• Published on: Jul 14, 2021
  • 1 minute read
  • By: Raj Dwivedi

Telemedicine, COVID-19 And Liver Diseases

  • WhatsApp share link icon
  • copy & share link icon
  • twitter share link icon
  • facebook share link icon
  • For liver diseases, there have been successful experiences with the use of different modalities of telemedicine [i.e. asynchronous telemedicine (analysis of patient's data by a single physician or multidisciplinary team), synchronous real-time patient management and tele-education]
  • Our Telemedicine program showed successful results as the sustained virologic responses achieved by those patients treated in primary care settings under the expert guidance.
  • Currently, this type of care is considered a vital tool for the goal of global elimination of HCV infection.In addition to HCV management, telemedicine offers opportunities for a better management of patients with chronic liver diseases by increasing their access to tertiary care, thus improving efficiency of healthcare delivery at reasonable cost .
  •  We forsee expansion of telemedicine into other areas of hepatology is desirable and hold potential for improving management of pre- and post-liver transplant patients, patients with hepatocellular carcinoma (HCC) and patients with both compensated and decompensated cirrhosis.
  • It is important to note that in liver transplant setting existing data suggest that use of telemedicine may expedite evaluation and listing of patients referred to liver transplant centers and could improve outcomes (hospital readmissions, and quality of life) after liver transplantation.
  • In the case of HCC, telemedicine aslo offers the possibility of multidisciplinary evaluation in virtual tumor boards leading to tailored and more effective treatments . Finally, in cirrhosis, telemedicine may enhance self-care and facilitate HCC surveillance eventually preventing readmissions in recently hospitalized patients.
  • With the onset of COVID-19 pandemic everyone has forced the implementation of telemedicine actions for many liver patients.
  • Major international societies have released recommendations encouraging the use of remote care to manage patients with all liver diseases, particularly liver transplant patients.
  • However, the crisis will seriously impact cirrhosis care with social distancing and isolation causing major delays in elective procedures and routine care with potential overwhelm of medical centers managing postponed and potentially decompensated patients in the upcoming months.
  • Developing robust telemedicine programs and revamping remote care initiatives in hepatology will be critical during COVID times. The next challenge will be how to integrate telemedicine into routine clinical care beyond the COVID-19 pandemic.
Read Blog
Inflammation

How Inflammation Affects Overall Health: Understanding the Hidden Risks

Inflammation is often misunderstood. While it is a vital protective response of the immune system, persistent or chronic inflammation can quietly damage tissues and increase the risk of serious diseases. Understanding how inflammation affects overall health is crucial in preventing long-term complications and maintaining optimal wellbeing.

According to the World Health Organization and global medical research published in Lancet, chronic inflammation is linked to a wide range of non-communicable diseases, including heart disease, diabetes and autoimmune disorders.

 

What Is Inflammation?

Inflammation is the body’s natural response to:

  • infection

  • injury

  • toxins

  • stress

It activates immune cells to eliminate harmful stimuli and promote healing.

There are two main types:

Acute Inflammation

Short-term and protective.
Examples include swelling after injury or fever during infection.

Chronic Inflammation

Long-term, low-grade inflammation that persists even without injury.

Chronic inflammation is harmful.

 

How Chronic Inflammation Develops

Persistent inflammation can result from:

  • unhealthy diet

  • sedentary lifestyle

  • obesity

  • chronic stress

  • environmental toxins

  • untreated infections

Modern lifestyle patterns contribute significantly to this condition.

 

Impact on Heart Health

Inflammation damages blood vessels and promotes plaque formation.

This increases risk of:

  • heart attack

  • stroke

  • hypertension

ICMR data highlights cardiovascular disease as a leading cause of death in India, with inflammation playing a contributing role.

 

Link Between Inflammation and Diabetes

Chronic inflammation interferes with insulin signalling.

This leads to:

  • insulin resistance

  • elevated blood sugar

  • metabolic syndrome

NFHS-5 data shows rising diabetes prevalence, partly linked to inflammatory lifestyle factors.

