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What Does This Ultrasound Of Abdomen Indicate?

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Posted on Thu, 30 Apr 2015
Question: Hello sir,
I had done my LFT test and results are Billirubin(Total) is 0.7, Bilirubin(Direct) is 0.2, Alkaline Phosphatase is 86, SGOT(AST) is 48, SGPT(ALT) is 78 and others are in normal. After that my doctor asked to go HBsAg, AntiHCV both are negative and my doctor told me take ultra sound abdomen in this results are like this 1. LIVER: Shows mildly altered echotexture. No focal lesion seen. IHBR not dilated. CBD appears normal. Portal vien patent. 2. GB: Physiologically distended. Echo free lumen. Wall thickness is normal.
3. SPEEN: Normal size and echotexture. No focal lesion seen.
4. PANCREAS: Not visualized due to bowel gas.
5. KIDNEYS: Both KIDNEYS are normal in size, shape, position and echotexture. Corticomedullary differentiation is preserved.
6. BLADDER: Minimally distended.
7. PROSTATE: Appears normal. No free fluid is seen in abdomen.
IMPRESSION: Liver shows mildly altered echotexture

After this my doctor prescribed Heptral 400 mg twice a day. I just want to go second opinion is this medicine is good to take....

After this I am very much worried ... can u tell me is there any thing to worry or normal....Can u tell what type medicines I have to take ... Is
doctor
Answered by Dr. Dr.P.Ratnakar Kini (9 hours later)
Brief Answer:
Fatty liver disease

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

I went through your post.
According to your ultrasound scan, you are having fatty liver.
The liver function tests show mildly increased SGPT which could be due to fatty liver. I presume you do not drink alcohol.
Good to see that you are negative for Hep B and Hep C.
Hepatral is a good medication to treat fatty liver. You can continue taking it as per your doctor's advise. In addition the following has to be done.

1. Weight reduction if obese
2. Check your blood glucose and cholesterol and treat them if they are found to be high.

Repeat liver function test and ultrasound scan 3 months after treatment.

I hope that answers your query.
Let me know if I can assist you further.
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (5 hours later)
Dear Sir,
Thanks for you reply,
I am non-alcoholic person
my weight is 76KG and my height is 170(5ft.6inches)
my queries are
1. Is this a serious disease that threatens my life?

2. Is Fatty Liver Disease is curable with the Heptral medicine completely? How long it will take to cure entire disease...

3. How long should I take the Heptral medicine and how many times I have to take in a day... that is before food or after food?

4. What type of diet I have to take on daily basis?

5. this is not the Cirrhosis disease naa?

doctor
Answered by Dr. Dr.P.Ratnakar Kini (18 hours later)
Brief Answer:
No, this is not cirrhosis

Detailed Answer:
Hi,
No it is not a serious disease.
Fatty liver is reversible if the risk factor is treated. Heptral hastens the process.
You can take twice a day after food till fatty liver is reversed. You can take it for 3 months first, get liver function test and ultrasound scan done again to decide whether to continue it.
Avoid fatty food.
No, this is no cirrhosis of liver.

Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (1 hour later)
Dear sir,
Thanks for your reply

Here instead of Heptral 400 mg, can I take Lysovit syrup & HEPA Merz syrup ?

With the abv syrups can I go with this tab Ursodeoxycholic acid 300 mg.If I can go with this tab is there any chance to get drug reaction?
There is no chance of drug reaction then how many times to take this daily and it is before food or after food?
Pls give your valueable suggestion
doctor
Answered by Dr. Dr.P.Ratnakar Kini (6 hours later)
Brief Answer:
Why you want to change the medications?

Detailed Answer:
Why you want to change the medications?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (25 minutes later)
Dear Sir,

One thing I am very much frustrated with doctors prescribing medicines last time i got skin rashes and motion problem with the medicines on Mar 11th which I mentioned in the first post. I am scared to have tablets which might effect again.

In Most of the doctors forum they are prescribing the above syrup. That is why I am asking your valueable suggestion on the above mentioned syrups and tablets...

Waiting for your reply
doctor
Answered by Dr. Dr.P.Ratnakar Kini (14 hours later)
Brief Answer:
Heptral is better

Detailed Answer:
Hi,
Heptral is better than the other medications you have mentioned.
You can take it for 3 months first, get liver function test and ultrasound scan done again to decide whether to continue it.

Regards,
Dr.R.K.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr.P.Ratnakar Kini

Gastroenterologist

Practicing since :1994

Answered : 2208 Questions

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What Does This Ultrasound Of Abdomen Indicate?

Brief Answer: Fatty liver disease Detailed Answer: Hi, Thanks for posting your query. I am Dr.R.K and I am pleased to assist you. I went through your post. According to your ultrasound scan, you are having fatty liver. The liver function tests show mildly increased SGPT which could be due to fatty liver. I presume you do not drink alcohol. Good to see that you are negative for Hep B and Hep C. Hepatral is a good medication to treat fatty liver. You can continue taking it as per your doctor's advise. In addition the following has to be done. 1. Weight reduction if obese 2. Check your blood glucose and cholesterol and treat them if they are found to be high. Repeat liver function test and ultrasound scan 3 months after treatment. I hope that answers your query. Let me know if I can assist you further. Regards, Dr.R.K.