One in eight people diagnosed with dementia may actually have liver disease, a study published in the American Journal of Medicine stated. The cognitive symptoms of dementia are similar to those caused by Hepatic Encephalopathy (HE), a condition caused by liver cirrhosis.&nbsp;

Consuming alcohol regularly, obesity and viral infection can lead to the disease which further causes scarring on the organ.&nbsp;

Furthermore, the condition can lead to confusion, forgetfulness, slurred speech and shaking as toxins build up in the bloodstream and impact the brain because the liver cannot clean them properly.&nbsp;

Watch |&nbsp;Digital Dementia: Are you too showing the symptoms?

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Scientists analysed the medical records from a database of American people, of over 68,000 patients, who were diagnosed with dementia between 2009 and 2019.&nbsp;

The average age was 72 and they analysed each person's records to calculate how likely it was they had undiagnosed HE caused by liver cirrhosis.&nbsp;

<h2>How it lead to "cognitive impairment"?</h2>

According to the data, 12.8 per cent of patients in the group, were likely suffering from an undiagnosed case of cirrhosis.&nbsp;

“Risk factors for potential undiagnosed cirrhosis include alcohol use disorder and viral hepatitis," the scientists said, adding, "In up to 13 per cent of patients with dementia, treatable hepatic encephalopathy might contribute to the cognitive impairment.”

Study author Dr Jasmohan Bajaj from Virginia Commonwealth University, said, “We need to increase awareness that cirrhosis and related brain complications are common, silent, but treatable when found."

“Undiagnosed cirrhosis and potential hepatic encephalopathy can be a treatable cause of or contributor towards cognitive impairment in patients diagnosed with dementia," Dr Bajaj added.&nbsp;

<h2>What increases the risk of Cirrhosis?&nbsp;</h2>

As per the data, having viral hepatitis more than doubles the likelihood of a person having cirrhosis, while alcohol abuse increases the risk by 39 per cent.&nbsp;

However, while the liver condition and dementia have "symptom overlap", some experts believed that the subtle differences in the conditions would allow a doctor to highlight the difference.&nbsp;

<a href="https://www.wionews.com/science/ai-to-now-help-scientists-create-dementia-risk-tools-by-analysing-brain-scans-753312">Also read:&nbsp;AI to now help scientists create dementia risk tools by analysing 1.6mn brain scans</a>

“Full-blown hepatic encephalopathy looks different to dementia," Dr Rob Howard, professor of old age psychiatry at University College London, told the MailOnline.&nbsp;

“The symptoms of hepatic encephalopathy fluctuate in a way that Alzheimer’s doesn’t and anyone working in a memory clinic will be familiar with that. No one should be diagnosed with dementia without physical causes for their confusion being excluded.”

Dr Howard added, "Simple tests should always be done and these include a liver function test. But I don’t think it’s credible to say people with dementia have been misdiagnosed, based on this evidence.”

(With inputs from agencies)&nbsp;

One in eight people diagnosed with dementia may actually have liver disease, a study published in the American Journal of Medicine stated. The cognitive symptoms of dementia are similar to those caused by Hepatic Encephalopathy (HE), a condition caused by liver cirrhosis.

