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Hello, A Few Years Back A Ultrasound Incidentally Found I
Question: Hello, a few years back a ultrasound incidentally found I had a slightly enlarged liver (18cm) with mild fat infiltration. All labs were fine then and have remained fine since. Most recent was all normal except bilirubin 1.3 which it has been for years. Wondering if this is ok? I am not at all a heavy drinker. When the fatty liver was seen I was very fit at 71 inches tall and 180 with muscle. Now I am not in as good of shape but not really THAT overweight (could definitely lose a little). 5’-11” 210 pounds with a 35-36” waist.
Do you think this is common and harmless as long as I don’t abuse my liver by becoming obese, and other obvious reasons?
Basically, can I let go of a fear of cirrhosis and a deadly issue?
Do you think this is common and harmless as long as I don’t abuse my liver by becoming obese, and other obvious reasons?
Basically, can I let go of a fear of cirrhosis and a deadly issue?
Hello, a few years back a ultrasound incidentally found I had a slightly enlarged liver (18cm) with mild fat infiltration. All labs were fine then and have remained fine since. Most recent was all normal except bilirubin 1.3 which it has been for years. Wondering if this is ok? I am not at all a heavy drinker. When the fatty liver was seen I was very fit at 71 inches tall and 180 with muscle. Now I am not in as good of shape but not really THAT overweight (could definitely lose a little). 5’-11” 210 pounds with a 35-36” waist.
Do you think this is common and harmless as long as I don’t abuse my liver by becoming obese, and other obvious reasons?
Basically, can I let go of a fear of cirrhosis and a deadly issue?
Do you think this is common and harmless as long as I don’t abuse my liver by becoming obese, and other obvious reasons?
Basically, can I let go of a fear of cirrhosis and a deadly issue?
I’ve read that that this fatty liver (NAFLD) is pretty common, but, I have had a lot of fear that it’s going to turn into something very serious even if I do the right things (stay fit & don’t drink) and I’m hoping a specialist (GI doc) can let me know if it would be extremely rare for this to turn serious leaving me with chirosis, needing a transplant and/or killing me, or if this is a real possibility/chance.... just very concerned.
I’ve read that that this fatty liver (NAFLD) is pretty common, but, I have had a lot of fear that it’s going to turn into something very serious even if I do the right things (stay fit & don’t drink) and I’m hoping a specialist (GI doc) can let me know if it would be extremely rare for this to turn serious leaving me with chirosis, needing a transplant and/or killing me, or if this is a real possibility/chance.... just very concerned.
Brief Answer:
Nothing to worry.
Detailed Answer:
Hello ,
I'm Dr. Kumar, thanks for using 'Ask A Doctor' service.
I've read your query in details,
The fatty liver disease is a very common cause of liver disease, often seen when an ultrasound is done of the liver. Cirrhosis or liver cancer is end stage of fatty liver disease.Initially there are three stages of fatty liver.Stage 1,2,3 and stage 4 is cirrhosis.Even if a person is heavy drinker or have hepatitis B,C like virus moving from stage 1 to stage 4 would take minimum 15 to 20 years.
The main treatment for you is good weight loss, it is recommended to lose at least 5% of your body weight .It is also recommended to take medications to lower your cholesterol if your cholesterol is high and if you had diabetes to make sure it is under good control.
The fat in your liver can cause inflammation, which, over time, can lead to cirrhosis, and this can then increase your risk of liver cancer. But if you do not have cirrhosis now, which you don't have then you would not be at increased risk for liver cancer yet.With weight loss the fatty liver can be reversed and possibly would never be a problem. So I would highly encourage you, the more weight you can lose and the closer to an ideal body weight for you that you can get to, the better for your liver.
In short nothing to worry at all.
I hope that helps, please feel free to ask any questions about that, I would be glad to answer.
Nothing to worry.
Detailed Answer:
Hello ,
I'm Dr. Kumar, thanks for using 'Ask A Doctor' service.
I've read your query in details,
The fatty liver disease is a very common cause of liver disease, often seen when an ultrasound is done of the liver. Cirrhosis or liver cancer is end stage of fatty liver disease.Initially there are three stages of fatty liver.Stage 1,2,3 and stage 4 is cirrhosis.Even if a person is heavy drinker or have hepatitis B,C like virus moving from stage 1 to stage 4 would take minimum 15 to 20 years.
The main treatment for you is good weight loss, it is recommended to lose at least 5% of your body weight .It is also recommended to take medications to lower your cholesterol if your cholesterol is high and if you had diabetes to make sure it is under good control.
The fat in your liver can cause inflammation, which, over time, can lead to cirrhosis, and this can then increase your risk of liver cancer. But if you do not have cirrhosis now, which you don't have then you would not be at increased risk for liver cancer yet.With weight loss the fatty liver can be reversed and possibly would never be a problem. So I would highly encourage you, the more weight you can lose and the closer to an ideal body weight for you that you can get to, the better for your liver.
In short nothing to worry at all.
I hope that helps, please feel free to ask any questions about that, I would be glad to answer.
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
Nothing to worry.
Detailed Answer:
Hello ,
I'm Dr. Kumar, thanks for using 'Ask A Doctor' service.
I've read your query in details,
The fatty liver disease is a very common cause of liver disease, often seen when an ultrasound is done of the liver. Cirrhosis or liver cancer is end stage of fatty liver disease.Initially there are three stages of fatty liver.Stage 1,2,3 and stage 4 is cirrhosis.Even if a person is heavy drinker or have hepatitis B,C like virus moving from stage 1 to stage 4 would take minimum 15 to 20 years.
The main treatment for you is good weight loss, it is recommended to lose at least 5% of your body weight .It is also recommended to take medications to lower your cholesterol if your cholesterol is high and if you had diabetes to make sure it is under good control.
The fat in your liver can cause inflammation, which, over time, can lead to cirrhosis, and this can then increase your risk of liver cancer. But if you do not have cirrhosis now, which you don't have then you would not be at increased risk for liver cancer yet.With weight loss the fatty liver can be reversed and possibly would never be a problem. So I would highly encourage you, the more weight you can lose and the closer to an ideal body weight for you that you can get to, the better for your liver.
In short nothing to worry at all.
I hope that helps, please feel free to ask any questions about that, I would be glad to answer.
Nothing to worry.
Detailed Answer:
Hello ,
I'm Dr. Kumar, thanks for using 'Ask A Doctor' service.
I've read your query in details,
The fatty liver disease is a very common cause of liver disease, often seen when an ultrasound is done of the liver. Cirrhosis or liver cancer is end stage of fatty liver disease.Initially there are three stages of fatty liver.Stage 1,2,3 and stage 4 is cirrhosis.Even if a person is heavy drinker or have hepatitis B,C like virus moving from stage 1 to stage 4 would take minimum 15 to 20 years.
The main treatment for you is good weight loss, it is recommended to lose at least 5% of your body weight .It is also recommended to take medications to lower your cholesterol if your cholesterol is high and if you had diabetes to make sure it is under good control.
The fat in your liver can cause inflammation, which, over time, can lead to cirrhosis, and this can then increase your risk of liver cancer. But if you do not have cirrhosis now, which you don't have then you would not be at increased risk for liver cancer yet.With weight loss the fatty liver can be reversed and possibly would never be a problem. So I would highly encourage you, the more weight you can lose and the closer to an ideal body weight for you that you can get to, the better for your liver.
In short nothing to worry at all.
I hope that helps, please feel free to ask any questions about that, I would be glad to answer.
Above answer was peer-reviewed by :
Dr. Raju A.T
Dr. Thank you for the wonderful response.
Follow up:
1. With enzymes that aren’t elevated does that mean I don’t have damage/fibrosis and thus don’t have “NASH”? Just Stage 1?
2. So if I lose the 5% of my body weight do you believe I could realistically relax knowing things won’t progress to a deadly situation?
3. It does concern me since I was very fit when the US took place and since then I’ve gained 20 pounds or so. Hoping this didn’t make it worse and damage myself bad?
Thank you again sir. I appreciate you.
Follow up:
1. With enzymes that aren’t elevated does that mean I don’t have damage/fibrosis and thus don’t have “NASH”? Just Stage 1?
2. So if I lose the 5% of my body weight do you believe I could realistically relax knowing things won’t progress to a deadly situation?
3. It does concern me since I was very fit when the US took place and since then I’ve gained 20 pounds or so. Hoping this didn’t make it worse and damage myself bad?
Thank you again sir. I appreciate you.
Dr. Thank you for the wonderful response.
Follow up:
1. With enzymes that aren’t elevated does that mean I don’t have damage/fibrosis and thus don’t have “NASH”? Just Stage 1?
2. So if I lose the 5% of my body weight do you believe I could realistically relax knowing things won’t progress to a deadly situation?
3. It does concern me since I was very fit when the US took place and since then I’ve gained 20 pounds or so. Hoping this didn’t make it worse and damage myself bad?
Thank you again sir. I appreciate you.
Follow up:
1. With enzymes that aren’t elevated does that mean I don’t have damage/fibrosis and thus don’t have “NASH”? Just Stage 1?
2. So if I lose the 5% of my body weight do you believe I could realistically relax knowing things won’t progress to a deadly situation?
3. It does concern me since I was very fit when the US took place and since then I’ve gained 20 pounds or so. Hoping this didn’t make it worse and damage myself bad?
Thank you again sir. I appreciate you.
Brief Answer:
Follow up.
Detailed Answer:
Hi
Thanks for follow up,
1)Enzymes are stored in cells which form liver. If there is damage to cell these enzymes would enter into blood and reports would show elevate enzymes levels. In your case enzymes are normal which means liver is normal. There is just some deposition of fat on it.Yes stage 1 very common after age of 30.
2)Even if you won't loose weight. Booze heavily and try to do everything to harm your liver things would take a minimum of 15 years. Again a person can live normally with just 20%of liver functioning. Transplant etc is usually done in those who just don't follow even a single healthy thing. However if you would loose weight you could even revert class 1 fatty liver to normal.
