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Suggest Treatment For Fatty Liver
Question: Hi my dr stated I have a fatty liver but iv noticed a have mild cream/yellowing only when I pull eyelid down very worried
Brief Answer:
Please get tested for your liver function and cholesterol level
Detailed Answer:
Hi XXXXX,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
1. Having a mildly fatty liver on ultrasound scan is not a serious concern and can be due to many causes including the following.
(i) Increased intake of fatty foods and alcohol
(ii) Over weight and obese patients.
(iii) Those who have fatty liver running in family members.
(iv) Any liver condition that is changing appearance of liver.
(v) Mild fatty liver can also be there in many normal people
2. You might like to get complete liver function test done including SGOP, SGPT, Alkaline phosphatase, GGT, bilirubin (direct, total and indirect) done to make sure your liver functions are normal.
3. Doing lipid profile test to know if you have raised cholesterol level and any associated risk of heart problem.
4. Discuss your reports with your doctor. Please make changes to your diet as per your liver and cholesterol reports and take medications if given.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please get tested for your liver function and cholesterol level
Detailed Answer:
Hi XXXXX,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
1. Having a mildly fatty liver on ultrasound scan is not a serious concern and can be due to many causes including the following.
(i) Increased intake of fatty foods and alcohol
(ii) Over weight and obese patients.
(iii) Those who have fatty liver running in family members.
(iv) Any liver condition that is changing appearance of liver.
(v) Mild fatty liver can also be there in many normal people
2. You might like to get complete liver function test done including SGOP, SGPT, Alkaline phosphatase, GGT, bilirubin (direct, total and indirect) done to make sure your liver functions are normal.
3. Doing lipid profile test to know if you have raised cholesterol level and any associated risk of heart problem.
4. Discuss your reports with your doctor. Please make changes to your diet as per your liver and cholesterol reports and take medications if given.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Had bloods done 2wks ago cholesterol fine he did say liver trst come bck a problem he said that was fatty liver
Brief Answer:
Please find details below
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. If cholesterol is normal then there is no risk of heart problem.
2. Liver is a large organ and usually any abnormal liver test is repeated after 2 to 3 months to know if the liver enzymes return back to normal.
3. In some people there might be fatty liver and slightly elevated liver enzymes in the absence of any disease and this is no a concern. It is important to know if you recently had jaundice or any liver problems. If you never had liver problems in the past then there is no need to worry.
4. As a routine followup you can get the abnormal liver tests repeated after 2 to 3 months. Please continue taking a healthy diet.
5. The mild cream or yellow appearance of the inside of eyelid when pulled down is not significant.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please find details below
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. If cholesterol is normal then there is no risk of heart problem.
2. Liver is a large organ and usually any abnormal liver test is repeated after 2 to 3 months to know if the liver enzymes return back to normal.
3. In some people there might be fatty liver and slightly elevated liver enzymes in the absence of any disease and this is no a concern. It is important to know if you recently had jaundice or any liver problems. If you never had liver problems in the past then there is no need to worry.
4. As a routine followup you can get the abnormal liver tests repeated after 2 to 3 months. Please continue taking a healthy diet.
5. The mild cream or yellow appearance of the inside of eyelid when pulled down is not significant.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have only had a history of fatty liver no one else seems to be able to see the cream/yellow of eyes & I cant see it when taking a picture of eyes
The cream color is like around eyeball
The cream color is like around eyeball
Brief Answer:
Please find details given below
Detailed Answer:
Hi XXXXXX,
Thanks for writing in with an update.
1. There is a condition named xanthelasma in which there is orange or yellow deposition of pigment on the outer part of the eyelid and this can predict a heart problem in the future. I dont think you have this condition as your doctor would have told you about it.
If you are finding a cream or yellow coloration in eyeball then serum bilirubin tests are to be done and I guess your test level is in normal limits and therefore not a concern. There can also be yellowish discoloration of eyeballs due to certain infections and break or small vessels in the sclera and these if present would have been obvious to your doctor.
