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What do these lab reports indicate?

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Gastroenterologist
Practicing since : 1986
Answered : 1683 Questions
Question
Hii
XXXX Here
I did a sonography of whole abdomen today
Which Showed liver is normal in Shape & Size , (Span 13cm ) with bright echotexture.
Very much worried exactly was is it
Tried googling shows different and difficult answers
Fri, 27 Apr 2018 in Digestion and Bowels
 
 
Answered by Dr. Ramesh Kumar 2 hours later
Brief Answer:
Fatty liver.

Detailed Answer:
Hello,
Thanks for query my dear.
Have seen report of USG it says you have a grade 1 fatty liver.

The observation of bright liver echo pattern on ultrasound is commonly considered a sign of hepatic steatosis. In easy words it could be suggestive of mild fat deposition in liver termed as fatty liver.Most likely youare having non alcoholic fatty liver(would assume that you are non alcoholic).As age of a person increases fat began's to accumulate in various parts of body like blood vessels(atherosclerosis) or liver(fatty liver),Its very natural and a part of process called aging. However in some patients usually obese or sedantry these changes may be there in early age also.The amount of fatty acid in the liver depends on the balance between the processes of delivery and removal.As the age increases the number of transporter cells which carry fat from liver to peripheral parts(for utilization decreases);Causing increased deposition of these fatty acids in liver.
Initially would suggest you following tests to rule out the cause of fatty changes at young age-
Serology
Liver function tests
If both these tests are normal then i would suggest you to keep a check on your diet or take diet i would suggest you.
This would help to revert back the changes soon.
some food plans are-
-Whole grains are very beneficial to consume.These can be in the form of XXXXXXX whole wheat bread or cereal, brown rice, whole grain pasta,grains such as whole oats, wild rice, rye, oatmeal and corn are also beneficial and can be taken if suits your food pattern.
-Fruits and vegetables should be a significant part of any diet to help in recovering from a liver disease. They are full of essential nutrients and are easy to digest.
-Healthy proteins in the form of low-fat milk and dairy products along with lean meats, beans, eggs and soy products can also be a part of a healthy liver diet.
-Avoid red meat.
Try to switch over to veg diet.
Take anti oxidants daily.
-Silibinin, also known as silybin, is the major active constituent of silymarin, a standardized extract of the milk thistle seeds, containing a mixture of flavonolignans consisting of silibinin, isosilibinin.It should be taken two times a day.Its a very potent liver rejenuvator and is very effective in maintaining liver healthy.

Ayurvedic tablet Liv 52 should be taken once daily.


Hope i was helpful.
Keep enjoying your life dear.
Wish you a great day ahead.

Above answer was peer-reviewed by
 
Follow-up: What do these lab reports indicate? 42 minutes later
Thank u for your reply sir
The thing which is making me worried is
Is it fatty liver Or Hepatic Steatosis
Or both things r one and the same



Tried searching for the answer on Google
It took me tell cirrhosis & Fibrosis
 
 
Answered by Dr. Ramesh Kumar 8 minutes later
Brief Answer:
There is no need to worry just control you diet for 8 weeks

Detailed Answer:
When fatty liver remain uncontrolled for many years it get converted to a disease called hepatic steatosis.
So in easy language if you won't take care of fatty liver it would get more and more fat and would ultimately land up in a medical condition termed as steatosis.

No way ,no cirrhosis etc dear its just a normal fatty liver grade 1(initial stage).
Just follow what i said.Don't google too much it will just confuse you.

In case you can't stop yourself then read about fatty liver (in general) however i have explained the same thing earlier.
Thanks

Above answer was peer-reviewed by
 
Follow-up: What do these lab reports indicate? 1 hour later
Kkkk.
Thank u so much sir
As I was also suffering from gastritis since last many months also did a upper go and biopsy which showed gastritis and positive h.pylori infection .
Taken the course for the antibiotics and was feeling quite good
However some days ago I took a full chilled glass of thumsup
And the problem started an
I feel sour and bitter taste in mouth and also mild or sometimes more pain in stomach in different parts
So sir could u suggest wad should I do now
Wad precautions and medicines should I take now
 
 
Answered by Dr. Ramesh Kumar 7 minutes later
Brief Answer:
proper medication with life style and food modification.

Detailed Answer:
Hello again my dear patient proper medication with diet modification is most important thing when it comes to control symptoms of gastritis.
Initially i would suggest you to start proton pump inhibitor like esomeprazole(nexium)40 mg twice daily.
Along with it take any antacid syrup like Mucaine gel 3 tsf thrice daily(preferably 10 minutes before taking food).
You will easily get them in XXXXXXX
Take them both for 10 days initially and follow up after that.

Strict no to junk food or colas.
Take a cup of cold milk once daily before going to bed.
No alcohol or smoking.
Take home cooked food.

