Dr. Paolo Dillera Hepatologist-Gastroenterologist

08/03/2026

📣Please be guided by our schedule for March.📣

March 9 & 10 - DAVAO CLINIC

March 11-21: NO CLINIC
March 26-28: NO CLINIC

Kindly coordinate with respective secretaries for your appointments

Clinic schedule at Metro Davao Medical & Research Center (MDMRC): S522
Mondays, Wednesdays & Saturdays
By appointment only
Call: (0917) 129 2315

Clinic schedule at Kidapawan Doctors Hospital:
Tuesdays & Thursdays
By appointment only
Text: +63 907 409 1786

For online consults: click the link below
https://seriousmd.com/doc/paodillera
or visit
www.drpaolodillera.com

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05/03/2026

Did you know that 𝐂𝐨𝐥𝐨𝐫𝐞𝐜𝐭𝐚𝐥 𝐂𝐚𝐧𝐜𝐞𝐫 is preventable with proper screening and early intervention?

Be part of one of the 20+ nationwide 𝐥𝐚𝐲 𝐟𝐨𝐫𝐮𝐦𝐬 this 𝐌𝐚𝐫𝐜𝐡 𝟏𝟕, 𝟐𝟎𝟐𝟔 as we raise 𝐚𝐰𝐚𝐫𝐞𝐧𝐞𝐬𝐬 and empower communities with the right information.

Consult your Gastroenterologist to know more. 🩺

Stay informed, stay healthy.
🌐 Visit our website: psgastro.org
✉️ Email us at: philgastro60@gmail.com

27/02/2026

Happy to share the stage with fellow gastroenterologist Dr. Kim Lim-Fernandez as we discussed the intricacies of Chronic Hepatitis B infection and its progression to Liver cirrhosis. The session was moderated by Dr. Clarisse Porras, a bright and equally promising gastroenterologist.

We thank the organizers of the Philippine College of Physicians-Southern Mindanao Chapter for the opportunity to share our expertise.

12/02/2026

12/02/2026

Inflammatory Bowel Disease (IBD) is on the rise!

Last night was a productive first multi-specialty meeting on inflammatory bowel disease here in Davao City.

Physicians from adult and pediatric gastroenterology, pathology, and colorectal surgery came together to discuss the latest updates in IBD management.

A true multidisciplinary approach enhances patient care, and effective communication remains central to our work.

10/02/2026

Early detection can change and even save lives

Listen to your gut.
Consult your gastroenterologist.

07/02/2026

It was a historic moment for the Hepatology Society of the Philippines (HSP) as we nailed our first liver tumor ablation workshop featuring the renowned Prof. Shiina Shuichiro from Japan.

This marks a significant upgrade to our ultrasound workshops, elevating our capacity to manage liver diseases in the Philippines.

We extend our heartfelt gratitude to Prof. Diana Payawal for her exemplary leadership and dedication in guiding this workshop.

Kudos to all HSP board members, with special recognition to our current President, Dr. Jennielyn Agcaoili, and Vice President, Dr. Suzy Kho Herman, for their steadfast support.

Wishing continued strength and growth for HSP!

01/02/2026

Common Liver Diseases :

🟣 Fatty Liver (Hepatic Steatosis)

→ Excess triglyceride accumulation in hepatocytes
→ Common causes: obesity, type 2 diabetes, alcohol, metabolic syndrome
→ Usually asymptomatic initially
→ May progress to steatohepatitis → fibrosis → cirrhosis

Key labs
→ Mild ↑ ALT/AST (ALT > AST in NAFLD)

🟣 Alcoholic Liver Disease

→ Due to chronic alcohol intake

Progression sequence
→ Fatty liver → Alcoholic hepatitis → Cirrhosis

Histology
→ Ballooned hepatocytes
→ Mallory–Denk bodies
→ Neutrophilic infiltration

Labs
→ AST : ALT > 2:1 (classic)

🟣 Hepatitis (Viral / Inflammatory)

→ Inflammation of liver parenchyma

Causes
→ Viral (A, B, C, D, E)
→ Autoimmune
→ Drugs / toxins

Symptoms
→ Fatigue, jaundice, RUQ pain, nausea

Chronic hepatitis may lead to
→ Fibrosis
→ Cirrhosis
→ Hepatocellular carcinoma

🟣 Liver Cirrhosis

→ Irreversible fibrosis with regenerative nodules

Major consequences
→ Portal hypertension
→ Ascites
→ Varices
→ Hepatic encephalopathy
→ Coagulopathy

Common causes
→ Alcohol
→ Chronic hepatitis B/C
→ NAFLD

🟣 Hepatocellular Carcinoma (HCC)

→ Primary liver malignancy
→ Usually develops on cirrhotic liver

Risk factors
→ Chronic HBV/HCV
→ Alcohol
→ NAFLD

Features
→ Weight loss
→ RUQ pain
→ Rising AFP (alpha-fetoprotein)
→ Vascular invasion common

🟣 Cholestasis / Bile Duct Obstruction

→ Impaired bile flow

Clinical features
→ Pruritus
→ Pale stools
→ Dark urine
→ Jaundice

Labs
→ ↑ ALP
→ ↑ GGT
→ ↑ Direct bilirubin

Causes
→ Gallstones
→ Tumors
→ Strictures
→ Primary biliary cholangitis

🟣 Acute Liver Failure

→ Rapid loss of liver function

Defined by
→ Encephalopathy
→ Coagulopathy (↑ INR)

Causes
→ Acetaminophen toxicity (most common)
→ Viral hepatitis
→ Drugs / toxins

Histology
→ Massive hepatocyte necrosis

Medical emergency.

🟣 Primary Biliary Cholangitis (PBC)

→ Autoimmune destruction of intrahepatic bile ducts

Typical patient
→ Middle-aged woman

Labs
→ ↑ ALP
→ Positive antimitochondrial antibodies (AMA)

Leads to
→ Progressive cholestasis
→ Cirrhosis

🟣 Portal Hypertension

→ Increased pressure in portal venous system (usually due to cirrhosis)

Consequences
→ Splenomegaly
→ Ascites
→ Esophageal varices
→ Caput medusae

Mechanism
→ Increased intrahepatic resistance + collateral formation

24/01/2026

Kapag advanced na ang liver disease, mas tukoy na ang mga sintomas. Naranasan mo na ba ang mga ito? 🚨

React kung naranasan mo na:
🟡 Persistent jaundice - Paninilaw na hindi nawawala

🤢 Severe nausea - Pagsusuka nang walang dahilan.

💧Ascites - Pamamaga ng tiyan dahil sa fluid

🩸 Easy bruising - Madaling magka-pasa

🧠 Confusion - Mental fog o nalilito

😴 Extreme fatigue - Sobrang pagod na hindi normal

Important: Kung may mga ganitong symptoms kayo, emergency na ito! Hindi ito normal na pagod lang o stress.

Ano’ng dapat gawin?
1. Huwag nang mag-atubili. Magpa-check ASAP!
2. Magdala ng list ng symptoms sa doctor
3. Mag-mention ng family history ng liver disease
4. Huwag mag-self-medicate

Magpa-check sa malapit na doktor: https://hsp.org.ph/resources-for-patients-directory-of-doctors/