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The Advanced Stages – Liver Diseases
The Advanced Stages – Liver Diseases

Liver diseases are on the verge of becoming the next major lifestyle diseases after Diabetes.

Do You Know?
Liver disease may affect people of any age, although a majority of patients belong to the 40-60 years age group.

In our previous blog, we discussed that liver diseases are progressive in nature and how a healthy liver becomes fatty, then develops fibrosis ultimately leading to liver cirrhosis. In this blog, we are going to discuss the advanced stages that can threaten your life.

Let’s have a look at some stats & facts:

– As per WHO Statistics, Liver Disease is the 10th most common reason for deaths in India.
– In India, Liver Disease may affect everyone in 5 individuals.
– Every year nearly 10 lakh people are diagnosed with liver cirrhosis in India.
– Hepatocellular carcinoma (HCC), is the second most common reason for mortality due to malignancy in the world.
– Liver Cirrhosis is the 14th foremost cause of death around the world.
– Liver disease may affect individuals of any age. People may even be born with the disease.
– You may also have liver disease with no specific symptoms.
– A person with advanced-stage liver disease may bleed or bruise easily. This is because a failing liver produces fewer blood clotting proteins.

Now let’s talk about the three of the advanced stage liver diseases:

End-stage liver disease:
ESLD includes liver cirrhosis patients with irreversible decompensation signs such as hepatic encephalopathy, variceal bleed, kidney impairment, ascites, lung issues. The only treatment option left for SLD patients is a liver transplant.

Do you know that 97 percent of liver transplants in North India are Living Donor types, and the rest are cadaver transplants?

Liver Cancer:
Cancer which originates in the liver is referred to as Primary Liver Cancer. If this cancer spreads to other body parts it becomes metastatic. Liver cancer is more common in men than in women. The primary risk factor is long-term infection with the Hepatitis B or C virus because hepatitis often leads to cirrhosis which ultimately develops into cancer.

Symptoms of liver cancer may include fatigue, bloating, loss of appetite, satiety feeling, vomiting, pain especially on the right side of the upper abdomen or back and shoulder, weight loss, weakness, fever, and jaundice. Any type of liver disease may progress to liver cancer.

Liver Failure:
Failure of the liver means, liver losing all its functions. Initial symptoms may include nausea, vomiting, fatigue, loss of appetite, and diarrhea. These symptoms coincide with several other common issues. As the situation progresses, symptoms become worse.

A person may become confused, disoriented, extremely sleepy with an increased risk of coma and death. Toxins back up in the brain of such patients causing a condition very similar to dementia. Liver failure is a life-threatening medical condition, with liver transplant being the only treatment option.

Do you know that a liver transplant is not a cure for liver diseases, sometimes the transplant can fail or the original disease may return.

Even a newly transplanted liver may contract liver diseases. Maintaining a healthy weight, eating low fat, low sugar, low rice- high fiber-diet, may keep liver diseases at bay.

You can visit our blog section www.dattmedi.com to know more about how to maintain a healthy lifestyle and other health topics.

Visit www.dattmedi.com for more infomation.
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Wound Care in Diabetes

Diabetes significantly increases the risk of developing chronic wounds, particularly foot ulcers. Effective wound care is crucial for preventing complications and promoting healing in diabetic patients. In this blog, you will explore the nature of diabetic wounds, prevention techniques, and management strategies to help healthcare professionals and patients navigate these challenges.

Understanding Diabetic Wounds

Diabetic wounds, especially foot ulcers, are common complications resulting from prolonged high blood sugar levels. These wounds often develop due to neuropathy (nerve damage) and peripheral arterial disease, which impair sensation and blood flow. Consequently, minor injuries can go unnoticed and progress into serious ulcers. Left untreated, these ulcers can lead to severe infections and, in extreme cases, amputations.

1. Prevention Techniques for Diabetic Ulcers:

Preventing diabetic ulcers is essential to reduce the risk of severe complications. Here are some effective prevention strategies.

2. Regular Foot Inspections: 

Diabetic patients should inspect their feet (or have someone inspect it) on a daily basis for cuts, blisters, redness, or swelling. Early detection of potential issues can prevent minor problems from becoming serious ulcers.

3. Proper Footwear: 

  • Wearing well-fitting shoes and socks designed for diabetics can prevent pressure points and reduce the risk of injuries. 
  • Avoid wearing tight stockings or socks with elastic tops as they can reduce blood flow.
  • Avoid extreme hot or cold temperatures.
  • Do not treat corn or calluses on your own. 
  • Avoiding barefoot walking, even at home, is crucial.

4. Good Hygiene: 

Keeping feet clean and dry is essential. Patients should wash their feet daily with mild soap and water, then dry them thoroughly, especially between the toes.

