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Diagnosed 2nd grade fatty liver. Continue to drink. Medicines? Suitable diet?

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Posted on Tue, 23 Jul 2013
Question: I am 34 year old. I had taken a master health check up few months back. I am told i am have 2nd grade fatty liver. I consume alcohol daily for many years now and am still continuing about 3 pegs a day ( 60 ml - Large).
Please let me know if there are ny medicines to rectify the liver damage and suitable diet to tackle this. THanks you.
doctor
Answered by Dr. Charles S Narasi (6 minutes later)
Dear XXXXXXX
Thank you for contacting XXXXXXX with your question. First of all you
admit to drinking alcohol daily for many years. You are only 34 years
young and I think now is the time for you to turn thing around.
You mention grade-2 fatty liver which is some what advanced stage.
If you do not change your habits , this will progress to further damage
and eventually cirrhosis of the liver, bleeding , coma , and death. There
is a possibility of liver cancer as well.
At this stage, your liver can come back to normal.
Here is what you have to do. Stop all alcohol , cold XXXXXXX If you need
help from a health professional please get it. Second , you must follow
a low fat diet, avoid greasy, fried foods. You need good protein diet.
Whole grains , wheat , legumes , nuts , fruits and vegetables are good.
I want you to take a super B-Complex vitamin tablet daily, Vitamin-C
1000 mg. daily and Vitamin-E 800 i.u. daily.
If you can get a protein drink supplement , take it twice a day.
You should also work on quitting smoking , even though this has no direct
effect on the liver.
I want you to get a complete set of blood tests including liver , kidney ,
thyroid , lipids , blood sugar , HbA1C , Protein levels, blood count etc.
If your liver enzymes are elevated , you have to be extra careful and
do all thee things I mention above right away before it gets worse.
I hope that I have convinced you enough so that you can lead a healthy
life.
I want to let you know , after about six months , get a repeat scan and
see if there is improvement.
I wish you the very best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Charles S Narasi (1 minute later)
Thank you so much for the detailed advice. I know I am doing something wrong with my habits and hence the concern i had to consult. I will change my diet as suggested by you. But completely stopping Alcohol is something that I cannot think of atleast in the near future. Is it okay if I reduce my consumption to say 2 drinks per day followed by good Diet and medicenes. I know of many people including my father who have been consuming alcohol daily for over 30 years and have lived healthily upto the age of 78. Does this mean proper food can compensate the liver function. Please dont mistake me for asking this question. I am only looking to have relaxed life after work hours and at the same time not harming the health. Please also advise if Liv 52 DS or Livorus tablet is better for Liver. Thank you once again.
doctor
Answered by Dr. Charles S Narasi (2 hours later)
Hello, XXXXXXX
I know how hard it is to fight the alcohol addiction.
But you really have to try. It is O.K. to start cutting back
like you say . Since you already have fatty liver (Grade-2) ,
I am really concerned about the damage to the liver.
Some people can tolerate the modest amounts of alcohol.
Others cannot. Unfortunately you are one of those.
Certainly follow the diet and proper exercises.
Liv 52 DS is O.K. to take along with the other vitamins I
have suggested.
I wish you the very best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Charles S Narasi

Gastroenterologist

Practicing since :1962

Answered : 693 Questions

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Diagnosed 2nd grade fatty liver. Continue to drink. Medicines? Suitable diet?

Dear XXXXXXX
Thank you for contacting XXXXXXX with your question. First of all you
admit to drinking alcohol daily for many years. You are only 34 years
young and I think now is the time for you to turn thing around.
You mention grade-2 fatty liver which is some what advanced stage.
If you do not change your habits , this will progress to further damage
and eventually cirrhosis of the liver, bleeding , coma , and death. There
is a possibility of liver cancer as well.
At this stage, your liver can come back to normal.
Here is what you have to do. Stop all alcohol , cold XXXXXXX If you need
help from a health professional please get it. Second , you must follow
a low fat diet, avoid greasy, fried foods. You need good protein diet.
Whole grains , wheat , legumes , nuts , fruits and vegetables are good.
I want you to take a super B-Complex vitamin tablet daily, Vitamin-C
1000 mg. daily and Vitamin-E 800 i.u. daily.
If you can get a protein drink supplement , take it twice a day.
You should also work on quitting smoking , even though this has no direct
effect on the liver.
I want you to get a complete set of blood tests including liver , kidney ,
thyroid , lipids , blood sugar , HbA1C , Protein levels, blood count etc.
If your liver enzymes are elevated , you have to be extra careful and
do all thee things I mention above right away before it gets worse.
I hope that I have convinced you enough so that you can lead a healthy
life.
I want to let you know , after about six months , get a repeat scan and
see if there is improvement.
I wish you the very best.