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Mind boggling case
13-year old girl
5 - 6 years on #ayurvedic treatment (shown below) for #Epilepsy. #Ayurveda promised no more #seizure.
Now jaundice, fluid in abdomen, dark pigmentation
#livertwitter #MedTwitter #MedEd #Science #ScienceMatters #pathology #MedicalStudent
1/4
#liver #biopsy
Diagnosis: severe #alcohol #hepatitis and underlying #incomplete septal #cirrhosis (rare, #hepatoportal sclerosis) - 2 diseases in one liver! #radiology
WHY DID THIS HAPPEN?
See retrieved #Ayurveda #drugs analysis results.
#pseudocience
2/4
#Chemicals & #Toxicology analysis
#alcohol content - total 26.17 % v/v
#Arsenic content - total 2461.367 mg/kg
Single highest #Herbal #medicine - Arsenic was 1982.44 mg/kg
Two #ayurvedic drugs also contained #CLONAZEPAM - a modern medicine with anti seizure property😞
#ayush
3/4
Final:
Young girl on long term #ayurvedic Rx
containing alcohol = alcohol liver #disease
containing Arsenic = hepatoportal sclerosis, septal cirrhosis
Arsenic liver damage - animal proof: bit.ly/2CNb2Gk and humans: bit.ly/3hF2ZKG
One Cause➡️Double Effect
4/4
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Related hashtags

#ayurvedic #Epilepsy #Ayurveda #seizure #livertwitter #MedTwitter #MedEd #Science #ScienceMatters #pathology #MedicalStudent #liver #biopsy #alcohol #hepatitis #incomplete #cirrhosis #hepatoportal #radiology #drugs #pseudocience #Chemicals #Toxicology #Arsenic #Herbal #medicine #CLONAZEPAM #ayush #disease

More from @drabbyphilips see all

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Abby Philips M.D., D.M. (Hepatology)
@drabbyphilips
1/n
 Forget #Coronil. Forget #Itolizumab.
There is a new player in town for #coronavirus and #COVID19 treatment. Introducing #Zingivir @Pankajakasthuri made from some herbs and mercuric and arsenic sulfide to fight the #pandemic. Sounds too good. But there are issues.
2/n
 They claim to have tested the product for safety in animal and cell lines. However, no data shown, only media mouthing. Half of the ingredients look like they make a good sambar chutney. But the drug manufacturer claim the following 👇#herbal #pseudoscience
3/n
 In a letter 😳😳😳 the CEO of the company asks the President of India @rashtrapatibhvn to start trials and clinical studies. This was in April 2020. Now fast forward to July 2020. Let's see how things went.
Read 12 tweets
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Abby Philips M.D., D.M. (Hepatology)
@drabbyphilips
#Ayurveda #Herbal #real #Tales
1
Saw 64y old #patient with #jaundice and severe #itching all over #body (called #cholestatic #hepatitis) in OPD. Went to 3 other #hospitals prior, always evaluated for #liver and #bileduct #Cancer. Always cancer tests #Negative. Liverbiopsy👇 Image
2
Biopsy shows severe #bile stagnation (#cholestasis) in liver #cells and bile-ducts with #inflammation and #swelling of livercells (#hepatocyte) - classical picture of cholestatichepatitis. CT of liver normal, #MRCP (to see bile ducts) - normal #livertwitter #pathology
CAUSE👇 Image
3
Patient has #diabetes. Tired of #insulin #diet control. #Ayurvedic #physician advises - stop insulin, start #natural side effect free #treatment. Gives these #CAPSULE . After 6 months on #tablet - liver injury and symptoms start. #nutrition deprived, sugar controlled. #MedEd
Read 6 tweets
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Abby Philips M.D., D.M. (Hepatology)
@drabbyphilips
#Ayurvedic treatment of fatty #liver – real world evidence: A #Thread
1/n
Overweight woman, early 40’s. Routine liver tests, mild enzyme abnormalities. Advised #ultrasound liver, showed grade 2 #fattyliver. GP advised vitaminE and #weightloss, review in 3mo
#livertwitter
2/n
 Patient and husband doubtful. Hears fatty liver disease can lead to #cirrhosis. Seeks advice from #Ayurvedic practitioner nearby #home since #Herbal #DRUGS = safe. Assures complete #cure through #Ayurveda. Prescribes multiple #medicines, advises almost all foods restriction.
3/n
 Lets look at medicines. #tablet APFIL. Packet mentions ‘for liver #diseases’. Which liver disease? There is #alcohol related, #hepatitis B/C, #NAFLD, primary biliary #cholangitis and more causes. Nine #herbs extract combo - clinical #evidence on safety and benefit ❌
Read 14 tweets

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