And how to treat it and liver threat hepatitis a dangerous disease that often goes undetected. And heres your host dr kasten leggo tat the Liver Disease hepatitis is a worldwide problem especially in africa and in Southeast Asia many patients dont even know that they are infected until the liver goes on strike how you can prevent hepatitis and how you can treat it this is what im going to talk about today with dr you get here at the sherry t. In berlin welcome to in good shape. If you have any bit of never and im so see a doctor because many problems can be treated. Hepatitis a b. C. D. Aids there are different kind. Viral agents causing the Liver Disease and some of them are quite harmless our liver can deal with it but especially in hepatitis b. And c. The disease is really really dangerous because over time it destroys our liver. Even to has been through a lot she was diagnosed with hepatitis c. Her liver had become irreversibly damaged she was fortunate to get a transplant although only after an agonizingly long wait. Couldnt enjoy life at all i was just living one day to the next hoping that id survive. The name hepatitis is derived from the greek words for liver and inflamed some forms of that disease those caused by alcoholism for example are not contagious but infectious liver inflammation is triggered by pathogens hepatitis a through each type of virus is transmitted and treated in a different way if the body cant fight off the infection on its own patients have to take special medication if the disease remains under tech to it can cause scarring in the liver. And we can get rid of the virus then the patient is no longer infectious i but once you reach a certain stage of Liver Disease it can no longer be reversed. Its nice. And. That was the case with gabby vinter happen titus see remained undiscovered for thirty five years and destroyed her liver the virus cant be seen or felt only a fraction of those affected develop jaundice a symptom where the skin and eyes turn yellow many people misinterpret the symptoms. Exclaiming exhaustion and a complete lack of drive everything seems so incredibly difficult and requires an immense physical effort. Thats what always left me so dry and this for this first show i also felt like a mom. Sometimes Patients Experience stomach pain to arise in ky liver values can be an early indicator of hepatitis if doctors suspect an infection they conduct an ultra scan examination of the organ. Blood test is required for formal diagnosis definitive results can only be provided by the lab. Vaccines are available for hepatitis a and b. But not c. Appetite a c. Isnt passed on during normal social contact usually its transmitted only directly via blood and certain parts of the world risks are higher in. Developing nations where hygiene standards and not to stringent as in the industrialized world you should avoid invasive procedures for a name and so that even includes having your beard shaved because of the risk of injury. That kind of money thats for those who do get infected there are new drugs that appear to be capable of beating the disease in most cases but gabby venter had to have a liver transplant although she too is now enjoying life again. Drugs that cure hepatitis are very expensive but they work and this is what im going to talk about with dr being good here at the sheraton in berlin thanks for having me today so what are your experiences with those new drugs these drugs are really a revolution in medicine. Its now possible to cure this form of chronic disease in almost all patients also if they already have. Liver cyro source and its really. Extreme benefit for all patients to have these medications that have less side effects are almost no side effects a short period of time to take them can be a minister or really so really Great Development in medicine you have to admit that pretty safe for all patients but this is not quite true because those drugs are very very expensive so not everybody worldwide can afford them why are they so expensive the Farmer Industry really put a lot of. Effort in development of these drugs and. Theres also a lot of. Parallel development in all companies but i think there is. It will take only a period of time until then i think they will get cheaper they already get cheaper by now because there is a lot of competition between the companies and every new drug lowers the prices for their former drugs and we already see that developing and thats good news then yeah so if you want to diagnose a hepatitis or if you want to follow up on the patients who is sometimes have to puncture the liver in faces. So but this procedure is quite dangerous and yes it is because the liver is very well supported with blood saw the main problem is that its not unlikely that you will produce a bleeding within the liver but there are alternatives to pondering the liver there are. Methods using i trust found to do less to graffitti and with this methods you can answer the question is there fibrosis are as i rose in the liver you do need a needle you just need an eye for sounds yes. And youve got a patient and you want to show us the procedure without a sound with a patient yes. Thank you was the target that we can watch this examination. So now youre performing a fibro scan thats all so its caught up to what happens here. Thats a method of ultrasound and the ultrasound is kind of giving a little to point that into her liver and the worse starting to move if shes very if its very soft the liver and if its stiff then its not moving and the instrument can calculate this and is giving spec a number and from this moment we can estimate the amount of hydros us or several of us in the us so its not painful is it you know its very very important to to and diagnose her to see an early stage to to get the proper treatment so it would be great if we would have some tests for screening for instance to have those tests we dont have regular tests right now. Of course we always. Get very often patients that have elevated liver enzymes and a blood test and get diagnosed by that way but theres no regular screening but it would be helpful when that would be very helpful because its a pretty cheap test and the liver doesnt give you pain or any symptoms that could warn you i mean the