Hepatitis Can’t Wait: Seek Care For Symptoms

By Dr. Suraj Uppalapati
July 28, 2021

While the world is being gripped by a novel virus, let us take a moment to remember some of the older viruses on World Hepatitis Day.

Hepatitis is defined as inflammation of liver which is brought to notice by elevated liver enzymes (AST or SGOT and ALT or SGPT) seen in routine blood tests.

Hepatitis can be acute or chronic, and its severity can range from mild to fatal. Viruses, alcohol, toxins, autoimmune reactions, and pregnancy can lead to Hepatitis with symptoms like jaundice, nausea, vomiting, upper abdomen discomfort.

There are five main strains of Hepatitis virus – A, B, C, D and E.  Viral Hepatitis A & E are leading cause of Acute Hepatitis (< 6 months) in India with both showing prevalance of 10-30%. Hepatitis B and C predominantly cause Chronic hepatitis (> 6 months) with a prevalance of 4 % and 1 % respectively in India. 

Amid the COVID-19 pandemic, viral hepatitis continues to claim thousands of lives every day. Some of these deaths are directly linked to COVID-19 in patients with viral hepatitis and the others are due to collateral damage, due to lack of timely intervention and lack of screening. 

Government of India launched National Viral Hepatitis Control Programme (NHVCP) in July 2018 to provide free of charge diagnosis and treatment. It aims at ending viral hepatitis by 2030. But there has been a disruption to vaccination programes during the pandemic.

Emerging causes of Hepatitis seen nowadays are due to Non Alcoholic Steatohepatitis (NASH), Alcohol related Hepatitis, Drug induced Hepatitis including Complimentary and Alternated Medicine (CAM) and Autoimmune hepatitis.

Hepatitis severity can range from self limiting to life threatening requiring liver transplantation. Long standing hepatitis can lead to Cirrhosis and Liver Cancer (HCC). 

Hence, altered liver enzymes in blood tests requires expert opinion to identify the problem at the earliest and treat accordingly because HEPATITIS CAN’T WAIT.

 

Dr. Suraj Uppalapati is a Consultant Gastroenterologist at Citizens Specialty Hospital

Comments

Add new comment

  • Coastaldigest.com reserves the right to delete or block any comments.
  • Coastaldigset.com is not responsible for its readers’ comments.
  • Comments that are abusive, incendiary or irrelevant are strictly prohibited.
  • Please use a genuine email ID and provide your name to avoid reject.
News Network
November 20,2021

modigandhi.jpg

New Delhi, Nov 20: BJP MP Varun Gandhi, who has been increasingly offering views divergent from his party, on Saturday posted online a letter to Prime Minister Narendra Modi, listing four big demands following the centre's surprise cancellation of the controversial farm laws.

Reminding the Prime Minister that over 700 farmers would have still been alive had he taken the decision earlier, the MP demanded ₹ 1 crore compensation for those who died in the course of the year-long protest.

He also demanded that all "all politically motivated false" police cases filed against farmers must be dropped and their calls for widening the programme of guaranteed prices for farm produce known as Minimum Support Price or MSP be accepted, saying their movement wouldn''t end without it.

Mr Gandhi also raised the deaths of protesters in Uttar Pradesh's Lakhimpur Kheri last month where a BJP minister's son and aides have been accused of running over a group of farmers, triggering violence and leaving eight people dead.

"I thank you for your large-heartedness in announcing that these three laws will be repealed. More than 700 of our farmer brothers and sisters have been martyred in this movement, as they peacefully protested in extremely difficult and hostile conditions. I believe that if this decision had been taken earlier, all these innocent lives would not have been lost," he wrote.

"All politically motivated false FIRs that have been registered as weapons of harassment against our farmers during this movement must immediately be quashed," Mr Gandhi said.

"This (farmers') movement will not end without the resolution of this demand and there will be widespread anger amongst them, which will continue to emerge in one form or the other. Therefore, it is very important for the farmers to get the statutory guarantee of MSP for their crops. The MSP should also be based on the C2+50% formula of the Commission for Agricultural Costs and Prices," he wrote.

On Lakhimpur Kheri, he wrote, "Many leaders sitting in senior positions have given provocative statements against our agitating farmers. It is the result of such statements and the adversarial atmosphere created around the movement, that on October 3, five of our farmer brothers were crushed to death by vehicles in Lakhimpur Kheri. This heartbreaking incident is a blemish on our democracy. It is my request to you that appropriately strict action is taken against the Union Minister who has been connected to this incident, so that there is a fair enquiry."

The sharp critique for the BJP is the latest from Varun Gandhi who was dumped from his party's National Executive after calling for justice for the families of farmers killed in UP's Lakhimpur Kheri and speaking out in support of other farmers protesting the centre's new laws.

A member of the Nehru-Gandhi family that controls the opposition Congress, Varun Gandhi and his mother joined the BJP in 2004 just months before the party went out of power but are believed to have fallen out of favour with the leadership in recent years.

Comments

Add new comment

  • Coastaldigest.com reserves the right to delete or block any comments.
  • Coastaldigset.com is not responsible for its readers’ comments.
  • Comments that are abusive, incendiary or irrelevant are strictly prohibited.
  • Please use a genuine email ID and provide your name to avoid reject.