5. Blood Sugar Control: 

Maintaining optimal blood sugar levels through diet, exercise, and medication can significantly reduce the risk of neuropathy and poor circulation, which contribute to ulcer formation.

6. Regular Medical Foot Check-Ups: 

Routine visits to a healthcare provider or a podiatrist for foot exams can help identify and address problems early.

7. Management Strategies for Diabetic Patients:

When ulcers do occur, effective management is vital to promote healing and prevent complications.

Here are some key strategies:

  • Wound Cleaning and Dressing: Keeping the ulcer clean and protected is essential. Cleaning the wound with a saline solution and using appropriate dressings, such as those provided by DMP Velvert®, can create an optimal healing environment. It provides a barrier to external contaminants, aids absorption of exudates and accelerates wound healing.
  • Debridement: Removing dead tissue from the wound (debridement) can accelerate the healing process. This procedure should be performed by a healthcare professional.
  • Pressure Offloading: Reducing pressure on the affected area is crucial. Patients may need special footwear, casts, or braces to alleviate pressure on the ulcer. Foot or mobility exercises also help in decreasing peak pressure, increasing foot and ankle range of motion and it improves neuropathy symptoms.
  • Infection Control: Monitoring for signs of infection and using antibiotics when necessary is critical. Proper wound care products, like Velvert®, which offer antimicrobial properties, can help prevent infections.
  • Blood Flow Improvement: Enhancing blood circulation through medical treatments or lifestyle changes can aid in the healing process. This might include medications, physical therapy, or surgical interventions. Revascularization results in increased tissue perfusion, which can further reduce amputation rates.
Diabetic ulcers are a serious complication of diabetes, but with proper prevention and management strategies, their impact can be significantly reduced. Regular foot inspections, good hygiene, appropriate footwear, and effective blood sugar control are key preventive measures. When ulcers do develop, it is best to catch them in the early stages when they are small, products combined with professional medical care, can promote healing and prevent complications.

At Datt Mediproducts, we offer Velvert®, an advanced wound care solution designed to aid in the management of diabetic ulcers. Velvert® dressings are crafted to provide superior moisture retention and protection, creating an optimal environment for wound healing. They also incorporate antimicrobial properties to reduce the risk of infection, which is crucial for diabetic patients. Velvert® is easy to apply and remove, ensuring minimal discomfort for patients.

Wound Care Myths Debunked

When it comes to wound care, there’s a lot of advice floating around. Some of it is helpful, while other bits are more myth than fact. Let’s clear up some common wound care myths and get to the truth behind them.

Myth 1: Wounds Need Sunlight to Heal

Fact: While sunshine is great for your mood, it’s not beneficial for healing wounds. In fact, direct sunlight can actually cause burns and damage the tissues that are trying to heal. So, to promote proper healing, keep wounds covered and out of direct sunlight.
Source : Cleveland Clinic

Myth 2: Wound Itching Means Healing

Fact: A bit of itching around a wound can be a sign that it’s healing, but it’s not always the case. Itching might also indicate an allergic reaction or infection. Monitor any itching along with other symptoms to ensure the healing process is on track.
Source : Advanced Tissue

Myth 3: Hydrogen Peroxide is the Best Cleaner for Wounds

Fact: Using hydrogen peroxide to clean wounds can actually slow down the healing process by damaging healthy cells. Instead, stick to gentle cleansing with mild soap and water to keep things clean without causing additional damage.
Source : University of Utah Healthcare & Atlantic Foot & Ankle Specialists

Myth 4: Keep Wounds Dry for Faster Healing

Fact: While it’s essential to keep wounds clean, keeping them too dry can actually slow down the healing process. Wounds heal better in a moist environment, so using dressings to maintain the right level of moisture can speed up recovery.
Source : LifeMD™

Understanding the Importance of Proper Wound Care

Wound care isn’t just about cleaning and covering a wound; it’s about understanding the underlying processes that help your body repair itself. Following evidence-based practices ensures that wounds heal properly and complications are minimized. Here’s why these practices are crucial:

  • Preventing Infections: Proper wound care minimizes the risk of infection, which can complicate healing and lead to more serious health issues.
  • Promoting Faster Healing: By maintaining a moist environment and protecting the wound, you accelerate the natural healing process.

When to Seek Professional Help

While minor cuts and scrapes can often be treated at home, certain situations warrant professional medical attention:

  • Deep or Large Wounds: Significant injuries that penetrate deep into the skin or are extensive in size require medical assessment.
  • Signs of Infection: Redness, swelling, increased pain, warmth around the wound, or pus are signs of infection that need medical intervention.
  • Delayed Healing: If a wound does not show signs of healing within a reasonable period, it’s important to consult a healthcare provider.

In a nutshell, taking care of wounds isn’t complicated, but it’s important to distinguish fact from fiction. By following evidence-based practices and seeking professional advice when needed, you can ensure your wounds heal properly and without unnecessary complications.

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