Could your liver be making you frail? Here are signs what to watch out for
Frailty is part of the normal ageing process causing decreased muscle mass and bone density. Patients with liver cirrhosis develop frailty more rapidly when compared to the average population.
In an interview with HT Lifestyle, Dr Ameet Mandot, Director - Department of Hepatology and Liver Transplant Medicine at Gleneagles Hospitals in Mumbai's Parel, explained, 'Frailty is present in patients with chronic liver disease such as cirrhosis. It is vital to identify and manage liver fragility to empower the patient to combat liver ailments, maintain muscle mass, withstand complex treatments like surgery and transplantation, prevent injuries and fractures, and enhance the overall well-being of the patient.'
Recognising early signs and risk factors can help improve outcomes through timely intervention. Dr Ameet Mandot shared, 'When we think of liver disease, we often picture jaundice, swelling, or fatigue but there's another hidden complication that often goes unnoticed which is liver frailty. This condition is becoming increasingly common, particularly in individuals with chronic liver disease or cirrhosis.'
According to him, liver frailty doesn't just affect the liver, it weakens the entire body, reducing physical strength and increasing the risk of falls, hospitalisations and even poor transplant outcomes. Understanding what liver frailty is and how to detect and manage it can make a significant difference in a patient's journey.
Dr Ameet Mandot highlighted, 'Liver frailty is a physical decline seen in patients with advanced liver disease. It is characterised by muscle weakness, reduced endurance, and overall decreased physical performance. Unlike general frailty seen in elderly people, liver frailty is linked to liver dysfunction and leads to complications and mortality in liver patients.'
Dr Ameet Mandot pointed out that the symptoms include unexplained weight loss, muscle wasting or weakness, slow walking speed, difficulty standing or rising from a chair, fatigue, low energy and poor balance.
Dr Ameet Mandot said, 'Liver frailty develops due to the progressive nature of liver disease, especially cirrhosis. As the liver becomes more damaged, the body's ability to absorb nutrients and maintain muscle mass decreases. Chronic inflammation, poor appetite, hormonal changes and reduced physical activity all contribute to this condition.'
Dr Ameet Mandot informed, 'The doctor will conduct an examination when it comes to strength, walking speed, and chair stand tests. He/she may also assess the Liver Frailty Index (LFI) to see the severity. Nutritional assessments and muscle mass measurements may also be part of the evaluation when it comes to conforming to the diagnosis.'
With timely diagnosis and a multidisciplinary approach, patients with liver frailty can improve their strength, quality of life and overall liver health.
Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.
Hashtags
Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles
Hindustan Times
an hour ago
- Hindustan Times
Gynaecologists share how to reduce risk of miscarriage in first trimester: Avoid alcohol and excessive caffeine
Gauahar Khan launched her podcast, MaaaNoranjan, and spoke about her experience with motherhood in the June 1 episode. The model-turned-actor, who is pregnant with her and husband Zaid Darbar's second child, got candid about her pregnancy journey with their first son Zehaan and shared a heartfelt revelation about suffering a miscarriage before his birth. Also read | Gauahar Khan breaks down as she recalls suffering miscarriage, calls out Suniel Shetty's 'comfort of C-section' comment In doing so, Gauahar Khan not only elucidated the need to break the taboo surrounding pregnancy loss but also highlighted the importance of awareness and support. In an interview with HT Lifestyle, doctors said that miscarriage is a relatively common experience for many women, and by acknowledging the prevalence of miscarriage, we can work towards creating a more supportive and understanding environment for those who have experienced pregnancy loss. Dr Sangita Gandhi, consultant, obstetrician and gynaecologist at Jupiter Hospital, Thane, said, 'First-trimester miscarriage is far more common than most people realise, occurring in about 10 to 20 per cent of known pregnancies.' Dr Sujata Rathod, consultant, obstetrician and gynaecologist, KIMS Hospitals, Thane agreed that 'first-trimester miscarriage demonstrates a reality that is experienced by most women, and even though miscarriage is normal during pregnancy, it is shrouded in silence and stigma'. Dr Rathod said, 'The first