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Safety of drugs prescribed for fatty liver, diet plans - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
User :   hi doc
Doctor :  
How can i help you?
User :   i wanted to knw that i have had a fatty liver since more than a year nw
Doctor :  
ok
User :   am also obese so have been instructed to lose weight
User :   my doctor has prescribed me the following medicines
User :   silybon 140 mg
Doctor :  
ok
User :   sorbilin syrup
User :   and beconsule capsule for a month
Doctor :   ok

User :   he did nt tell me anythng regarding the meal requirement
Doctor :  
ok
User :   so i wanted to knw is it ok if i have it empty stomach since i have planned a strict liquid diet for a couple of weeks
Doctor :   these drugs come under group called liver protectants

User :   silybon n sorbilin being twice a day and beconsule being once a day
Doctor :   this drugs can be taken with liquid
Doctor :  
becosule needs to be taken after a meal cause it is a multivitamin tablet
User :   so should i avoid beconsule
Doctor :   no

Doctor :  
you need to take it
Doctor :  
cause the vitamin storage will be less in the body and need to supplemented in the fatty liver disease
User :   i have also been taking this tablet called bevon since i stay out mosy of the times it was recommended by my eye doc for nutrition
Doctor :  
what you can do is you can take the tablet with a glass of milk
User :   but milk is calories right????
User :   will it do with herbal tea???
Doctor :   why to avoid milk?

User :   because milk is quite a lotta calories...
User :   can bevon substitute for a meal since i take it twice a day?
Doctor :   why are you avoiding calories when you are suffering from fatty liver?

Doctor :  
there is no harm in taking bevon
Doctor :  
but avoiding calories is not ok in the fatty liver stage
User :   ok so u mean 1 glass of milk is compulsary daily
Doctor :   see the treatment of fatty liver is high carbohydrate diet, plenty of liquids and multivatimin. with sylbion like drugs for liver protectant effect

Doctor :   it means calories should come from carbohydrate source
Doctor :  
like rice , wheat ,barely kinds
Doctor :  
if you avoid sufficient calories than the body try to breakdown the muscle protein for calories and will increase the fatty liver stage
User :   my doc also gav me an option he said in case if am nt takin any of these , he said lose weight as soon as possible that wud automatically reduce ur fatty liver
User :   n i hav had a bad history of drinking too since 3 n 1/2 yrs
Doctor :  
the cause for the fatty liver in your case is alcohol
User :   yes i was told tha
Doctor :  
it is the initial stage of the liver damage
Doctor :  
so sufficient time is required for the recovery
User :   ok please tell me wt should be my minimum diet per day to go along wid these medicines and also lose maximum weight
Doctor :   ok

Doctor :  
may i know your height and weight
User :   5 ft 8.5 inches , weight 110 kilos
User :   age 25
Doctor :   what does the recent abdominal scan say about the liver?

User :   mild infiltration fatty liver
User :   rest all is normal
User :   this was on 8th of sep
User :   but i did continue drinking until sep 30th
User :   its been hardly 2 days i hav given up
Doctor :  
ok
User :   am sorry but i thought i shall jus drink once but it went on n on
User :   i was just happy that its was only fatty liver n my liver dint hav any infection
Doctor :  
infection is different
Doctor :  
in alcohol induced liver disease there will be progressive liver infilterate
User :   wt does that mean??
Doctor :   it means the fatty liver just discovered will continue if you continue alcohol and will stop and become normal only if you stop the alcohol

User :   yes doc am really sorry
Doctor :   not to worry
Doctor :  
it is not late
Doctor :  
if you stop now also
User :   but nw do i hav to worry abt the last 22 days i drank after getting the scan???
Doctor :  
the liver can recover with in probably one year completely
User :   but if i lose enuf weight in the next 2 months???
Doctor :  
no
User :   n my medication is only for 1 month?
Doctor :  
alchol is the culprit and he should be avoided
User :   yes
User :   but nw do i hav to worry abt the last 22 days i drank after getting the scan???
User :   has it made it worst???
Doctor :   this time not to worry
Doctor :  
but make sure you dont repeat it again and again
User :   i used to consume abt 5000 ml of beer daily
Doctor :   it is bad

