HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Fatty Liver With Mild Hepatomegaly

default
Posted on Sat, 11 Apr 2015
Question: I am diagnoised with fatty liver with mild hepatomegaly & relative coarse echotexture in my ultrasound report

I am a occasional drinker and drink probably 4-5 times in a month.

Should i use liv 52 ds & should i go for further tests

In reports , no focal abnormality is seen & heptic veins appear normal

My doctor has suggested for half an hour walk & physical exercise.

Can i take live 52 ds , will it be helpull.

Pls suggest

doctor
Answered by Dr. Dr.P.Ratnakar Kini (54 minutes later)
Brief Answer:
More tests to be done

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

You need some more tests to plan the treatment.

The following tests are to be done -
1. Liver function test
2. Blood glucose
3. Lipid profile.

What is your weight and height?
Are you on any other medication?

You can take Liv 52 after seeing the liver function test.

Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr.P.Ratnakar Kini (1 hour later)
My weight is 81 kgs
Height 5.7 inches.

In my routine proffesional life , there is no physical excertion and i operate from my residence cum office & hence i hardly go out of my house reason that doctor has suggested me one hour walk.

I had gain 6 kgs in last 3 months , intially my weight was 75 kgs. I also have irregular diets & irregular sleeping time table.

I am not on any other medication & i have never suffered any major illness in my entire 41 years.

As far as appetite is concerned i eat suffeciently twice a day & the only sympton i had to do ultrasound of my stomach , was the hardening of my stomach. My stomach always used to be hard , reason that i went for the ultrasound of stomach
doctor
Answered by Dr. Dr.P.Ratnakar Kini (6 hours later)
Brief Answer:
More tests as suggested

Detailed Answer:
Hi,
Your BMI is 28 which is slightly on the higher side.
Weight reduction is the first step in the treatment of fatty liver.

And as mentioned earlier, you need to undergo the following tests -
1. Liver function test
2. Blood glucose
3. Lipid profile

Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr.P.Ratnakar Kini (4 hours later)
Thankx doctor

I will revert u back after the necessary tests are done
doctor
Answered by Dr. Dr.P.Ratnakar Kini (38 minutes later)
Brief Answer:
Welcome

Detailed Answer:

I will wait for the reports.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr.P.Ratnakar Kini (4 days later)
Dear doctor

My LIVER function test is as below

S.g.o.t (u.v. Kinetic ) 45

S.g.p.t ( u.v kinetic ) 63

Total bilirubin 1.0

Direct bilirubin 0.6

Indirect bilirubin 0.4

Total protein 7.1

Serum albumin 4.2

Globulin 2.9

A:G ratio 1.4

Alkaline phosphatase 57

LIPID PROFILE

CHOLESTROL 236 mg/dl

Triglycerides( enzymatic ) 176 mg/dl

Hdl cholestrol( enzymatic ) 34 mg/dl

Ldl cholestrol ( calculated ) 167 mg/dl

Cholestrol /hdl ratio 6.9 mg/dl

Vldl cholestrol 35 mg/dl

BLOOD GLUCOSE

Blood sugar in mg.per 100 ml = 108

Urine sugar in gm.per 100 ml = absent

Pls suggest further treatment

Currently , i am not taking any medicines.

Can i take liv 52 ds & also suggest diet
Also , can i drink beer once a week

Awaiting ur reply



doctor
Answered by Dr. Dr.P.Ratnakar Kini (18 hours later)
Brief Answer:
Sligtly deranged LFT and Lipid Profile

Detailed Answer:
Hi,
Thanks for the additional information.
Your SGPT is slightly on the higher side.

Yes you can take Liv 52 which helps to protect the liver.

You are having slightly deranged lipid profile. You need to take medications like atorvastatin 10 mg once a day.

As said in my earlier post, you also need to reduce your weight.
Avoid oily/fatty food.

I hope that answers your question.
Let me know if I can assist you further.
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr.P.Ratnakar Kini (32 minutes later)
Thnx doctor for ur reply

I would like to know that should i take any other medicine with liv 52 for my fatty liver . If yes , pls suggest .

Also , i drink beer or alchohol only once in a week. Can i continue. And if not , how much time should i avoid. I have started avoiding oily food & started walking regularly .

Should , i take another blood test & stomach sonography after 3-4 weeks to assess my fatty liver position. Should i see any specialist for this position now.
Do u advice any further tests after some time interval.

I am liv 52 , 2 tablets per day , is this dosage enough or should i increase & uptill what time shoud i continue.

Is there anything to worry to me , on basis of my above reports.

Awaiting ur reply
doctor
Answered by Dr. Dr.P.Ratnakar Kini (13 hours later)
Brief Answer:
No other medications needed

Detailed Answer:
Hi,
You can take the medications I have prescribed in my previous post.
You can take the same dose of Liv 52.
There is no need to take any other medications.
You need to stop consuming alcohol.
Yes you need to avoid oily/fatty food.
You can repeat the tests after 4 weeks to look for improvement. It may take 3-6 months for recovery after stopping alcohol and correcting lipid levels.
There is nothing to worry.

Regards,
Dr.R.K
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr.P.Ratnakar Kini (5 hours later)
Thnx doctor

I will revert u after 4 week once my repeat tests are done & and would start the medicines as adviced by u.
Dear doctor

Pls advice the duration for the adviced medicines

Does liv 52 have any side effects of taken for longer period & can it be taken as a liver tonic for life long purpose even when the liver is normal

Are there any side effects of liv 52 if taken for longer period.

Hence , pls suggest the advice & side effects of medicine if any , if taken for longer period
doctor
Answered by Dr. Dr.P.Ratnakar Kini (18 hours later)
Brief Answer:
4 weeks

Detailed Answer:
Hi,
Take those medications for 4 weeks and get the tests repeated.
You need not take Liv 52 lifelong. It is not necessary.
There are no serious side effects for Liv 52.

Regards,
Dr.R.K.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Dr.P.Ratnakar Kini

Gastroenterologist

Practicing since :1994

Answered : 2208 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Fatty Liver With Mild Hepatomegaly

Brief Answer: More tests to be done Detailed Answer: Hi, Thanks for posting your query. I am Dr.R.K and I am pleased to assist you. You need some more tests to plan the treatment. The following tests are to be done - 1. Liver function test 2. Blood glucose 3. Lipid profile. What is your weight and height? Are you on any other medication? You can take Liv 52 after seeing the liver function test. Regards, Dr.R.K.