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Dear Sir , Please Opine ,,, Case Details - 37

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Posted on Sun, 18 Oct 2020
Question: Dear Sir , please opine ,,, case details - 37 year Male know case of Fatty liver - Non-alcoholic fatty liver disease (NAFLD) ,Hepatomegaly ,Splenomegaly , Duodenitis… please guide prognosis & complications of of the disease , interpretation of attached reports & papers
doctor
Answered by Dr. Dr.P.Ratnakar Kini (2 hours later)
Brief Answer:
Need more information

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
The fibroscan report is incomplete.
Kindly upload the complete fibroscan report.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (2 hours later)
Dear Sir fibro scan report not available,,, in hand reports attached please guide on same
doctor
Answered by Dr. Dr.P.Ratnakar Kini (24 hours later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
As per the scan report, he is having fatty liver.
The ALT is nearly two times the upper limit of normal.
So he is having non alcoholic steatohepatitis.
He is more prone to develop cirrhosis.
The scan showed splenomegaly which pointed towards early cirrhosis with portal hypertension.
But as per liver function test he is not having cirrhosis as of now.
Fibroscan ( the report is not attached) would show whether he is having early cirrhosis/fibrosis.
He needs to reduce weight if obese.
If risk factors like diabetes or high cholesterol is found, he needs to keep them under control.
He needs to take liver supportive medications like Obeticholic acid and has to be on regular follow up with his doctor.
'Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (27 hours later)
Dear Sir , please find attached Fibroscan report with OPD paper please guide further
doctor
Answered by Dr. Dr.P.Ratnakar Kini (24 hours later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
The fibroscan report says, your kPa is 3.5 which means there is no scarring of the liver.

He needs to reduce weight if obese.
If risk factors like diabetes or high cholesterol is found, he needs to keep them under control.
He needs to take liver supportive medications like Obeticholic acid and has to be on regular follow up with his doctor.
'Regards,
Dr.R.K.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr.P.Ratnakar Kini

Gastroenterologist

Practicing since :1994

Answered : 2207 Questions

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Dear Sir , Please Opine ,,, Case Details - 37

Brief Answer: Need more information Detailed Answer: Hi, Thanks for posting your query. I am Dr.R.K and I am pleased to assist you. The fibroscan report is incomplete. Kindly upload the complete fibroscan report. Regards, Dr.R.K.