One in eight people diagnosed with dementia may actually have liver disease, a study published in the American Journal of Medicine stated. The cognitive symptoms of dementia are similar to those caused by Hepatic Encephalopathy (HE), a condition caused by liver cirrhosis. Consuming alcohol regularly, obesity and viral infection can lead to the disease which further causes scarring on the organ. Furthermore, the condition can lead to confusion, forgetfulness, slurred speech and shaking as toxins build up in the bloodstream and impact the brain because the liver cannot clean them properly. Watch | Digital Dementia: Are you too showing the symptoms? × Scientists analysed the medical records from a database of American people, of over 68,000 patients, who were diagnosed with dementia between 2009 and 2019. The average age was 72 and they analysed each person's records to calculate how likely it was they had undiagnosed HE caused by liver cirrhosis. How it lead to "cognitive impairment"? According to the data, 12.8 per cent of patients in the group, were likely suffering from an undiagnosed case of cirrhosis. “Risk factors for potential undiagnosed cirrhosis include alcohol use disorder and viral hepatitis," the scientists said, adding, "In up to 13 per cent of patients with dementia, treatable hepatic encephalopathy might contribute to the cognitive impairment.” Study author Dr Jasmohan Bajaj from Virginia Commonwealth University, said, “We need to increase awareness that cirrhosis and related brain complications are common, silent, but treatable when found." “Undiagnosed cirrhosis and potential hepatic encephalopathy can be a treatable cause of or contributor towards cognitive impairment in patients diagnosed with dementia," Dr Bajaj added. What increases the risk of Cirrhosis? As per the data, having viral hepatitis more than doubles the likelihood of a person having cirrhosis, while alcohol abuse increases the risk by 39 per cent. However, while the liver condition and dementia have "symptom overlap", some experts believed that the subtle differences in the conditions would allow a doctor to highlight the difference. Also read: AI to now help scientists create dementia risk tools by analysing 1.6mn brain scans “Full-blown hepatic encephalopathy looks different to dementia," Dr Rob Howard, professor of old age psychiatry at University College London, told the MailOnline. “The symptoms of hepatic encephalopathy fluctuate in a way that Alzheimer’s doesn’t and anyone working in a memory clinic will be familiar with that. No one should be diagnosed with dementia without physical causes for their confusion being excluded.” Dr Howard added, "Simple tests should always be done and these include a liver function test. But I don’t think it’s credible to say people with dementia have been misdiagnosed, based on this evidence.” (With inputs from agencies)

One in 8 dementia cases 'may have liver disease instead'

Liver disease stands as a formidable challenge to public health in contemporary Indian society. According to the World Health Organization (WHO), liver diseases now rank as one of the leading causes of mortality, with projections indicating that they may climb to become the fifth leading cause by 2030. The pervasive nature of liver diseases has transformed them into an epidemic, impacting lives and placing strain on healthcare systems across our country and the globe.

In this article, let's shed light on the factors driving this surge, the obstacles we face and potential solutions that can aid us in addressing this growing public health concern.

India is currently experiencing an upswing in liver diseases mirroring patterns. Recent data underscores the severity of this situation. Non-alcoholic fatty liver disease (NAFLD) has emerged as a worry in India and has a prevalence of about 9 per cent to 32 per cent&nbsp;in the general population in India. Moreover, viral hepatitis remains a threat with an estimated 40 million individuals living with hepatitis B and around 6-12 million grappling with hepatitis C. &nbsp;

There are various types of liver diseases, with the most common being:

1.&nbsp;&nbsp; &nbsp;Viral Hepatitis: Viral hepatitis comprises five distinct types: A, B, C, D, and E. Each type is caused by a different virus. Hepatitis A and E are typically transmitted through contaminated food or water, while hepatitis B, C, and D spread through contact with blood or other bodily fluids.

2.&nbsp;&nbsp; &nbsp;Alcohol-Related Liver Disease: Excessive alcohol consumption causes this condition. Alcohol can harm the liver in multiple ways, including inflammation, scarring, and the development of cancer.

3.&nbsp;&nbsp; &nbsp;Non-Alcoholic Fatty Liver Disease (NAFLD): NAFLD occurs when surplus fat accumulates in the liver. It is the most prevalent liver disease globally and is often linked to obesity, lack of physical activity, and diabetes.

4.&nbsp;&nbsp; &nbsp;Autoimmune Hepatitis: This autoimmune disorder targets the liver and is more prevalent in women. Treatment typically involves immunosuppressive medications.

5.&nbsp;&nbsp; &nbsp;Primary Sclerosing Cholangitis: This is a chronic inflammatory ailment affecting the bile ducts, which carry bile from the liver to the intestine. Primary Sclerosing cholangitis can lead to bile duct scarring and blockage, ultimately damaging the liver.

Also read:&nbsp;<a href="https://www.wionews.com/entertainment/lifestyle/news-the-vital-role-of-pregnancy-scans-ensuring-babys-health-and-well-being-634069">The vital role of pregnancy scans: Ensuring baby's health and well-being</a>

Lifestyle factors play a crucial role in the rise of liver diseases. Urbanisation, changing dietary patterns, and sedentary behaviours contribute to the escalating rates of NAFLD. Indian diets, traditionally rich in vegetables and grains, are shifting towards increased consumption of processed foods, high in sugars and unhealthy fats.

