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Abdominal pain and vomiting. Scan test showed fatty infiltration of liver. Why is there itching? Lead to liver cirrhosis?

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Gastroenterologist, Surgical
Practicing since : 1989
Answered : 883 Questions
My husband is 34 yr old recently due to right abdominal pain and vomiting we visited our general physician and had done a blood test and abdominal scan test in which the highlighted things I mean those were not in the normal range was that it shows his 1) sgot is 57 and sgpt is 102 .
2)haemoglobin is 12.8
(3) RBC count as 4.3 and
4) pcv as 37.8
and also did a scan report is as follows
Liver – Normal In size . Fatty infiltration of liver . The portal and hepatic veins are visualized . There is no evidence of any hepatic biliary dialation . There is no evidence o any focal or diffse mass lesion. The movements of diaphragm are normal. The CBD appear normal
Gall Baldder – the lumen is well visualized. The walls of the gall bladder are not thickened . No abnormal echoes detected
Spleen – shows homogenous echo pattern
Pancreas – the pancreatic echotexture is homogenous. The head, body and tail appear normal
Kidneys – Both kidneys are well visualized . The renal, size and shape and contour are within normal limits.The renel capsule, cortex and sinus are normal . No evidence of hydronephrosis /calculi. Rt kidney = 91*41 mm & Lt Kidney = 105*46mm
Urinary Bladder – is full and normal. No focal lesions , no residue
Prostate – 29*28*31mm-13 gms- Normal
Impression- fatty infiltration of liver
is it XXXXXXX and all What will be the reasons for this and how can i come across it
his father was diabetic and he a non alcoholic and non smoker.
Dr. gave some medicines and asked as to visit him after 5 days

when ever he is having heavy food it is paining in the right abdomen and some times in chest and
On our second visit my general physician told me it would be XXXXXXX and gave me some thing like Ursodeoxy Cholic acid and pantocid and Polybion and asked us to visit after 7 days

he is also having some itching problem and yesterday i just happened to notice some red inflammation on my skin. is it a liver cirrhosis will it may lead to death if not treated or if
From internet I came to know that XXXXXXX can be identified through biopsy but our doctor didn’t asked us to undergo anything like that will ask us to undergo that on our 3rd visit
And it is written that it will lead to liver cirrhosis Now he had started to take food in different modules as given in internet but in the morning by 7 if is not taking food then gastric pblm is taking place
So little bit worried is it actually XXXXXXX or liver cirrhosis because doctor told us that liver is not able to digest the fatty foods. Will we asked to undergo more test to confirm this and also have to medicines for long time or have to do some other thing by reading about this disease in net I am very much scared it is said that it will be identified only at a critical stage is it true
kindly give me a detailed one
Posted Tue, 22 May 2012 in Liver and Gall Bladder
Answered by Dr. Ketan Vagholkar 2 hours later
Thanks for writing in.
I can understand the conflict in your mind regarding your husband's health problem. But you need not worry at all. Your husband has typical features of fatty liver. Fatty liver is a problem wherein there is an alteration in the fat metabolism. It is associated with hyperlipidemia ( increased levels of lipids in the blood) and insulin resistance ( the body does not respond that well the action of the hormone insulin) . It could be a forerunner to metabolic syndrome. If untreated, it can lead to fibrosis of the liver eventually terminating into cirrhosis. It is a part of what is called either XXXXXXX or NAFLD. Irrespective of the terminology, the disease remains the same.
I would suggest the following
1. Stop all the medications already started by your doctor immediately (bile acid medications are not indicated in this condition)
2. Get a lipid profile and blood sugar levels done.
3. Stop the consumption of saturated fats ( found in pure ghee, coconut and coconut oil) and reduce the intake of refined carbohydrates.
4. Regular walk for 45 minutes to improve the body metabolism
5. Start medications containing sorbitol and tricholine citrate.
6. Start hepatotrophic medications containing ornithine or silymarin in conjunction with vitamins.
7 Avoid any hepatotoxic medication including alcohol in any form.
8. Increase your protein intake per day ( Intake should be 1 gm/kg body weight/day)
Continue with this regimen for 6 months and repeat ultrasound of the liver, liver function test and lipid profile including blood sugars. There is no need for a liver biopsy at this moment of time.
I hope my advice serves as a road map and will be of help to your husband.
With Regards
Above answer was peer-reviewed by
Follow-up: Abdominal pain and vomiting. Scan test showed fatty infiltration of liver. Why is there itching? Lead to liver cirrhosis? 36 minutes later
Actually doctor as i had mentioned on our first visit we had done the blood test and sugar was absent in urine and 95 in plasma
and also would like to know whether to complete the course of the medicine because only 1 more day left and to show to the general physician or to take to some other person

And also would like to know if after 6 months i mean after following all these things still the case remains same or it gets worse what should do
Answered by Dr. Ketan Vagholkar 1 hour later
Thanks for writing back.
If your husband's blood tests are within permissible limits, then it’s fine. The medications given to your husband especially bile acids will have no effect on the fat metabolism of the liver. They are in fact given for dissolution of gall stones. The same is with antacids. The pain which your husband is experiencing is due to liver problems and is not due to peptic ulcer disease. So effectively, these drugs are of no use. So whether you stop or continue, it is of no consequence.
A fatty liver as it is associated with NAFLD follows a particular course of events. If this condition is left untreated the course of disease is
fatty liver-- steatohepatitis---fibrosis-----cirrhosis.
Since your husband's liver size presently is normal and ultrasound of the liver does not reveal any abnormality of XXXXXXX echoes , the disease appears to be in the early or reversible phase.
A strict regimen as advised will work in your husband. You need not worry.
Disappearance of the present symptoms with improvement of general condition including appetite will be observed within the first 2-3 wks of treatment. Signs of improvement are suggestive of recovery completely in the future. At times the process to full normalcy may require continuation of the treatment upto 1 year.
The specialist which you should consult in your city is a medical gastroenterologist.
I hope my advice relieves your stress about your husband's problem.
With regards
Above answer was peer-reviewed by
Follow-up: Abdominal pain and vomiting. Scan test showed fatty infiltration of liver. Why is there itching? Lead to liver cirrhosis? 39 minutes later
Kindly advice the diet also
Answered by Dr. Ketan Vagholkar 2 hours later
Dear Trdivya,
Assuming that you are non vegetarian I would suggest the following items in the food
1. Plenty of fish preferably cooked in minimum oil or boiled if that is palatable.
2. Boiled or roasted chicken
3. avoid lamb meat.
4. Paneer or cottage cheese is an excellent source of protein
5. Low fat yogurt if available or plain simple buttermilk . This will improve the bacterial flora of the intestine.
6. Avoid refined carbohydrates like pasta, noodles or pizzas.
7. Plenty of water.
8. Pure lime juice devoid of sugar is excellent for improved fat metabolism.
9. Avoid citrus fruits.
10. Abundant XXXXXXX leafy vegetables to keep good bowel movement as well as help in cholesterol reduction.
11. Avoid butter or ghee containing products.
12. Multivitamins with XXXXXXX content of chromium and zinc for better insulin action.
13. No alcohol in any form
I hope this list will help you developing a good and healthy diet for your husband.
With regards
Above answer was peer-reviewed by
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