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Diagnosed with enlarged liver with normal outline and echotexture, depressed. Suggest medicine to cure this?

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Gastroenterologist
Practicing since : 1962
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i am diagnosed with mildly enlarged liver(16.2 cm) with normal outline and echotexture. how critical it is and suggest medicine to cure this, also suggest the lead tiime to cure this.

very disturbed after hearing this going through depression, please help
Posted Thu, 30 May 2013 in Liver and Gall Bladder
 
 
Answered by Dr. Charles S Narasi 2 hours later
Hello,
Thank you for contacting XXXXXXX with your quiery.
First of all , let me assure you that mildly enlarged liver
with normal echotexture and outline should not make
you very depressed or worried. Depending on the person's
height and weight and overall build , the liver dimensions
can vary a little. It is more important that you have all the
liver function tests, complete metabolic profile, complete
blood count, thyroid profile to make sure they are all normal.
Obesity is associated with a slightly enlarged liver and also
fatty liver which shows up on ultrasound of the liver. You
did not have it. Diabetics , especially type -2 can have fatty
liver with enlargement. There are rare genetic disorders
like glycogen storage disease, amyloidosis etc that can cause
liver enlargement. In western cultures and increasing in
other parts of the world, problem of alcohol abuse and related
liver diseases, first fatty liver, then cirrhosis are seen.
If your doctor has ruled out all of the conditions that I mention,
you have nothing to worry. As I stress, make sure that you have
had all the blood tests that I mention above.
I want you to eat a healthy diet, enough proteins, fresh fruits
and vegetables and excercise at least three times a week.
Even brisk walking is very helpful to maintain your desirable
weight. I also suggest that you start taking a good Super B-Complex
vitamin supplement , Vitamin-C 1000 mg. daily and a Vit-E 800 i.u.
daily. Try to avoid excess fatty, greasy and fried foods.
Hope this relieves your anxiety.
I wish you the very best.
Above answer was peer-reviewed by
 
Follow-up: Diagnosed with enlarged liver with normal outline and echotexture, depressed. Suggest medicine to cure this? 11 hours later
Thanks for your reply

LFT Test result

Bilirubin total- 0.7 mg/dl
conjucated (D bilirubin) 0.36 mg/dl
unconjucated( ID bilirubin)- 0.34
total protein- 8.00 gm/dl
albumin-4.10 gm/dl
globulin- 3.90 gm/dl
AG ratio- 1.05
SGOT- 37.00 IU/L
SGPT- 44 IU/L
ALKALINE PHOSPHATASE- 75U/L

BIO CHEMISTRY

Serum Amylase- 134.00 U/L


Complete blood count is normal within range except

MONOCYTES 10.2O
Follow-up: Diagnosed with enlarged liver with normal outline and echotexture, depressed. Suggest medicine to cure this? 17 minutes later
ENDOSCOPY TEST RESULT

ESOPHAGUS- PATULOUS CARDIA. Z-LINE IN NORMAL POSSITION, NORMAL MUCISA. NO VARICES

STOMACH- NORMAL FUNDUS,BODY AND ANTURM

DUODENUM- NORMAL DUODENAL BULB AND 11ND PART

BIOPSY- NO

COMMENT- PATULOUS CARDIA
OTHERWISE NORMAL UPPER GI ENDOSCOPY
 
 
Answered by Dr. Charles S Narasi 7 hours later
Hello XXXXXXX rewaria,

Thank you for sending additional reports.

This confirms what I said before. Your liver is perfectly normal and you do not have to worry.
Elevated monocytes may indicate some recent infection you might have had. I don't know
if you were tested for "Mononucleosis".

I wish you the very best.
Above answer was peer-reviewed by
 
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