Gastroenterology Center

Best Liver Specialist in Guwahati | Advanced Hepatology

Superspecialist care for chronic liver diseases, cirrhosis, portal hypertension, ascites, and hepatitis B/C infections.

FibroscanAdvanced Elastic Staging
EVL BandingBleeding Control Support
9+Years Hepatology Care

Your liver is the largest internal organ, responsible for filtering toxins, producing vital bile, and processing nutrients. If you have been diagnosed with liver swelling, fatty liver, hepatitis, or cirrhosis, consulting a qualified liver specialist (Hepatologist) is critical. Dr. Dipankar Das offers comprehensive hepatology care in Guwahati.

Liver Conditions We Manage

Hepatology is a specialized field within gastroenterology focusing on liver, gallbladder, and biliary tree disorders. Dr. Dipankar Das treats a wide array of liver diseases, including:

  • Fatty Liver Disease (NAFLD / NASH): Accumulation of fat in liver cells. Left unmanaged, it leads to chronic liver inflammation and cirrhosis.
  • Hepatitis B & C Viruses: Chronic viral infections causing slow liver damage. Treated using modern, highly effective antiviral drugs.
  • Alcoholic Liver Disease: Scars and damage resulting from chronic heavy drinking, requiring counseling and clinical support.
  • Cirrhosis of the Liver: Late-stage fibrosis where healthy tissue is replaced with scar tissue, impairing liver function.
  • Portal Hypertension: Increased blood pressure in the portal vein system, leading to esophageal varices and bleeding risks.
  • Ascites: Buildup of fluid in the abdominal cavity, requiring dietary management, diuretics, or therapeutic paracentesis (fluid removal).

Diagnostic Tests for Liver Disease

Determining the exact stage of liver damage is critical to planning treatment. Diagnostic protocols include:

  • Liver Function Tests (LFT): Blood panel measuring levels of bilirubin, SGOT, SGPT, and alkaline phosphatase enzymes.
  • USG Abdomen: Ultrasound scanning to evaluate liver size, check for fatty changes, and detect ascites.
  • Viral Marker Screening: Checking for HBV and HCV genetic markers.
  • Liver Biopsy: Minimally invasive extraction of tissue for microscopic staging of liver fibrosis.

Advanced Liver Treatments & Variceal Banding

For advanced liver diseases like cirrhosis, complication management is key. Dr. Dipankar Das performs Endoscopic Variceal Ligation (EVL banding) under HD endoscopy to place elastic bands around swollen esophageal veins, preventing life-threatening gastrointestinal bleeding.

He also offers metabolic support for reversing Grade 1 & Grade 2 fatty liver, prescribing customized, patient-friendly dietary sheets and weight loss guidance.

Preventing Liver Damage

Protecting your liver involves vital vaccines and metabolic changes. Dr. Das advises patients to ensure vaccinations for Hepatitis A & B are complete and to avoid all over-the-counter painkillers or unverified herbal medicines, which can cause drug-induced liver injury.

Clinical Signs & Key Symptoms

Jaundice

Yellowing of the eyes, skin, and dark orange urine, indicating high bilirubin from liver stress.

Fluid Ascites

Abdominal swelling and bloating caused by excess fluid accumulation in the peritoneal cavity.

Hepatic Fatigue

Chronic weakness, loss of concentration, and lack of energy caused by toxic metabolic build-up.

Bruising & Bleeding

Easy skin bruising or nosebleeds due to impaired clotting factor production.

Encephalopathy

Mild confusion, hand tremors, or sleep reversal due to high ammonia levels in blood.

Stages & Severity Classification

Stage / GradeClinical ConditionCommon IndicatorsReversibility
Stage F0-F1Mild Inflammation / SteatosisEarly fat accumulation or minor inflammation without scarring.Fully Reversible
Stage F2-F3Moderate to Severe FibrosisScar tissue starts spreading through liver segments, compromising vascular channels.Partially Reversible
Stage F4Liver CirrhosisHealthy liver tissue is largely replaced by permanent nodular scarring, impeding blood flow.Requires Care
DecompensationCirrhosis ComplicationsOnset of fluid ascites, variceal bleeding, or hepatic encephalopathy confusion.Advanced Care

Dietary Adjustments & Food Guidance

Recommended (Foods to Enjoy)

  • Low-sodium meals (less than 2000mg sodium daily to control ascites)
  • High-quality vegetable and dairy proteins (paneer, milk, tofu, egg whites)
  • Fresh vegetables and fruits (apples, papayas, green vegetables)
  • Frequent small meals (prevents glycogen depletion and muscle wasting)
  • Lean baked fish or skinless chicken in moderation

Avoid (Triggers to Limit)

  • Alcoholic beverages of any kind (severe direct liver toxin)
  • High-sodium foods (processed cheese, chips, pickles, soy sauce, table salt)
  • Raw seafood or undercooked shellfish (risk of severe vibrio infections)
  • Over-the-counter painkillers (especially NSAIDs like ibuprofen, causes kidney stress)
  • Unverified herbal supplements (can cause drug-induced liver injury)
Interactive self-check

Gastrointestinal Symptom Checker & Severity Risk Assessment

Step 1 of 3

Hepatic Fat & Metabolic Risk Assessment

Evaluate baseline risk factors for fatty liver and NASH cellular stress.

Have you been diagnosed with fatty liver on a routine abdominal ultrasound?

Clinical Diagram
Liver, gallbladder and biliary tract illustration
Anatomical visualization of gastrointestinal structure for patient education.

Hepatology Treatment Pathway

1

Comprehensive Screening

Perform liver function tests, viral load counts, and abdominal imaging.

2

Fibroscan Assessment

Undergo non-invasive transient elastography to stage liver scarring (F0 to F4).

3

Targeted Medical Therapy

Start specific therapies, such as antivirals for Hepatitis or diuretics for ascites.

4

Regular Monitoring

Visit the OPD every 3-6 months for screening scans to monitor liver health.

Condition Insights & FAQs

Dr. Dipankar Das portrait

Dr. Dipankar Das

DM Gastroenterology • IMS BHU
  • Senior Consultant at Narayana Hospital
  • Visiting consultant at HAMM Hospital
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Key Indicators

  • Yellow Jaundice (eyes/skin/urine)
  • Abdominal Fluid Swelling (Ascites)
  • Loss of Appetite, Nausea, & Weight Loss
  • Mental Confusion or Disorientation (Encephalopathy)
  • Easy Bruising or Bleeding

Timings & Contact

Narayana Hospital, GuwahatiMon - Sat: 10:00 AM - 04:00 PM
HAMM Hospital, HojaiWeekly Visiting Hours Check

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OPD clinic appointments are available in Guwahati & Hojai. You can also opt for digital video consultations.

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