Follow up after 5 days.
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Follow-up: What do these lab reports indicate? 22 minutes later
Sir m taking SOMPRAZ D40
DOCTOR ADVISED ME TO TAKE IT FOR 45 DAYS 30 MINS BEFORE BREAKFAST
AND REFLUX FORTE SYRUP 30 MINS AFTER FOOD AS AN WHEN REQUIRED
AND FOLVITE 1 TAB ANY TIME DURING THE DAY

SHOULD I FOLLOW THIS
 
 
Answered by Dr. Ramesh Kumar 1 minute later
Brief Answer:
Follow up answer.

Detailed Answer:
Have you taken them for few day?
On a scale of 0-10 how relieved were you feeling after taking the above mentioned medications?
Reply asap.
Whether to continue them or to shift to better ones depends on your relief level.
Above answer was peer-reviewed by
 
Follow-up: What do these lab reports indicate? 19 minutes later
Sir I was almost feeling fine between the h.pylori infection course ... it all started an from the day I drank a glass full of soft drink early in the morning ..
Now an I just ate taking SOMPRAZ d40 from last 3 days
Didn't recognize so much exactly how well m feeling and suddenly this ultrasound scared me went totally into stress
And another think sir regarding the serology test
I had already done ANA TEST
P- XXXXXXX & C-ANCA TEST ALL OF THEM CAME NEGSTIYE
HOWEVER I HAVE ALLERGIC ASTHAMA ISSUES SINCE BIRTH AND RITE NOW M TAKING MONTELUKAST AND LEVOCETREZINE AND INHALERS TWICE A DAY ..ALL OF THIS ALSO STARTED AFTER TAKING A GLASS OF SOFT DRINK EARLY IN THE MORNING
 
 
Answered by Dr. Ramesh Kumar 12 hours later
Brief Answer:
Take what suggested you.

Detailed Answer:
Soft drink contains hypophosphoric acid.So they cause severe gastritis as they increases the acidity of stomach.
If you can’t control then don’t forget to takeadditiinal dose of sompraz before taking colas etc.
Start taking the medicines i suggested you and tell me how you feel in 5 days.

Thanks!
Above answer was peer-reviewed by
 
Follow-up: What do these lab reports indicate? 14 days later
Hii sir
He r u
As it was feeling like cramping and pain like feeling in the stomach .. and was so suffering from constipation after eating outside food .
Did A contrast c.t scan of abdomen and pelvis
And it showed " SMALL VENTRAL UMBLICAL HERINIA IS SEEN WITH HERINIATION OF MESENTRIC - OMNETAL FAT
HOWEVER Sir consultid a GP IN XXXXXXX HE SAYS IS IT IS NOTHING SIGNIFICANT AND THE MAIN PROBLEM WITH U IS ANXIETY

Sir exactly wad is it ? Very much worried
 
 
Answered by Dr. Ramesh Kumar 2 hours later
Brief Answer:
Just take a laxative.

Detailed Answer:
Hi dear,
Thanks for follow up.
Have seen your reports.
Firstly let me assure you that clinically your reports are normal.
Cramps and pain is because of constipation.
Just take any over the counter laxative like lactulose 30 ml.
Once you will have motions things would be fine.

Please feel free to follow up.
Regards!
Above answer was peer-reviewed by
 
Follow-up: What do these lab reports indicate? 22 minutes later
Thank u so much sir for replying late night also
How ever sir the things tt the technician has written in the scan
Small Ventral umbilical hernia is seen with heriniation of mesenteric - omnetal fat , wad is tt sir ?

Tried searching for the answer of different gastroneterology websites and different forums and it shows tt
It is something tt wn organs or fat from ur abdomen bulges out it is called hernia .. & it can also lead to stranculated hernia ..which can lead to stop blood supply to tt part and it can lead to gangrene in stomach

 
 
Answered by Dr. Ramesh Kumar 6 hours later
Brief Answer:
These complications are there in advanced stage.

Detailed Answer:
Hello again my young friend and my dear patient,
Firstly i would suggest you to stay away from googling too much as this would unnecessarily increase your levels of anxiety.
Hernia means a small opening which allows intestinal contents to pass through it.Clinically there are three stages of hernia-
Reducible: contents slide in and out of hernia.
Incarcerated: contents get stuck in hernia and often cause constant ache
Strangulated: contents are constricted and blood supply is compromised causing tissue death and possible bowel rupture.
Yours is just small and reducible right now.
So it wont cause gangrene strangulation etc.
As of now you have two options-
A) Wait and watch-Repeat an abdominal CT every year to keep a watch over the growth of hernia.
B)Laproscopic closure of hernia-Though not required asap but yes in case you are so concerned then to be on very safe side you can get it done.

Regards!
Above answer was peer-reviewed by
 
Follow-up: What do these lab reports indicate? 1 hour later
Sir are there any chances that as It is very small so it can get healed by its own in some months or time

Another thing is sir
Facing constipation and nauseasince last 3 to 4 days is this problem because of this small hernia ... and sir would like a suggestion from ur side tt is this small hernia and heriniation of mesenteric- omnetal fat ..is something very serious and need to be operated now ...
Pizza suggest some good advice sir
 
 
Answered by Dr. Ramesh Kumar 8 hours later
Brief Answer:
Follow up answer.