2. In the absence of a picture I am unable to clarify the exact nature of your problem and am sorry about it.
3. Should it have been a significant condition, your doctor would certainly have made an observation and discussed it with you. Please request your doctor to provide a clinical opinion after examining your eyelid and eyeball.
4. Fatty liver can be due to non alcoholic fatty liver disease. Under normal circumstances, if liver function tests are normal then nothing needs to be done. However it is suggested that you get an ultrasound scan of your liver every year or at least once in two year with the liver function tests to know if there is a concern and start taking measures to protect your liver function.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please find details given below
Detailed Answer:
Hi XXXXXX,
Thanks for writing in with an update.
1. There is a condition named xanthelasma in which there is orange or yellow deposition of pigment on the outer part of the eyelid and this can predict a heart problem in the future. I dont think you have this condition as your doctor would have told you about it.
If you are finding a cream or yellow coloration in eyeball then serum bilirubin tests are to be done and I guess your test level is in normal limits and therefore not a concern. There can also be yellowish discoloration of eyeballs due to certain infections and break or small vessels in the sclera and these if present would have been obvious to your doctor.
2. In the absence of a picture I am unable to clarify the exact nature of your problem and am sorry about it.
3. Should it have been a significant condition, your doctor would certainly have made an observation and discussed it with you. Please request your doctor to provide a clinical opinion after examining your eyelid and eyeball.
4. Fatty liver can be due to non alcoholic fatty liver disease. Under normal circumstances, if liver function tests are normal then nothing needs to be done. However it is suggested that you get an ultrasound scan of your liver every year or at least once in two year with the liver function tests to know if there is a concern and start taking measures to protect your liver function.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Is there any way I can send u a picture
Brief Answer:
Please send your picture as below
Detailed Answer:
Hi XXXXX,
Thanks for writing in with an update.
1. I will be glad to see the picture and you can send it to me by attaching it to your query.
2. Please upload the picture by clicking on the upload report button on your ask query page.
2. You can also email the picture to YYYY@YYYY and write "query Id 181465 Attn Dr.Vivek Chail" in the subject line
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please send your picture as below
Detailed Answer:
Hi XXXXX,
Thanks for writing in with an update.
1. I will be glad to see the picture and you can send it to me by attaching it to your query.
2. Please upload the picture by clicking on the upload report button on your ask query page.
2. You can also email the picture to YYYY@YYYY and write "query Id 181465 Attn Dr.Vivek Chail" in the subject line
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thank you for looking at pictures
Brief Answer:
The appearance of eyeballs are normal and acceptable
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. I have seen all the 3 pictures in detail and find that the cream color around the eyeball that you have seen is a part of normal and acceptable.
2. There is no need to worry about it and it is not a concern.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
The appearance of eyeballs are normal and acceptable
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. I have seen all the 3 pictures in detail and find that the cream color around the eyeball that you have seen is a part of normal and acceptable.
2. There is no need to worry about it and it is not a concern.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
they do seem a little worst of a morning & get better through day iv uploaded 2 more photos sorry
Brief Answer:
Please find details below
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. I understand your concern and the new pictures are very clear.
2. The cream color in the eyeball can sometimes be present due to changes in the atmosphere and exposure to sunlight. It is not always a sign of any harmful condition or disease. As it improves with the day, it is not a concern. However, I suggest that you consult an ophthalmologist for a proper clinical evaluation and double confirmation.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please find details below
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. I understand your concern and the new pictures are very clear.
2. The cream color in the eyeball can sometimes be present due to changes in the atmosphere and exposure to sunlight. It is not always a sign of any harmful condition or disease. As it improves with the day, it is not a concern. However, I suggest that you consult an ophthalmologist for a proper clinical evaluation and double confirmation.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
do you think there is any need for worry as I am going away for 2 weeks
Brief Answer:
A two week trip is not a concern
Detailed Answer:
Hi XXXXXX,
Thanks for writing back with an update.
1. A two week trip is not a concern and you should not worry about it.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
A two week trip is not a concern
Detailed Answer:
Hi XXXXXX,
Thanks for writing back with an update.
1. A two week trip is not a concern and you should not worry about it.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Awesome thank you does it look jaundice wouldnt the whole eyeball be covered if it was
Brief Answer:
Unlikely to be jaundice from the pictures
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. At present it does not look like jaundice.
