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Fatty liver and vomiting - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi
Doctor :   how can i help you?
User :   hello doctor, how r u
Doctor :   i'm fine
User :   I am a fatty liver patient.
Doctor :   ok
User :   Yesterday i go for LFT, Lipid Pro test, test report shows Hi value of sgpt, sgoh, Total Bilurbin
Doctor :   ok
Doctor :   do you have any symptoms like fever jaundice
Doctor :   or pain in the abdomen?
User :   Trigyl is 173, celestrol=220, ldl=151, vldl=35
Doctor :   ok
Doctor :   do you have any symptoms like fever jaundice
or pain in the abdomen?
User :   sometimes pain in abdomen, no jaundice
Doctor :   ok
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Marital Status: Dependents: Yes/ No.
User :   from today, omitting sensation,
Doctor :   ok
User :   M-33, xxxx , Married
User :   APOa1 is 74 & APO b is 74
Doctor :   ok
Doctor :   Do you have any other health problems? Overwt, Diabetes, Hypertension, Asthma, Allergies?Any Operations If so why?,
User :   overweight, heigt is 166cm wt 72 KG
Doctor :   ok
Doctor :   Do you smoke or chew tobacco/drink alcohol/Any illicit drugs/ betel nut chewing? If yes how much/how often?
User :   no other problem
Doctor :   any addictions?
User :   not at all
Doctor :   ok
Doctor :   have you got your viral screening done?
User :   lever scan test shows only Fatty liver
Doctor :   HIV, HbSAg, Anti HbC done?
User :   HBSAG& Hbc negative
Doctor :   ok
Doctor :   do you have abdominal fat?
Doctor :   a belly?
User :   if the direct bilerbinis in range, what should be the effect of higher Indirect Bilurbin
Doctor :   as you have no other symptoms
Doctor :   the eleveted liver enzymes may be incidental
Doctor :   all this signifies that you have minor reversible liver injury
User :   no much abdominal fat, what is belly
Doctor :   big abdomen
Doctor :   pot belly
Doctor :   tummy
User :   no
Doctor :   ok
Doctor :   why were the tests done?
Doctor :   as routine or did you have any problem?
User :   is there any relation of APO tests with Liver
Doctor :   yes
Doctor :   higher cholesterol may cause fatty liver
Doctor :   you need to reduce the cholesterol levels
User :   the SGPT & SGOT values are incresing
Doctor :   you may take medical or non medical measures
Doctor :   yes
Doctor :   that happens in such cases
Doctor :   the values will once normalize
Doctor :   once the fatty liver subsides
User :   have i to contact with a cardiologist
Doctor :   do you have chest pain?
Doctor :   or any breathing difficulty?
User :   no
Doctor :   ok
Doctor :   are you taking any medicines now?
User :   suggest the appropriate doctor -Gastro or Cardio
Doctor :   gastroenterologist would be best
Doctor :   you can take generall measures like
User :   Triomega, Ursocol SL450,
Doctor :   weight reduction
Doctor :   yes
Doctor :   that would be sufficient
Doctor :   you need to take
User :   when i take ursocol, it reduces HGPT & HGOT
Doctor :   test your liver enzymes and cholesterol after 3-4 months
Doctor :   yes
Doctor :   it does
Doctor :   if the cholesterol has not gone down
User :   also taking folinal
Doctor :   ok
User :   Is any serious problem
Doctor :   if it hasnt then you may need cholesterol loweing drugs
Doctor :   no
Doctor :   anything else?
Doctor :   Please fill the feedback form say done when done
User :   since the bilurbin is Hi, is it required to stop exercise
Doctor :   no
Doctor :   you can continue
Doctor :   its good for your cholesterol
User :   is the all problems are due to fatty liver
Doctor :   high cholesterol
Doctor :   thats why you had fatty liver
Doctor :   there seems to be no other cause
Doctor :   anything else?
User :   but 2 months back celostol was ok, only fatty liver was there
Doctor :   it could not have still not manifested
Doctor :   they may have been borderline
User :   suggest the diet
User :   total bilurbin is always at borderline, now hi
Doctor :   Ok
User :   is it indicates juandic
Doctor :   Do you do any Exercise at all
Doctor :   Are you having any Yellow Conjunctiva or having any Yellow color in the urine
User :   yes, use treadmill
User :   no
Doctor :   Since without them there it is insignificant Elevation of the Elevation of liver enzymes
Doctor :   Ok.
User :   suggest the diet
Doctor :   You will need to get your self to burn out all those Fats in your liver
User :   Can i Continue the exercise
Doctor :   Will just let you knpow but before that i wpould need to be sure that we are not dealing with any thing or have not missed out any thin gin you
Doctor :   Certainly you will need to do it regularly
Doctor :   white bread, white rice, most prepared breakfast cereals and concentrated sugar. Vegetables, fruits, beans and unprocessed grains are examples of low-glycemic foods, which raise blood sugar slowly.
User :   Is all test indicates the actual problem, the doctoe is looking for
Doctor :   More than diet you will need to Exercise to burn out the Fat that will be most essential thing.
Doctor :   None i feel that you might have got all the tests done and have ruled out pretty much every thing
Doctor :   Please fill the feedback form say done when done while I type the information you needed.
Doctor :   Well following from the Diet that i was mentioning you need to avoid the High Calorie Foods and the once that i have mentioned
Doctor :   Make the Low Glycemic foods a majour part of your diet
Doctor :   Are you there xxxx..
User :   any oter sugession, because the doctor is saying that he is not able to find the actual reason of higher hsot,hgpt. I have to show this report on friday
Doctor :   Yes there are possibilities of The liver enzymes being raised without an actual cause hence it wuld not be any thing to raise an alarm about
User :   he is planning for liver biopsy
Doctor :   Its an insignificant raise..
Doctor :   Follow these Diet and regular exercise and at a later date get the repeat Test don for Liver function and if still raised then go in for the Procedure..
User :   thanks doctor
Doctor :   You are Welcome ..
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service
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