Hepatologist is engaged in the diagnosis and therapy of diseases of the liver, pancreas, gallbladder and biliary tract. Treats hepatitis, liver cirrhosis, fatty, alcoholic and toxic hepatosis, gallstone disease, Gilbert's disease, infectious mononucleosis, toxoplasmosis, cholangitis and other pathologies. Practically all hepatologists are gastroenterologists by primary specialization, therefore they conduct a complex therapy of diseases of the gastrointestinal tract.
What services can a doctor appoint
At the consultation hepatologist:
- question you in detail for complaints,
- read the history
- perform an inspection with palpation.
He will ask you to pass a general and biochemical blood test.
During the first visit, the doctor will make conclusions about your health and establish a preliminary diagnosis. To clarify it you can be directed to:
- advanced blood tests
- urine and feces,
- CT scan
- liver biopsy.
The hepatologist may involve allied specialists in the final diagnosis:
- infectious diseases
- an immunologist.
Hepatologist's preventive counseling is indicated for all people who have had liver disease, are suffering from obesity, are undergoing aggressive medication, and are abusing alcohol.
On the DocDoc website, you can choose the best private hepatologist in your city, read people's testimonials about his work, read detailed questionnaires of doctors. Book an appointment online or by phone.
Diseases that Hepatologist treats
Pathology, which deals with hepatologist:
- acute, chronic hepatitis,
- cirrhosis (viral, alcoholic, medicinal, alimentary, stagnant, congenital),
- yellow fever,
- herpetic, enteroviral, autoimmune, toxic, reactive hepatitis,
- Legionnaires disease
- Gilbert's syndrome (bilirubin is not processed by the liver). Pathology is inherited,
- gall diseases (cholecystitis, tumors, cholangitis, cholelithiasis, duct dyskinesia),
- vascular diseases of the hepatobiliary system,
- alcohol defeat.
The above list is not all pathologies, diagnostics, which are treated by a specialist.
In this video you will learn everything about hepatitis C:
When to go for a consultation with a hepatologist
In medicine, hepatology is referred to as gastroenterology. This is a branch that considers pathologies not only of the liver, but of all organs of the digestive system, the gastrointestinal tract.
Considering that the treatment of liver diseases requires the correction of the patient’s body weight, adherence to a certain diet, the hepatologists join forces with gastroenterologists, offering the patient a comprehensive approach to treatment.
Diseases requiring maximum attention are cirrhosis, hepatitis C and B. It is necessary to go to a doctor at the first manifestations of adverse symptoms. The following are signs of liver problems.
Common signs that indicate that there are malfunctions in the liver and related organs, are the following:
- discomfort, heaviness, pain under the ribs on the right. Discomfort after a long time do not pass,
- taste of bitterness in the mouth, regardless of the type of food eaten,
- dyspeptic symptoms, digestive problems. You can identify the problem of flatulence, nausea (sometimes before vomiting), loss of appetite. Often there are problems with the stool (constipation, diarrhea),
- the sense of smell suddenly becomes acute, the smallest smells are felt, at most unpleasant,
- itchy rashes covering the skin all over the body, pigment spots and other dermatological problems not related to existing diseases,
- decreased performance, fatigue, lack of strength for the usual things,
- urine, feces acquire a different color (urine darkens, and feces brightens),
- the sclera of the eyes, the skin becomes yellow.
In addition to the general clinical picture, you need to know about the symptoms associated with the most common, dangerous diseases.
It is possible to suspect cirrhosis of the liver on the following grounds:
- bleeding gums,
- pains under the ribs on the right
- drowsiness, fatigue, poor concentration, passive state,
- belly increases in volume
- skin turns yellow
- in men, the mammary glands increase,
- decreased libido
- red palms
- minor hemorrhages on the face.
These symptoms do not appear all at once, only a small part of them can be detected. This is especially true of the initial stage when the disease is just beginning to develop.
It is not always possible to suspect hepatitis C at first - the disease prefers to develop latently. This is fraught with serious complications, since in the later stages of the pathology it is not necessary to hope for a complete recovery of the liver cells.
It is recommended to visit a hepatologist regularly if there are no complaints on his part. Chronization of hepatitis is a long process, the transition acute in chronic form lasts two or more decades.
Reception at the hepatologist
If you identify these symptoms, you can contact the therapist or go to a hepatologist. The doctor will conduct a survey, clarify the complaints, the timing of occurrence of ailments and related moments. It is necessary to take into account whether relatives have liver pathologies, diseases are hereditary.
A detailed survey includes questions on lifestyle, gastronomic habits, harmful hobbies. This information will help the doctor to limit the range of reasons that can adversely affect the liver and other organs. Based on the information received, the doctor suggests a diagnosis, for confirmation and clarification, he sends the patient to an instrumental, laboratory diagnosis. The main types of activities for diseases:
- KLA (blood counts are examined)
- biochemical blood test,
- OAM (laboratory verification of significant urine parameters).