3)No sir just relax and have a tension free life. Online sites are packed up with bro science. So don't Google too much. You are perfectly alright and fit.
Hope I was clear cut easy to understand and helpful.
Feel free to follow up.
Do rate the answer.
Have a happy life ahead.
Follow up.
Detailed Answer:
Hi
Thanks for follow up,
1)Enzymes are stored in cells which form liver. If there is damage to cell these enzymes would enter into blood and reports would show elevate enzymes levels. In your case enzymes are normal which means liver is normal. There is just some deposition of fat on it.Yes stage 1 very common after age of 30.
2)Even if you won't loose weight. Booze heavily and try to do everything to harm your liver things would take a minimum of 15 years. Again a person can live normally with just 20%of liver functioning. Transplant etc is usually done in those who just don't follow even a single healthy thing. However if you would loose weight you could even revert class 1 fatty liver to normal.
3)No sir just relax and have a tension free life. Online sites are packed up with bro science. So don't Google too much. You are perfectly alright and fit.
Hope I was clear cut easy to understand and helpful.
Feel free to follow up.
Do rate the answer.
Have a happy life ahead.
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
Follow up.
Detailed Answer:
Hi
Thanks for follow up,
1)Enzymes are stored in cells which form liver. If there is damage to cell these enzymes would enter into blood and reports would show elevate enzymes levels. In your case enzymes are normal which means liver is normal. There is just some deposition of fat on it.Yes stage 1 very common after age of 30.
2)Even if you won't loose weight. Booze heavily and try to do everything to harm your liver things would take a minimum of 15 years. Again a person can live normally with just 20%of liver functioning. Transplant etc is usually done in those who just don't follow even a single healthy thing. However if you would loose weight you could even revert class 1 fatty liver to normal.
3)No sir just relax and have a tension free life. Online sites are packed up with bro science. So don't Google too much. You are perfectly alright and fit.
Hope I was clear cut easy to understand and helpful.
Feel free to follow up.
Do rate the answer.
Have a happy life ahead.
Follow up.
Detailed Answer:
Hi
Thanks for follow up,
1)Enzymes are stored in cells which form liver. If there is damage to cell these enzymes would enter into blood and reports would show elevate enzymes levels. In your case enzymes are normal which means liver is normal. There is just some deposition of fat on it.Yes stage 1 very common after age of 30.
2)Even if you won't loose weight. Booze heavily and try to do everything to harm your liver things would take a minimum of 15 years. Again a person can live normally with just 20%of liver functioning. Transplant etc is usually done in those who just don't follow even a single healthy thing. However if you would loose weight you could even revert class 1 fatty liver to normal.
3)No sir just relax and have a tension free life. Online sites are packed up with bro science. So don't Google too much. You are perfectly alright and fit.
Hope I was clear cut easy to understand and helpful.
Feel free to follow up.
Do rate the answer.
Have a happy life ahead.
Above answer was peer-reviewed by :
Dr. Raju A.T
You’re fantastic with your answer and explanation. Can’t thank you enough.
I think this is my last follow up-
I saw where there is a NAFLD calculator to score likelihood of fibrosis, etc. Well when I went to 1 it showed me within normal limits and doesnt act like there would be scarring, but then another gives a totally different result. Can you help me?
For instance: http://gihep.com/calculators/hepatology/nafld-fibrosis-score/
puts me at -2.1 based on (age: 30, BMI: roughly 29.5, AST:29, ALT: 30, Platelet 150, Albumin 5.1....
but.....
http://nafldscore.com/
shows me totally different? I plug in the same values and It shows Like I am likely to have significant damage already?
Can I be confident I haven’t damaged anything already. I’ll attach my last blood report if I can for your reference.
Sincerely, thanks again for your time.
I think this is my last follow up-
I saw where there is a NAFLD calculator to score likelihood of fibrosis, etc. Well when I went to 1 it showed me within normal limits and doesnt act like there would be scarring, but then another gives a totally different result. Can you help me?
For instance: http://gihep.com/calculators/hepatology/nafld-fibrosis-score/
puts me at -2.1 based on (age: 30, BMI: roughly 29.5, AST:29, ALT: 30, Platelet 150, Albumin 5.1....
but.....
http://nafldscore.com/
shows me totally different? I plug in the same values and It shows Like I am likely to have significant damage already?
Can I be confident I haven’t damaged anything already. I’ll attach my last blood report if I can for your reference.
Sincerely, thanks again for your time.
You’re fantastic with your answer and explanation. Can’t thank you enough.
I think this is my last follow up-
I saw where there is a NAFLD calculator to score likelihood of fibrosis, etc. Well when I went to 1 it showed me within normal limits and doesnt act like there would be scarring, but then another gives a totally different result. Can you help me?
For instance: http://gihep.com/calculators/hepatology/nafld-fibrosis-score/
puts me at -2.1 based on (age: 30, BMI: roughly 29.5, AST:29, ALT: 30, Platelet 150, Albumin 5.1....
but.....
http://nafldscore.com/
shows me totally different? I plug in the same values and It shows Like I am likely to have significant damage already?
Can I be confident I haven’t damaged anything already. I’ll attach my last blood report if I can for your reference.
Sincerely, thanks again for your time.
I think this is my last follow up-
I saw where there is a NAFLD calculator to score likelihood of fibrosis, etc. Well when I went to 1 it showed me within normal limits and doesnt act like there would be scarring, but then another gives a totally different result. Can you help me?
For instance: http://gihep.com/calculators/hepatology/nafld-fibrosis-score/
puts me at -2.1 based on (age: 30, BMI: roughly 29.5, AST:29, ALT: 30, Platelet 150, Albumin 5.1....
but.....
http://nafldscore.com/
shows me totally different? I plug in the same values and It shows Like I am likely to have significant damage already?
Can I be confident I haven’t damaged anything already. I’ll attach my last blood report if I can for your reference.
Sincerely, thanks again for your time.
I think I got it uploaded.... FYI this was not fasting (I had a Gatorade sports drink a bit before) so the glucose is a bit high.
I think I got it uploaded.... FYI this was not fasting (I had a Gatorade sports drink a bit before) so the glucose is a bit high.
Brief Answer:
These calculators are not mentioned in any standard text books.
Detailed Answer:
Hello again my dear,
These calculators etc are not there in standard medical text.
A Doctor would follow what's written there in a standard medical text book.
However if you really want to calm your mind. Get a CT scan of abdomen done. It would reflect even if there is slightest problem with your liver. Though ultrasound is good enough yet for peace of mind you can get a CT scan done.
These scores are very irrelevant. No basic criteria S's are there. Not mentioned in stand books of medicine. So as a professional I consider them as sham.
Hope I was helpful
You can ask whatever you want I would be happy to answer you.
Thanks.
These calculators are not mentioned in any standard text books.
Detailed Answer:
Hello again my dear,
These calculators etc are not there in standard medical text.
A Doctor would follow what's written there in a standard medical text book.
However if you really want to calm your mind. Get a CT scan of abdomen done. It would reflect even if there is slightest problem with your liver. Though ultrasound is good enough yet for peace of mind you can get a CT scan done.
These scores are very irrelevant. No basic criteria S's are there. Not mentioned in stand books of medicine. So as a professional I consider them as sham.
Hope I was helpful
You can ask whatever you want I would be happy to answer you.
Thanks.
Above answer was peer-reviewed by :
Dr. Kampana
Brief Answer:
These calculators are not mentioned in any standard text books.
Detailed Answer:
Hello again my dear,
These calculators etc are not there in standard medical text.
A Doctor would follow what's written there in a standard medical text book.
However if you really want to calm your mind. Get a CT scan of abdomen done. It would reflect even if there is slightest problem with your liver. Though ultrasound is good enough yet for peace of mind you can get a CT scan done.
These scores are very irrelevant. No basic criteria S's are there. Not mentioned in stand books of medicine. So as a professional I consider them as sham.
Hope I was helpful
You can ask whatever you want I would be happy to answer you.
Thanks.
These calculators are not mentioned in any standard text books.
Detailed Answer:
Hello again my dear,
These calculators etc are not there in standard medical text.
A Doctor would follow what's written there in a standard medical text book.
However if you really want to calm your mind. Get a CT scan of abdomen done. It would reflect even if there is slightest problem with your liver. Though ultrasound is good enough yet for peace of mind you can get a CT scan done.
These scores are very irrelevant. No basic criteria S's are there. Not mentioned in stand books of medicine. So as a professional I consider them as sham.
Hope I was helpful
You can ask whatever you want I would be happy to answer you.
Thanks.
Above answer was peer-reviewed by :
Dr. Kampana
okay that makes sense.....
I can tell you’re a seasoned medical professional so I do trust your opinion. Based on those enzymes, etc., you seem to think there’s no suspicion for actual damage done to the liver yet? It’s likely functioning fully at 100%? And I understand you said with much abuse it will still be serviceable at 25% function or so but I would never want to get there! I take my health very seriously.
If this is all correct I will make lifestyle modifications to decrease weight, cut out any drinking, and not hurt my liver and try hard to RELAX. I don’t really want to go get/pay for a CT scan when it’s not really needed. And really don’t want a liver biopsy.
I just needed to get a specialist in the fields take to reduce my nerves and calm my anxiety.... or know if it’s something I really need to be frightened about.
Bless you for your help
I can tell you’re a seasoned medical professional so I do trust your opinion. Based on those enzymes, etc., you seem to think there’s no suspicion for actual damage done to the liver yet? It’s likely functioning fully at 100%? And I understand you said with much abuse it will still be serviceable at 25% function or so but I would never want to get there! I take my health very seriously.
If this is all correct I will make lifestyle modifications to decrease weight, cut out any drinking, and not hurt my liver and try hard to RELAX. I don’t really want to go get/pay for a CT scan when it’s not really needed. And really don’t want a liver biopsy.
I just needed to get a specialist in the fields take to reduce my nerves and calm my anxiety.... or know if it’s something I really need to be frightened about.
Bless you for your help
okay that makes sense.....
