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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Non alcoholic fatty liver, high SGOT, SGPT, bilirubin levels, high with hepatomegaly. What therapy should be included?

HI i am 36 year old, in a routine mri i was found non alcohalic fatty liver with following liver test with sgot 139, sgpt 86, ggtp 97, bilrubin is normal , with mri i am found fatty liver with mild hepatomegaly. my all hepatitis test is normal, wilson test is also normal. after taking medicine like usyles & NE 400 for six weeks and loosing 6 kg with very rigorous exercises my liver function test came back to border line like sgot came down to 36 and all other are also under normal. now my querry is what is the current position of my liver whether have i got scarring in my liver due to 139 sgot and sgpt 86, ggtp 97 or i am still safe or i have reversed fatty liver or their cannot be scarring so early, what does it actually indicate, if scarring has happened what are the physical symptoms of scarring, how to reverse it completely , what are the therapy and medicine to heal scarring completely and how long it takes to develop chirrosis and how can i avoid chirrosis.how can i make my liver very strong. what nutritious food i should take and what should i avoid. i am doing lots of stomach crunches for weight loss in belly is there any risk. pls help
Sat, 28 Sep 2013
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General Surgeon 's  Response

Hi and welcome to HCM.
this is not some serious liver damage and this is just the beginning of liver fibrosis. The most common liver disorders is fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didnt find anything and viral markers are negative then you have no reason to be concerned. YOu should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated drinks. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest to go step by step. sacrring is manifested by fatigue,jaundice, hepatomegaly abdominal pain and many other nonspecific symptoms. but you just need frequent follow up and you ll prevent serious liver damage.
Wish you good health.
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