trimester has a short three-month period of acute change and development during the pregnancy and that is why miscarriage can occur during this transformation. Miscarriage may have factors associated with chromosomal abnormalities, levels of hormones, or other previous medical issues. Regardless of whether or not a miscarriage was averted, it is possible for women to persist with certain measures of pregnancy safety.' Dr Gandhi added, 'The most frequent cause is chromosomal abnormalities, which are random genetic errors that occur during fertilisation. These are usually beyond anyone's control and are not a reflection of the mother's health, lifestyle, or actions.' That said, several factors are within our reach that can support a healthy early pregnancy. Dr Gandhi said, 'A balanced diet, adequate hydration, and proper rest are vital. Avoiding tobacco, alcohol, recreational drugs, and even excessive caffeine can reduce the risk. Additionally, women with underlying conditions such as diabetes, thyroid disorders, or autoimmune diseases should seek preconception counselling and work closely with their healthcare provider to optimise health before and during pregnancy.' Dr Rathod said that women can lead a healthy lifestyle, manage chronic disease, avoid harmful substances, and seek early post-conception care. She added, 'In addition to physical well-being for women, we need to establish emotional well-being for women to proclaim these processes without controversy. Education and awareness enable women in their choice of when and how to disclose early signs of a miscarriage if they experience one, and how they may seek medical advice and services.' Dr Gandhali Deorukhkar, consultant in obstetrics and gynaecology at Wockhardt Hospitals, Mumbai Central, said, 'While not all miscarriages can be prevented, proactive prenatal care plays a critical role in reducing risks.' Dr Deorukhkar said, 'Starting folic acid at least three months before conception has been shown to decrease neural tube defects and support fetal development. Women should also get screened for hormonal imbalances, infections, and uterine abnormalities — especially if they've experienced prior losses. Regular ultrasounds and blood tests in the early weeks can help monitor the viability of the pregnancy.' She added that emotional support is equally important, as stress and anxiety can impact hormonal balance – and 'if a miscarriage does occur, remember that many women go on to have healthy pregnancies in the future with the right medicalguidance'. If you experience any concerning symptoms or have questions about your pregnancy, don't hesitate to reach out to your healthcare provider. Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.
Hindustan Times
18 hours ago
- Hindustan Times
Cataract surgery can't be done during monsoon? Top surgeon debunks 5 myths, shares facts
Cataract is a common eye condition that typically affects older adults, causing cloudy or blurred vision. It occurs when proteins in the eye's lens break down and clump together, preventing light from passing through clearly to the retina. Also read | What are cataracts and how they can be treated However, myths associated with cataract surgery often stop patients from seeking timely help. In an interview with HT Lifestyle, Dr Supriya Sriganesh, ophthalmologist, cataract and refractive surgeon, Nethradhama Super Speciality Eye Hospital, Bangalore busted several myths. Fact: This is absolutely untrue. In fact, allowing the cataract to mature can be very dangerous. The ideal stage to get operated is in the early stages, such as stage 2. If you allow the cataract to progress to the point where your vision is severely impaired, it makes the surgery much more complicated. A mature cataract carries an increased risk of instability, retinal complications, and glaucoma after surgery. Therefore, never wait for the cataract to mature. The right time to undergo cataract surgery is when the drop in vision begins to affect your day-to-day activities. If your vision is blurry and it's interfering with your routine, it's time to get the surgery done. You don't need to wait for it to worsen. Fact: This is a very old belief from the time when cataract surgery was a major, manual procedure involving large incisions and a long recovery period. Modern cataract surgery is a quick, painless, and bloodless procedure, often performed using laser technology. Recovery is rapid, and there are no seasonal restrictions. You can safely undergo cataract surgery during the monsoon, summer, winter or any time of the year. Fact: Some patients ask whether it's necessary to put a lens in the eye after cataract removal. It is