I can tell you’re a seasoned medical professional so I do trust your opinion. Based on those enzymes, etc., you seem to think there’s no suspicion for actual damage done to the liver yet? It’s likely functioning fully at 100%? And I understand you said with much abuse it will still be serviceable at 25% function or so but I would never want to get there! I take my health very seriously.
If this is all correct I will make lifestyle modifications to decrease weight, cut out any drinking, and not hurt my liver and try hard to RELAX. I don’t really want to go get/pay for a CT scan when it’s not really needed. And really don’t want a liver biopsy.
I just needed to get a specialist in the fields take to reduce my nerves and calm my anxiety.... or know if it’s something I really need to be frightened about.
Bless you for your help
I can tell you’re a seasoned medical professional so I do trust your opinion. Based on those enzymes, etc., you seem to think there’s no suspicion for actual damage done to the liver yet? It’s likely functioning fully at 100%? And I understand you said with much abuse it will still be serviceable at 25% function or so but I would never want to get there! I take my health very seriously.
If this is all correct I will make lifestyle modifications to decrease weight, cut out any drinking, and not hurt my liver and try hard to RELAX. I don’t really want to go get/pay for a CT scan when it’s not really needed. And really don’t want a liver biopsy.
I just needed to get a specialist in the fields take to reduce my nerves and calm my anxiety.... or know if it’s something I really need to be frightened about.
Bless you for your help
Brief Answer:
follow up.
Detailed Answer:
Hi there,
Thank you so much for appreciation my dear,
See when it comes to liver straight protocol is
1)Liver enzymes-More then two liver enzymes should be elevated three times the upper normal limit other wise mild elevation etc has no significance.
2)Ultra sound abdomen-Mild to moderate fatty liver after an age of 30 years is very common unless a person is a health freak(serious). Only when there is severe fat deposition(which would definitely be accompanied by release of liver enzymes in blood) we proceed for further investigations like CT scan ,MRI or biopsy etc depending on the findings.
Nothing in this world is perfect so is the liver sir.So medically not 100% functional but yes nothing to worry about.Even a new baby liver is not 100% fine.As our physical age increases our body age increases too and body consists of organs.
Yes thanks to almighty that liver is an organ in human body which has high power to rejenuvate itself and inmost of the cases intervention is never required unless some one is deliberately doing every thing to detoriate it.Yes with only 20% liver functional a person can live a near normal9almost practically normal life).
You need not to go for a CT scan.That was suggested just because relaxing nerves of a patient is very important.Unless you believe you are fit no one can calm you.
Though not asked a bit of extra information-
Try to follow this type of food plan 5 days a weak and keep 2 days to enjoy whatever you want-
A good food plan would be-
-Whole grains are very beneficial to consume.These can be in the form of whole wheat bread or cereal, brown rice, whole grain pasta,grains such as whole oats, wild rice, rye, oatmeal and corn are also beneficial and can be taken if suits your food pattern.
-Fruits and vegetables should be a significant part of any diet to help in recovering from a liver disease. They are full of essential nutrients and are easy to digest.
-Healthy proteins in the form of low-fat milk and dairy products along with lean meats, beans, eggs and soy products can also be a part of a healthy liver diet.
-Avoid red meat.
Try to switch over to veg diet.
Take anti oxidants daily.
-Silibinin, also known as silybin, is the major active constituent of silymarin, a standardized extract of the milk thistle seeds, containing a mixture of flavonolignans consisting of silibinin, isosilibinin.It should be taken two times a day.Its a very potent liver rejenuvator and is very effective in maintaining liver healthy.
Ayurvedic tablet(Herbal drug available online) Liv 52 should be taken once daily.The herbs would detoxify your liver.
Bilirubin levels are clinically significant when the level is more then 3 mg/dl.
Mild elevation of glucose +- 5 0o10 mg has no significance.
Hope i was helpful.
Follow ups are welcome for any confusion my dear.
Keep enjoying your life dear.
Wish you a great day ahead.
follow up.
Detailed Answer:
Hi there,
Thank you so much for appreciation my dear,
See when it comes to liver straight protocol is
1)Liver enzymes-More then two liver enzymes should be elevated three times the upper normal limit other wise mild elevation etc has no significance.
2)Ultra sound abdomen-Mild to moderate fatty liver after an age of 30 years is very common unless a person is a health freak(serious). Only when there is severe fat deposition(which would definitely be accompanied by release of liver enzymes in blood) we proceed for further investigations like CT scan ,MRI or biopsy etc depending on the findings.
Nothing in this world is perfect so is the liver sir.So medically not 100% functional but yes nothing to worry about.Even a new baby liver is not 100% fine.As our physical age increases our body age increases too and body consists of organs.
Yes thanks to almighty that liver is an organ in human body which has high power to rejenuvate itself and inmost of the cases intervention is never required unless some one is deliberately doing every thing to detoriate it.Yes with only 20% liver functional a person can live a near normal9almost practically normal life).
You need not to go for a CT scan.That was suggested just because relaxing nerves of a patient is very important.Unless you believe you are fit no one can calm you.
Though not asked a bit of extra information-
Try to follow this type of food plan 5 days a weak and keep 2 days to enjoy whatever you want-
A good food plan would be-
-Whole grains are very beneficial to consume.These can be in the form of whole wheat bread or cereal, brown rice, whole grain pasta,grains such as whole oats, wild rice, rye, oatmeal and corn are also beneficial and can be taken if suits your food pattern.
-Fruits and vegetables should be a significant part of any diet to help in recovering from a liver disease. They are full of essential nutrients and are easy to digest.
-Healthy proteins in the form of low-fat milk and dairy products along with lean meats, beans, eggs and soy products can also be a part of a healthy liver diet.
-Avoid red meat.
Try to switch over to veg diet.
Take anti oxidants daily.
-Silibinin, also known as silybin, is the major active constituent of silymarin, a standardized extract of the milk thistle seeds, containing a mixture of flavonolignans consisting of silibinin, isosilibinin.It should be taken two times a day.Its a very potent liver rejenuvator and is very effective in maintaining liver healthy.
Ayurvedic tablet(Herbal drug available online) Liv 52 should be taken once daily.The herbs would detoxify your liver.
Bilirubin levels are clinically significant when the level is more then 3 mg/dl.
Mild elevation of glucose +- 5 0o10 mg has no significance.
Hope i was helpful.
Follow ups are welcome for any confusion my dear.
Keep enjoying your life dear.
Wish you a great day ahead.
Above answer was peer-reviewed by :
Dr. Kampana
Brief Answer:
follow up.
Detailed Answer:
Hi there,
Thank you so much for appreciation my dear,
See when it comes to liver straight protocol is
1)Liver enzymes-More then two liver enzymes should be elevated three times the upper normal limit other wise mild elevation etc has no significance.
2)Ultra sound abdomen-Mild to moderate fatty liver after an age of 30 years is very common unless a person is a health freak(serious). Only when there is severe fat deposition(which would definitely be accompanied by release of liver enzymes in blood) we proceed for further investigations like CT scan ,MRI or biopsy etc depending on the findings.
Nothing in this world is perfect so is the liver sir.So medically not 100% functional but yes nothing to worry about.Even a new baby liver is not 100% fine.As our physical age increases our body age increases too and body consists of organs.
Yes thanks to almighty that liver is an organ in human body which has high power to rejenuvate itself and inmost of the cases intervention is never required unless some one is deliberately doing every thing to detoriate it.Yes with only 20% liver functional a person can live a near normal9almost practically normal life).
You need not to go for a CT scan.That was suggested just because relaxing nerves of a patient is very important.Unless you believe you are fit no one can calm you.
Though not asked a bit of extra information-
Try to follow this type of food plan 5 days a weak and keep 2 days to enjoy whatever you want-
A good food plan would be-
-Whole grains are very beneficial to consume.These can be in the form of whole wheat bread or cereal, brown rice, whole grain pasta,grains such as whole oats, wild rice, rye, oatmeal and corn are also beneficial and can be taken if suits your food pattern.
-Fruits and vegetables should be a significant part of any diet to help in recovering from a liver disease. They are full of essential nutrients and are easy to digest.
-Healthy proteins in the form of low-fat milk and dairy products along with lean meats, beans, eggs and soy products can also be a part of a healthy liver diet.
-Avoid red meat.
Try to switch over to veg diet.
Take anti oxidants daily.
-Silibinin, also known as silybin, is the major active constituent of silymarin, a standardized extract of the milk thistle seeds, containing a mixture of flavonolignans consisting of silibinin, isosilibinin.It should be taken two times a day.Its a very potent liver rejenuvator and is very effective in maintaining liver healthy.
Ayurvedic tablet(Herbal drug available online) Liv 52 should be taken once daily.The herbs would detoxify your liver.
Bilirubin levels are clinically significant when the level is more then 3 mg/dl.
Mild elevation of glucose +- 5 0o10 mg has no significance.
Hope i was helpful.
Follow ups are welcome for any confusion my dear.
Keep enjoying your life dear.
Wish you a great day ahead.
follow up.
Detailed Answer:
Hi there,
Thank you so much for appreciation my dear,
See when it comes to liver straight protocol is
1)Liver enzymes-More then two liver enzymes should be elevated three times the upper normal limit other wise mild elevation etc has no significance.
2)Ultra sound abdomen-Mild to moderate fatty liver after an age of 30 years is very common unless a person is a health freak(serious). Only when there is severe fat deposition(which would definitely be accompanied by release of liver enzymes in blood) we proceed for further investigations like CT scan ,MRI or biopsy etc depending on the findings.
Nothing in this world is perfect so is the liver sir.So medically not 100% functional but yes nothing to worry about.Even a new baby liver is not 100% fine.As our physical age increases our body age increases too and body consists of organs.
Yes thanks to almighty that liver is an organ in human body which has high power to rejenuvate itself and inmost of the cases intervention is never required unless some one is deliberately doing every thing to detoriate it.Yes with only 20% liver functional a person can live a near normal9almost practically normal life).
