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What Does This Ultrasound Report Of Abdomen Indicate?

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Posted on Tue, 23 Jun 2015
Question: Dr,
I am 30 Year Non Diabetic Hypertension patient. As per reports attached herewith My USG of Whole Abdomen is giving Impression of Fatty Liver, What does it indicate and what precautions should i take for the same? Also My ESR is 20, Uric Acid is 7.4 and HDL Cholesterol is 36, I understand these parameters are above normal range, which medicine can I start to control Cholesterol, I am also bulky and for BP me taking Telvas 20 daily along Ecosprin 75 mg daily.

Sometimes when i have severe headache I take Grenil Capsules, is it safe to take?
doctor
Answered by Dr. Indu Kumar (29 minutes later)
Brief Answer:
Fatty liver is a reversible condition.

Detailed Answer:
Hello

You findings suggests fat deposition in liver cells(fatty liver).
Fat deposition causes increased echotexture.
Fatty liver may be due to hepatitis,obesity,alcohol intake,metabolic disorder etc.
It may be due to obesity in your case.
You may need few more investigations like lipid profile,liver function test .

It is important know cholesterol,LDL,triglyceride level etc.HDL is considered as good lipid and you have good number of HDL.
Fatty liver is a reversible condition and it may reverse in 5-6 months if proper precautions are taken.
You should avoid fried and fatty food.
Go for brisk walk regularly.
Take lot of fruits and vegetables in your diet.

Your findings also suggests mildly increased uric acid. Initailly it should be tried to control by diet and life style changes.You should avoid high purine diet like red meat etc.Avoid alcohol if you take it.
If uric acid is persistently increased then you may need uricosuric drugs like allopurinol.

ESR is towards upper limit and this is acceptable.It is non specific.

You have been prescribed right medicines and you should continue it.

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. Shanthi.E
doctor
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Follow up: Dr. Indu Kumar (27 minutes later)
Dr, My Lipid Profile reveals the following- Total Cholestrol- 140, Triglycerides- 131, HDL Cholestrol- 36, LDL Cholestrol- 80, VLDL Cholestrol- 24, Creatinine-0.54, SGPT/ALT- 27.8, Urea- 12, Total Protein- 7.23, Albumin- 4.24, cho/HDL- 3.89, LDL/HDL- 2.22.

My LFT Test results are as follows-
GLOBULIN- 2.99, AG RATIO- 1.42, Bilirubin Total- 0.66, Bilirubin Direct- 0.22,
Bilirubin Indirect- 0.44, SGOT/AST- 24, ALA (Alkaline Phosphatase) 61.

Please suggest any medicine for Fatty Liver/ Fat saturated in my Liver?
doctor
Answered by Dr. Indu Kumar (39 minutes later)
Brief Answer:
You don't need extra medicines for fatty liver.

Detailed Answer:
Hello

It is good that LFT and lipid profile are normal.There is no need of extra medicines.
Only you should try to reduce your weight and increase your physical activities.
You can continue prescribed medicines.

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. Neel Kudchadkar
doctor
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Follow up: Dr. Indu Kumar (35 minutes later)
Dr,

At present I am taking Shelcal 500 and Vitamin A to Z One tablet on a daily basis? Is it good to continue the same and i hope there are no side effects of the same?
doctor
Answered by Dr. Indu Kumar (20 minutes later)
Brief Answer:
Yes,you can continue these medicines.

Detailed Answer:
Hello

Yes,you can continue these medicines.
They don't have side effects.These are supplements.

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. Prasad
doctor
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Follow up: Dr. Indu Kumar (24 hours later)
Dr,

Since my BP has become high now as 150/90, so I have increased the dose of Telvas from 20 mg to Telvas 40 mg. Hope this is sufficent? Would also like to know side effects of this tablet particularly in sexual life?
doctor
Answered by Dr. Indu Kumar (3 hours later)
Brief Answer:
You are rightly advised for dose hike.

Detailed Answer:
Hello

You are rightly advised for dose hike as 150/90 mm Hg blood pressure is not acceptable.Telvas 40 mg is expected to control your blood pressure.
You should also try to restrict salt intake and go for brisk walk regularly.

It is not expected to cause problem in sexual life.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6728 Questions

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What Does This Ultrasound Report Of Abdomen Indicate?

Brief Answer: Fatty liver is a reversible condition. Detailed Answer: Hello You findings suggests fat deposition in liver cells(fatty liver). Fat deposition causes increased echotexture. Fatty liver may be due to hepatitis,obesity,alcohol intake,metabolic disorder etc. It may be due to obesity in your case. You may need few more investigations like lipid profile,liver function test . It is important know cholesterol,LDL,triglyceride level etc.HDL is considered as good lipid and you have good number of HDL. Fatty liver is a reversible condition and it may reverse in 5-6 months if proper precautions are taken. You should avoid fried and fatty food. Go for brisk walk regularly. Take lot of fruits and vegetables in your diet. Your findings also suggests mildly increased uric acid. Initailly it should be tried to control by diet and life style changes.You should avoid high purine diet like red meat etc.Avoid alcohol if you take it. If uric acid is persistently increased then you may need uricosuric drugs like allopurinol. ESR is towards upper limit and this is acceptable.It is non specific. You have been prescribed right medicines and you should continue it. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX