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Suggest Treatment For Grade 1 Fatty Liver

Posted on Sat, 18 Jun 2016

Question: Hi,
Yesterday i have gone for routine scan and in the scan it came as Grade1 fatty liver.
Liver in normal size with increased exotexture. Is it life threatening? Is it reversible? Scannin report and blood reports are attached. RBC count is a little high. I dont drint alchohal and non smoker. Why did i get this situation? I am a non vegetarian and eat lot of it. I am around 18 kgs over weight than my idle weight. Please let me know what i have to do now. And which doctor i have to see to get medicines. 6 months back in the scan nothing was there. Everything was normal.

Answered by Dr. Indu Kumar (2 hours later)

Brief Answer:
Fatty liver may be due to many causes like obesity,hepatitis,alcohol intake

Detailed Answer:
Hello,
Thanks for writing to HCM,
I've gone through your query and understand your concern,

Fatty liver may be due to many causes like obesity,hepatitis,alcohol intake etc.
It may be due to obesity in your case.It is not a life threatening condition.
First try to reduce your weight.
Fatty liver is a reversible condition.
Go for exercise and brisk walk regularly.Avoid red meat and high fat milk products.
Don't take much non-veg food.
You may also need lipid profile and random blood sugar estimation.
You may need few medicines after blood tests.
It is good that you don't take alcohol and you are a non smoker.

RBC count is acceptable.

In short,findings are usually not very serious.This is generally a manageable condition.

Get well soon.

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

Take Care
Dr. Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Indu Kumar (43 minutes later)

Hi,
Thanks for the response.
Do i need to go for biopsy?
Is the RBC count raise related to fatty liver?
Is it curable or just have to maintain to stop advancing?
I dont have sugar, what blood tests are needed to check the liver functioning?
Suppose if loose weight by following good diet and excerise if the fat goes of from liver then is there a chance that it comes back?
Are there cases for whom fatty liver grade1 is cured?
how much time it takes to reverse the condition if it is reversable?
Do i need to avoid rice and non veg?
Can i live normal life once it is cured?
when it will go to Grade2 and 3? what are the risks if it goes to grade2 and 3?
did you look at the reports attached?

Answered by Dr. Indu Kumar (4 hours later)

Brief Answer:
There is no need of biopsy etc.

Detailed Answer:
Hello,
Thanks for writing to HCM,
I've gone through your query and understand your concern,

1.There is no need of biopsy etc.
2.RBC count is not related to fatty liver. RBC count towards upper limit may be due to dehydration.
3.Fatty liver is a reversible condition.It may be reversed by diet and life style changes.
4.You may need liver function test.If it is altered then you may need few medicines,otherwise you may just need diet and life style changes.
5.It may take 5-6 months to reverse the findings.
6.Avoid excessive non-veg food and you may take rice.
7.If underlying cause is uncontrolled then it may progress to stage 2 or 3.
8.You can definitely lead a normal life.

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. Yogesh D