You need not to go for a CT scan.That was suggested just because relaxing nerves of a patient is very important.Unless you believe you are fit no one can calm you.
Though not asked a bit of extra information-
Try to follow this type of food plan 5 days a weak and keep 2 days to enjoy whatever you want-
A good food plan would be-
-Whole grains are very beneficial to consume.These can be in the form of whole wheat bread or cereal, brown rice, whole grain pasta,grains such as whole oats, wild rice, rye, oatmeal and corn are also beneficial and can be taken if suits your food pattern.
-Fruits and vegetables should be a significant part of any diet to help in recovering from a liver disease. They are full of essential nutrients and are easy to digest.
-Healthy proteins in the form of low-fat milk and dairy products along with lean meats, beans, eggs and soy products can also be a part of a healthy liver diet.
-Avoid red meat.
Try to switch over to veg diet.
Take anti oxidants daily.
-Silibinin, also known as silybin, is the major active constituent of silymarin, a standardized extract of the milk thistle seeds, containing a mixture of flavonolignans consisting of silibinin, isosilibinin.It should be taken two times a day.Its a very potent liver rejenuvator and is very effective in maintaining liver healthy.
Ayurvedic tablet(Herbal drug available online) Liv 52 should be taken once daily.The herbs would detoxify your liver.
Bilirubin levels are clinically significant when the level is more then 3 mg/dl.
Mild elevation of glucose +- 5 0o10 mg has no significance.
Hope i was helpful.
Follow ups are welcome for any confusion my dear.
Keep enjoying your life dear.
Wish you a great day ahead.
Above answer was peer-reviewed by :
Dr. Kampana
Hey doctor, of course as it goes, I was at work and it comes up that several (3) of my employees have had fatty liver issues but they are all very large. When I said I had the same issue they were very surprised because I’m still a lot leaner than them now (currently wearing 34” waist pants) and when it was found I was so fit and lean!
I guess what I wanted to follow up and ask was:
1. just how likely it is that this turn into more than JUST simple fatty liver if I keep my weight in control and don’t drink, etc. Practically no concern at all about serious issues? Semi likely? And also;
2. How abnormal is it that this was found when I was so lean at the time of the finding? My weight fluctuates a lot when I was a kid ( I was a little chubby at times) and even just a couple years before I was a bit heavier. Could this just be from my diet as a kid before I was fit, etc.? Or is it a bad sign and does it mean maybe I have something more serious causing the fatty infiltration? Maybe not a big deal?
Thanks again for your time. I wanted to come back because you were so great a couple days go.
I guess what I wanted to follow up and ask was:
1. just how likely it is that this turn into more than JUST simple fatty liver if I keep my weight in control and don’t drink, etc. Practically no concern at all about serious issues? Semi likely? And also;
2. How abnormal is it that this was found when I was so lean at the time of the finding? My weight fluctuates a lot when I was a kid ( I was a little chubby at times) and even just a couple years before I was a bit heavier. Could this just be from my diet as a kid before I was fit, etc.? Or is it a bad sign and does it mean maybe I have something more serious causing the fatty infiltration? Maybe not a big deal?
Thanks again for your time. I wanted to come back because you were so great a couple days go.
Hey doctor, of course as it goes, I was at work and it comes up that several (3) of my employees have had fatty liver issues but they are all very large. When I said I had the same issue they were very surprised because I’m still a lot leaner than them now (currently wearing 34” waist pants) and when it was found I was so fit and lean!
I guess what I wanted to follow up and ask was:
1. just how likely it is that this turn into more than JUST simple fatty liver if I keep my weight in control and don’t drink, etc. Practically no concern at all about serious issues? Semi likely? And also;
2. How abnormal is it that this was found when I was so lean at the time of the finding? My weight fluctuates a lot when I was a kid ( I was a little chubby at times) and even just a couple years before I was a bit heavier. Could this just be from my diet as a kid before I was fit, etc.? Or is it a bad sign and does it mean maybe I have something more serious causing the fatty infiltration? Maybe not a big deal?
Thanks again for your time. I wanted to come back because you were so great a couple days go.
I guess what I wanted to follow up and ask was:
1. just how likely it is that this turn into more than JUST simple fatty liver if I keep my weight in control and don’t drink, etc. Practically no concern at all about serious issues? Semi likely? And also;
2. How abnormal is it that this was found when I was so lean at the time of the finding? My weight fluctuates a lot when I was a kid ( I was a little chubby at times) and even just a couple years before I was a bit heavier. Could this just be from my diet as a kid before I was fit, etc.? Or is it a bad sign and does it mean maybe I have something more serious causing the fatty infiltration? Maybe not a big deal?
Thanks again for your time. I wanted to come back because you were so great a couple days go.
Brief Answer:
Follow up.
Detailed Answer:
Hello my dear and thanks a lot for follow up,
I can very well understand your anxiety. So let's have some theory before answering your query,
What we consider as obese thin lean etc is usually done by a parameter called BMI.
However, BMI uses only two factors weight and height of the person. Therefore it's a common misconception among people that a person with a normal body mass index can not have fatty liver or fat around any other organ.
However, this thing depends on the metabolism of the patient as well as the distribution of visceral fat in the body.
Fat is divided into two parts-
1) Peripheral-which you can see with your naked eyes i.e at tummy love handles etc.
2) Visceral fat-Viscera means organ and visceral fat means the fat which surrounds these organs. It depends on the metabolism of patient, genetics, lifestyle and many other factors.
So when it comes to fatty liver we are talking about Visceral fat and not about peripheral fat. However, researches have shown that when overall weight or body fat percentage decreases along with parietal fat (which you can see) Visceral fat also decreases(liver, heart, etc). Therefore weight loss is suggested.
So the parameter which is designed for fat is DEXA SCAN which measures visceral and parietal fat along with total body fat percentage and not BMI (as thought by most people). As DEXA SCAN is a costly test, therefore, doctors generally don't recommend it.
1) Mild fatty liver as described earlier is a normal finding after 30. As age increases the metabolism of patient decreases. As metabolism decreases visceral fat deposition also increases.Its natural aging phenomenon.
Depends on your lifestyle your food habits exercise etc. If you would follow a proper (near proper) lifestyle it would not progress rather it may become normal. However, in case you would not follow a proper lifestyle would eat fast food carbonated drinks junk, etc deposition of fat would increase.
Right now it's not at all a serious issue. It's a normal finding in most of the people above 30.
2) I've already explained you the concept of fat (peripheral and visceral). A person may be thin but may have a lot of visceral fat. A person may be obese but may have less visceral fat.
Hope I was easy to understand,
For any advice/suggestion do follow up,
Regards!
Follow up.
Detailed Answer:
Hello my dear and thanks a lot for follow up,
I can very well understand your anxiety. So let's have some theory before answering your query,
What we consider as obese thin lean etc is usually done by a parameter called BMI.
However, BMI uses only two factors weight and height of the person. Therefore it's a common misconception among people that a person with a normal body mass index can not have fatty liver or fat around any other organ.
However, this thing depends on the metabolism of the patient as well as the distribution of visceral fat in the body.
Fat is divided into two parts-
1) Peripheral-which you can see with your naked eyes i.e at tummy love handles etc.
2) Visceral fat-Viscera means organ and visceral fat means the fat which surrounds these organs. It depends on the metabolism of patient, genetics, lifestyle and many other factors.
So when it comes to fatty liver we are talking about Visceral fat and not about peripheral fat. However, researches have shown that when overall weight or body fat percentage decreases along with parietal fat (which you can see) Visceral fat also decreases(liver, heart, etc). Therefore weight loss is suggested.
So the parameter which is designed for fat is DEXA SCAN which measures visceral and parietal fat along with total body fat percentage and not BMI (as thought by most people). As DEXA SCAN is a costly test, therefore, doctors generally don't recommend it.
1) Mild fatty liver as described earlier is a normal finding after 30. As age increases the metabolism of patient decreases. As metabolism decreases visceral fat deposition also increases.Its natural aging phenomenon.
Depends on your lifestyle your food habits exercise etc. If you would follow a proper (near proper) lifestyle it would not progress rather it may become normal. However, in case you would not follow a proper lifestyle would eat fast food carbonated drinks junk, etc deposition of fat would increase.
Right now it's not at all a serious issue. It's a normal finding in most of the people above 30.
2) I've already explained you the concept of fat (peripheral and visceral). A person may be thin but may have a lot of visceral fat. A person may be obese but may have less visceral fat.
Hope I was easy to understand,
For any advice/suggestion do follow up,
Regards!
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Brief Answer:
Follow up.
Detailed Answer:
Hello my dear and thanks a lot for follow up,
I can very well understand your anxiety. So let's have some theory before answering your query,
What we consider as obese thin lean etc is usually done by a parameter called BMI.
However, BMI uses only two factors weight and height of the person. Therefore it's a common misconception among people that a person with a normal body mass index can not have fatty liver or fat around any other organ.
However, this thing depends on the metabolism of the patient as well as the distribution of visceral fat in the body.
Fat is divided into two parts-
1) Peripheral-which you can see with your naked eyes i.e at tummy love handles etc.
2) Visceral fat-Viscera means organ and visceral fat means the fat which surrounds these organs. It depends on the metabolism of patient, genetics, lifestyle and many other factors.
So when it comes to fatty liver we are talking about Visceral fat and not about peripheral fat. However, researches have shown that when overall weight or body fat percentage decreases along with parietal fat (which you can see) Visceral fat also decreases(liver, heart, etc). Therefore weight loss is suggested.
So the parameter which is designed for fat is DEXA SCAN which measures visceral and parietal fat along with total body fat percentage and not BMI (as thought by most people). As DEXA SCAN is a costly test, therefore, doctors generally don't recommend it.
1) Mild fatty liver as described earlier is a normal finding after 30. As age increases the metabolism of patient decreases. As metabolism decreases visceral fat deposition also increases.Its natural aging phenomenon.
