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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Grade II Fatty Liver

Hello,

I have been having fatty liver for long period - more than 10 years. I am non-alcoholic. My father who was also non-alcoholic developed Cirhosis of liver. The latest ultra sound scan indicated reduced velocity of blood in portal vien, Liver Function Test was conducted, SGOT/SGPT is 49 & 51 respectively. Alkaline phospate is about 75, -Ve for Hepatitis C antigen, Lipid profile shows optimal levels. Ultrasound revealed mild Spleeno-Megaly. Endoscopy shows NO abdominal or Esophegus Verices. Fatty infilteration evaluated about Grade II. Given this scenario would like to know how bad my liver is and how best to manage it ?? Is it possilbe to reverse some of these conditions ???
Mon, 24 Apr 2017
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General & Family Physician,  's  Response
Hello, I hope you are well, it is important to mention that you have a family history of first line of liver cirrhosis so it is important to rule out genetic / hereditary causes of liver cirrhosis. In spite of this, worldwide the first cause of liver pathology is the fatty liver, which in your case is the non-alcohol group. There are non-invasive methods of study to determine the degree of fibrosis of your liver. In this case, if it is a grade II, measures must be taken to correct the underlying cause; an adequate metabolic control that includes a control of weight, modification of the diet, physical activity. Currently there are no completely accepted drugs, the administration of Vitamin E or drugs with antifibrotic properties such as statins (simvastatin) have been proposed.
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Suggest Treatment For Grade II Fatty Liver

Hello, I hope you are well, it is important to mention that you have a family history of first line of liver cirrhosis so it is important to rule out genetic / hereditary causes of liver cirrhosis. In spite of this, worldwide the first cause of liver pathology is the fatty liver, which in your case is the non-alcohol group. There are non-invasive methods of study to determine the degree of fibrosis of your liver. In this case, if it is a grade II, measures must be taken to correct the underlying cause; an adequate metabolic control that includes a control of weight, modification of the diet, physical activity. Currently there are no completely accepted drugs, the administration of Vitamin E or drugs with antifibrotic properties such as statins (simvastatin) have been proposed.