HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

I Am 30 Years Old Male. 3 Years Ago In

Posted on Tue, 20 Aug 2019

Question: I am 30 years old male. 3 years ago in 2016 I had done abdomen sonography in routine check-up there is observation that" liver is normal in size and shows increased echotexture" means" grade -1 fatty liver".

After 3 years in 2019 ,i had done abdomen sonography for routine check-up. There's is " liver is enlarged size of 15.3 cm with normal homogeneous echotexture"" mild hepatomegaly". I think it means" liver is enlarged but no fatty liver" is this true?

Liver function tests :- normal , SGPT :- 32 , SGOT :- 25 , BILIBURIN :- 0.6

cholesterol tests :- normal , SRUM CHOL :- 145 , TRYGLYCERIDE :- 104 , HDL :- 45 , LDL :- 79

fasting blood sugar :- normal :- 91

height :- 158, weight :- 66

1st sonography there is grade-1 fatty liver and another sonography has mild hepatomegaly.

What is the treatment required for mild hepatomegaly ?

is it because of grade - 1 fatty liver? Is grade - 1 fatty liver is still present there? What is normal size of liver?

Answered by Dr. T Chandrakant (5 hours later)

Brief Answer:
Please give details and post actual reports.

Detailed Answer:
Hi.
Thanks for your query and history.
Please give additional information for me to assist you better:
Any history of alcohol?
Oily foods?
What is your exercise routine?
Any symptoms?
When was the recent Ultrasonography done ? Date lease.
Please post the actual reports attached to this query.
Any other details please.
Was there any liver problem in near and dears - friends/family?

Awaiting for your feedback.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (1 hour later)

Hello sir ,

Ur required information

Any history of alcohol? :- No , 1-2 time in a year.

Oily foods? - regular day to day home food.

What is your exercise routine? :- not fixed . Occasionally.

Any symptoms? :- no symptoms. Sometime discomfort in upper right abdomen.

When was the recent Ultrasonography done ? :- 25-07-2019

Was there any liver problem in near and dears - friends/family? :- NO

I m attaching old USG report / new report / liver profile .

Kindly reply above queries of question.

Answered by Dr. T Chandrakant (4 hours later)

Brief Answer:
As detailed question by question

Detailed Answer:
Thanks for your detailed feedback.
The average liver span in the midclavicular line was 14.0 +/- 1.7 cm on ultrasonography in adults. Your recent report says it to be 15.3 hence said to be mild hepatomegaly.
We can say this to be within range if the other liver parameters by blood tests are within normal limits.
You have normal liver functions. There are no symptoms hence the advised is wait and watch that is review the investigations if needed.
Normal homogeneous echotexture means there are no changes of fatty liver in the recent scan. So no fatty liver is present at the moment.

I hope this answers all your queries.

Dr T Chandrakant

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (9 hours later)

Hello sir..

Thanks for reply..

My vitamin B12 level :- 220

Vitamin D :- 16

Does low vitamin level affect liver ??

Can I take vitamin medicine in mild hepatomegaly !?

Answered by Dr. T Chandrakant (4 hours later)

Brief Answer:
As discussed

Detailed Answer:
Low vitamin levels affect the whole body, hence can affect liver also.
Particular Vitamin deficiency should be treated by a Doctor as per the clinical picture and lab levels. Please consult your treating Doctor for appropriate doses.
Please get your Ultrasonography repeated so that we will know the present status of liver. As discussed above hepatomegaly is ''mild''.

Take care.
Please give feedback.

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar