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What Does The Following Ultrasound Report Suggest?

Posted on Sat, 9 May 2015

Question: I AM A CORONARY ARTERY DISEASE PATIENT FROM 2007

CURRENT MEDICATION----PROLOMET XL 50--- 1-0-0( from-05/11/2007 tillnow)

MONIT SR 30 1-0-0( from-05/11/2007 tillnow)

DEPLATT-A 75 0-1-0( from-05/11/2007 tillnow)

LIPICARD 160 0-0-1(during two years till now)

URSOCOL 300 1-0-1( from 7/10/2015 till now) SGPT WAS 13O

TRYPTOMER 10 0-0-1 FROM 19/2/15 FOR HEADACHE (NEUROLOGIST)

ZAPIZ .5 FROM 19/2/15 0-0-1 (NEUROLOGIST)

MY SGPT WAS130 AS ON 7/10/ 2015

NOW SGPT IS 79.4 & SGOT IS 82.6

PLEASE LET ME KNOW ABOUT URSOCOL 300 WHICH I AM TAKING FROM 7/10/2015 & SEE THE ULTRASOUND & REPORTS ALSO AND SUGGEST ME HOW LONG SHOULD I TAKE IT AND WHAT DOSE.IF OTHER MEDICATION IS REQURIED PLEASE SUGGEST ME.

I AM NON- ALCHOHOLIC. PLEASE KNOW ME THE POSSIBLE CAUSES OF RISING SGPT & SGOT .IS IT DANGEROUS FOR ME NOW?

Answered by Dr. Dr.P.Ratnakar Kini (6 hours later)

Brief Answer:
Could be drug induced

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

Your SGPT and SGPT is slightly out of range.
Since you are a non alcoholic, the most likely cause is drug induced elevation.
Lipicard can cause raise in liver enzymes.
Fatty liver is also another common cause.

The uploaded documents not showing the ultrasound scan report. So please upload it.

Regards,
Dr.R.K.

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

Follow up: Dr. Dr.P.Ratnakar Kini (2 hours later)

dear doctor ,
i have uploaded the ultrasound report . please examine it.

Answered by Dr. Dr.P.Ratnakar Kini (19 hours later)

Brief Answer:
USG scan shows fatty liver

Detailed Answer:
Hi,
As per your USG scan you have fatty liver.
As mentioned in the previous post, fatty liver is another cause for raised liver enzymes.
Continue treatment for high triglycerides.
Reduce weight if obese.
Continue Ursocol 300 mg twice a day for 3 months.
Take Nusam twice a day for 3 months.
Repeat ultrasound scan and liver function test after 3 months.

Regards,
Dr.R.K.

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

Follow up: Dr. Dr.P.Ratnakar Kini (1 hour later)

should i take URSOCOL 300 & NUSAM(prescribed by you ) twice a day together ?
is there any problem to take these medicines for cardiac patient ( CAD) with other medications for heart disease as i described above ?
thanking you sir,
what dose of NUSAM (200 OR 400 ) SHOULD I TAKE & WHEN ?

Answered by Dr. Dr.P.Ratnakar Kini (23 hours later)

Brief Answer:
Yes you can take both

Detailed Answer:
Hi,
Yes you can take both the medications.
There is no interaction with the medications taken for heart disease.
You can take Nusam 200 mg twice a day after food.

Regards,
Dr.R.K.

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

Follow up: Dr. Dr.P.Ratnakar Kini (23 hours later)

sir , i heard recently NUSAM is very costly medicine. is there any substitute like NUSAM? if i take only URSOCOL 300 twice a day, will it be helpful? if not please suggest me what to be done to get rid off from this condition.please help me sir.
is it dangerous disease ? and what may happen in future ?

Answered by Dr. Dr.P.Ratnakar Kini (21 hours later)

Brief Answer:
It is not a dangerous disease

Detailed Answer:
Hi,
Fatty liver is not a dangerous disease as such. A small percent of people with fatty liver disease may progress to chronic liver disease.

Nusam is liver protective medication only. If you feel it is too costly, you can take Ursocol only.
The essential thing is treating the risk factors like high cholesterol, diabetes and obesity.
If you are obese, try to reduce weight.
Continue with other medications which you are already taking.

Regards,
Dr.R.K.

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