Depends on your lifestyle your food habits exercise etc. If you would follow a proper (near proper) lifestyle it would not progress rather it may become normal. However, in case you would not follow a proper lifestyle would eat fast food carbonated drinks junk, etc deposition of fat would increase.
Right now it's not at all a serious issue. It's a normal finding in most of the people above 30.
2) I've already explained you the concept of fat (peripheral and visceral). A person may be thin but may have a lot of visceral fat. A person may be obese but may have less visceral fat.
Hope I was easy to understand,
For any advice/suggestion do follow up,
Regards!
Follow up.
Detailed Answer:
Hello my dear and thanks a lot for follow up,
I can very well understand your anxiety. So let's have some theory before answering your query,
What we consider as obese thin lean etc is usually done by a parameter called BMI.
However, BMI uses only two factors weight and height of the person. Therefore it's a common misconception among people that a person with a normal body mass index can not have fatty liver or fat around any other organ.
However, this thing depends on the metabolism of the patient as well as the distribution of visceral fat in the body.
Fat is divided into two parts-
1) Peripheral-which you can see with your naked eyes i.e at tummy love handles etc.
2) Visceral fat-Viscera means organ and visceral fat means the fat which surrounds these organs. It depends on the metabolism of patient, genetics, lifestyle and many other factors.
So when it comes to fatty liver we are talking about Visceral fat and not about peripheral fat. However, researches have shown that when overall weight or body fat percentage decreases along with parietal fat (which you can see) Visceral fat also decreases(liver, heart, etc). Therefore weight loss is suggested.
So the parameter which is designed for fat is DEXA SCAN which measures visceral and parietal fat along with total body fat percentage and not BMI (as thought by most people). As DEXA SCAN is a costly test, therefore, doctors generally don't recommend it.
1) Mild fatty liver as described earlier is a normal finding after 30. As age increases the metabolism of patient decreases. As metabolism decreases visceral fat deposition also increases.Its natural aging phenomenon.
Depends on your lifestyle your food habits exercise etc. If you would follow a proper (near proper) lifestyle it would not progress rather it may become normal. However, in case you would not follow a proper lifestyle would eat fast food carbonated drinks junk, etc deposition of fat would increase.
Right now it's not at all a serious issue. It's a normal finding in most of the people above 30.
2) I've already explained you the concept of fat (peripheral and visceral). A person may be thin but may have a lot of visceral fat. A person may be obese but may have less visceral fat.
Hope I was easy to understand,
For any advice/suggestion do follow up,
Regards!
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Doctor you were easy to understand and that actually makes a lot of sense! I believe my mom also has a fatty liver (she’s not extremely peripheraly fat) so perhaps it’s genetic.
So if I’m trying to get an idea just broad stroke: I understand it’s not an immediate worry now, but if I keep exercising and eating right I really don’t have to worry about advanced fibrosis and chirosis down the line? Or is that incorrect?
So if I’m trying to get an idea just broad stroke: I understand it’s not an immediate worry now, but if I keep exercising and eating right I really don’t have to worry about advanced fibrosis and chirosis down the line? Or is that incorrect?
Doctor you were easy to understand and that actually makes a lot of sense! I believe my mom also has a fatty liver (she’s not extremely peripheraly fat) so perhaps it’s genetic.
So if I’m trying to get an idea just broad stroke: I understand it’s not an immediate worry now, but if I keep exercising and eating right I really don’t have to worry about advanced fibrosis and chirosis down the line? Or is that incorrect?
So if I’m trying to get an idea just broad stroke: I understand it’s not an immediate worry now, but if I keep exercising and eating right I really don’t have to worry about advanced fibrosis and chirosis down the line? Or is that incorrect?
Brief Answer:
Follow up.
Detailed Answer:
Hello again my dear,
As told earlier, the liver is among one of the organs which has great potential to regenerate as well as rejuvenate itself. So even if you try everything possible to hurt your liver (which obviously you are not going to do) from stage 1 to cirrhosis would take a minimum of 10 years.
Eat clean, organic food 5 days a week and enjoy whatever you like 2 days a week and you would be fine.
At present, you are not at all a candidate for fibrosis or cirrhosis down the XXXXXXX in next 20 - 30 years unless you get exposed to infections like Hepatitis, etc.
You can also take liver supplement milk of thistle to keep your liver healthy. It's over the counter and is a potent antioxidant.
Feel free to follow up I would be happy to clarify any of your doubts.
As off now you are absolutely fine.
Regards and blessings!
Follow up.
Detailed Answer:
Hello again my dear,
As told earlier, the liver is among one of the organs which has great potential to regenerate as well as rejuvenate itself. So even if you try everything possible to hurt your liver (which obviously you are not going to do) from stage 1 to cirrhosis would take a minimum of 10 years.
Eat clean, organic food 5 days a week and enjoy whatever you like 2 days a week and you would be fine.
At present, you are not at all a candidate for fibrosis or cirrhosis down the XXXXXXX in next 20 - 30 years unless you get exposed to infections like Hepatitis, etc.
You can also take liver supplement milk of thistle to keep your liver healthy. It's over the counter and is a potent antioxidant.
Feel free to follow up I would be happy to clarify any of your doubts.
As off now you are absolutely fine.
Regards and blessings!
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Brief Answer:
Follow up.
Detailed Answer:
Hello again my dear,
As told earlier, the liver is among one of the organs which has great potential to regenerate as well as rejuvenate itself. So even if you try everything possible to hurt your liver (which obviously you are not going to do) from stage 1 to cirrhosis would take a minimum of 10 years.
Eat clean, organic food 5 days a week and enjoy whatever you like 2 days a week and you would be fine.
At present, you are not at all a candidate for fibrosis or cirrhosis down the XXXXXXX in next 20 - 30 years unless you get exposed to infections like Hepatitis, etc.
You can also take liver supplement milk of thistle to keep your liver healthy. It's over the counter and is a potent antioxidant.
Feel free to follow up I would be happy to clarify any of your doubts.
As off now you are absolutely fine.
Regards and blessings!
Follow up.
Detailed Answer:
Hello again my dear,
As told earlier, the liver is among one of the organs which has great potential to regenerate as well as rejuvenate itself. So even if you try everything possible to hurt your liver (which obviously you are not going to do) from stage 1 to cirrhosis would take a minimum of 10 years.
Eat clean, organic food 5 days a week and enjoy whatever you like 2 days a week and you would be fine.
At present, you are not at all a candidate for fibrosis or cirrhosis down the XXXXXXX in next 20 - 30 years unless you get exposed to infections like Hepatitis, etc.
You can also take liver supplement milk of thistle to keep your liver healthy. It's over the counter and is a potent antioxidant.
Feel free to follow up I would be happy to clarify any of your doubts.
As off now you are absolutely fine.
Regards and blessings!
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Fantastic..... that’s relaxing. I have always and will always care a lot about my health so I will be taking the exercise and diet seriously.
Per your recommendation I did buy a liver supplement as well as omega 3’s to take daily.
I have also started daily mediation first thing in the morning as well as 4 times per week exercise keeping my pulse at 110 or greater for at least 25 minutes as this was a recommendation from my psychiatrist to help with general anxiety.... He said this is as effective as an SSRI which id rather not take (at least without a natural attempt).
So I’m closing it would seem as if I’m in good health as is and can just relax and be happy?
Right now the general doctor has me going every other year because of my age and general lack of issue in the past. Is this feasible too?
I’m appreciative to have found you.
Per your recommendation I did buy a liver supplement as well as omega 3’s to take daily.
I have also started daily mediation first thing in the morning as well as 4 times per week exercise keeping my pulse at 110 or greater for at least 25 minutes as this was a recommendation from my psychiatrist to help with general anxiety.... He said this is as effective as an SSRI which id rather not take (at least without a natural attempt).
So I’m closing it would seem as if I’m in good health as is and can just relax and be happy?
Right now the general doctor has me going every other year because of my age and general lack of issue in the past. Is this feasible too?
I’m appreciative to have found you.
Fantastic..... that’s relaxing. I have always and will always care a lot about my health so I will be taking the exercise and diet seriously.
Per your recommendation I did buy a liver supplement as well as omega 3’s to take daily.
I have also started daily mediation first thing in the morning as well as 4 times per week exercise keeping my pulse at 110 or greater for at least 25 minutes as this was a recommendation from my psychiatrist to help with general anxiety.... He said this is as effective as an SSRI which id rather not take (at least without a natural attempt).
So I’m closing it would seem as if I’m in good health as is and can just relax and be happy?
Right now the general doctor has me going every other year because of my age and general lack of issue in the past. Is this feasible too?
I’m appreciative to have found you.
Per your recommendation I did buy a liver supplement as well as omega 3’s to take daily.
I have also started daily mediation first thing in the morning as well as 4 times per week exercise keeping my pulse at 110 or greater for at least 25 minutes as this was a recommendation from my psychiatrist to help with general anxiety.... He said this is as effective as an SSRI which id rather not take (at least without a natural attempt).
So I’m closing it would seem as if I’m in good health as is and can just relax and be happy?
Right now the general doctor has me going every other year because of my age and general lack of issue in the past. Is this feasible too?
I’m appreciative to have found you.
Brief Answer:
Follow up.
Detailed Answer:
Hello again dear,
Yes, along with SSRI you can try a natural supplement called Lactium. It's natural and derived from Milk product called casein. Works very well on anxiety related issues. You can also try natural extracts of melatonin.
Do the exercise for 20-25 minutes minimum three times a week. Don't exert too vigorously.
Just a suggestion as for me medicine is the last resort treatment at first lifestyle modifications and natural things should be tried.
A visit to GP every year with few bodily tests like ultrasound abdomen, Complete blood count, blood sugar, liver, and kidney function tests is something good.
It keeps your health in check.
Thank you.
Follow up.
Detailed Answer:
Hello again dear,
Yes, along with SSRI you can try a natural supplement called Lactium. It's natural and derived from Milk product called casein. Works very well on anxiety related issues. You can also try natural extracts of melatonin.
Do the exercise for 20-25 minutes minimum three times a week. Don't exert too vigorously.
