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Suggest remedies for mild hepatomegaly with increased hepatic echogenicity

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Posted on Thu, 28 Jul 2016
Question: My husband is 34 with mild hepatomegaly with increased hepatic echogenicity. What treatment do you advise? His liver span is 16.02. There was poor visualization of the portal veins. The outline was regular and smooth. No focal mass or lesions.
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Answered by Dr. Ralph Chambers (2 hours later)
Brief Answer:
Hello XXXXXXX

Detailed Answer:
This sounds like what's called fatty liver syndrome.
For the most part it's treated with lowering cholesterol levels with both a low fat/low cholesterol diet and statin medications if lipid profile is high.

A low calorie diet--1200 calories a day--in addition to plenty of green leafy veggies and fruits, nuts, lean meats--will also help him to lose some weight which will also help the situation

He needs to see a gastroenterologist for further workup for this but it isn't too serious a problem.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
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Follow up: Dr. Ralph Chambers (3 hours later)
What medications should his doctor be recommending? They are saying just to change his diet....though the doctors here in Nigeria never give much help in treatment
doctor
Answered by Dr. Ralph Chambers (2 minutes later)
Brief Answer:
Hi again

Detailed Answer:
No medications unless his cholesterol levels are high which they are. He needs a statin like Lipitor
He should avoid acetaminophen and any alcohol
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Ralph Chambers

General & Family Physician

Practicing since :1976

Answered : 2130 Questions

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Suggest remedies for mild hepatomegaly with increased hepatic echogenicity

Brief Answer: Hello XXXXXXX Detailed Answer: This sounds like what's called fatty liver syndrome. For the most part it's treated with lowering cholesterol levels with both a low fat/low cholesterol diet and statin medications if lipid profile is high. A low calorie diet--1200 calories a day--in addition to plenty of green leafy veggies and fruits, nuts, lean meats--will also help him to lose some weight which will also help the situation He needs to see a gastroenterologist for further workup for this but it isn't too serious a problem.