Detailed Answer:
Hi dear,
Sorry for a bit delayed reply,
Hernia can be because of long term constipation.Over straining and use of excessive pressure while defecating may cause some organs to herniate(as body is subjected to pressure changes daily).However if constipation is there only from 4 days i don't think it can cause hernia or vice versa.

Mesentry means intestinal contents.All contents are lined up by layer of fat.So in your case fat is herniating.They are just medical terms dear.

No its not at all serious at present and i don't feel you require operation asap.
Better way is to treat underlying cause i.e constipation.However for final decision visit a general surgeon with all your reports and he/she would suggest you whether surgery is required asap or not.Hope you can understand i can't examine you clinically.

Please feel free to follow up.
Regards.
Above answer was peer-reviewed by
 
Follow-up: What do these lab reports indicate? 18 minutes later
I visited to my gastroenterologist sir and wad he said was my brother it is not hernia .. it is just a body structure .. If would be hernia the size of hernia would have been mentioned ..
No need to worry at all ... it is just a medical term. Don't worry
And he prescribed me acotiamide thrice a day for 3 weeksand SOMPRAZ plain for 3 weeks b4 breakfast amd nothing else and it is not hernia .. he repeatedly said this
U plz consult a physchiathrist
 
 
Answered by Dr. Ramesh Kumar 20 minutes later
Brief Answer:
Follow up.

Detailed Answer:
Hello my adorable patient,
As explained by me earlier its a small hernia(clearly mentioned in reports of CT Scan).
I don't know the authenticity of scan done but as per report there is a small ventral umbilical hernia.
Can you please attach the film of you CT scan i need to go through it.
Please do mention the name of city and country in which CT was performed.I can see you location as jaslok hospital mumbai? i don't think that they would miss hernia in CT.

Waiting.
Above answer was peer-reviewed by
 
Follow-up: What do these lab reports indicate? 25 minutes later
Kkk sir all send u in some time
 
 
Answered by Dr. Ramesh Kumar 3 minutes later
Brief Answer:
Regards.

Detailed Answer:
Ok dear.
Wish you a good day ahead.
Are you on any anti anxiety medication?

Take care and feel free to follow up.
Above answer was peer-reviewed by
 
Follow-up: What do these lab reports indicate? 38 minutes later
No
 
 
Answered by Dr. Ramesh Kumar 10 minutes later
Brief Answer:
Follow up answer.

Detailed Answer:
ok
so attach you ct scan copies with other details when ever you are free.
Regards.
Above answer was peer-reviewed by
 
Follow-up: What do these lab reports indicate? 16 hours later
Good afternoon sir
I had attached all the film's of c.t scan
Humble request please go through the film's and revert - ASAP
 
 
Answered by Dr. Ramesh Kumar 29 minutes later
Brief Answer:
follow up.

Detailed Answer:
Hello dear patient,
Have seen the attachements there is herniation in ventral wall but its very small and therefore i think your gastroenterologist assured you that its nothing.
Just treat constipation properly dear and this would heal itself very likely.
I won’t suggest you for surgery at age of 26.

Regards!
Above answer was peer-reviewed by
 
Follow-up: What do these lab reports indicate? 40 minutes later
Kkk. Thank u So Much Sir
May GOD GIVE U A LONG AND XXXXXXX FULL LIFE
WAT I UNDERSTOOD IS THE HERINIATION IS VERY SMALL AND ONCE THE CONSTIPATION IS TREATED IT WLL HEAL BY ITSELF .
HOWEVER SIR WAT IS THE SUDDEN CAUSE OF CONSTIPATION?
M TAKING MEDECINES AND TIRED OF TAKING MEDICINES
ACOTIAMIDE THRICE A DAY
NEKSIUM ONCE B4 BREAKFAST ?
AND SIR IS 'RE ANY NEED OF DOING AN UPPER GI GASTROSCOPY ?
 
 
Answered by Dr. Ramesh Kumar 2 hours later
Brief Answer:
Follow up answer.

Detailed Answer:
Thanks for appreciation my young friend.I wish the same for you.

See when you are constipated you strain a lot while passing stools.Our body is divided into two chambers separated by a membrane called diaphragm.Upper part is called thorax(chest) lower part is called abdomen(intestines and all).
When you over exert a lot while defecating the pressure of one chamber becomes higher then other causing hernia.This is just a easy explaination for you.Once constipation is relieved things would settle down(most likely).

From how long are you on acotiamide and nexium?
In what doses?
Relief in symptoms on a scale of 1-10 after taking these medicines?
What have you tried for constipation?
You have mentioned earlier that you are diagnosed with gastritis so was an endoscopy done or not?

Please reply

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