What Causes Enlarged Liver Size?

Posted on Mon, 7 Jul 2014

Question: CT scan to my liver shows the following:
1. Liver is enlarged in size 16.9 cm
2. left lobe is fine right lobe enlarged
3. Family doctor advised to take ( Liv-52 ) for 2 months.
4. last year my liver size was 14.9 cm.
I have also done LFT test and result found normal.
Please advice me anything needs attention / concern ? any other suggestion ?

Answered by Dr. Indu Kumar (33 minutes later)

Brief Answer:
You need proper clinical exam & investigations.

Detailed Answer:
Hello XXXX
Thanks for writing to HCM

I have gone through your findings in detail.
It is important to know your symptoms, any past illness etc.

You need proper clinical examination and further evaluation.Mildly enlarged liver size may be due to many reasons like infection,fatty liver etc.

It is important to know about GGT level,history of alcohol intake,fever etc.

You also need few more investigations like routine hemogram,Lipid profile,Renal function test,Viral markers,Urine RE/ME.Further investigations can be done if needed.

You should increase your physical activity in the form of exercise and walking.

You should completely avoid alcohol intake if you take it.
You should continue prescribed medicines.

Proper treatment depend upon findings.

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 (15 minutes later)

Thanks doctor. I also done tests for urine RE/ME, Renal function etc everything came out normal. In March i had a sebaceous cyst removal which tend me to consume lots of antibiotics etc. I would like to know from you that should i go and show to an Gastroenterologist specialist ? whats kinds of food i should take/avoid ? I am a social drinker but consume very less XXXXXXX ( 60 - 90 ml) not more than that. Do you think should i go and join XXXXXXX ? Please advice

Answered by Dr. Indu Kumar (2 hours later)

Brief Answer:
Please find detail answer below.

Detailed Answer:
Hello XXXX
Thanks for writing back

You should get at least lipid profile done.
It is also important to know your weight because obesity is one of the main reason for hepatomegaly(enlarged liver).
You should completely avoid alcohol.

Other causes of hepatomegaly like autoimmune disorders,hapatotoxic drugs etc should be ruled out.
Infective cause like hepatitis is unlikely because LFT is normal.

You should avoid saturated fat and take a lot of fruits and vegetables.
You should definitely join XXXXXXX and increase your physical activity.
Probably hepatomegaly is due to benign reasons in your case and you may consult gastroenterologist for proper evaluation.

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