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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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i have done an U/S for 3.5 years of female / my relative / , and the result said there is a diffusely and moderately enlarged liver . . . the liver enzymes are , s.g.o.t = 177/ s.g.p.t = 165 / HBsAg is negative ... please tell me what to do , and what are the possible DDx
Mon, 5 May 2014
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Radiologist,  's  Response
Hello
Thanks for writing to HCM

Increased SGPT indicates liver injury.It is important to know other parameters of LFT like bilirubin level.It is also important to know lipid profile.
SGOT is non specific and it increases in other conditions also.
You need few more investigations like RBS,complete LFT,RFT,Lipid profile,viral markers.
Enlarged liver may be due to fatty liver.Fatty liver is a reversible stage and it is due to deposition of fat within the liver cells.It can be reversed by diet and life style changes.
You can take tablet Ursodeoxycholic acid 300 mg twice daily for three months.It will help in regeneration of liver cells.
You should avoid red meat and high fat milk products.
Cook food in olive or canola oil.
You should take limited salt in your diet.
Take lot of fruits and vegetables.You should also increase your physical activity in the form of walking and exercise.
You can also do meditation and yoga.It will help a lot.

Get well soon.
Take Care
Dr.Indu Bhushan
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Is There Any Doctor Available To Analyse This Report?

Hello Thanks for writing to HCM Increased SGPT indicates liver injury.It is important to know other parameters of LFT like bilirubin level.It is also important to know lipid profile. SGOT is non specific and it increases in other conditions also. You need few more investigations like RBS,complete LFT,RFT,Lipid profile,viral markers. Enlarged liver may be due to fatty liver.Fatty liver is a reversible stage and it is due to deposition of fat within the liver cells.It can be reversed by diet and life style changes. You can take tablet Ursodeoxycholic acid 300 mg twice daily for three months.It will help in regeneration of liver cells. You should avoid red meat and high fat milk products. Cook food in olive or canola oil. You should take limited salt in your diet. Take lot of fruits and vegetables.You should also increase your physical activity in the form of walking and exercise. You can also do meditation and yoga.It will help a lot. Get well soon. Take Care Dr.Indu Bhushan