best thing would be if there would be Something Like a. Vaccination against her tight a c. Like we do here for hepatitis b. So is the explanation for a bit of a c. On the horizon there are many scientific groups. Doing work on this topic and trying to find an explanation there are several problems in the development. Right now i cant give you the answer we will have that explanation in two or three years but i guess one day well have it so this examination here is finally over so what are the results of the liver stiffness is five point three years. The regular. And soft stiffness so. Its good to hear good news so healthy liver that theyre different forms of hepatitis have you tried to see is one form of this Something Like a just a type that is be and even hepatitis b. Hepatitis he is not as dangerous as hepatitis c. This is not true for patients with a suppressed immune system. In germany quite a few people wrong ground pork. Chris last night had a role filled with that one day for breakfast. It gave him hepatitis a. It took a few days for the symptoms to develop. It started with a slight headache and pain in my joints i thought i was getting a cold but the headache didnt go away and then i lost my appetite and it looked like my skin was turning yellow. A standard blood test didnt find anything his doctor referred him to specialists at the local university hospital. They performed further tests this time the hepatitis was found in licensed blood. Its estimated that around three hundred thousand people get hepatitis c. In germany every year. Under. Cooked unquote poor and pork products. Some types of pork sausage in germany are made with roll mate its not hated merely tried ok cupid with salt viruses can still survive under those conditions so if there are viruses in the poke to start with theyre probably still there in such products. From the digestive tract the viruses make their way into the bloodstream and liver. Sometimes the immune system fails to neutralize them before they begin to multiply and cause illness. Noise recent studies have found the virus in the kidneys and in animal tests in the brain as well as patients with hepatitis c. Also suffer neurological problems which it is in fact. People with compromised immune systems are less able to fight off the virus to impress had a Lung Transplant and has to take immunosuppressive drugs he too got hepatitis a from eighteen polk sundays and. When i got the diagnosis i was speechless i didnt even know hepatitis existed. Hepatitis can become chronic in immunocompromised patients and this patient had elevated liver values it can also lead to acute inflammatory hepatitis which causes cirrhosis and someone with an immune deficiency it can all go very fast all of the most right here on trial or was prescribed an antiviral agent and it worked which is not always the case his liver was able to recover. A few. Weeks later his liver values were back to normal as a young colleague ever wrote wow next to the numbers we were amazed the therapy doesnt always work so well success is more the exception than the rule but in this case it all went very well up you. Know more roll pull. Hes learned his lesson. Doctors worry that blood and plasma for transfusions may also contain hepatitis c. In germany donors are not routinely tested for it and tainted blood products could represent a serious risk to recipients. So habitat is eikenberry danger for patients right after surgery or with the immunosuppressants but what about pregnant women actually pregnant women also have a higher problem with this disease because its more often and their life threatening course their appetite is in about twenty percent of infected pregnant women lets talk about a different form of hepatitis hepatitis b. This is the most common form i guess about three hundred Million People worldwide suffer from it what does have a todas b. Do to a liver. There are several things that are happening in the one thing is that chronic infection and inflammation in the liver leads to or. Development of scars and the liver that has always us and and later stated that of us i was us the other thing as. Tight as b. Also cause us. Development of liver cancer also with outlive us i was us. There are two different forms one for me is the acute hepatitis b. And the other one is a chronic form so the crawly from develops out of the acute from thats right and most cases have otitis becomes chronic other ineffective frogs again suppertime disappear there are a lot of effective drugs however these drugs can only suppress the replication of the virus but in most cases cant eliminate the disease completely so normally patients do have to take those medications level so but now youre testing something different. Yes we know from individual cases and from pilot studies that some patients are able to keep a low amount of viruses in their blood after stopping the medication and that even some patients can get rid of the infection and we are right now performing International Studies that trying to answer this questions question in which patient can we stop the treatment after several years and which patient needs the treatment lifelong and house of the tightest hope be transmitted its transmitted just as have a tighter seal by sexual intercourse or blood products but unlike a time to see you can relate against hepatitis b. Who should get vaccinated. People that are in close contact to have otitis be patients should be vaccinated and in germany odds are on children are vaccinated shortly after birth and so the indication of a vaccination is just right now opened for. More people and if you got the basic vaccination for how long was the effect last. Theres not general rule but its easy to test. Whether. An immunization as still working or valid lets say can test a tighter and see how many antibodies you have against they have to just be regarded your question from in reflection from canada she wrote that her husband died of liver zeros at the age of Seventy Eight and he had grown up in romania and should know she wants to know if its possible that he got infected dream childhood and that he just hasnt noticed it and if it would have been possible to treat him if his illness would be detected earlier yes that is possible the liver was