 Hi, I am Dr. Nagraj Palankar. I am a Concertant Surgical Gastroenterologist at Manipal Vassalur Bangalore. On this World Liver Day, I would like to bring to your notice that liver disease is one of the most common cause of death among Indians. So what causes liver disease? Liver disease can be caused by a variety of conditions including infections. Most common in them includes viral hepatitis. Viral hepatitis again you can have because of spread through blood or it can be water borne. Other causes include which are common include consumption of alcohol causing alcoholic liver disease, fatty liver. Very common because of chain in lifestyle and then there are other conditions like cancers again which are becoming more and more common. Genetic causes, poisoning and a variety of other conditions which cause liver disease. On this day it is my advice that you take out of your liver. How do you do that? You have to follow simple steps. Live a healthy life. Drink clean water. It will help in preventing water borne hepatitis like hepatitis A and D. Vaccinate your kids against hepatitis B virus. Live a healthy lifestyle. Eat good food. Avoid food which is high in sugars and refined carbohydrates. Consumption of refined sugars and carbohydrates has led to an epidemic of obesity, diabetes and fatty liver. To the extent that fatty liver is expected to be the most common cause of liver disease and liver related death in the future. Consumption of alcohol again very common one should bear in mind that alcohol has to be consumed if at all in moderation. And also one should remember that complete avoidance of alcohol is better than even consuming alcohol in moderation.