Just a suggestion as for me medicine is the last resort treatment at first lifestyle modifications and natural things should be tried.
A visit to GP every year with few bodily tests like ultrasound abdomen, Complete blood count, blood sugar, liver, and kidney function tests is something good.
It keeps your health in check.
Thank you.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Brief Answer:
Follow up.
Detailed Answer:
Hello again dear,
Yes, along with SSRI you can try a natural supplement called Lactium. It's natural and derived from Milk product called casein. Works very well on anxiety related issues. You can also try natural extracts of melatonin.
Do the exercise for 20-25 minutes minimum three times a week. Don't exert too vigorously.
Just a suggestion as for me medicine is the last resort treatment at first lifestyle modifications and natural things should be tried.
A visit to GP every year with few bodily tests like ultrasound abdomen, Complete blood count, blood sugar, liver, and kidney function tests is something good.
It keeps your health in check.
Thank you.
Follow up.
Detailed Answer:
Hello again dear,
Yes, along with SSRI you can try a natural supplement called Lactium. It's natural and derived from Milk product called casein. Works very well on anxiety related issues. You can also try natural extracts of melatonin.
Do the exercise for 20-25 minutes minimum three times a week. Don't exert too vigorously.
Just a suggestion as for me medicine is the last resort treatment at first lifestyle modifications and natural things should be tried.
A visit to GP every year with few bodily tests like ultrasound abdomen, Complete blood count, blood sugar, liver, and kidney function tests is something good.
It keeps your health in check.
Thank you.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Sounds great- do I really need the ultrasound for the liver every year or would the blood test indicate if damage was happening through elevated enzymes?
Sounds great- do I really need the ultrasound for the liver every year or would the blood test indicate if damage was happening through elevated enzymes?
Brief Answer:
Follow up.
Detailed Answer:
Hi again dear,
As per books, a complete body check-up should be done every year.
However, clinically if liver enzymes are normal it's not necessary to go for an ultrasound abdomen every year. Ultrasound of the abdomen may also be helpful in finding out stones in kidney any pathology of gall bladder etc. Therefore a routine body checks up once a year is not a bad idea.
Hope I was helpful.
Feel free to follow up, I would be happy to help.
In the future, you can write to me directly at the link below.
Do rate answer and any suggestion to make answers better is welcome.
http://doctor.healthcaremagic.com/doctors/dr-ramesh-kumar/72660
Follow up.
Detailed Answer:
Hi again dear,
As per books, a complete body check-up should be done every year.
However, clinically if liver enzymes are normal it's not necessary to go for an ultrasound abdomen every year. Ultrasound of the abdomen may also be helpful in finding out stones in kidney any pathology of gall bladder etc. Therefore a routine body checks up once a year is not a bad idea.
Hope I was helpful.
Feel free to follow up, I would be happy to help.
In the future, you can write to me directly at the link below.
Do rate answer and any suggestion to make answers better is welcome.
http://doctor.healthcaremagic.com/doctors/dr-ramesh-kumar/72660
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Brief Answer:
Follow up.
Detailed Answer:
Hi again dear,
As per books, a complete body check-up should be done every year.
However, clinically if liver enzymes are normal it's not necessary to go for an ultrasound abdomen every year. Ultrasound of the abdomen may also be helpful in finding out stones in kidney any pathology of gall bladder etc. Therefore a routine body checks up once a year is not a bad idea.
Hope I was helpful.
Feel free to follow up, I would be happy to help.
In the future, you can write to me directly at the link below.
Do rate answer and any suggestion to make answers better is welcome.
http://doctor.healthcaremagic.com/doctors/dr-ramesh-kumar/72660
Follow up.
Detailed Answer:
Hi again dear,
As per books, a complete body check-up should be done every year.
However, clinically if liver enzymes are normal it's not necessary to go for an ultrasound abdomen every year. Ultrasound of the abdomen may also be helpful in finding out stones in kidney any pathology of gall bladder etc. Therefore a routine body checks up once a year is not a bad idea.
Hope I was helpful.
Feel free to follow up, I would be happy to help.
In the future, you can write to me directly at the link below.
Do rate answer and any suggestion to make answers better is welcome.
http://doctor.healthcaremagic.com/doctors/dr-ramesh-kumar/72660
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Doctor i am following up again BECAUSE I was finally able to get a copy of my ultrasound report I mentioned above.
The radiologist said, “the liver is enlarged measuring 18cm and demonstrated diffusely heterogenous with mildly increased echo texture without focal abnormality. Normal flow and direction are demonstrated within the portal and hepatic veins.”
His “impression” was: “hepatolemgaly with diffuse hepatic echogenicity and increased echogenicity, which may reflect fatty infiltration or diffuse hepatocellular disease.”
Obviously this is all terrifying to me because it sounds so bad. But, it this a more detailed way of saying it’s likely a SIMPLE fatty liver (not XXXXXXX or worse) since my enzymes were fine?
The radiologist said, “the liver is enlarged measuring 18cm and demonstrated diffusely heterogenous with mildly increased echo texture without focal abnormality. Normal flow and direction are demonstrated within the portal and hepatic veins.”
His “impression” was: “hepatolemgaly with diffuse hepatic echogenicity and increased echogenicity, which may reflect fatty infiltration or diffuse hepatocellular disease.”
Obviously this is all terrifying to me because it sounds so bad. But, it this a more detailed way of saying it’s likely a SIMPLE fatty liver (not XXXXXXX or worse) since my enzymes were fine?
Doctor i am following up again BECAUSE I was finally able to get a copy of my ultrasound report I mentioned above.
The radiologist said, “the liver is enlarged measuring 18cm and demonstrated diffusely heterogenous with mildly increased echo texture without focal abnormality. Normal flow and direction are demonstrated within the portal and hepatic veins.”
His “impression” was: “hepatolemgaly with diffuse hepatic echogenicity and increased echogenicity, which may reflect fatty infiltration or diffuse hepatocellular disease.”
Obviously this is all terrifying to me because it sounds so bad. But, it this a more detailed way of saying it’s likely a SIMPLE fatty liver (not XXXXXXX or worse) since my enzymes were fine?
The radiologist said, “the liver is enlarged measuring 18cm and demonstrated diffusely heterogenous with mildly increased echo texture without focal abnormality. Normal flow and direction are demonstrated within the portal and hepatic veins.”
His “impression” was: “hepatolemgaly with diffuse hepatic echogenicity and increased echogenicity, which may reflect fatty infiltration or diffuse hepatocellular disease.”
Obviously this is all terrifying to me because it sounds so bad. But, it this a more detailed way of saying it’s likely a SIMPLE fatty liver (not XXXXXXX or worse) since my enzymes were fine?
Brief Answer:
Follow up.
Detailed Answer:
Hello again my dear,
Medical terminology for writing simple thing fatty liver.
For e.g, You say fever we call it Pyrexia.
The liver is an organ.
The organ is made up of tissues.
Tissues are made up of cells.
Now hepatomegaly means the increased size of the liver. Normal size is about 15-16 cm yours is 18cm.yes liver is enlarged. Why? Because fat is deposited around it.
Echogenicity- Ultrasound is a type of wave. When it passes through any soft tissue it forms a dark or light image. The light image reflects cells are normal while dense image means that fat is deposited.
Why diffuse-Just like your waist fat in the organ is not deposited equally in some parts deposited more and in some parts it's less. When ultrasound rays pass through more fat zone dense image is formed and when through little fat deposition light image is formed. So, the overall picture is diffuse an image at some point is dense and at some point is less dense (medically written as echogenicity).
Just medical way of writing a simple thing mild fatty liver.
Thank you, welcome for the follow-ups anytime...
You can also write to me directly on the previously mentioned link.
Hope I was easy to understand.
Regards
Follow up.
Detailed Answer:
Hello again my dear,
Medical terminology for writing simple thing fatty liver.
For e.g, You say fever we call it Pyrexia.
The liver is an organ.
The organ is made up of tissues.
Tissues are made up of cells.
Now hepatomegaly means the increased size of the liver. Normal size is about 15-16 cm yours is 18cm.yes liver is enlarged. Why? Because fat is deposited around it.
Echogenicity- Ultrasound is a type of wave. When it passes through any soft tissue it forms a dark or light image. The light image reflects cells are normal while dense image means that fat is deposited.
Why diffuse-Just like your waist fat in the organ is not deposited equally in some parts deposited more and in some parts it's less. When ultrasound rays pass through more fat zone dense image is formed and when through little fat deposition light image is formed. So, the overall picture is diffuse an image at some point is dense and at some point is less dense (medically written as echogenicity).
Just medical way of writing a simple thing mild fatty liver.
Thank you, welcome for the follow-ups anytime...
You can also write to me directly on the previously mentioned link.
Hope I was easy to understand.
Regards
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Brief Answer:
Follow up.
Detailed Answer:
Hello again my dear,
Medical terminology for writing simple thing fatty liver.
For e.g, You say fever we call it Pyrexia.
The liver is an organ.
The organ is made up of tissues.
Tissues are made up of cells.
Now hepatomegaly means the increased size of the liver. Normal size is about 15-16 cm yours is 18cm.yes liver is enlarged. Why? Because fat is deposited around it.
Echogenicity- Ultrasound is a type of wave. When it passes through any soft tissue it forms a dark or light image. The light image reflects cells are normal while dense image means that fat is deposited.
Why diffuse-Just like your waist fat in the organ is not deposited equally in some parts deposited more and in some parts it's less. When ultrasound rays pass through more fat zone dense image is formed and when through little fat deposition light image is formed. So, the overall picture is diffuse an image at some point is dense and at some point is less dense (medically written as echogenicity).
Just medical way of writing a simple thing mild fatty liver.
Thank you, welcome for the follow-ups anytime...
You can also write to me directly on the previously mentioned link.
Hope I was easy to understand.
Regards
Follow up.
Detailed Answer:
Hello again my dear,
Medical terminology for writing simple thing fatty liver.