absolutely essential. The eye functions like a camera, and the lens is what focuses light onto the retina, much like a camera lens focuses light onto film or a sensor. Without a lens in the eye, the light entering cannot be focused, resulting in blurred vision. Implanting an intraocular lens (IOL) after cataract removal is mandatory for clear vision. Fact: Cataract refers to the clouding of the eye's natural lens. During surgery, the lens is removed and replaced with an artificial one, which is placed inside the original lens capsule (a natural bag within the eye). Some people experience blurred vision a few years after surgery due to a condition called posterior capsular opacification (PCO), where some cells grow on the back of the lens capsule. This is not the cataract returning. It is easily treated with a simple, one-time laser polishing procedure that restores clear vision. Also read | Cataract to glaucoma: Doctor shares 5 common eye conditions that affect women after the age of 40 Fact: Another myth is that the lens implanted during cataract surgery can be replaced later. In reality, the artificial lens is a permanent implant. Once it is placed inside the eye, it is not routinely removed or exchanged. Only in rare cases, such as lens displacement or complications, might the lens need to be removed or replaced and even then, it carries certain risks. Therefore, choosing the right lens is a crucial decision. It is based on the patient's lifestyle and visual needs, whether they prefer near vision, distance vision, or do not mind wearing glasses. These considerations are discussed with the patient beforehand to ensure the most suitable and permanent choice is made. Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.
Hindustan Times
18 hours ago
- Hindustan Times
Hair loss and fertility are connected: Doctor shares 3 vital tips to improve your hair health
Hair loss in women is not always just about appearance, it can sometimes indicate hormonal imbalances that can hurt their fertility. Women, do you panic when you see strands of hair around the pillow after waking up in the morning? That sight can be fretting. Hair fall is embarrassing and can steal one's peace of mind. It can lower a woman's self-esteem. Hair fall is a growing matter of concern for a large number of women but when it becomes excessive or persistent, it may be more than just a cosmetic issue. In an interview with HT Lifestyle, Dr Rashmi Niphadkar, Fertility Specialist at Nova IVF Fertility in Pune's Baner, shared, 'In many cases, hair loss is a sign of hormonal imbalance, which can also have an impact on a woman's fertility. Yes, that's right! Women should report hair loss to the expert without any delay.' Dr Rashmi Niphadkar explained, 'Hormones play a critical part in both hair health and reproductive function. When the body experiences imbalances, especially with hormones like androgens, estrogen, thyroid hormones, or prolactin, it can take a toll on the natural hair growth cycle.' She added, 'Moreover, women with conditions like Polycystic Ovary Syndrome (PCOS) not only experience irregular periods and weight gain but also symptoms like thinning hair or male-pattern baldness due to increased androgen levels. It is also a known fact that PCOS is also one of the leading causes of infertility and needs timely management.' According to Dr Rashmi Niphadkar, another possible cause of hair loss related to fertility is thyroid dysfunction. She elaborated, 'Both hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid) can induce in hair thinning, fatigue, and irregular menstrual cycles. Likewise, higher prolactin levels, a hormone involved in milk production can interfere with ovulation and make a woman lose her hair.' The expert revealed that nutritional deficiencies, stress, sudden weight changes, or certain medications can induce hormonal balance, leading to both hair loss and hurt a woman's fertility. 'A combination of blood and hormonal tests and ultrasounds can help detect the underlying issues and will help to initiate prompt intervention. It is essential to follow the expert's advice and not to try any medication or products on your own,' Dr Rashmi Niphadkar advised. It is the need of the hour to consult an expert and manage conditions like PCOS or thyroid problems. Dr Rashmi Niphadkar suggested: The health expert cautioned, 'Ignoring hair loss is a strict no-no as it can be linked to hormonal imbalance and in turn, fertility. So, exercise caution when it comes to your hair, hormones and fertility. Timely action can not only improve your hair health but also boost your fertility journey.' Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.
