficiencies: Poor digestion can hinder the absorption of essential nutrients, leading to deficiencies that affect growth, energy levels, and immune function.

– Behavioral Issues: Discomfort and pain from digestive problems can lead to irritability, anxiety, and changes in behavior. Children may become withdrawn or show increased tantrums due to discomfort.

– Sleep Disturbances: Abdominal pain or discomfort can disrupt a child’s sleep patterns, leading to increased fatigue and difficulties in concentration during the day.

– Social Challenges: Frequent digestive issues may cause children to avoid social situations, especially those involving food, leading to isolation or difficulty making friends.

When to Seek Help?

Parents should consult a healthcare professional if their child experiences:

– Persistent abdominal pain
– Severe constipation or diarrhea
– Blood in stools
– Unexplained weight loss
– Signs of dehydration (e.g., dry mouth, reduced urine output)

Infantile colic is a common condition causing abdominal discomfort in newborns during the first few weeks after birth

Infantile colic is a common condition causing abdominal discomfort in newborns during the first few weeks after birth. Infantile colic, which is a benign condition occurring in the second or third week of their lives. Persistent and inconsolable crying in infants characterizes infantile colic, which affects nearly 20% of newborns and infants. Symptoms reach their peak around 6 weeks and typically resolve by the age of 12 weeks.

Generally, the episodes associated with colic have a clear beginning and end, and they occur during the evening hours. The behavior of a newborn or infant can vary between being happy, sleeping, playing, or eating, and the specific triggers for these behaviors are not known. The cry associated with colic is typically louder and more urgent and is sometimes described as screaming. Less than 10% of infants with excessive and inconsolable crying have an organic cause, and standard soothing techniques are often ineffective. Most infants resolve colic spontaneously, with no lasting effects.

Diagnostic criteria:

  • The symptoms start and stop when the newborn or infant is younger than 5 months.
  • Recurrent and prolonged periods of crying, fussing, or irritability without an apparent cause that caregivers cannot prevent or resolve.
  • No evidence of poor weight gain, fever, or illness.

Colic differs from normal crying in several ways, some of which are mentioned below.

  • Colic episodes typically last for more than 3 hours a day.
  • Each episode has a sudden onset, often occurring in the evening.
  • The crying is intense, loud, and high-pitched.
  • Infants and newborns with colic may exhibit physical symptoms and are difficult to soothe, regardless of the efforts.

Treatment

Active strategies to help manage infantile colic include:

  • Seeking help when needed.
  • Safely placing the baby in their crib and walking away for a few minutes when frustrated.
  • Discussing feeding technique adjustments with a healthcare provider for both formula-fed and breastfed infants.
  • Soothing the baby with holding or a front carrier.
  • Contemplating the use of pacifiers, car rides, or white noise machines.
  • Speaking with a healthcare provider before administering medications or herbal remedies to address infantile colic, as, currently, no FDA-approved medications exist for treating infantile colic.
  • Offering massage to infants to help alleviate their pain, although this technique has not yet been proven.
  • Trial of feeding a bottle-fed baby vertically, using a curved bottle, burping the baby frequently, or using a bottle with a collapsible bag to diminish the amount of swallowed air

Most studies on simethicone show no effect, with inconsistent results. Although using the anticholinergic medication dicyclomine decreases infantile colic crying time in infants, its potential adverse effects, including respiratory depression, apnea, seizures, and muscular hypotonia, make it unsafe for newborns and infants.

There is stronger evidence regarding the potential positive effects of probiotic Lactobacillus reuteri supplementation among breastfed infants.

Colic is a temporary condition that typically resolves on its own. Although the condition can be challenging for families, no evidence suggests it leads to long-term issues in children.

biliary atresia symptoms, Causes, treated, surgery and diagnosis

Biliary Atresia Symptoms, Causes, Treated, Surgery and Diagnosis

What is biliary atresia?

Biliary atresia is a condition in new born babies in which the bile ducts (tubes draining bile from liver to intestine) are blocked or absent.

Bile is a substance that is made and released by the liver. From the liver, it moves through a network of tube-like structures called bile ducts to the small intestine, where it helps the body break down and absorb food.

In children who have biliary atresia, the bile ducts are blocked because of damage and scarring. As a result, bile can’t flow to the small intestine. Instead, it builds up in the liver and damages it.

Who is affected by biliary atresia?

Biliary atresia is a relatively rare condition present in new born babies. There is no typical predisposition for any gender, race. Any baby can present with typical symptoms beyond first 2 weeks of life.

What are the causes of biliary atresia?

The exact causes of biliary atresia are not known, but may include:

  • Inflammation (swelling) and scarring caused by problems with the immune system
  • Infection by a virus
  • Exposure to harmful chemicals
  • Mutations (changes) in the genes. 
  • In some babies, it is congenital. About one out of every 10 babies suffering from Biliary Atresia also suffer from other congenital problems. 
  • Biliary atresia is not inherited from the baby’s parents.

This disease is not hereditary, contagious and preventable. It is also not related to a mother’s health or mother did or didn’t do during pregnancy.

What are the symptoms of biliary atresia?

