Relationship of local alcoholic drink(hadia)in etiology of liver abscess in tribal population of jharkhand

Madhurima Prasad; Dr Anjay Kumar

Volume : IX, Issue : I, January - 2020

Relationship of local alcoholic drink(hadia)in etiology of liver abscess in tribal population of jharkhand

Madhurima Prasad, Dr Anjay Kumar

Abstract :

Objectives: This study was done to know the incidence and types of liver abscess in people with Hadia addiction in Jharkhand and also various sign and symptoms associated with it at presentation. Method: Retrospective observational study done at indoor department of RIMS. Simple statistical descriptive measures primarily focusing on measures of central tendency were used. Written consent was taken from all patients. All patients suspected to have liver abscess were confirmed through Ultrasonography and pus was aspirated for analysis . Pregnant females and patients with non-aspirable pus were excluded from study. Detailed history and clinical examination were done in all cases. Anchovy sauce appearance of aspirated pus considered characteristic of amoebic type. Results: There were 30 patients in which 83.3% were males.73.7% cases were between 30-50 years of age . About 66.7% of cases were of low socioeconomic strata ,and majority (66.7%) were taking Hadia for > 20 years. Almost every patient(100%) had abdominal pain at presentation followed by fever (90%) and jaundice (83.3%) . Right hypochondrium tenderness(93.3%) ,followed by abdominal lump(76.7%) and Hepatomegaly(66.7%) were the most common clinical signs present.66.7% cases have solitary abscess of which right lobe was involved in 90% of times.TLC was elevated in 93.3% of cases followed by raised ALP and deranged PT (60%). Conclusion: This study highlights strong association between indigenous variety of alcohol (Hadia) and the development of hepatic amoebiasis.Because Hadia is prepared and stored in very unhygienic conditions and consumers are usually economically poor, malnourished and have an unhealthy lifestyle, the chances of parasitic contamination, transmission and infection remains high. So the need of the hour is to create a greater awareness among tribal people to dissociate themselves from Hadia and improve their personal hygiene so that prevalence of ALA can be decreased