For e.g, You say fever we call it Pyrexia.
The liver is an organ.
The organ is made up of tissues.
Tissues are made up of cells.
Now hepatomegaly means the increased size of the liver. Normal size is about 15-16 cm yours is 18cm.yes liver is enlarged. Why? Because fat is deposited around it.
Echogenicity- Ultrasound is a type of wave. When it passes through any soft tissue it forms a dark or light image. The light image reflects cells are normal while dense image means that fat is deposited.
Why diffuse-Just like your waist fat in the organ is not deposited equally in some parts deposited more and in some parts it's less. When ultrasound rays pass through more fat zone dense image is formed and when through little fat deposition light image is formed. So, the overall picture is diffuse an image at some point is dense and at some point is less dense (medically written as echogenicity).
Just medical way of writing a simple thing mild fatty liver.
Thank you, welcome for the follow-ups anytime...
You can also write to me directly on the previously mentioned link.
Hope I was easy to understand.
Regards
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Thanks again for the great answer. It’s the reason I’ve paid again!
1. So now that we see this radiologists’ finding it does not change what you said before? To a GI doc like you this is still a harmless finding I don’t need to feel my life is in danger in the near or distant future by as long as I maintain healthy weight/diet, etc.?
2. Does the fact that he said it’s heterogeneous as opposed to homogeneous mean anything bad?
3. Does the fact he noted MILD echogenecity mean anything good as far as grading the fatty liver? Does this mean it is in fact a MILD fatty liver?
4. I know you’ve repeated that this is a normal finding in people above 30 years old. I’m upset I had it at 24 years old (or who knows how long before that when it was unknown). Is this still semi-normal though? I also got a copy of my labs done then and my glucose, cholesterol, etc. was actually perfect at this point in time.
Thanks again doctor
1. So now that we see this radiologists’ finding it does not change what you said before? To a GI doc like you this is still a harmless finding I don’t need to feel my life is in danger in the near or distant future by as long as I maintain healthy weight/diet, etc.?
2. Does the fact that he said it’s heterogeneous as opposed to homogeneous mean anything bad?
3. Does the fact he noted MILD echogenecity mean anything good as far as grading the fatty liver? Does this mean it is in fact a MILD fatty liver?
4. I know you’ve repeated that this is a normal finding in people above 30 years old. I’m upset I had it at 24 years old (or who knows how long before that when it was unknown). Is this still semi-normal though? I also got a copy of my labs done then and my glucose, cholesterol, etc. was actually perfect at this point in time.
Thanks again doctor
Thanks again for the great answer. It’s the reason I’ve paid again!
1. So now that we see this radiologists’ finding it does not change what you said before? To a GI doc like you this is still a harmless finding I don’t need to feel my life is in danger in the near or distant future by as long as I maintain healthy weight/diet, etc.?
2. Does the fact that he said it’s heterogeneous as opposed to homogeneous mean anything bad?
3. Does the fact he noted MILD echogenecity mean anything good as far as grading the fatty liver? Does this mean it is in fact a MILD fatty liver?
4. I know you’ve repeated that this is a normal finding in people above 30 years old. I’m upset I had it at 24 years old (or who knows how long before that when it was unknown). Is this still semi-normal though? I also got a copy of my labs done then and my glucose, cholesterol, etc. was actually perfect at this point in time.
Thanks again doctor
1. So now that we see this radiologists’ finding it does not change what you said before? To a GI doc like you this is still a harmless finding I don’t need to feel my life is in danger in the near or distant future by as long as I maintain healthy weight/diet, etc.?
2. Does the fact that he said it’s heterogeneous as opposed to homogeneous mean anything bad?
3. Does the fact he noted MILD echogenecity mean anything good as far as grading the fatty liver? Does this mean it is in fact a MILD fatty liver?
4. I know you’ve repeated that this is a normal finding in people above 30 years old. I’m upset I had it at 24 years old (or who knows how long before that when it was unknown). Is this still semi-normal though? I also got a copy of my labs done then and my glucose, cholesterol, etc. was actually perfect at this point in time.
Thanks again doctor
Brief Answer:
Follow up.
Detailed Answer:
Hello again my dear,
Thanks for appreciation,
1) Life in danger-No, not at all, till the next many decades.
2) Homogeneous means having the same intensity. This would be the appearance of a non-fatty liver in which nothing is deposited. Look around your waist fat would be more at tummy and sides while a few places it would be less this is heterogeneous. Deposition of fat is heterogeneous whether peripheral or visceral.
3) A medical way of writing Mild fatty liver changes. Grade 1(starting). Take milk of thistle.
4) Genetics, exercise, lifestyle and various other factors are responsible for it. What we say normal age is 95percentile. This means that if we conduct an experiment on 100 people and 95 of them develop fatty liver grade 1 after the age of 30. We would say that the normal age for it to develop is 30 years.
However, as the human body is a complex entity, the rest 5% can have it even earlier or never. I am very old now much more than the photo you can see but still remember in medical school my respected mentor Professor said- Golden rule of medical science is that there is no rule. Every person is a piece of complex machinery created by God and we can't set a parameter which can include everyone.
No need to thank, young man,
You are fine, don't think too much, enjoy life.
Feel free to write back to me to clear any doubts,
Regards and Blessings!
Follow up.
Detailed Answer:
Hello again my dear,
Thanks for appreciation,
1) Life in danger-No, not at all, till the next many decades.
2) Homogeneous means having the same intensity. This would be the appearance of a non-fatty liver in which nothing is deposited. Look around your waist fat would be more at tummy and sides while a few places it would be less this is heterogeneous. Deposition of fat is heterogeneous whether peripheral or visceral.
3) A medical way of writing Mild fatty liver changes. Grade 1(starting). Take milk of thistle.
4) Genetics, exercise, lifestyle and various other factors are responsible for it. What we say normal age is 95percentile. This means that if we conduct an experiment on 100 people and 95 of them develop fatty liver grade 1 after the age of 30. We would say that the normal age for it to develop is 30 years.
However, as the human body is a complex entity, the rest 5% can have it even earlier or never. I am very old now much more than the photo you can see but still remember in medical school my respected mentor Professor said- Golden rule of medical science is that there is no rule. Every person is a piece of complex machinery created by God and we can't set a parameter which can include everyone.
No need to thank, young man,
You are fine, don't think too much, enjoy life.
Feel free to write back to me to clear any doubts,
Regards and Blessings!
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Brief Answer:
Follow up.
Detailed Answer:
Hello again my dear,
Thanks for appreciation,
1) Life in danger-No, not at all, till the next many decades.
2) Homogeneous means having the same intensity. This would be the appearance of a non-fatty liver in which nothing is deposited. Look around your waist fat would be more at tummy and sides while a few places it would be less this is heterogeneous. Deposition of fat is heterogeneous whether peripheral or visceral.
3) A medical way of writing Mild fatty liver changes. Grade 1(starting). Take milk of thistle.
4) Genetics, exercise, lifestyle and various other factors are responsible for it. What we say normal age is 95percentile. This means that if we conduct an experiment on 100 people and 95 of them develop fatty liver grade 1 after the age of 30. We would say that the normal age for it to develop is 30 years.
However, as the human body is a complex entity, the rest 5% can have it even earlier or never. I am very old now much more than the photo you can see but still remember in medical school my respected mentor Professor said- Golden rule of medical science is that there is no rule. Every person is a piece of complex machinery created by God and we can't set a parameter which can include everyone.
No need to thank, young man,
You are fine, don't think too much, enjoy life.
Feel free to write back to me to clear any doubts,
Regards and Blessings!
Follow up.
Detailed Answer:
Hello again my dear,
Thanks for appreciation,
1) Life in danger-No, not at all, till the next many decades.
2) Homogeneous means having the same intensity. This would be the appearance of a non-fatty liver in which nothing is deposited. Look around your waist fat would be more at tummy and sides while a few places it would be less this is heterogeneous. Deposition of fat is heterogeneous whether peripheral or visceral.
3) A medical way of writing Mild fatty liver changes. Grade 1(starting). Take milk of thistle.
4) Genetics, exercise, lifestyle and various other factors are responsible for it. What we say normal age is 95percentile. This means that if we conduct an experiment on 100 people and 95 of them develop fatty liver grade 1 after the age of 30. We would say that the normal age for it to develop is 30 years.
However, as the human body is a complex entity, the rest 5% can have it even earlier or never. I am very old now much more than the photo you can see but still remember in medical school my respected mentor Professor said- Golden rule of medical science is that there is no rule. Every person is a piece of complex machinery created by God and we can't set a parameter which can include everyone.
No need to thank, young man,
You are fine, don't think too much, enjoy life.
Feel free to write back to me to clear any doubts,
Regards and Blessings!
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
That all makes great sense. And I can’t tell you how much I appreciate your patience with me. I am very persistent obviously, and am not the type to shy away from trying to know what’s going on.
I had another doctor say, “due to the differential the radiologist mentioned you are likely to get referred for a liver biopsy to have an actual pathology report demonstrating what is really going on.” When she told me this I STUPIDLY did a search online and read an excerpt that said heterogenous echogenicity may indicate chirosis is already there as chirosis often appears heterogenous on imaging. This is what sparked me to come back to you.
Do you think I truly need a biopsy? I just had labs pulled again today so if the enzymes are fine can I drop this (at least until my next annual)? I really would like to get away from this liver fear.
Also, assuming this IS just the simple fatty liver that doesn’t mean I need to worry about malignancy on the liver more than the next person does it?
God Bless.
I had another doctor say, “due to the differential the radiologist mentioned you are likely to get referred for a liver biopsy to have an actual pathology report demonstrating what is really going on.” When she told me this I STUPIDLY did a search online and read an excerpt that said heterogenous echogenicity may indicate chirosis is already there as chirosis often appears heterogenous on imaging. This is what sparked me to come back to you.
Do you think I truly need a biopsy? I just had labs pulled again today so if the enzymes are fine can I drop this (at least until my next annual)? I really would like to get away from this liver fear.