The first sign of biliary atresia is jaundice (skin and eyes appear yellow), a condition in which there is too much bilirubin in the blood. Bilirubin is a substance produced when red blood cells break down. Although most newborns have some degree of jaundice in the first week of life, if it is still present after two weeks, it should be checked out by a doctor.

The baby’s stools color is identical- pale/clay/white

Other signs and symptoms of biliary atresia include:

  • Dark brown urine
  • A swollen belly (as the liver and spleen grow)
  • Difficulty gaining weight
  • Ascites (fluid in the belly)
  • Liver failure after several months if the biliary atresia is not treated

How is biliary atresia diagnosed?

To diagnose biliary atresia, the doctor will take the baby’s medical history and perform a physical examination. A pediatric hepatologist, a doctor who specializes in working with children who have liver diseases, may also order certain tests, including:

  • Blood tests to check the levels of bilirubin and to look for signs of liver damage
  • Ultrasound, a procedure that transmits high-frequency sound waves through body tissues. The echoes are recorded and transformed into images of the internal structures of the body.
  • Liver biopsy (the removal of cells or tissue from the liver for examination)
  • Hepatobiliary scan, in which a radioactive substance (tracer) is injected into the bloodstream. If the tracer is not excreted through the liver, the patient may have biliary atresia.
  • Cholangiogram, a surgical invasive procedure in which dye is injected into the gallbladder to see if it has a main bile duct. If it does not, the doctor can diagnose biliary atresia.

How is biliary atresia treated?

There is no cure for biliary atresia. The main treatment is a surgery called the Kasai procedure. In this surgery, the surgeon removes the damaged bile ducts from outside the liver and replaces them with a piece of the patient’s small intestine. The small intestine will then drain the liver directly to the small intestine.

It should be usually performed as early as possible within 90 days of life for good outcome.

If the surgery is not successful, the child will likely need a liver transplant. The child may need a liver transplant even if the surgery is successful, depending on when the surgery is performed & how the liver condition at the time of surgery.

What are the risks of surgery for biliary atresia?

  • Bleeding
  • Cholangitis (infection of the bile ducts and liver)
  • Perforation – Hole in the intestine, which can cause a leakage of the intestinal contents into the belly
  • Blockage of the intestine caused by scarring

What is the outlook (prognosis) for patients who have biliary atresia?

If the child does not have surgery, he or she will usually not live past age 2 without a liver transplant. After the Kasai procedure, how long a child will live without a liver transplant depends on when the procedure was done and the condition of the liver at the time of surgery. Even with a successful surgery, many patients will need a liver transplant at some point in their lives.

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When should you contact hepatologist Dr Kinisha Patel

Paediatric hepatologist is a super specialist doctor who diagnose and treat liver and biliary diseases
in children.
Liver diseases in children are different than adults as they have varied presentation, as most of them
are progressive from birth or from early infancy.

COMMON SIGNS & SYMPTOMS OF LIVER DISEASE:

  • Jaundice – yellow eyes, skin
  • Dark color urine
  • Change in stool color (Pale yellow or clay or white)
  • Abdominal distension (Fluid in abdomen –ascites)
  • Loss of appetite
  • Itching
  • Pain abdomen (right upper quadrant)
  • Vomiting
  • Blood in vomiting
  • Tarry black color stool

COMMON SIGNS & SYMPTOMS OF PROGRESSIVE CHRONIC LIVER DISEASE:

  • Jaundice
  • Liver &/or spleen enlargement
  • Abnormal behavior
  • Neurological disorientation or other abnormalities with jaundice
  • Nails clubbing
  • Abdominal distention (Ascites)
  • Swelling of limbs
  • Other organ involvement (kidney, lungs)

Role of liver transplant Physician:

  • An expert with experience to manage all children from birth to 18 years of age, who needs liver transplantation along pre & post transplant surgery care (Medical management).
  • To decide when child needs transplant-specific indication other than liver failure How much time we have till liver transplant procedure- to take a decision from advancement of liver disease –whether can be treated medically for longer duration/other option till transplant – supportive management.
  • When transplant is planned – certain contraindication for management like blood transfusion, certain medication use Pre transplant preparations- counselling, documentations, donor & recipient investigations, continuous supportive treatment. To send to correct centre for transplant based on finance, age, weight, emergency, Finance.
  • Post transplant – PICU Care, medical management, immunosuppressant decision, Complication identification & management.
  • Long term follow up care- Regular medications, doses changes, investigations to choose, any complication like rejection, PTLD, Infection, GVHD, surgical complication, drug related complication – to identify correctly & to manage – to contact transplant surgeon (As who has done the surgery must be in loop to know anatomical changes while surgery is been done)

Important Liver Disease

  • Biliary atresia
  • Choledochal cyst
  • Hemochromatosis
  • Viral infection causing liver failure
  • Budd chiari syndrome
  • Metabolic liver disease/In born error of metabolism
  • Neonatal hepatitis
  • PFIC
  • Alagille syndrome

In older children:

  • Autoimmune hepatitis
  • Sclerosing cholangitis
  • Wilson disease
  • Metabolic liver disease
  • Acute liver failure
  • PFIC
  • Viral Hepatitis (A to E)
  • Portal Hypertension

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