Furthermore, the prevalence of alcohol-related liver diseases in India is a significant concern. Alcohol consumption, often deeply rooted in cultural practices, poses a substantial risk, especially in a country with a high burden of poverty and limited access to education about the dangers of excessive drinking.

In India, access to healthcare remains a critical challenge in the fight against liver diseases. While major cities have advanced medical facilities, rural areas often lack the infrastructure and specialised professionals needed for effective liver disease management. This urban-rural divide exacerbates health disparities and leads to delayed diagnoses and suboptimal care.

The cost of liver disease treatment, including medications and transplantation, can be a substantial barrier for many Indians, particularly those from marginalised communities. Government-supported initiatives and affordable treatment options are crucial to ensuring that no one is left without proper care.

Addressing the surge of liver diseases in India requires a targeted approach:

1.&nbsp;&nbsp; &nbsp;Awareness Campaigns: Public awareness campaigns tailored to the Indian context are essential. These campaigns should emphasise the risks of unhealthy diets, and excessive alcohol consumption, and the importance of early detection through regular health check-ups.

2.&nbsp;&nbsp; &nbsp;Community Education: Engaging with local communities to spread awareness about the dangers of excessive alcohol consumption and the benefits of healthy lifestyles can have a lasting impact.

3.&nbsp;&nbsp; &nbsp;Telemedicine: Given the vast geographical landscape of India, telemedicine can bridge the gap in healthcare access, enabling consultations with hepatologists and gastroenterologists even in remote areas.

Also read:&nbsp;<a href="https://www.wionews.com/entertainment/lifestyle/news-early-detection-saves-lives-regular-gynecologic-screenings-are-key--gynecologic-cancer-awareness-month-634057">Early detection saves lives! Regular gynecologic screenings are key | Gynecologic Cancer Awareness Month</a>

4.&nbsp;&nbsp; &nbsp;Government Support: The government should invest in healthcare infrastructure and specialists for rural areas. Affordable treatment options and financial support for underprivileged patients can make a significant difference.

5.&nbsp;&nbsp; &nbsp;Research and Collaboration: Encouraging research on liver diseases prevalent in the Indian population can lead to tailored treatment strategies. Collaboration between healthcare institutions and government bodies is essential for effective implementation.

The escalating prevalence of liver diseases&nbsp;in India necessitates attention. Lifestyle factors, healthcare accessibility and the burden posed by hepatitis all contribute to this mounting crisis. By placing an emphasis on education, taking measures, and ensuring access to healthcare services, we can take adequate and effective steps in fighting liver diseases in India. It is crucial that the healthcare system&nbsp;in India, policymakers, and communities join forces to give importance to liver health and strive towards a future for everyone.

(Authored by&nbsp;Dr Sheetal Mahajani, Transplant Hepatologist &amp; Gastroenterologist, Sahyadri Hospitals, Pune)

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Liver disease stands as a formidable challenge to public health in contemporary Indian society. According to the World Health Organization (WHO), liver diseases now rank as one of the leading causes of mortality, with projections indicating that they may climb to become the fifth leading cause by 2030.

