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Nutrition in liver disease
In liver disease, moderate protein intake helps prevent excessive ammonia production, supporting liver function. A balanced diet with controlled carbohydrates and healthy fats aids energy production and avoids excessive stress on the liver. Proper vitamin and mineral supplementation address deficiencies common in liver disease, supporting overall health. Maintaining adequate hydration is crucial, as it supports liver function and helps eliminate toxins from the body. A low-sodium diet helps manage fluid retention, a common complication in liver diseases such as cirrhosis. Tailoring caloric intake to individual needs prevents malnutrition and provides energy for daily activities. Eliminating alcohol and limiting exposure to toxins is essential in preserving liver function and preventing further damage. Omega-3 fatty acids from sources like fish or flaxseed may have anti-inflammatory effects, beneficial for liver health.
About the Speaker
![Dr. Daphnee D K
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Dr. Daphnee D K
Chief Clinical Dietitian Apollo Hospitals, Chennai Head, Dept of Dietetics, Apollo Hospitals, Chennai
Dr.Daphnee has 25 years of Clinical Experience at Apollo Hospitals, Greams Road, Chennai. She has a PhD in Clinical Nutrition her Area of Research: Analysis of nutritional deficits in Indian adult patients with end stage liver disease influence of nutritional support on peri and post liver transplant outcomes. She has been awarded CMO Asia award 2017, for Best quality initiative in Healthcare (Combating Hospital Malnutrition: An Indian Perspective) at Le Meridien, Singapore, Sentosa and Apollo Clinical Excellence award 2018, for being instrumental in the development and implementation of Digital Dietitian Module to digitalize the nutrition care process towards paperless hospital. She has few national and international publications and also reviewed journal of enteral and parenteral Nutrition. Also Course Director: Apollo Clinical Nutrition & Dietetics Internship Program, Member of Board of Studies, University of Madras.
Upcoming Case Discussions
Clinician’s Approach to Hypertensive Nephropathy
Many processes influence the management of chronic kidney disease (CKD) and lead to the development of hypertension in the disease. Increased sympathetic tone in patients with chronic kidney disease (CKD) is a result of afferent signals produced by functionally failing kidneys. The great majority of CKD patients suffer from hypertension, which can both cause and result from the disease. In people with CKD, controlling hypertension is crucial since it lowers the risk of CVD and slows the disease's course. There is no agreement on the ideal blood pressure (BP) targets provided by current guidelines. Consequently, when deciding how to care specific patients.
Anaphylaxis In Emergency Department
A dangerous systemic hypersensitivity reaction with a typically quick onset that can be fatal is anaphylaxis. Rapid onset of breathing, circulation,and/or airway issues are its defining characteristics. The most crucial treatment is intramuscular adrenaline, although many patients do not receive it even in medical facilities, despite recommendations to the contrary. The significance of positioning during the management of anaphylaxis and the necessity of avoiding activities that could postpone the timely and proper delivery of adrenaline. Antihistamines should only be used as a last resort when ABC characteristics have been successfully treated in order to lessen skin involvement.
Circulatory Shock In Trauma
The inability of the circulatory system to supply tissue oxygenation and organ perfusion necessary to meet cellular metabolic demands is known as shock. Although non-haemorrhagic shock, such as cardiogenic or neurogenic shock, can occur after trauma, hemorrhage is more frequently linked to trauma-related shock. Evidence gathered over the past ten years has shown that trauma patients suffer from acute traumatic coagulopathy (ATC), which is brought on by the actual process of injury. Damage control resuscitation (DCR), the current method for managing acute shock, was developed with this as a key component. Haemostatic resuscitation, which uses blood products as the main resuscitative fluid, permissive hypotension, and damage control surgery are the three main resuscitative techniques included in DCR.
Fertilization & Early Development
Fertilization occurs when a sperm cell merges with an egg cell, creating a zygote, which is the first stage of a new life. This process takes place in the fallopian tube. The zygote then undergoes rapid cell division, known as cleavage, forming a multi-cellular structure called a blastocyst. As the blastocyst moves toward the uterus, it continues to divide and develop. Approximately 5-7 days after fertilization, the blastocyst implants itself into the uterine lining, initiating pregnancy. Early development involves the formation of the foundational structures and systems that will shape the embryo.
Metabolic Syndrome and Heart Health
Metabolic syndrome is a cluster of conditions that increase the risk of heart disease, stroke, and type 2 diabetes. These conditions include high blood pressure, elevated blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels. When these risk factors occur together, they amplify the risk of developing cardiovascular issues. Metabolic syndrome is closely linked to insulin resistance, where the body struggles to use insulin effectively. Lifestyle changes, such as adopting a healthy diet, regular exercise, and weight management, are crucial in managing the syndrome. Early intervention is essential to prevent the progression to heart disease and other complications.