In addition to these standard tests, the doctor, if necessary, will send for additional diagnostics if there are any controversial issues. Will help clarify the situation of ultrasound, x-rays, stool analysis. The complex of diagnostic procedures will allow you to create a complete picture of the patient's state of health, establish a diagnosis, identify the cause, and select an adequate therapy.
Hepatologist infectious than different from hepatologist
If a patient is suspected liver disease, triggered by viruses, helminthic invasion, a pathological course of chronic diseases in the body, you need to be examined by an infectious diseases specialist.
He deals with contagious diseases, prescribes treatment aimed at reducing side effects, the likelihood of complications. The infectious diseases specialist is responsible for vaccinating children and adults against hepatitis viruses. Vaccination is necessary for those who are at risk.
An infectious disease hepatologist can easily distinguish type A hepatitis from hepatitis B, as well as diseases similar in clinical picture. This doctor is treated for parasitic diseases (ascariasis, amebiasis, opisthorchiasis, toxoplasmosis, echinococcosis), infectious mononucleosis, the symptoms of which resemble ARVI.
Thanks to a narrow specialist, you can stop the development of diseases and prevent them from becoming chronic.
To protect yourself from liver disease, gall bladder, follow preventive measures. Eliminate excessive amounts of alcohol and fatty foods, they overload the liver. Avoiding dangerous diseases will help attentive attitude to health.
From infection with hepatitis will help recommendations:
- heat treatment of food, washing vegetables, fruits before consumption,
- eliminate contact with blood, body fluids of unauthorized people,
- do not use other people's personal hygiene items,
- sexual intercourse - only with remedies,
- exclude sharing of one syringe, needle. Carefully you need to go to tattoo parlors, hairdressers (piercing, manicure) - the tools must be processed in front of every new client,
- if a pregnant woman has hepatitis, measures should be taken to prevent the fetus from getting the disease.
The virus that causes hepatitis, is a resistant pathogenic microorganisms, the route of infection is not fully understood. Therefore, doctors recommend vaccination as the best way to avoid the disease.
Who is a hepatologist and what does he treat
The first question that arises in a patient, directed by the therapist to this specialist - who is such a hepatologist and what he treats. This specialist is engaged in the study and therapy of the liver. This doctor can be both for adults and for children, it can treat the liver, gallbladder and bile ducts, as interconnected organs.
Treatment of such diseases usually takes a lot of time, so observation over time is imperative.
A hepatologist is someone who not only treats the liver, but the main problem is usually in this particular organ. There is no better specialist who can help cure a diseased organ, maintain the state of the liver and normalize the movement of bile in the body. A good prophylaxis and maintenance therapy is almost never enough. The beginning of treatment is always preceded by a visit to a place such as a clinic.
What symptoms should be addressed
The reasons for which it is worth referring to such a specialist as a hepatologist may be many and they may be of different origin:
- Changes chair in any direction.
- The appearance of a bitter taste without a reason.
- The appearance of a jaundiced tint or skin rash.
- Change in urine color or profusion.
- The appearance of any signs of toxic poisoning.
- Violations of the state of self-perception - apathy, weakness, fatigue.
- Pain in the right side, heaviness or tingling.
- Irritability and loss of appetite.
These symptoms of adults can manifest in part and in children. Rarely manifest all at once, but when one or two appear, it is worth contacting a specialist, regardless of which of the symptoms manifested. Especially if the therapist sends to a hepatologist.
In the office, you can ask any question to the doctor who is concerned. However, these symptoms are not always associated with abnormal liver function. These can be problems with the gall bladder, stomach, or other internal organs. Therefore, most often the hepatologist prescribes additional tests and ultrasound of the abdominal organs.
What diseases treats
The liver is constantly exposed to a variety of negative effects: improper or irregular nutrition, stressful situations, poor environmental conditions, the presence of bad habits in a person, life-long use of various pills for a long time, and others. It is very important to prevent the transition of the disease to the chronic form, so the treatment of the liver must begin on time.
In large cities, you can contact an infectious disease hepatologist and a hepatologist a gastroenterologist. It depends on what is causing the disease.
If the cause of the disease turns out to be in the infected infection or bacteria, then this will be treated by an infectious diseases hepatologist. If the matter is in stagnation of bile, problems with the stomach, kidneys or gall bladder, then the hepatologist is a gastroenterologist.
In small towns, one broad specialist, a hepatologist, oversees all diseases of this organ, sometimes a surgeon makes appointments for lack of a specialized medical staff. The competence of the hepatologist's primary physician includes therapy for the following diseases:
- All types of hepatitis.
- Alcoholic liver damage.
- Cirrhosis and fibrosis.
- Some autoimmune diseases.
- Yellow fever.
