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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Mildly Enlarged Liver With Generalised Fatty Changes, Mild Hepatomegaly. Treatment ?

hi & regards,my liver is mildly enlargewith generalised fatty changes,vertical span of rt.lobe is 15.07cm(normal 14cm) gall bladder ,hepatic and portal veins,cbd, pancreas , spleen ,kidneys, urinary bladder ,prostate all are normal in ultrasound.the impression is mild hepatomegaly with fatty changes,associated git problem. in lft test serum bilirubin 0.8(normal 0.2-1.20) direct bilrubin 0.5(0.00-0.40) indirect bilrubin 0.3(0.10-1.20) sgot 50(10-40) sgpt 88(10-40) alkaline phosphtase 126 (34-94) protien7.4(6.0-8.0)serum albumine 4.0(3.7-5.3) serum globuline 3.4(2.3-3.6) blood uria 56 (10-50) serum creatinine 1.8(0.6-1.2) serum uric acid 8.0(3.4-7.0) calcium 9.6 (8.4-10.2) sodium 141.7 (135-155) potassium 3.98 (3.5-5.1) one year ago i suffred from this desies at that time my doctor gave me ursocol 300, antoxid,ec350 but now the doctor has been shifted to another place now a new doctor gave me viboliv 500 and febuget 40 for uric acid .i an alcoholic with intake once a week one peg and non vegitarian ,i dont smoke. i shall be highly oblised if u help me. thanks
Fri, 31 Aug 2012
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Gastroenterologist,  's  Response
Hi,
Welcome to Healthcare magic!
The cause of fatty liver in your case is alcohol intake.
The liver enzymes are only mildly raised.
Abstinence from alcohol will reverse the condition.
If you are obese, weight reduction is necessary.
If you are a diabetic or if you have high cholesterol, those issues should be treated as they can also contribute to the development of fatty liver.
Continue taking ursocol and viboliv.
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Mildly Enlarged Liver With Generalised Fatty Changes, Mild Hepatomegaly. Treatment ?

Hi, Welcome to Healthcare magic! The cause of fatty liver in your case is alcohol intake. The liver enzymes are only mildly raised. Abstinence from alcohol will reverse the condition. If you are obese, weight reduction is necessary. If you are a diabetic or if you have high cholesterol, those issues should be treated as they can also contribute to the development of fatty liver. Continue taking ursocol and viboliv.