2. In jaundice there is high level of bilirubin circulating in blood and this gets deposited on the white of eyeball.
3. I hope you have got serum bilirubin test done recently with liver enzymes and it does not show abnormal level of bilirubin
4. During your trip please consume clean and fresh food and drinking water.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Unlikely to be jaundice from the pictures
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. At present it does not look like jaundice.
2. In jaundice there is high level of bilirubin circulating in blood and this gets deposited on the white of eyeball.
3. I hope you have got serum bilirubin test done recently with liver enzymes and it does not show abnormal level of bilirubin
4. During your trip please consume clean and fresh food and drinking water.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I did have a fbc test would that have tested for that serum bilirubin
Brief Answer:
Bilirubin test is under liver function test panel
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. Full blood count tests for red blood cells, white blood cells and platelets and their various parameters.
2. Serum bilirubin (total, direct and indirect) is a part of liver function test panel and is separately ordered.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Bilirubin test is under liver function test panel
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. Full blood count tests for red blood cells, white blood cells and platelets and their various parameters.
2. Serum bilirubin (total, direct and indirect) is a part of liver function test panel and is separately ordered.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
He did test my liver im not sure if that got tested too
Brief Answer:
Please find details below
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. If your blood sample was tested for liver function then the serum bilirubin level was most likely done.
2. Liver function test panel includes the following
Alanine aminotransferase (ALT)
Alkaline phosphatase (ALP)
Aspartate aminotransferase (AST)
Bilirubin
Albumin
Total protein (TP)
Gamma-glutamyl transferase (GGT)
Lactate dehydrogenase (LDH)
Prothrombin time (PT)
3. Please discuss your test results with your doctor if you have a doubt about the test having been performed or not.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please find details below
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. If your blood sample was tested for liver function then the serum bilirubin level was most likely done.
2. Liver function test panel includes the following
Alanine aminotransferase (ALT)
Alkaline phosphatase (ALP)
Aspartate aminotransferase (AST)
Bilirubin
Albumin
Total protein (TP)
Gamma-glutamyl transferase (GGT)
Lactate dehydrogenase (LDH)
Prothrombin time (PT)
3. Please discuss your test results with your doctor if you have a doubt about the test having been performed or not.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Yes I did have blood done for liver function & all renal functions
Brief Answer:
Please confirm your bilirubin levels with your doctor if required
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. Assuming you had blood test including that of liver and renal functions then abnormal bilirubin levels would have been noticed.
2. Please confirm your bilirubin levels once again if required.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please confirm your bilirubin levels with your doctor if required
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. Assuming you had blood test including that of liver and renal functions then abnormal bilirubin levels would have been noticed.
2. Please confirm your bilirubin levels once again if required.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Ok thank you so much for your help
Brief Answer:
Welcome
Detailed Answer:
Hi XXXXX,
Welcome and thanks for sending your query.
Should you have any more health queries and would like to have them answered be me then please mention "query Id 181465 (Attn Dr.Vivek Chail)" in your query and the moderators will direct your query to me. I will reply back to you at the earliest.
Have a nice trip.
Wishing you good health.
Regards,
Dr.Vivek
Welcome
Detailed Answer:
Hi XXXXX,
Welcome and thanks for sending your query.
Should you have any more health queries and would like to have them answered be me then please mention "query Id 181465 (Attn Dr.Vivek Chail)" in your query and the moderators will direct your query to me. I will reply back to you at the earliest.
Have a nice trip.
Wishing you good health.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
sorry just another question it wasnt a fasting test when I got renal tests done does that matter
Brief Answer:
Non fasting state might affect results of those with abnormal level
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. Till recently it was believed that taking meals just before renal function tests did not cause any differences, however latest research has shown that taking meals can show inaccurate results in some people, especially those having abnormal test results.
2. The research article says and I quote "Cooking converts a substance in meat called creatine to creatinine and, when consumed, temporarily increases the level of creatinine in the blood, possibly causing artificially high test results."