- Acute toxic poisoning.
- Mononucleosis of infectious origin.
How is the reception
Receiving a hepatologist is not much different from consulting a therapist. Most large hospitals maintain a free consultation by a hepatologist. You must first make an appointment for a certain number and time, then come to the hospital on the appointed day.
If this specialist is in demand or does not receive every day, then a queue is possible for him. Therefore, in order to receive the necessary consultation, it will be necessary to register in advance for several days, and sometimes weeks.
This doctor will never go to ambulance, only if it is a paid clinic with an additional service. Expect to receive services of a hepatologist at home is not necessary. In some cases, in large hospitals, a pediatric hepatologist can go to the child along with emergency care. This is done in case there is a high risk of not delivering a small child to the hospital.
If the site has reviews about the doctor to whom you are going, you can study them. But do not take much too seriously. Sometimes patients leave negative words to good doctors because the correct, but expensive drugs were prescribed, or the specialist was simply not liked.
Sometimes even people who have been exposed to hepatitis complain that they were not cured instantly. Given that this is in principle not possible at such a speed.
During the reception at the doctor, he will examine and feel the stomach. Identify possible pain or an increase in body size. He will ask questions about chronic or inherited diseases, about the appearance of new symptoms or a change in well-being.
Specialist specialist necessarily pay genetic abnormalities, childhood diseases and the nature of the work of his patient. Ask all your questions to calm yourself and know the full picture. And also answer all questions of the hepatologist extremely honestly and frankly, otherwise the picture will be blurred.
After examining and interviewing the patient, the hepatologist will write out a referral for the delivery of advanced blood biochemistry, a general analysis of blood and urine, and also blood for antibodies. If necessary, other appointments will follow:
- MRI or CT scan of the liver,
- blood test for hepatitis viruses,
- biopsy sampling,
- study of the liver using the ultrasound hapatobiliary system.
In some cases, the doctor prescribes the advice of other professionals - a surgeon, therapist, urologist, oncologist and others.
Sometimes, stool tests for sterobelin, urine for hemoglobin and blood for reactive protein are prescribed. All appointments of a hepatologist depend on the presence of certain symptoms, the nature and strength of the pain, as well as on the color change of the skin and mucous membranes.
Survey and inspection
Do not hesitate to ask a question to a hepatologist during the reception. Not all of the questions that have arisen can be resolved using the questions and answers sections of various sites.
The doctor will listen to all the complaints of the patient and will conduct a comprehensive examination, which will include both tactile contact and simple questions about what a person eats and what kind of life leads.
An important role is also played by the preferences of the patient, which are usually the trigger factors for the onset of certain diseases.
Liver damage can be different stages. In the early stages of the patient, nothing usually bothers, except for sometimes manifested fatigue and loss of appetite. Common symptoms that bother a person can be related not only to liver disease.
Often, these symptoms also occur with a common cold, with some viruses and even a simple mild poisoning with poor-quality food. But if the symptoms recur from one day to another and do not stop, being constantly present in the patient's life, then you should not postpone the visit to the doctor.
Analyzes and diagnostics
Hepatologist prescribes only the most necessary tests of blood and urine, if the patient is not disturbed by anything. If the liver is enlarged or causes pain during palpation, then an additional ultrasound and MRI or CT scan are necessary. In all cases when the liver starts to hurt - the situation is not harmless and requires urgent treatment.
In some cases, a biopsy is performed to clarify the diagnosis. If all other tests and studies do not show negative results, then the biopsy is not appointed. Sometimes the doctor prescribes a liver test for fibrosis and cirrhosis, which will show all possible changes in the liver and the appearance of adipose tissue in them. But the priorities are the above studies. If their results are within the normal range, then the problem must be sought not in the liver.
What symptoms should be referred to a hepatologist?
This doctor should be consulted when the following symptoms appear:
- Pain, heaviness in the right hypochondrium.
By nature, the painful sensations are oppressive, pulling, spastic or paroxysmal.
- Bitterness, unpleasant taste in the mouth, heartburn.
Occur after taking harmful products or regardless of the food.
- Bloating, rumbling, "bubbling" in the stomach, flatulence.
- Weakness, fatigue.
Such symptoms appear after the usual things: cleaning the house, climbing stairs, walking.
- The increase in the size of the liver, the appearance of fluid in the abdominal cavity.
- Change the color of physiological functions.
Urine becomes the color of dark beer, feces discolored.
- Yellowness of the sclera and skin.
- The appearance on the skin of the anterior abdominal wall visually visible, dilated veins.
- Redness of palms, not related to dermatological problems.
- Itching of the skin in the absence of other objective reasons.
If even several signs are detected, the patient should go to the clinic and be examined. Children with similar symptoms are advised by a children's hepatologist. However, it is not necessary to immediately seek to get a narrow specialist. Sometimes it is enough to consult a therapist.
