How Dr. Rishi Diagnoses Autoimmune Hepatitis?
Dr. Rishi Chadha uses a step-by-step approach:
Medical History and Exam
He discusses your symptoms, reviews your personal and family health history, alcohol use, and conducts a focused physical exam.
Blood Tests
We measure liver enzymes (ALT, AST), check autoimmune markers (ANA, SMA, IgG), and rule out viral or metabolic causes of liver injury.
Imaging Studies
- Ultrasound evaluates liver size, texture, and blood flow.
- MRI or FibroScan (elastography) assesses liver stiffness and estimates fibrosis.
Advanced Testing (if needed)
When clarification is required, a liver biopsy confirms the diagnosis, grades inflammation, and stages scarring.
Frequently Asked Questions
What is autoimmune hepatitis?
It's a chronic liver disease where your immune system mistakenly attacks your liver cells.
Is autoimmune hepatitis contagious?
No, it cannot be spread from person to person.
What causes autoimmune hepatitis?
The exact cause is unknown. Genetic factors and environmental triggers like viruses or toxins may play a role.
How is autoimmune hepatitis diagnosed?
Diagnosis involves blood tests for liver function and immune markers, imaging (ultrasound/MRI), and sometimes a liver biopsy.
What treatments are available?
Standard treatment includes steroids (e.g., prednisone) and immunosuppressants (e.g., azathioprine) to reduce inflammation and immune activity.
Will I need long-term medication?
Yes. Many patients require ongoing therapy for months or years to keep the disease under control.
Can lifestyle changes help?
Absolutely. A healthy diet, regular exercise, stress management, and avoiding alcohol support liver health.
Are there any diet restrictions?
Avoid alcohol, high-salt foods, and processed junk foods. Focus on fruits, vegetables, whole grains, and lean proteins.
Can children get autoimmune hepatitis?
Yes. While more common in adults�especially women�it can occur at any age, including childhood.
When should I schedule a visit with Dr. Chadha?
If you experience persistent fatigue, jaundice (yellowing of skin/eyes), or upper right abdominal discomfort, book an appointment for evaluation.