Liver disease stands as a formidable challenge to public health in contemporary Indian society. According to the World Health Organization (WHO), liver diseases now rank as one of the leading causes of mortality, with projections indicating that they may climb to become the fifth leading cause by 2030. The pervasive nature of liver diseases has transformed them into an epidemic, impacting lives and placing strain on healthcare systems across our country and the globe. In this article, let's shed light on the factors driving this surge, the obstacles we face and potential solutions that can aid us in addressing this growing public health concern. India is currently experiencing an upswing in liver diseases mirroring patterns. Recent data underscores the severity of this situation. Non-alcoholic fatty liver disease (NAFLD) has emerged as a worry in India and has a prevalence of about 9 per cent to 32 per cent in the general population in India. Moreover, viral hepatitis remains a threat with an estimated 40 million individuals living with hepatitis B and around 6-12 million grappling with hepatitis C. There are various types of liver diseases, with the most common being: 1. Viral Hepatitis: Viral hepatitis comprises five distinct types: A, B, C, D, and E. Each type is caused by a different virus. Hepatitis A and E are typically transmitted through contaminated food or water, while hepatitis B, C, and D spread through contact with blood or other bodily fluids. 2. Alcohol-Related Liver Disease: Excessive alcohol consumption causes this condition. Alcohol can harm the liver in multiple ways, including inflammation, scarring, and the development of cancer. 3. Non-Alcoholic Fatty Liver Disease (NAFLD): NAFLD occurs when surplus fat accumulates in the liver. It is the most prevalent liver disease globally and is often linked to obesity, lack of physical activity, and diabetes. 4. Autoimmune Hepatitis: This autoimmune disorder targets the liver and is more prevalent in women. Treatment typically involves immunosuppressive medications. 5. Primary Sclerosing Cholangitis: This is a chronic inflammatory ailment affecting the bile ducts, which carry bile from the liver to the intestine. Primary Sclerosing cholangitis can lead to bile duct scarring and blockage, ultimately damaging the liver. Also read: The vital role of pregnancy scans: Ensuring baby's health and well-being Lifestyle factors play a crucial role in the rise of liver diseases. Urbanisation, changing dietary patterns, and sedentary behaviours contribute to the escalating rates of NAFLD. Indian diets, traditionally rich in vegetables and grains, are shifting towards increased consumption of processed foods, high in sugars and unhealthy fats. Furthermore, the prevalence of alcohol-related liver diseases in India is a significant concern. Alcohol consumption, often deeply rooted in cultural practices, poses a substantial risk, especially in a country with a high burden of poverty and limited access to education about the dangers of excessive drinking. In India, access to healthcare remains a critical challenge in the fight against liver diseases. While major cities have advanced medical facilities, rural areas often lack the infrastructure and specialised professionals needed for effective liver disease management. This urban-rural divide exacerbates health disparities and leads to delayed diagnoses and suboptimal care. The cost of liver disease treatment, including medications and transplantation, can be a substantial barrier for many Indians, particularly those from marginalised communities. Government-supported initiatives and affordable treatment options are crucial to ensuring that no one is left without proper care. Addressing the surge of liver diseases in India requires a targeted approach: 1. Awareness Campaigns: Public awareness campaigns tailored to the Indian context are essential. These campaigns should emphasise the risks of unhealthy diets, and excessive alcohol consumption, and the importance of early detection through regular health check-ups. 2. Community Education: Engaging with local communities to spread awareness about the dangers of excessive alcohol consumption and the benefits of healthy lifestyles can have a lasting impact. 3. Telemedicine: Given the vast geographical landscape of India, telemedicine can bridge the gap in healthcare access, enabling consultations with hepatologists and gastroenterologists even in remote areas. Also read: Early detection saves lives! Regular gynecologic screenings are key | Gynecologic Cancer Awareness Month 4. Government Support: The government should invest in healthcare infrastructure and specialists for rural areas. Affordable treatment options and financial support for underprivileged patients can make a significant difference. 5. Research and Collaboration: Encouraging research on liver diseases prevalent in the Indian population can lead to tailored treatment strategies. Collaboration between healthcare institutions and government bodies is essential for effective implementation. The escalating prevalence of liver diseases in India necessitates attention. Lifestyle factors, healthcare accessibility and the burden posed by hepatitis all contribute to this mounting crisis. By placing an emphasis on education, taking measures, and ensuring access to healthcare services, we can take adequate and effective steps in fighting liver diseases in India. It is crucial that the healthcare system in India, policymakers, and communities join forces to give importance to liver health and strive towards a future for everyone. (Authored by Dr Sheetal Mahajani, Transplant Hepatologist & Gastroenterologist, Sahyadri Hospitals, Pune) WATCH WION LIVE HERE You can now write for wionews.com and be a part of the community. Share your stories and opinions with us here.

Liver diseases in the modern world: Challenges and solutions

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