Hi,
Thanks for writing in XXXXXXX
Your liver is mildly enlarged due to fatty liver. Yes this condition needs to be taken seriously. Specific treatment needs to be started at once. Your USG and liver function tests reveal abnormailties suggestive of liver dysfunction. Olive oil in modest amounts is fine but nothing in excess.
Therefore you should follow a strict regime comprising of the following.
1.regular exercise for at least 45 minutes(cardio exercises only)
2.restrict the intake of saturated fats.
3.restrict the intake of refined carbohydrates.
4.increase protein intake in the diet.
5.medications such as
a.sorbitol/tricholine citrate
b.silymarin
c.ornithine containing additives
d.vitamin supplements.
e.glutamine additives.

The aforementioned regimen should be followed for at least 6 months to control and thereby cure the problem. Untreated it can proceed to cirrhosis. The medications you are taking now are of unknown efficacy. In addition to the present diet you need to incorporate the dietary advice given by me.

I hope this answers your questions.

With regards.

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Hi,
You need not worry. the disease is curable provided you follow the regimen meticulously till the liver function normalizes.
The names of the medications are as follows
1.Sorbiline 1 tablespoon with 1 glass lukewarm water early in morning for 6 months.
2.Hepa Merz or Livogard: 1 tablet twice a day for 6 weeks
3. Levalon: 1 tablet twice a day for 1 month.
You should take a combination of Sorbiline, Hepa Merz or Livogard and Levalon. So effectively you need to take 3 medications.
I hope this information provides you with a road map for treatment.
With regards

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Hi,

Thanks for the feedback.

I went through your reports. They are consistent with fat derangement and enlargement with mild functional alteration of the liver.

Limarin suspension is fine. You can continue with it.

You will experience loose motions in the initial fortnight after commencing treatment. If it persists beyond that then you can reduce the dosage of sorbiline. The lower abdominal discomfort which you have described may be due to stool frequency. That would settle with time.

Regarding your urinary problem, your ultrasound report does not reveal any abnormality of the urinary system. Your renal profile reports are well within normal limits. There is no evidence of any stone or any back pressure changes.
I would suggest you increase your water intake and visit the latrine intermittently at fixed intervals to periodically empty the bladder. There is a high likelihood of less urine being produced causing these problems. Again your age is not for any prostatic problems. Consume at least 2.5 litres of water daily for the next few days and then let me know if there is improvement.

Your lipid profile is altered. But that will take time to come under control.
Blood sugars are within normal range.

I hope I have answered all your queries.

Wishing you a quick recovery

With regards

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