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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Echotexture In Liver?

ok.... I'm female 53.... weight 145.... 5'4
alt was 52 and ast 32 had a ultrasound and the results are...
the liver is diffusely increased in echotexture. no masses or intrahepatic biliary ductal dilatation. visualized portions of he pancreas are unremarkable. no gallstones. no gallbladder wall thickening or pericholecstc fluid. common bile duc measured 3mm. right kidney measured 10.0 cm in length and was unremarkable ... impression: fatty liver, stable no other significant findings.
I'm stressed out, and not sure how serious this is.... I eat normal and do have cocktails....
my email will not be posted correct
Mon, 12 May 2014
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Internal Medicine Specialist 's  Response
Thanks for your query.
Taking you clinical history and imaging findings in to consideration, your BMI, is 24.8 (on the higher side). Fatty liver can arise due to a number of coditions - mainly alcoholic and non-alcoholic (diabetes and hypertriglyceridemia are common conditions). Your liver enzymes are within acceptable limits though and you have no other gross abnormalities (no gallstone, normal CBD). Stage 1 fatty liver is reversible. You need a weight reduction (by a healthy regimen, crash dieting not advised as it may aggravate the condition) and reduce the fat content of your diet (mainly the saturated fat). If possible you need to avoid alcohol. I would also advise you to get your Fasting and Post prandial blood sugar checked along with your lipid profile (if deranged may need medications)
Weight reduction and fat restricted diet should be sufficient at this stage, you can get yourself retested in 6 months.
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How To Treat Echotexture In Liver?

Thanks for your query. Taking you clinical history and imaging findings in to consideration, your BMI, is 24.8 (on the higher side). Fatty liver can arise due to a number of coditions - mainly alcoholic and non-alcoholic (diabetes and hypertriglyceridemia are common conditions). Your liver enzymes are within acceptable limits though and you have no other gross abnormalities (no gallstone, normal CBD). Stage 1 fatty liver is reversible. You need a weight reduction (by a healthy regimen, crash dieting not advised as it may aggravate the condition) and reduce the fat content of your diet (mainly the saturated fat). If possible you need to avoid alcohol. I would also advise you to get your Fasting and Post prandial blood sugar checked along with your lipid profile (if deranged may need medications) Weight reduction and fat restricted diet should be sufficient at this stage, you can get yourself retested in 6 months.