compensating a lot so thats very likely that he had been faction for years without knowing. Thank so much for having me today thank you and if youve got any questions you like me to ask our experts be sure to write me an email. In an upcoming show well be looking at aneurisms pathological vultures that can appear on the walls of blood vessels if one that can be life threatening what causes that and how are they treated send your questions to in good shape dot com just right and your resume in the subject line we go forward to hearing from. You can exercise till you drop and still not be able to lose unwanted body fat. By blocking the aesthetic medicine may provide an answer cry you little license because if you cool down the fat cells below five degrees you freeze ahead self literally to death. I want to get rid of it but it wont go one option for shedding excess pounds without surgery is to freeze them off. Im not sure itll work again. Forty seven year old stephanie battlers is going to help us find out how effective cryo little isis is she exercises often she especially likes riding badminton and aerobic but she still has a problem with one particular area of her body im going to have to reach a certain age the weight slips down from here to your tummy its got to go. Stephanie is opposed to liposuction due to the risks associated with the procedure she therefore chose cryo lipo lysis doctor is the physician who will be phrasing off the fat. If you can show me again where the problem is. When i sit down this bit bothers me is how fat cells can cope pretty well with a particular temperature our body temperature. Look up at him with the president when its not if they drop below five degrees celsius they die off in a process called turns has been in and does tours a horde. Will take your measurements from the widest point around your stomach is ninety one centimeters. Which stephanie wants to freeze down to size. Is in my done in the ideally we have small and distinct deposits of fat which we call localized obesity and look at. It as one or two handfuls a not a problem. Its also possible to treat larger areas with multiple applications although its not a suitable method for overweight people to become thin. Cryo lysis was developed and tested by scientists at Harvard University in the us. Its going to be cold and wet the antifreeze in gel protects your skin its only the fat cells we want to freeze after all. Then the applicator is placed in position it uses a vacuum to suck in fatty tissue and then cool it to a temperature of four degrees celsius. Hasnt but its bearable i was expecting it to be much worse. Then the patient has to wait while the cold from the applicator leeches away the energy from the fat cells causing the metabolism to come to a still stand the cells die off. The device is removed after sixty minutes the chilled tissue is then massaged vigorously. This is what were doing now is crushing the fat cells that have already died and mass into the healthy fat tissue. And it says it can be removed by the body via metabolic processes through. Blood and live circulation. Times for. The procedure isnt advisable for everyone. Its not suitable for patients with secondary conditions or complications like patients who have to take blood thinners who are pregnant or have skin diseases or vascular abnormalities in the area in question or observed side effects have been relatively low so far they include changes and skin color ration another nassar sensitivity and the area treated. Three months later stephanie barters sees her doctor for a check up. Heres how do you feel great its no bruising or anything it felt a bit unpleasant when it was palpated but. Now were going to measure the same place. Eighty five centimeters wow six centimeters that stephanie is now slim around the middle before and after photos document the difference. This is africa now its just what i wished for it no longer partridge save my pants so i can tuck in my blouse probably i was cute but is the fact gone forever thick as listed and that depends on the patient if they start feeding their other fat cells again then soon theyll be more fat in the area again and. Fit. To ensure she stays slim Stephanie Bartels is already back pounding the road. The word sounds nice but its not nice to have its an inflammatory skin disease of the face and it reminds me a little bit of. The past for the dilated arteries and the face turns red people who are affected by it say that it prevents them from feeling confident in certain situations but this hope with the horizon. Has been suffering from rose share for nine years now the first indications came when her skin started turning red. Ive been going through a divorce it was during that phase of separation of a several months that it broke out properly this is under his face grew red and inflamed typical symptoms for rose asia the changes are caused by dilated blood vessels and increased blood flow and often blocked sebaceous glands. In acute faces your entire face can feel hopton painful some Patients Experience only a slight redness but they report that it suddenly becomes bright red if they are exposed to the sun or eat spicy food comes to it the exact causes of rose shot are known in many cases its hereditary they can be triggered by sunlight emotional stress spicy food alcohol physical activity and extreme temperatures a cream originally used to combat mites and other parasites has proved effective at treating the worst symptoms when going to fist at one Point Research has discovered that particular mites were frequently involved in cases of result. They can cause bumps to form. So the cream was modified and then approved as a cream for the condition and since then weve seen a major improvement in symptoms before. Measure your call it first noticed his ten years ago in his case both the face and the eyelids are affected and hes come down with conjunctive vitus a number of times. The skin condition causes the sebaceous glands on the islands to block up and. Colored eyedrops that settle in a film across the cornea illustrate the problem blue light reveals that the liquid film scene in yellow lower down immediately starts to break up because the eye isnt moist enough under normal circumstances a protective