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Today Ultrasound Revealed Fatty Liver Grade 2 My Lft Values

Posted on Sun, 6 Sep 2020

Question: Today ultrasound revealed fatty liver grade 2
My lft values are elevated
I'm female 35 ht 176cm wt 127kg
Having pcos
Hba1c 6.6
BP 150/90 (recently diagnosed)
These investigation done for anesthetic fitness for Dlap procedure
I would like to know aboutGrade 2 fatty liver with elevated lft prognosis and treatment
With this value can I go head for dlap
Also like to know impact on ivf treatment

Answered by Dr. Dr.P.Ratnakar Kini (57 minutes later)

Brief Answer:
Need more information

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
Kindly upload the liver function test results.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr.P.Ratnakar Kini (1 hour later)

I have uploaded dr

Answered by Dr. Dr.P.Ratnakar Kini (10 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for uploading the results.

You have mentioned your weight as 127 Kg and height as 176 cm.
The BMI calculated with these is 41 which indicates you are extremely obese.

Your fatty liver, high blood pressure and PCOS are related to obesity.

Obesity is a known risk factor for fatty liver. Other common risk factors being diabetes, high cholesterol, alcohol intake.

Most often fatty liver remains silent without causing any issues and in these circumstances the liver function test would be normal. But sometimes it proceeds to next stage called steatohepatitis in which the liver enzymes especially ALT are elevated. In your case ALT is elevated significantly.

You can go ahead with Dlap.

For liver issues, the following should be done-
1. Weight reduction. The ideal BMI is less than 25 ( yours is 41)
2. Keep blood glucose and cholesterol under control
3.Take medications like Obetocholic acid and saroglitazar under the supervision of a gastroenterologist.
4. Get a fibroscan done to look for fibrosis (scarring) in the liver.

Obesity do affect the outcome of IVF.
Regards,
Dr.R,K

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

Follow up: Dr. Dr.P.Ratnakar Kini (3 hours later)

Is it reversible
What tyle of diet I need to undergo
I was in paleo diet for quiet some time
High fat low carb may be for 2 months
Or it will lead to liver cirrhosis

Answered by Dr. Dr.P.Ratnakar Kini (4 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
The risk factor for fatty liver in you is obesity.
So you need to reduce weight and keep BMI at less than 25.
Yes, it is reversible if the risk factor is eliminated.
Take the supplements I have mentioned in my previous post.
Take high fiber diet. Avoid saturated and trans fats ( avoiding meat, poultry skin, butter, hydrogenated oils)
It does not always lead to cirrhosis.
Regards,
Dr.R.K.

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

Follow up: Dr. Dr.P.Ratnakar Kini (22 hours later)

Hi dr
I have uploaded my ultra sound report
Pls chk and give me a feedback

Answered by Dr. Dr.P.Ratnakar Kini (10 minutes later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
I went through the ultrasound scan report.
As per the report you have fatty liver.
There is no evidence of cirrhosis.
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. Nagamani Ng