A Study on Nutritional Assessment of Oriental Cholangio Hepatitis Patients in Kashmir

Oriental Cholangiohepatitis (OCH) is a chronic disease characterized by repeated supperative infection of the biliary tract as a result of stones and strictures in the bile ducts. The exact pathogenesis of Oriental Cholangiohepatitis (OCH) is a parasitic infestation and malnutrition theory. As such, the present study Nutritional assessment of Oriental Cholangiohepatitis (OCH) patients was carried out on 50 consecutive patients in the OPD and ward of Gastroenterology Department at SKIMS Soura, for assessing the nutritional assessment, dietary pattern and attitude towards dietary management of Oriental Cholangiohepatitis (OCH) patients. The information was collected through proforma and an interview method. From the study, it was concluded that majority of patients were females, age group of 35-45 years and normal weight BMI. The disease is more prevalent in rural areas, mostly in low socio-economic group and is more common in married ones. Laboratory results have shown that highperbilirubinemia, high alkaline phosphatase level and high serum total protein levels are present in Oriental Cholangiohepatitis OCH patients but there were normal Hb and albumin levels especially in the age group of 35-45 years. All had histories of fever, chills, vomiting, anorexia, headache, pain, and jaundice. Consumption pattern of calories, proteins and fat intake by the patients were observing much less than the standard values which is main responsible for the cause of Oriental Cholangiohepatitis. It was found that 37 %of the patients considered that both diet and drug control is very important for management of Oriental Cholangiohepatitis.