Mumbai
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Ascites

Decompensated Cirrhosis

Ascites

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Email Address dr.chetankalal@gmail.com

Mon-Thu: 10 AM - 2 PM • Fri: 3 PM - 7AM

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Address 35, Dr Ernest Borges Rd, opp. Shirodkar High School, Parel East, Parel, Mumbai, Maharashtra 400012

Mumbai, India, 400012

Description

Ascites: A Warning Sign of Advanced Liver Disease Ascites is the abnormal accumulation of fluid in the abdominal cavity, most commonly due to advanced liver disease (cirrhosis). It indicates portal hypertension and liver dysfunction, requiring immediate medical attention. Left untreated, ascites can lead to life-threatening complications such as spontaneous bacterial peritonitis (SBP), hepatorenal syndrome (HRS), and respiratory distress. Common Causes of Ascites: 🔹 Cirrhosis (Most Common in India & Worldwide) – Alcohol, Hepatitis B/C, MAFLD. 🔹 Cancer (Malignant Ascites) – Ovarian, pancreatic, or liver cancer. 🔹 Tuberculous Peritonitis – A significant cause in India, often misdiagnosed. 🔹 Heart & Kidney Disease – Cardiac failure, nephrotic syndrome. How to Recognize Ascites? ⚠️ Early Symptoms: Mild abdominal bloating, weight gain. ⚠️ Moderate: Visible abdominal distension, early satiety, breathlessness. ⚠️ Severe: Extreme swelling, hernias, leg edema, difficulty breathing. Management & Treatment Approach: ✔️ Sodium Restriction (<2g/day) & Diuretics (Spironolactone, Furosemide) – First-line therapy. ✔️ Therapeutic Paracentesis (Large-Volume Tapping) – For severe cases. ✔️ Albumin Infusion – Prevents kidney injury after tapping. ✔️ Transjugular Intrahepatic Portosystemic Shunt (TIPS) – For refractory cases. ✔️ Liver Transplant – The Ultimate Cure for Cirrhosis-Related Ascites. Why Trust Dr. Chetan Kalal for Ascites Management? 🏥 Mumbai’s Leading Hepatologist & Liver Transplant Expert 🔬 Pioneering Advanced Cirrhosis & Ascites Care ⚕️ Expert in Managing Complex Liver Conditions with Proven Success Rates 💡 Uncontrolled ascites is a serious warning sign—Seek Expert Hepatology Care Now! #DrChetanKalal #BestHepatologistInMumbai #LiverCare #Cirrhosis #Ascites #LiverHealth #HepatologyExpert #LiverTransplant #besthepatologistindia

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IPD & ICU Services – Acute Liver Failure (ALF) & Acute-on-Chronic Liver Failure (ACLF)

🌐 Service Description (Expert + SEO-Optimized) Dr Chetan Kalal, Maharashtra’s first DM Hepatologist, leads an advanced In-Patient (IPD) and Liver-ICU program for the management of Acute Liver Failure (ALF) and Acute-on-Chronic Liver Failure (ACLF). These are medical emergencies that demand immediate, coordinated multidisciplinary care. Under Dr Kalal’s supervision, each patient receives round-the-clock hepatology, critical-care, transplant, and infectious-disease support in a tertiary-level ICU setup. Scope of Care: ✅ Rapid diagnosis & staging of ALF/ACLF ✅ Stabilisation of encephalopathy, coagulopathy & sepsis ✅ Hemodynamic & renal support (vasopressors, CRRT) ✅ Nutritional & metabolic management ✅ Early transplant evaluation & listing coordination ✅ Immunosuppression and post-operative ICU transition ✅ Family counselling & prognosis updates Dr Kalal personally oversees every IPD admission and works closely with critical-care and transplant teams to optimise survival and long-term outcomes. 📍 Available At Partner hospitals & transplant-affiliated ICUs across South Mumbai – Worli | Dadar | Lower Parel | Bandra | Andheri | Kandivali | Pali Hill 24×7 IPD coordination and priority ICU referrals: www.drchetankalal.com ⭐ Why Choose Dr Chetan Kalal’s IPD/ICU Liver Care ✅ First DM Hepatologist of Maharashtra ✅ Tertiary-grade ICU liver management protocols ✅ Rapid transplant linkage for ALF/ACLF cases ✅ Integrated care with nephrology, nutrition & ID support ✅ 24-hour physician supervision & follow-up transition to home/virtual care

