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Suggest Treatment For Enlarged Liver And Bright Parenchyma

Posted on Sat, 11 Oct 2014

Question: liver is enlarged in size. Parenchyma is bright. What does it mean & what is the remedy. I take alcohol once/twice a week in two large pegs ( 60 ml each)

Answered by Dr. Indu Kumar (17 minutes later)

Brief Answer:
Findings indicate fatty liver.

Detailed Answer:
Hello XXXX

USG finding indicate fatty changes in liver.It is due to deposition of fat in the liver cells.
Increased size of liver with bright in echotexture suggests fatty liver.
Most commonly it is due to obesity and sedentary life.It is also related to alcohol intake.

I suggest investigations like routine hemogram,Random blood sugar(RBS),Liver function test(LFT),Lipid profile,Renal function test(RFT) to my patients.

You should try to lose your weight if you are overweight.

Fatty liver is a reversible condition and it can be reversed by diet and life style changes.
You may need some medicines after full investigations.
It may take 10-12 months to reverse the findings.

You should be active in your daily life.Try to quit alcohol completely.
You should avoid red meat and high fat milk products.
Cook food in olive or canola oil.
You should take limited salt in your diet.You should also avoid fried and junk food.
Take lot of fruits and vegetables.You should also increase your physical activity in the form of walking and exercise.
You can also do meditation and yoga.
Don't take stress.You will be fine.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (23 hours later)

I have already indicated further details on 19/09/2014 & waiting for reply & further suggestios.

Answered by Dr. Indu Kumar (2 hours later)

Brief Answer:
Please resend your details.

Detailed Answer:
Hello XXXX

Sorry,I am not able to see any attachments with your query.
You can resend it through attachments of healthcaremagic.If you face any difficulty,please contact customer care of healthcaremagic.

Get well soon.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (4 hours later)

A fortnight ago during executive health check up all the investigations for blood done Investigations like routine hemogram, blood sugar(F &PP),HbA1c (result 5.5%),Liver function test(LFT),Lipid profile,Renal function test(RFT), TFT, ecg, echo, chest x-ray done. Report ok. In USG besides report for Lever (as stated earlier), report of Pancreas- BULKY IN SIZE & Echogenic.
In last Sept'13 in my USG, report of Lever was identical as of current report & Endoscopy report was normal. on consulting a Gastroenterologist, since last 1 year I am taking 1 tab Esmoprazole40, 1 tab Lesuride 25gm & stopped alcohol for 6 months. I am 6ft 1in tall & 90 kg wt. Other medicines I take 1tab each of Telma40, Amlodipine5, Thyronorm125 mcg, Rosuvastatine 5, Fabustat 40. I do walking atleast 4 days a week ®ular exercise & meditation. Pls suggest further medicine etc.

Answered by Dr. Indu Kumar (10 hours later)

Brief Answer:
Please find detail answer below.

Detailed Answer:
Hello XXXX

It is nice that your other reports are normal.
Bulky and echogenic pancreas is related to fatty changes in pancreas.

You are getting right medicines.I presume that your B.P is controlled.
It is good that you have stopped taking alcohol.You should take your medicines regularly.

At present,I don't think you need any further medicines.You need regular check-up only.

Get well soon.
Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar