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What Causes Fatigue, Fullness In Stomach, Confusion And Fever Like Feeling?

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Posted on Mon, 6 Jul 2015
Question: Patient age: 54 Patient
Feels fatigue most of the time and stomach feels full, mind confused, fever like feeling sometimes.

LFT report says:
Bilirubin - direct : 0.41 mg/dl
Aspartate aminitransferase (sgot): 49 u/l
Alanine transaminase(sgpt): 60 u/l

Ultra sound report says: grade 2 fatty liver (suggest correlation with LFT)
Hepatitis B & C in negative

Is there anything to worry about?
doctor
Answered by Dr. Dr. BR Hudda (3 hours later)
Brief Answer:
Please provide more information

Detailed Answer:
Hello XXXX
I really appreciate your concern for Mr XXXXXXX XXXXXXX

Looking at your detailed description and reports you have uploads, this is suggestive of collection of fat in Liver.
At an early stage it's a reversible condition with life style modification and certain drugs, so you need not to worry.

I would like further informationto help you better
dose he consume liquors , if yes than how much daily and since how long?
Since how long he is having all the symptoms you have mentioned about?
Is there any complaints of loss of appetite or vomiting or pain in abdomen?

Fatty liver with slightly elevated liver enzyme is suggestive of inflammation/injury of the liver

Please revert back to me with my answers, I will definitely help you in best possible way
Regards
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Dr. BR Hudda (20 hours later)
Sir,
He stopped consuming liquor 5-6 years back.
Symptoms like getting tired easily, bloated stomach, somewhat yellowish skin & eyes, feeling fever sometimes & pain in abdomen rarely are there from past 3-4 weeks.
Also, he is diabetic from last 5 years, but with the help of healthy diet, regular exercise and one ayurvedic tablet (named ’D-Fit’) daily, he has kept it in control.
Kindly revert.
doctor
Answered by Dr. Dr. BR Hudda (13 hours later)
Brief Answer:
Please consider these explanation

Detailed Answer:
Hello
Thanks for your reply
Looking at detailed history his symptoms are pointing towards liver disease or acid peptic disease
Since he is diabetic I would like know about his latest blood sugar level and HbA1c test if it has ordered earlier and what all medicines he is taking?

Bloating and pain in abdomen can be caused by acid peptic disease due to stomach hyperacidity or Aerophagia (swallowing of air) or may be due to inadequate control of diabetes.

Serum bilirubin is within normal range so in my opinion he needs to examined physically for yellowish discoloration of skin and eyes (jaundice) and fever.
D fit is a ayurvedic which claims to reduce blood sugar but I am not sure about its efficacy.

I would advise him to take anti acidity medicines like pantoprazole or rabeprazole with antacids for 7 to 10 days with avoidance of fatty fried and spicy food.
He should take more of whole grain food with steamed vegetables with diet restrictions.

Hope this addresses your question please revert back to me if anything is not clear.
Best wishes

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Dr. BR Hudda

General & Family Physician

Practicing since :2009

Answered : 3004 Questions

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What Causes Fatigue, Fullness In Stomach, Confusion And Fever Like Feeling?

Brief Answer: Please provide more information Detailed Answer: Hello XXXX I really appreciate your concern for Mr XXXXXXX XXXXXXX Looking at your detailed description and reports you have uploads, this is suggestive of collection of fat in Liver. At an early stage it's a reversible condition with life style modification and certain drugs, so you need not to worry. I would like further informationto help you better dose he consume liquors , if yes than how much daily and since how long? Since how long he is having all the symptoms you have mentioned about? Is there any complaints of loss of appetite or vomiting or pain in abdomen? Fatty liver with slightly elevated liver enzyme is suggestive of inflammation/injury of the liver Please revert back to me with my answers, I will definitely help you in best possible way Regards