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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Enlarged Liver?

Hello Doctor..
I am male of 23 years.
I have pain in my abdomen.My report says:
Liver:Mildly enlarged in size and shows slight decrease in echopattern,hepatic veins appears to be prominent.HIBR are not dilated.No focal lesion seen.Gall Bladder is fairly well distented at the tiem of examination.No intraluminal echogenic mass with distal acoustic shadowing seen.Anterior wall is slightly thichkened and measures 7.2 mm--due to ascities..Imression is U.S.G findings reveal mild pl.effusion both sides with mild ascities with mild hepatomegaly displaying slight decrease in echopattern.
LIVER FUNCTION TEST saya:
BILIRUBIN TOTAL-1.11
CONJUGATED-0.29
UNCONJUGATED-0.82
TOTAL PROTEIN-6.4
SGOT=72
SGPT=49

Please help in diagonising the root problem.At present Doc has suggested me to take Furosemide medicine for three days.Then he will act further.
Wed, 28 Oct 2015
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Radiologist 's  Response
Hello

Your findings suggests elevated liver enzymes like SGPT,SGOT and mild hepatomegaly with grade I fatty liver.
Increased SGPT,SGOT may indicate liver injury.

Increased liver enzymes in your case may be due to liver parenchymal disease.
Compromised liver may cause mild ascitis and mild bilateral pleural effusion.
It is important to know protein like serum albumin and globulin level.

You may need routine hemogram,viral markers,random blood sugar,renal function test,lipid profile,urine RE/ME.

You may need medicines like tablet ursodeoxycholic acid tablet 300 mg twice daily for three months.It helps in regeneration of liver cells.
Avoid alcohol if you take it.

You may need few more medicines after evaluation.

You are rightly suggested to take frusemide,it will expel excess water from body.

Get well soon.
Take Care
Dr.Indu Bhushan
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What Causes Enlarged Liver?

Hello Your findings suggests elevated liver enzymes like SGPT,SGOT and mild hepatomegaly with grade I fatty liver. Increased SGPT,SGOT may indicate liver injury. Increased liver enzymes in your case may be due to liver parenchymal disease. Compromised liver may cause mild ascitis and mild bilateral pleural effusion. It is important to know protein like serum albumin and globulin level. You may need routine hemogram,viral markers,random blood sugar,renal function test,lipid profile,urine RE/ME. You may need medicines like tablet ursodeoxycholic acid tablet 300 mg twice daily for three months.It helps in regeneration of liver cells. Avoid alcohol if you take it. You may need few more medicines after evaluation. You are rightly suggested to take frusemide,it will expel excess water from body. Get well soon. Take Care Dr.Indu Bhushan