Also, assuming this IS just the simple fatty liver that doesn’t mean I need to worry about malignancy on the liver more than the next person does it?
God Bless.
That all makes great sense. And I can’t tell you how much I appreciate your patience with me. I am very persistent obviously, and am not the type to shy away from trying to know what’s going on.
I had another doctor say, “due to the differential the radiologist mentioned you are likely to get referred for a liver biopsy to have an actual pathology report demonstrating what is really going on.” When she told me this I STUPIDLY did a search online and read an excerpt that said heterogenous echogenicity may indicate chirosis is already there as chirosis often appears heterogenous on imaging. This is what sparked me to come back to you.
Do you think I truly need a biopsy? I just had labs pulled again today so if the enzymes are fine can I drop this (at least until my next annual)? I really would like to get away from this liver fear.
Also, assuming this IS just the simple fatty liver that doesn’t mean I need to worry about malignancy on the liver more than the next person does it?
God Bless.
I had another doctor say, “due to the differential the radiologist mentioned you are likely to get referred for a liver biopsy to have an actual pathology report demonstrating what is really going on.” When she told me this I STUPIDLY did a search online and read an excerpt that said heterogenous echogenicity may indicate chirosis is already there as chirosis often appears heterogenous on imaging. This is what sparked me to come back to you.
Do you think I truly need a biopsy? I just had labs pulled again today so if the enzymes are fine can I drop this (at least until my next annual)? I really would like to get away from this liver fear.
Also, assuming this IS just the simple fatty liver that doesn’t mean I need to worry about malignancy on the liver more than the next person does it?
God Bless.
Brief Answer:
Follow up.
Detailed Answer:
Hello again my dear,
Investigations are just a part of examining the patient.
As you already know that cirrhosis is the end stage of liver disease. So let's assume that there's cirrhosis, apart from echogenicity won't there be any sign or symptom of the disease?
The liver is one of the most important organs which helps in detoxification which is on end-stage, so where are the symptoms?
Initially, you would experience fatigue, weakness and drastic weight loss. During later stages (for which biopsy is done), patients may develop severe jaundice i.e.yellowing of the skin in more than 20-30 mg/dl), gastrointestinal bleeding, abdominal swelling and confusion tremors.
Pain in the abdomen, bleeding, dark stool from digested blood, fluid in the abdomen, nausea, passing excessive amounts of gas, vomiting blood, or water retention severe fatigue, loss of appetite, or reduced hormone production,web of swollen blood vessels in the skin or yellow skin and eyes bruising, dark urine, enlarged veins around belly button, itching, mental confusion, muscle weakness, shortness of breath, swelling, swelling in extremities, or swollen veins in the lower oesophagus(portal hypertension).
Investigations are just part of examining a patient. The most important things are the symptoms. If you have all these symptoms then you have an end-stage liver disease which, I certainly think you don't.
Hope you can understand that a patient whose liver has failed would show all these symptoms apart from just heterogeneous opacities.
Feel free to follow up.
Thank you.
Follow up.
Detailed Answer:
Hello again my dear,
Investigations are just a part of examining the patient.
As you already know that cirrhosis is the end stage of liver disease. So let's assume that there's cirrhosis, apart from echogenicity won't there be any sign or symptom of the disease?
The liver is one of the most important organs which helps in detoxification which is on end-stage, so where are the symptoms?
Initially, you would experience fatigue, weakness and drastic weight loss. During later stages (for which biopsy is done), patients may develop severe jaundice i.e.yellowing of the skin in more than 20-30 mg/dl), gastrointestinal bleeding, abdominal swelling and confusion tremors.
Pain in the abdomen, bleeding, dark stool from digested blood, fluid in the abdomen, nausea, passing excessive amounts of gas, vomiting blood, or water retention severe fatigue, loss of appetite, or reduced hormone production,web of swollen blood vessels in the skin or yellow skin and eyes bruising, dark urine, enlarged veins around belly button, itching, mental confusion, muscle weakness, shortness of breath, swelling, swelling in extremities, or swollen veins in the lower oesophagus(portal hypertension).
Investigations are just part of examining a patient. The most important things are the symptoms. If you have all these symptoms then you have an end-stage liver disease which, I certainly think you don't.
Hope you can understand that a patient whose liver has failed would show all these symptoms apart from just heterogeneous opacities.
Feel free to follow up.
Thank you.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Brief Answer:
Follow up.
Detailed Answer:
Hello again my dear,
Investigations are just a part of examining the patient.
As you already know that cirrhosis is the end stage of liver disease. So let's assume that there's cirrhosis, apart from echogenicity won't there be any sign or symptom of the disease?
The liver is one of the most important organs which helps in detoxification which is on end-stage, so where are the symptoms?
Initially, you would experience fatigue, weakness and drastic weight loss. During later stages (for which biopsy is done), patients may develop severe jaundice i.e.yellowing of the skin in more than 20-30 mg/dl), gastrointestinal bleeding, abdominal swelling and confusion tremors.
Pain in the abdomen, bleeding, dark stool from digested blood, fluid in the abdomen, nausea, passing excessive amounts of gas, vomiting blood, or water retention severe fatigue, loss of appetite, or reduced hormone production,web of swollen blood vessels in the skin or yellow skin and eyes bruising, dark urine, enlarged veins around belly button, itching, mental confusion, muscle weakness, shortness of breath, swelling, swelling in extremities, or swollen veins in the lower oesophagus(portal hypertension).
Investigations are just part of examining a patient. The most important things are the symptoms. If you have all these symptoms then you have an end-stage liver disease which, I certainly think you don't.
Hope you can understand that a patient whose liver has failed would show all these symptoms apart from just heterogeneous opacities.
Feel free to follow up.
Thank you.
Follow up.
Detailed Answer:
Hello again my dear,
Investigations are just a part of examining the patient.
As you already know that cirrhosis is the end stage of liver disease. So let's assume that there's cirrhosis, apart from echogenicity won't there be any sign or symptom of the disease?
The liver is one of the most important organs which helps in detoxification which is on end-stage, so where are the symptoms?
Initially, you would experience fatigue, weakness and drastic weight loss. During later stages (for which biopsy is done), patients may develop severe jaundice i.e.yellowing of the skin in more than 20-30 mg/dl), gastrointestinal bleeding, abdominal swelling and confusion tremors.
Pain in the abdomen, bleeding, dark stool from digested blood, fluid in the abdomen, nausea, passing excessive amounts of gas, vomiting blood, or water retention severe fatigue, loss of appetite, or reduced hormone production,web of swollen blood vessels in the skin or yellow skin and eyes bruising, dark urine, enlarged veins around belly button, itching, mental confusion, muscle weakness, shortness of breath, swelling, swelling in extremities, or swollen veins in the lower oesophagus(portal hypertension).
Investigations are just part of examining a patient. The most important things are the symptoms. If you have all these symptoms then you have an end-stage liver disease which, I certainly think you don't.
Hope you can understand that a patient whose liver has failed would show all these symptoms apart from just heterogeneous opacities.
Feel free to follow up.
Thank you.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Understood. I have none of those symptoms obviously.
1. And i am making a guess that if these heterogeneous opacities were scarring from XXXXXXX damage my enzymes would have reflected this, correct?
2. So this would tend to say it’s simply fat build up in different locations- not scarring or fibrosis?
3. So, a biopsy is not called for right now then? If enzymes show up good tomorrow I am in fact okay?
1. And i am making a guess that if these heterogeneous opacities were scarring from XXXXXXX damage my enzymes would have reflected this, correct?
2. So this would tend to say it’s simply fat build up in different locations- not scarring or fibrosis?
3. So, a biopsy is not called for right now then? If enzymes show up good tomorrow I am in fact okay?
Understood. I have none of those symptoms obviously.
1. And i am making a guess that if these heterogeneous opacities were scarring from XXXXXXX damage my enzymes would have reflected this, correct?
2. So this would tend to say it’s simply fat build up in different locations- not scarring or fibrosis?
3. So, a biopsy is not called for right now then? If enzymes show up good tomorrow I am in fact okay?
1. And i am making a guess that if these heterogeneous opacities were scarring from XXXXXXX damage my enzymes would have reflected this, correct?
2. So this would tend to say it’s simply fat build up in different locations- not scarring or fibrosis?
3. So, a biopsy is not called for right now then? If enzymes show up good tomorrow I am in fact okay?
Brief Answer:
Follow up.
Detailed Answer:
Hi again dear,
The biopsy is required if one enzyme out of three comes out to be 3 times the upper normal value.
Secondly, the lesion seen is focal and not diffuse. Biopsy means taking out a small section of tissue for studies about abnormal focal lesion seen in the liver. It's not tested for the diffused lesion.
Even if someone wants a further investigation in your case it would be a CT or MRI scan.
Thank you.
Follow up.
Detailed Answer:
Hi again dear,
The biopsy is required if one enzyme out of three comes out to be 3 times the upper normal value.
Secondly, the lesion seen is focal and not diffuse. Biopsy means taking out a small section of tissue for studies about abnormal focal lesion seen in the liver. It's not tested for the diffused lesion.
Even if someone wants a further investigation in your case it would be a CT or MRI scan.
Thank you.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Brief Answer:
Follow up.
Detailed Answer:
Hi again dear,
The biopsy is required if one enzyme out of three comes out to be 3 times the upper normal value.
Secondly, the lesion seen is focal and not diffuse. Biopsy means taking out a small section of tissue for studies about abnormal focal lesion seen in the liver. It's not tested for the diffused lesion.
Even if someone wants a further investigation in your case it would be a CT or MRI scan.
Thank you.
Follow up.
Detailed Answer:
Hi again dear,
The biopsy is required if one enzyme out of three comes out to be 3 times the upper normal value.
Secondly, the lesion seen is focal and not diffuse. Biopsy means taking out a small section of tissue for studies about abnormal focal lesion seen in the liver. It's not tested for the diffused lesion.
Even if someone wants a further investigation in your case it would be a CT or MRI scan.
Thank you.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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