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Epileptic patient with fatty liver - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   hello
User :   Hi
User :   I am a 36 year old make with a BMI of 25
Doctor :   ok
User :   I have recently had an ultrasound which has concerned me a little because I have been told there is some fat around my liver
User :   I do not drink very much alcohol - 3 or 4 beers maximum per week
User :   I have epilepsy but have not had a seizure in over 15 years but have been on one drug for around 20
User :   A side effect of it is apparently liver damage
User :   I am now regularly going to the gym and swimming
User :   And trying to change my diet
Doctor :   what all medications are you on ?
User :   I am not ure whether I should be eating high carbs or low carbs or taking omega oils or anything
User :   Lamotrogine (Lamictal) 400 mg twice daily and Keppra 1500mg twice daily
Doctor :   i see
User :   It has given me a bit of a scare so want to start making changes ASAP
Doctor :   well yes you are correct that medications do have a effect on the liver
Doctor :   and i am really glad that you have been making all the changes
User :   So what is your advice re: diet and supplements etc
Doctor :   sure will tell you everything
User :   ok
Doctor :   to begin with
Doctor :   try stopping your alcohol consumption
User :   ok
Doctor :   your weight is normal
Doctor :   so you make sure you maintain it
User :   ok
Doctor :   avoid sushi or partially cooked meat
Doctor :   most important you need to practice safe sex you dont want any hepatitis or hiv
Doctor :   rest its simple just regular diet and exercise
Doctor :   and you will be fine
Doctor :   i can assure you that liver is one organ that has the capacity to regenerate completely to normal
User :   What about Omega oils
Doctor :   thats good
User :   Which ones?
Doctor :   omega 3
User :   What about 6 and 9?
Doctor :   3 has more benefits
User :   And carbohydrates?
Doctor :   a regular balance diet is all your need
Doctor :   avoid drugs
Doctor :   and alcohol
Doctor :   thats the main things
Doctor :   rest you can eat everything in moderation
User :   Any other advice re diet
User :   And upplements
Doctor :   no they are not required
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