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I Had An Abdominal Ultrasound Recently And Came Back With
Question: I had an abdominal ultrasound recently and came back with these results: Mild hepatomegaly with heterogenous echogenicity, suggesting chronic hepatocellular disease, possible fatty infiltration.
My CMP also showed elevated liver enzymes:
AST 33 U/L 0 - 35 U/L
ALT 58 U/L 7 - 45 U/L
when a year ago AST was 18 u/L and ALT 19 u/L.
How concerned should I be? Is there further testing that should be done?
My CMP also showed elevated liver enzymes:
AST 33 U/L 0 - 35 U/L
ALT 58 U/L 7 - 45 U/L
when a year ago AST was 18 u/L and ALT 19 u/L.
How concerned should I be? Is there further testing that should be done?
Brief Answer:
FATTY LIVER
Detailed Answer:
Hi...
Welcome to Ask a doctor.
Your liver is just getting involved in the process of fat deposition.Liver enzymes are escalating and they are the indicator of hepatocellular damage.
You should not be worried but should be concerned about it and do some life style modifications.
Here I would like you to share your personal history. Do you smoke and if yes how many sticks per day?Do you take alcohol and how often?What are your dietary habits?Do you have any comorbidities like hypertension and diabetes?
Avoid oily,heavy fatty meals.Take easily digestible soft diet. Avoid transfat and junk.Be physically active and mantain an ideal body weight.
FATTY LIVER
Detailed Answer:
Hi...
Welcome to Ask a doctor.
Your liver is just getting involved in the process of fat deposition.Liver enzymes are escalating and they are the indicator of hepatocellular damage.
You should not be worried but should be concerned about it and do some life style modifications.
Here I would like you to share your personal history. Do you smoke and if yes how many sticks per day?Do you take alcohol and how often?What are your dietary habits?Do you have any comorbidities like hypertension and diabetes?
Avoid oily,heavy fatty meals.Take easily digestible soft diet. Avoid transfat and junk.Be physically active and mantain an ideal body weight.
Above answer was peer-reviewed by :
Dr. Raju A.T
I do not drink or smoke. I do not have hypertension or diabetes. I have already been avoiding oily and heavy fatty meals because of having chronic gastritis. Although I do eat salmon 3-4 times a week. Perhaps that is what is causing the fatty liver since salmon has so much fat?
Brief Answer:
FATTY LIVER
Detailed Answer:
Hi...
That is really great that you don't drink and smoke.You are free from co-morbidity too.
Continue to avoid heavy fatty meals as before.
No....Please continue to have salmon.
There are no health downsides of it and it is safe.On the contrary, has the reverse role in that it has great amounts of omega 3 fatty acids which are beneficial in fatty liver.
It provides vitamin D and is a great source of proteins and healthy fats in addition to omega 3.
Normally it is recommended to consume salmon twice a week.Matter of concern is high mercury levels so like everything else in life - everything in moderations.It is good to eat a variety of food to get the benefits of all.
People with non-alcoholic fatty liver disease (NAFLD) can easily reverse the condition,
If you're overweight or obese, reduce the number of calories and lose weight.
Do exercise and be physically more active.
Protect your liver by drinking coffee.A daily dose of coffee could improve several key markers of non-alcoholic fatty liver disease by reducing permeability of the gut.
Adding raw vegetables,fruits,proteins,avacado will have an improvement.
Take green tea daily as it is full of antioxidents.
Avoid consuming more salt, white flour, fried foods and over processed foods.
Consume more cruciferous vegetables such as broccoli, cauliflower, cabbage butter, turnip and cabbage which helps the liver perform its functions.
Eat acidic fruits like grapefruit, lemons, and oranges.
Get vaccinations against hepatitis A and hepatitis B which will help to protect you from viruses that may cause further liver damage.
Vitamin E has a proven role and you can take commercially available preparations.
Vit E and other vitamins called antioxidants could help protect the liver by reducing or neutralizing the damage caused by inflammation.
Get your liver enzymes repeated after 3 months.
All the best.
Regards.
FATTY LIVER
Detailed Answer:
Hi...
That is really great that you don't drink and smoke.You are free from co-morbidity too.
Continue to avoid heavy fatty meals as before.
No....Please continue to have salmon.
There are no health downsides of it and it is safe.On the contrary, has the reverse role in that it has great amounts of omega 3 fatty acids which are beneficial in fatty liver.
It provides vitamin D and is a great source of proteins and healthy fats in addition to omega 3.
Normally it is recommended to consume salmon twice a week.Matter of concern is high mercury levels so like everything else in life - everything in moderations.It is good to eat a variety of food to get the benefits of all.
People with non-alcoholic fatty liver disease (NAFLD) can easily reverse the condition,
If you're overweight or obese, reduce the number of calories and lose weight.
Do exercise and be physically more active.
Protect your liver by drinking coffee.A daily dose of coffee could improve several key markers of non-alcoholic fatty liver disease by reducing permeability of the gut.
Adding raw vegetables,fruits,proteins,avacado will have an improvement.
Take green tea daily as it is full of antioxidents.
Avoid consuming more salt, white flour, fried foods and over processed foods.
Consume more cruciferous vegetables such as broccoli, cauliflower, cabbage butter, turnip and cabbage which helps the liver perform its functions.
Eat acidic fruits like grapefruit, lemons, and oranges.
Get vaccinations against hepatitis A and hepatitis B which will help to protect you from viruses that may cause further liver damage.
Vitamin E has a proven role and you can take commercially available preparations.
Vit E and other vitamins called antioxidants could help protect the liver by reducing or neutralizing the damage caused by inflammation.
Get your liver enzymes repeated after 3 months.
All the best.
Regards.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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