User :   strong beer that too
Doctor :   ok

User :   actually am depressed i used to be a guy with gr8 physique but then in 2006 i got veus thrombosis stopd working out , then this drinking habit came along , nw this fatty liver n all
User :   i weight 70 kilos in 2006
Doctor :  
ok
User :   if u r dr AAAAAAA i also got done all the tests told to me
User :   the only abnormality was my sgot n sgpt
Doctor :  
ok
User :   is ths dr vinod?
Doctor :  
no i am dr shekar
User :   ok
User :   n i hav also had this problem of gynacomastia
Doctor :  
ok
Doctor :  
a sign again fatty liver
User :   pls suggest me doc
User :   but i had gynaecomastia since age of 12 , i hd gone overweight at tha time
Doctor :  
yes i will suggest you
User :   since then the chest has been prominent but nw it looks weird
Doctor :  
i have completely understood the problem
User :   but in 2006 i had perfect shape except the chest part
User :   so pls suggest me
Doctor :   first and most you need to give up alcohol
User :   yes i understand that n will b practical
Doctor :  
good
Doctor :  
than continue the drugs prescribed by your doc
User :   tell me wt is d minimum diet i shud follow
User :   to take these medicines
Doctor :  
now the criteria is liver protection and reverting it for the normalcy from the fatty infiltration stage
User :   ok
Doctor :   so the diet restriction you have to follow is
Doctor :  
less of oily and fat containing food
Doctor :  
consume vegetarian diet with lot of vegetables
User :   will vegetable juice do the work????
User :   homemade i mean
Doctor :   yes it will
User :   n fruits????
Doctor :  
yes
User :   wt abt carbohydrates???
Doctor :   let the diet contain rice, wheat and ragi
Doctor :  
it is the food substance which contain carbohydrate
User :   ok if i jus hav 2 roti in a day will it compensate for the vitamin
User :   apart from veg juice
Doctor :   no

User :   can u pls tell me the quantity
Doctor :   vitamin need to be taken in the form of supplements
Doctor :  
and it is given as tab becosules
Doctor :  
which you are already consuming
Doctor :  
now regarding the quantity of carbohydrate you need to take
Doctor :  
you can take nearly 3 roti in after noon and 3 roti in night, with small cup of rice
User :   n wt is the minumum amount of juice shud i hav???
Doctor :   300ml once in the morning and once in the evening

User :   then wt does bevon do?
Doctor :   i am not sure of its role in the fatty liver stage of disease
User :   no those wr recommended by eye doctor
User :   can i eat only once in the day instead of eating twice since i hav to take becosule only once
Doctor :   point is becosules is not an substitute to food
Doctor :  
and if you starve by avoiding one meal than the liver disease will become more
User :   ok
Doctor :  
cause starving is also one of the cause for fatty liver
User :   oh ok
Doctor :   so not to starve

User :   so this is the least i hav to take????
Doctor :   yes
User :   n hw abt things like corn flakes n all
Doctor :   avoid the prepared or ready made stuff as it contains preservative which are harmful to the liver
User :   ok
Doctor :   so the priority is to get the liver function back to normalcy
User :   yes
User :   apart from ths i can do any amount of workouts right????
Doctor :  
than you will notice that the gynaecomatia problem also will be lessened
User :   ok
Doctor :  
yes there is no problem in workouts
User :   how much gap b4 n after food?
Doctor :   workouts if carried out in the morning is better so it is before breakfast only
Doctor :  
avoid exercise in evening times
User :   ok
User :   y is it?
Doctor :   evening time exercise will produce more strain on the muscle resulting in muscle breakdown
User :   but doin treadmill is that ok?
Doctor :   every thing in morning only
User :   ok
Doctor :  
in the evening you need to relax
User :   i can skip breakfast right???
Doctor :   you are taking vegetable juice and fruits in the morning
Doctor :  
also one glass of milk is necessary
User :   no i thought i wud hav evrythng in jus twice a day
User :   so that i cud workout until lunch
Doctor :   this you can do only after the fatty infiltration has disappeared in the scan. till that time you cant starve

User :   doc i anyways dont hav brkfast since yrs n i dont feel hungry
User :   as in if am nt hungry is it ok then?
Doctor :   it is juice and milk
Doctor :   i am forcing because you have liver disease
User :   no but if i finish my workout b4 brkfst wt will i do the whole day....
User :   as m at home for next 2 months doin nothin
Doctor :   its left up to you to do what you will do in your holodays

User :   ok
Doctor :  
but i am suggesting in your health point of view
User :   i understand
User :   n shud i continue these medicines after a month too
Doctor :  
yes this you need to continue for 6 months
User :   ok
Doctor :   is there any thing else i can assist you with

User :   wt is the last time of the day i can hav brkfast'
Doctor :  
10 am in the morning
User :   ok
User :   doc i dont hav to worry abt my kidneys or getting a blood clot again right????
User :   since i hv had a drinking histry
Doctor :   if you stop drinking than the changes may come back to normal with in a year or two, so you dont have to worry if you stop drinking

User :   ok
User :   i shall do my best
Doctor :   ok
User :   thanks a lot doc
Doctor :  
plz fill the feed back form
User :   i just did that
Doctor :   thanks for consulting healthcare magic
User :   i shall take ur leave nw....
User :   goodbye
Doctor :  
bye
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