3. However since your GFR and BUN are normal therefore taking meals before renal tests did not matter in your case.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Non fasting state might affect results of those with abnormal level
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. Till recently it was believed that taking meals just before renal function tests did not cause any differences, however latest research has shown that taking meals can show inaccurate results in some people, especially those having abnormal test results.
2. The research article says and I quote "Cooking converts a substance in meat called creatine to creatinine and, when consumed, temporarily increases the level of creatinine in the blood, possibly causing artificially high test results."
3. However since your GFR and BUN are normal therefore taking meals before renal tests did not matter in your case.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Ok thanks so really everything should be ok
Brief Answer:
Kidney functions are normal and the results are reliable
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. Yes, I guess your kidney function test results are reliable and you need not worry about it.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Kidney functions are normal and the results are reliable
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. Yes, I guess your kidney function test results are reliable and you need not worry about it.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Yes kidney test fine
Brief Answer:
Please do not worry about kidney test
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. Have a nice trip and be healthy.
2. Should you have any more questions please write back.
Regards,
Dr.Vivek
Please do not worry about kidney test
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. Have a nice trip and be healthy.
2. Should you have any more questions please write back.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
No not worried bout kidney test just worried about my eyes
Brief Answer:
Be alert on your eye color during your trip
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. In the present pictures and keeping in mind your recent bilirubin level which is probably within normal limits, there is no clinical suspicion of jaundice.
2. However please be alert during your trip and should you develop rapid onset yellowish discoloration of eyes then contact a doctor and seek consultation.
Regards,
Dr.Vivek
Be alert on your eye color during your trip
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. In the present pictures and keeping in mind your recent bilirubin level which is probably within normal limits, there is no clinical suspicion of jaundice.
2. However please be alert during your trip and should you develop rapid onset yellowish discoloration of eyes then contact a doctor and seek consultation.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Ok thank you so much hopefully I can relax abit now im on a very strict diet & I have lost 10kgs so far
Brief Answer:
Welcome
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. Good to know you are following a strict weight management regime.
2. Please relax and feel healthy. Get your health checks done regularly.
Regards,
Dr.Vivek
Welcome
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. Good to know you are following a strict weight management regime.
2. Please relax and feel healthy. Get your health checks done regularly.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Ok thanks again
Brief Answer:
Welcome and good health
Detailed Answer:
Hi XXXXXX,
Welcome and wishing you a nice trip
Should you have any more health queries and would like to have them answered be me then please mention "query Id 181465 (Attn Dr.Vivek Chail)" in your query and the moderators will direct your query to me. I will reply back to you at the earliest.
Wishing you good health.
Regards,
Dr.Vivek
Welcome and good health
Detailed Answer:
Hi XXXXXX,
Welcome and wishing you a nice trip
Should you have any more health queries and would like to have them answered be me then please mention "query Id 181465 (Attn Dr.Vivek Chail)" in your query and the moderators will direct your query to me. I will reply back to you at the earliest.
Wishing you good health.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you you have been really good
Brief Answer:
Thanks to you too for your query
Detailed Answer:
Hi XXXXX,
Glad for having been able to reply to you.
Thanks to you too for your query.
Regards,
Dr.Vivek
Thanks to you too for your query
Detailed Answer:
Hi XXXXX,
Glad for having been able to reply to you.
Thanks to you too for your query.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
No worries if u dont mind me asking what country r u in
Brief Answer:
Im based in XXXXXXX
Detailed Answer:
Hi XXXX,
Thanks for writing in.
I am based in XXXXXXX and a board certified faculty at the university medical school.
Regards,
Dr.Vivek
Im based in XXXXXXX
Detailed Answer:
Hi XXXX,
Thanks for writing in.
I am based in XXXXXXX and a board certified faculty at the university medical school.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Ok thanks
Brief Answer:
You are most welcome
Detailed Answer:
Hi XXXXX,
Thanks for writing in.
You are most welcome.
Will be glad to help you again when you require.
Regards,
Dr.Vivek
You are most welcome
Detailed Answer:
Hi XXXXX,
Thanks for writing in.
You are most welcome.
Will be glad to help you again when you require.
Regards,
Dr.Vivek
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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