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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Mild Fatty Liver, Blood Urea. Have Pain In Soles And Around Lower Extremities. Due To Fatty Liver Or Gastric Problem?

I have been diagnosed with mild fatty liver and my blood urea and critnine is marginally low. I am not alchoholic but I am on cholestrol controlling medicine. I get swelling near toes with pitting and also have pain in soles and around lower extremities. Is there any connection . Is heaviness on right side under the ribs is on account of fatty liver or gastric problem. I don t normally pass gas that often.
Tue, 30 Apr 2013
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Gastroenterologist 's  Response
Hello, chopramukesh14,
If your blood urea and creatinine levels are a little low , that is good.
You don't want hem to be high which would indicate kidney damage.
I am glad that you are being treated for elevated cholesterol. Most
of the time this may be associated with overweight problem and also
diabetes. Make sure you are checked for this through two hour post meal
blood sugar level and also HbA1C levels which indicate how your sugar has
been in the last three months or longer.
Swelling of the feet and toes is indicative of some fluid retention. Make sure
that you cut back on your salt intake and you can use salt substitutes that
are available or low sodium variety.
I want you to get a repeat sonogram of the liver and get all the liver enzyme
tests to see if there are any signs of cirrhosis beginning. It is very important
to rule this out. If there is any question , the doctor might decide to do a liver
biopsy to correctly assess the level of inflammation or scarring.
I also hope that you are on Vitamin-E 800 i.u. daily along with a B-Complex Vitamin.
You should be on a low fat diet.
Hope this gives you some information that you can discuss with your doctor.
I wish you the very best.
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Diagnosed With Mild Fatty Liver, Blood Urea. Have Pain In Soles And Around Lower Extremities. Due To Fatty Liver Or Gastric Problem?

Hello, chopramukesh14, If your blood urea and creatinine levels are a little low , that is good. You don t want hem to be high which would indicate kidney damage. I am glad that you are being treated for elevated cholesterol. Most of the time this may be associated with overweight problem and also diabetes. Make sure you are checked for this through two hour post meal blood sugar level and also HbA1C levels which indicate how your sugar has been in the last three months or longer. Swelling of the feet and toes is indicative of some fluid retention. Make sure that you cut back on your salt intake and you can use salt substitutes that are available or low sodium variety. I want you to get a repeat sonogram of the liver and get all the liver enzyme tests to see if there are any signs of cirrhosis beginning. It is very important to rule this out. If there is any question , the doctor might decide to do a liver biopsy to correctly assess the level of inflammation or scarring. I also hope that you are on Vitamin-E 800 i.u. daily along with a B-Complex Vitamin. You should be on a low fat diet. Hope this gives you some information that you can discuss with your doctor. I wish you the very best.