Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
188 Doctors are Online

Obesity, gastritis, hepatomegaly - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Eating Disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I am a 26 year old male , i need help understanding a recent medical test i had done.
Also need advise on further action needed to be taken.;
                                                  
Doctor :   Hi
User :   hi
User :   anyway i had a medical test done recently
Doctor :  
Yes go ahead
User :   now one thing that is worring me is this "Liver is 15.8 cms, enlarged in size and echotexture. No focal lesions. No IHBD/CBD dilatation. Portal vein is normal
User :   can you explain this to me
Doctor :  
May I ask you few questions to know about you, before we proceed?
User :   yess
User :   please doo
Doctor :  
Please give your Location, Occupation, Marital status, Height, Weight and Waist circumference.
Doctor :   The scan says that your liver is normal structure wise, but enlarged in size,
Doctor :  
this could be due to various reasons-
User :   Hyderbad, Self employed, single, height 175 cm, weight is 100.70 kg and BMI is 32.9 i am not sure what my waist circumference is
Doctor :  
basically an overworking liver
Doctor :  
Yes there it is
Doctor :  
Obesity could be cited as the reason, unless there is
Doctor :  
no other significant reasons
User :   ok see my problem is
User :   i dont do lot of physical work
User :   and i dont eat on time
User :   and everytime is meat , eggs, heavy food with lots of fat
Doctor :  
You know the
Doctor :  
problem well
User :   but last few days i have been having constipation
Doctor :   How many days?
User :   and pain in my left abdomen
User :   well the constipation comes and goes for last 2 months
Doctor :  
Any diarrhoea in between?
User :   No Diarrhea and its not complete constipation ,the bowels are coming out but they are narrow in diameter
Doctor :  
Is it hard?
Doctor :  
Painful or difficult?
User :   its not completely hard its mostly soft but not completely liquid. No passing stools is not painfull.
Doctor :  
OK
User :   but i have mild tenderness in the upper left of abdomen below the ribs
Doctor :  
so only the frequency is low, right?
User :   yes
Doctor :  
Ok
User :   i also have a growth on my anus like a boil
Doctor :  
How often do you empty your bowel?
User :   once or twice a day. but most time i dont feel like it
Doctor :  
Then you do not have
Doctor :  
constipation
User :   hmm then why do i have pain in left abdomen
Doctor :  
Left upper right?
Doctor :  
Thats where the stomach is exactly located
User :   no Left abdomen below the ribs
Doctor :   Yes
Doctor :  
That could mean
Doctor :  
gastritis
User :   the pain travels to lower left abdomen after i eat food
User :   few hours after eating
Doctor :  
but its better to avoid jumping into conclusions without a proper investigation
User :   ok
Doctor :  
Travels from where?
Doctor :  
So you get this pain only after you eat?
User :   i have pain in the upper left abdomen and few hours after meal it travels to lower left abdomen . then it goes away after passing stools.
Doctor :  
ok
Doctor :  
Do you have any other symptoms?
User :   the lower pain is after food, but the upper pain is always there. its still there now.
User :   i have a Boil on my ANUS
User :   or a growth
Doctor :  
Is it hard?
Doctor :  
or cystic?
Doctor :  
How big is it?
User :   its kinda hard i think , i think its about less then 1 cm in lenght
Doctor :  
Is it adjacent to the anal opening?
User :   its partially inside the anus
User :   it only comes out after passing bowels and goes back in after
Doctor :  
You said there is no pain while you
User :   no there is no pain
Doctor :  
defecate, are you sure?
User :   yes its there i can feel it. it was not painfull but unconfortable.
Doctor :  
are you sure that it is a growth rather than
Doctor :  
a part of your rectum/lower bowel that is protruding?
User :   its defenatively a growth. Because it is bigger compared to the surrounding area
User :   i looked using a camera
Doctor :  
Ok
Doctor :  
Have you showed it to any Doc?
User :   no not yet
Doctor :  
a surgeon will help you with
Doctor :  
both the problems
User :   what is it ?
Doctor :  
I can think of
Doctor :  
papilloma, polyp
Doctor :  
rectal prolapse
User :   is that cancer ?
Doctor :  
etc
Doctor :  
Could be
Doctor :  
Since I haven't
Doctor :  
seen it, I cant say much
User :   ok you think i could have Corectel cancer?
Doctor :  
but the likelyhood is low
Doctor :  
as this cancer does nt present like this
User :   ok
Doctor :  
Visit the surgeon
User :   ok
Doctor :  
start off
Doctor :  
with lifestyle
Doctor :  
changes by then
Doctor :  
Thats the most important thing for you now
Doctor :  
Do you consume alcohol?
User :   ok
User :   no
User :   No alchol no smoking
Doctor :  
Good
User :   also can the liver condition i have be reversed with lifestyle changes ?
Doctor :  
Definitely yes, if it is because of obesity, then yes
User :   based on my condition how long would you think it would take
Doctor :   Its not based on your condition, It is based on your efforts
Doctor :  
from now onwards
Doctor :  
the more determined you are at reducing your
Doctor :  
weight, the faster your liver will heal
User :   ok
Doctor :  
I guess you already know what to do
Doctor :  
A healthy diet &
Doctor :  
Good exercise
Doctor :  
a whole lot of it
User :   another thing on my report what is "Urinary bladder is partially distended" means ?
Doctor :  
If there is urine in the bladder, it ought to be distended
User :   ahh understood
Doctor :  
Its a normal finding
Doctor :  
Is there any thing else I can help you with?
User :   do you think my abdominal issues could be related to my obesity ?
Doctor :  
As I told you I feel that it
Doctor :  
could be due to Gastritis or
Doctor :  
Reflux disease
User :   can those last for over a month ?
Doctor :  
it could also be due to
Doctor :  
the the enlarged liver
Doctor :  
Yes
User :   ok
Doctor :  
but you need a thorough examination
Doctor :  
& investigation
User :   i understand ,well thank you for your time.
Doctor :  
Did you follow what I said? Please get back to me in case of doubts.
User :   how do i get back to you
User :   ?
Doctor :   A Doc is always
Doctor :  
here this end
User :   ok cool.
Doctor :  
this conversation
Doctor :  
is stored
Doctor :  
& retrievable
User :   ahh understood
User :   would you recommend some one over in hyderabad i could see ?
Doctor :  
You can find a Doctor or hospital on our website
Doctor :  
follow this link
Doctor :  
WWW.WWWW.WW User :   ok
User :   got it
Doctor :   You can take a diet chart if you wish to by following this link: WWW.WWWW.WW Doctor :  
Is there any thing else I can help you with?


User :   no thats it for now
Doctor :   Please fill the feedback form say done when done.
User :   thank you
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   done
Question is related to
Diseases and Conditions
Medical Topics
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor