Brief Answer:
fatty changes in the liver with fat accumulation.detailed guidelines below.

Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.

* The liver enlargement in size with increased echo texture and SGPT of 177.9 indicate
excess fat deposition in the liver with minor secondary inflammation causing liver
enzymes to alter in amount.

* The progression depends upon multiple factors as life style changes, diet factors,
smoking, alcohol, exercise, body weight, cholesterol levels etc.
But there is no immediate threat of bed ridden condition for sure.

* These changes are reversible with certain modifications in diet and life style, but can
progress if one avoid precautions in future.

My guidelines for your particular concern are

* Diet recommendations :

- Manage to have less amount of carbohydrates in your diet which usually build up as
excess fat inside the liver.
- Cut down intake of spices, non veg, junk foods, excess dairy fat to control body
cholesterol over all.
- Consume more of fibers, green leafy veg, cereals, pulses, legumes, organic fresh fruits.
- Drink more liquids and maintain hydration.
- Avoid aerated drinks and commercial beverages.
- Avoid over eating and prolong fasting episodes.
- Avoid late night dinner and parties.
- Keep your stomach 20 % empty from your satiety value.

* Life style modifications :

- Do regular exercises, walking, YOGA - most essential parts to keep the liver and
digestive tract at its best pace levels.
- Avoid smoking, alcohol if consuming.
- Mange sound regular sleep of 7-8 hours.
- Avoid stress and anxiety.
- Control your body weight, blood sugar and cholesterol ( if cholesterol blood report is
not done kindly get it done and if done please share in follow up session ).
Need of anti cholesterol drugs require evaluation of metabolic panel with lipid profile
report only.

* Follow up strategies :

- In my clinic, I do prefer a 3 month repeat SGPT after dietary and life style changes
and ultrasound at a period of 6 months.

Hope this information will help you to make understanding of the condition better.
Do feel free to discuss further regarding the same.

Wish you a great day.
Regards.

Dr Bhagyesh ( MS consultant surgeon )

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Brief Answer:
vitamin E is the best antioxidant medication which may be helpful.

Detailed Answer:
Hi,
Thanks for the follow-up.

* Vitamin E has a substantial role as an antioxidant in various body chemical processes and
definitely will help for current liver issue by preventing fat from further inflammation.

Do continue rest of the precautions at your best for the fastest recovery.
Thank you.

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