Preventive Liver Health Check & Lifestyle Screening

The Preventive Liver Health Check & Lifestyle Screening Program by Dr. Chetan Kalal focuses on early detection, prevention, and holistic management of liver and metabolic disorders before they progress to serious disease. As India’s leading hepatologist and liver transplant expert, Dr. Kalal has designed a structured preventive protocol that helps identify risk factors like fatty liver, obesity, diabetes, cholesterol imbalance, and alcohol-related liver injury at an early stage. Ideal For: Working professionals, executives, and NRIs with stressful lifestyles Individuals with diabetes, high cholesterol, obesity, or metabolic syndrome Family history of liver disease or alcohol use Post-COVID fatigue or elevated liver enzymes Pre-transplant / post-transplant wellness follow-up 🧪 What’s Included ✅ Liver Function Test (LFT) – enzyme and bilirubin profile ✅ FibroScan / Ultrasound Liver – to assess fibrosis and fat content ✅ Metabolic & Lipid Profile – cholesterol, sugar, HbA1c ✅ BMI & Body Composition Analysis ✅ Alcohol-Related Risk Assessment ✅ Nutrition & Lifestyle Counselling ✅ Personalised Preventive Plan curated by Dr. Kalal 📍 Available At: South Mumbai (Worli, Dadar, Lower Parel, Bandra, Khar, Andheri, Kandivali, Pali Hill) Virtual report reviews and counselling available for India & overseas patients. Book Appointment: www.drchetankalal.com ⭐ Why Choose This Program ✅ Designed by Maharashtra’s first DM Hepatologist ✅ Prevents progression of fatty liver and metabolic disorders ✅ Data-driven wellness insights and early intervention ✅ Ideal for corporate health, NRI annual checkups, and family screening ✅ Combines medical science + lifestyle coaching for sustainable health

Second Opinion & Virtual Consults

Dr. Chetan Kalal offers advanced Second Opinion and Virtual Consultation services for complex liver and transplant cases, providing patients worldwide with access to trusted, evidence-based hepatology expertise — right from their home. This service is ideal for patients who: Need clarity on diagnosis, biopsy, or imaging results Want a second opinion before liver transplant or surgery Seek review of ongoing treatment for cirrhosis, NASH, or viral hepatitis Require continuity of care after moving abroad or being discharged How it works: ✅ Upload your reports and case summary securely via www.drchetankalal.com ✅ Get a detailed expert review with a personalised medical plan ✅ Receive your written consultation summary via email or portal ✅ Option for follow-up video calls and treatment monitoring Available For: Patients across India, US, UK, UAE (Dubai/Abu Dhabi), Singapore, Australia, New Zealand, Canada, Middle East, and Europe (Paris & London) Consult Types: Second Opinion on Liver Disease or Transplant Candidacy Transplant Aftercare & Immunosuppression Review Fatty Liver / Obesity Management (GLP-1 & GIP Therapy) Hepatitis B & C Treatment Planning Complex Multispecialty Case Coordination 📍 Consultation Modes Video Consultation (Zoom/WhatsApp/Google Meet) Written Medical Opinion Report (within 48–72 hours) Follow-up Virtual Aftercare for NRI or international patients ⭐ Why Patients Choose This Service ✅ Trusted by global patients for accurate, unbiased medical opinions ✅ Transparent, documented reports (useful for insurance or second review) ✅ Managed directly by the first DM Hepatologist of Maharashtra ✅ Integrated with transplant, endocrine, and nutrition teams for holistic advice