Such symptoms do not relate to specific changes characteristic of hepatological problems only. They are manifestations of diseases of the stomach, intestines, pancreas bladder. Only after examining a doctor, taking tests (bilirubin and fractions, transaminases, alkaline phosphatase), the appearance of the characteristic "liver" symptoms of the patient will be sent for consultation to this specialist.
Hepatologist infectious disease
Hepatologist - infectious diseases specialist reveals parasitic hepatotoxic diseases. After the diagnosis is established, he prescribes the appropriate treatment, observes the patient until complete recovery. Patients with viral hepatitis, toxoplasmosis, leptospirosis, and echinococcal infection are hospitalized in the infectious department of the hospital.
It treats the following diseases:
- Liver abscess.
- Echinococcal cyst.
- Benign tumors.
The surgeon performs resection, drainage, biopsy, destruction of this organ. If necessary, provides transplantation. The donor is a close relative or stranger, suitable for blood parameters.
This specialist is engaged in the diagnosis and treatment of malignant tumors of the hepatobiliary system. New growths are primary (developing directly in the organ) or secondary (metastasis). Oncologist - hepatologist performs an operation, prescribes chemotherapy or radiation treatment, and observes the patient after discharge from the hospital.
In these patients, there are violations of the coagulation and anticoagulation system of the blood. This is due to the fact that vitamin K, prothrombin, fibrinogen, transferrin are synthesized in this organ. These substances are involved in the process of clotting. Lack of their development indicates that the patient has an increased tendency to bleeding, develops hemmarogical syndrome. A hematologist treats such complications.
How to choose a doctor?
There is a correct saying that they choose not a clinic, but doctors. A knowledgeable and intelligent specialist will win over the patient, conduct a full examination and diagnosis.
Choosing a doctor, you should pay attention to:
- Qualification, category, work experience.
- The presence of a degree.
Studying reviews on the Internet, it is necessary to consider the fact that there is a false, paid information. Therefore, it is necessary to take into account only the reviews of those patients who were treated in this medical institution.
Hepatologist studies infectious, toxic, inflammatory, or autoimmune liver damage. His consultation is necessary with the appearance of jaundice, weakness, pain in the right hypochondrium.
After conducting additional research methods, the doctor will recommend the necessary regimen, diet and medication. This will help in curing acute diseases and improve the quality of life in chronic pathology.
Rovny Viktor Borisovich
Infectiologist, gastroenterologist, hepatologist. He has modern knowledge and has all the medical manipulations in his specialty, necessary for successful therapeutic and diagnostic activities. Author of more than 40 publications, including 3 teaching aids for students of medical universities and medical specialists.
The cost of admission - 2000 rubles.
The doctor is calm, confident! I was previously familiar with the doctor, so it was to him! Doctor professional in their field! I have a health problem, the doctor made me an appointment, explained how popularly I understand how serious the situation is and how much my illness is running, where.
Chernykh Mikhail Dmitrievich
Infectiologist, hepatologist, gastroenterologist, therapist. Engaged in the diagnosis, therapy and prevention of infectious diseases. It treats primary and secondary immunodeficiencies, HIV, neuroinfection, chlamydia, toxoplasmosis, viral hepatitis and related liver damage. Finds out the causes of long subfebrile and fever.
The cost of admission - 2700 rubles.
Attentive, competent specialist, in my opinion. I have a rather complicated case, I went not only to this doctor, but also to many other doctors of different specialties, because I have complex consequences of drug therapy, I also wanted to hear the opinion of an experienced infectiologist. On this.
Chizhova Svetlana Nikolaevna
Engaged in the diagnosis and treatment of diseases of the cardiovascular system, respiratory system, infectious diseases, including bronchitis, chickenpox, colds, acute respiratory infections and SARS, rubella, food poisoning, etc.
The cost of admission - 1600 rubles.
Very good, attentive and experienced doctor. She gave adequate advice and explained in detail about the prescribed medication. I liked how the doctor approached the question and examined my husband. Now she will come to her at the reception.
Kyzhlo Lyudmila Borisovna
Honored Doctor of the Russian Federation, excellent health care. It treats gastroenterological pathology, infectious pathology in adults and children (from the age of 11), chronic and acute liver diseases (viral hepatitis, modern approaches), herpes virus infection, including cytomegalovirus infection and Epstein-Barr virus. She was awarded the title "Honored Doctor of the Russian Federation" and the award "Excellence in Healthcare of the Russian Federation." He is the author of more than 160 scientific papers published in national and international publications.
The cost of admission - 2200 rubles.
The doctor is simply wonderful, attentive, responsible, polite and it is clear that she has very high qualifications and is very pleased to communicate with her. She listened to me, very intelligibly, competently, in stages, explained in understandable language that I had, how it is treated, how to live with it, gave a number of examples.