 

Effect on Joint and Muscle Health

Inflammatory processes contribute to:

  • arthritis

  • joint stiffness

  • muscle pain

Autoimmune diseases often involve chronic inflammation.

 

Gut Health and Inflammation

The gut plays a central role in immune regulation.

Poor diet and stress disrupt gut balance, triggering:

  • inflammatory bowel conditions

  • digestive discomfort

  • nutrient malabsorption

Gut inflammation impacts systemic health.

 

Brain Health and Inflammation

Emerging research suggests chronic inflammation affects:

  • memory

  • mood

  • cognitive performance

Inflammatory markers are associated with depression and neurodegenerative disorders.

 

Chronic Fatigue and Inflammatory Stress

Persistent inflammation causes:

  • ongoing fatigue

  • reduced stamina

  • sleep disturbances

The immune system remains in constant activation mode.

 

Role in Autoimmune Disorders

Autoimmune diseases occur when the immune system mistakenly attacks healthy tissues.

Chronic inflammation is central to conditions such as:

  • rheumatoid arthritis

  • lupus

  • inflammatory bowel disease

 

Signs of Chronic Inflammation

Symptoms may include:

  • unexplained fatigue

  • persistent joint pain

  • digestive issues

  • frequent infections

  • skin problems

Early detection is important.

 

Lifestyle Factors That Increase Inflammation

High Sugar Intake

Excess sugar promotes inflammatory pathways.

 

Processed Foods

Trans fats and additives trigger immune responses.

 

Sedentary Lifestyle

Lack of exercise reduces anti-inflammatory benefits.

 

Poor Sleep

Sleep deprivation increases inflammatory markers.

 

Chronic Stress

Elevated cortisol disrupts immune balance.

 

Natural Ways to Reduce Inflammation

Anti-Inflammatory Diet

Include:

  • leafy greens

  • fruits rich in antioxidants

  • nuts and seeds

  • whole grains

Avoid excessive processed foods.

 

Regular Physical Activity

Exercise lowers inflammatory markers and improves circulation.

 

Stress Management

Meditation and breathing exercises reduce stress hormones.

 

Adequate Sleep

7–8 hours of quality sleep supports immune regulation.

 

Maintain Healthy Weight

Excess abdominal fat produces inflammatory chemicals.

 

Role of Preventive Health Screening

Regular tests such as:

  • blood sugar

  • lipid profile

  • inflammatory markers

help monitor risk factors early.

 

Importance of Early Intervention

Unchecked inflammation increases risk of:

  • cardiovascular disease

  • metabolic disorders

  • organ damage

Timely lifestyle changes reverse early inflammatory effects.

 

Long-Term Health Benefits of Inflammation Control

Reducing inflammation supports:

  • heart health

  • stable blood sugar

  • improved immunity

  • enhanced cognitive function

  • reduced pain

Preventive strategies protect long-term wellbeing.

 

Conclusion

Understanding how inflammation affects overall health reveals its profound impact on the heart, brain, gut and metabolic systems. While acute inflammation protects the body, chronic inflammation silently contributes to major diseases. Fortunately, lifestyle changes such as balanced nutrition, regular exercise, quality sleep and stress management significantly reduce inflammatory burden. Prevention and early monitoring remain the most effective tools for protecting overall health and ensuring long-term vitality.

 

References

  • World Health Organization (WHO) – Chronic Disease and Inflammation Reports

  • Indian Council of Medical Research (ICMR) – Cardiovascular and Metabolic Health Studies

  • National Family Health Survey (NFHS-5) – Diabetes and Hypertension Data

  • NITI Aayog – Preventive Healthcare Strategy Reports

  • Lancet – Inflammation and Chronic Disease Research

See all

Live Doctor consultation
Live Doctor Chat

Download Our App & Get Consultation from anywhere.

App Download
call icon for mobile number calling and whatsapp at secondmedic