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

question-icon

What Does "Hepatomegaly Cause Fatty Infiltration.." Mean?

default
Posted on Tue, 9 Sep 2014
Question: My Daddy's ultrasound reports says: "Hepatomegaly cause fatty infiltration grade 2" & "BHP grade 2"
Is there a reason to worry?
doctor
Answered by Dr. Shailja Puri (13 minutes later)
Brief Answer:
Control of risk factor & regular follow up needed

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.

The ultrasound report tells that there is hepatomegaly with fatty infiltration in liver.
Fatty infiltration is a reversible condition of the liver caused by various diseases.
Common diseases leading to fatty infiltration are alcoholism, non-alcoholic liver disease, diabetes mellitus, obesity, malnutrition, starvation etc.
If any of the above mentioned risk factors are present, e.g. alcoholism, it has to be stopped immediately.
Inability to stop the risk factor will lead to progression of fatty change which eventually becomes irreversible and thus can cause chronic liver disease with compromised liver functions.

The other finding - BHP grade 2 refers to benign enlargement of prostate.
BHP is a non-neoplastic enlargement of prostate common in elderly males.
When BHP becomes symptomatic (urinary symptoms appear) the enlarged prostate has to be surgically removed.
There is nothing to worry but a regular follow up and serum levels of PSA have to be done.
PSA is done to monitor the enlargement of prostate and to look for any evidence of malignancy in the prostate.

If you have more queries, I will be glad to answer.
Dr Shailja P Wahal



Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
default
Follow up: Dr. Shailja Puri (24 hours later)
1: My dad's not alcoholic, so that's out of question.
2: What precautions should be taken to avoid further problems?
3: I read somewhere over the internet that enlarged liver can also be due to tumor or cancer. Does it becomes apparent in the ultrasound or do we have to undergo another test for it. If yes, what kind of test.

Many thanks.
doctor
Answered by Dr. Shailja Puri (6 minutes later)
Brief Answer: XXXXXXX suspected, tumor not likely.

Detailed Answer:
Hello and welcome again,
In the absence of alcoholism, the conditions is termed as non-alcoholic steato-hepatitis (NASH).
Other causes like diabetes mellitus, malnutrition, starvation, certain drugs, toxins, etc are responsible for the fatty liver disease.
You need to consult a gastroenterologist for clinical assessment and management of fatty liver.
A growth or tumor will become evident on ultrasound.
However, in your case it is probably the fatty liver responsible for the liver enlargement and not any malignancy.

Thanks and take care
Dr Shailja P Wahal


Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
default
Follow up: Dr. Shailja Puri (22 hours later)
I got a sugar test and it's just a little above normal, like, the normal high range is 110 and the result is 116.

Any particular precautions you would like to suggest based on both sugar and liver reports?
doctor
Answered by Dr. Shailja Puri (49 minutes later)
Brief Answer:
Normal test results.

Detailed Answer:
Hello and welcome again,
The blood glucose level is within normal limits.

Thanks and take care
Dr Shailja P Wahal
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Shailja Puri

Pathologist and Microbiologist

Practicing since :2006

Answered : 9705 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Does "Hepatomegaly Cause Fatty Infiltration.." Mean?

Brief Answer: Control of risk factor & regular follow up needed Detailed Answer: Hello, Thanks for posting your query on HealthcareMagic. The ultrasound report tells that there is hepatomegaly with fatty infiltration in liver. Fatty infiltration is a reversible condition of the liver caused by various diseases. Common diseases leading to fatty infiltration are alcoholism, non-alcoholic liver disease, diabetes mellitus, obesity, malnutrition, starvation etc. If any of the above mentioned risk factors are present, e.g. alcoholism, it has to be stopped immediately. Inability to stop the risk factor will lead to progression of fatty change which eventually becomes irreversible and thus can cause chronic liver disease with compromised liver functions. The other finding - BHP grade 2 refers to benign enlargement of prostate. BHP is a non-neoplastic enlargement of prostate common in elderly males. When BHP becomes symptomatic (urinary symptoms appear) the enlarged prostate has to be surgically removed. There is nothing to worry but a regular follow up and serum levels of PSA have to be done. PSA is done to monitor the enlargement of prostate and to look for any evidence of malignancy in the prostate. If you have more queries, I will be glad to answer. Dr Shailja P Wahal