Hepatology is a branch of medical science that involves the study of liver, gallbladder, biliary tree, and pancreas as well as management of their disorders.Ailment and problems related to associate to viral hepatitis and alcohol are the major reason to visit doctor. More than 2 billion people have been found to be victims of hepatitis B at some or the other point in their life and about 350 million people have become persistent carriers of the disease.
Major number of cases of cancer are said to be attributed from hepatitis B or hepatitis C. With more extensiveapplication of vaccinationand firmscreening before blood transfusion, lesserinfection rates are predictable in near future. In many countries, however, overall alcohol ingesting is swelling, and thus the number of people with cirrhosis and other related problems is commensurately increasing.
As for numerous medical specialties, patients are most probable to be mentioned by family physicians (i.e. GP) or by doctors from diverse disciplines. The reasons might be drug overdose paracetamol overdose is common, gastrointestinal bleeding from portal hypertension related to liver damage, Abnormal blood test suggesting liver disease, Enzyme defects leading to bigger liver in children commonly named storage disease of liver, Jaundice / Hepatitis virus positivity in blood, perhaps discovered on screening blood tests, Ascites or swelling of abdomen from fluid accumulation, commonly due to liver disease but can be from other diseases like heart failure, All patients with advanced liver disease e.g. cirrhosis should be under specialist care, To undergo ERCP for diagnosing diseases of biliary tree or their management, Fever with other features suggestive of infection involving mentioned organs.
Some exotic tropical diseases like hydatid cyst, kala-azar or schistosomiasis may be suspected. Microbiologists would be involved as well, Systemic diseases affecting liver and biliary tree e.g. haemochromatosis, Follow up of liver transplant, Pancreatitis – commonly due to alcohol or gall stone, Cancer of above organs. Usually multi-disciplinary approach is undertaken with involvement of oncologist and other experts.
General physician is a medical physician who focuses in curing critical and long-lasting ailments and offers preventive upkeep and health education for all ages and sexes. They have definite skills in handling people with numerous health problems and comorbidities. “The good GP will treat patients both as people and as a population”. General practitioners are greatly experienced practitioner who delivers a non-surgical health care to adult patient. They deals with difficult, acute and unusual illness and continue to provide their services unless the patient’s problem is completely resolved and stabilized. Much of their work takes place with hospitalized patients, they even see patient with serious illness in their consulting rooms.
Geriatrist is a sub-specialty of internal-medicine and family medicines that deals with the health care of old people. It targets to encouragehealth by averting and treating illnesses and disabilities in elder people. There is no set age at which patients may be under the upkeep of a geriatrician or geriatricphysician, a physician who focuses in the upkeep of elderly people. Rather, this choice is firm by the individual patient’s wants, and the accessibility of a professional.Geriatrist deals with the problems of aged people, it is unlike that of gerontology; that determines the study of aging process.