What Is The Cause And Treatment For Fatty Liver?

Posted on Tue, 22 Jul 2014

Question: recently diagnosied mild hepatomegaly with fatty infiltration of liver grade II, other reports cbc, lipid profile, sugar etc., are normal. i am regular drinker but not exceessive drinks. my weight has gone up 3kgs in last two months or so. How serious my condition is ? as such i have no pain or uneasiness in my abdomanal area What is I should do? Any further investigation is necessary?

Answered by Dr. Dr.P.Ratnakar Kini (9 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.

I would like to have some more information before I can give my opinion.

1. Why were these tests done?
2. Was liver function test done? If yes, kindly upload the report.

Regards,
Dr.R.K.

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

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

These test were done for a routine corporate check up for those who are 50yrs and above to enclose with yearly performance review system.
LFT done values are:

SGOT (AST) 26 u/l
SGPT (ALT) 24 U/L
SERUM TOTAL BILRUBIN 0.67 mg/dl
DIRECT BILIRUBIN 0.25 mg/dl
INDIRECT BILIRUBIN 0.42 mg/dl

My height 173 cm My present wt. 81 kgs. I have put on weight due to unhealthy eating habits, lost control over tongue in past 2/3 months, although I go to GYM weekly 4 days on an average and do moderate exercise regularly. As i told you i am taking moderate alcohol regularly. Also, i take medicine for BP for the past 5 years. Tab AMTAS M 50 one tablet daily with Tab Tazloc H 1/2 tab. P daily. No other medicines. My Lipid profile and FBS/PM sugar tests/ KFTare absoltuely normal. Pl advise. Should I quit drinking habit immediately? Is it reverseable?

Answered by Dr. Dr.P.Ratnakar Kini (6 minutes later)

Brief Answer:
Yes it is reversible

Detailed Answer:
Hi,
Thanks for providing the additional information.

You are having a simple fatty liver disease.
Some of the causes of fatty liver are alcohol intake, obesity, diabetes and high cholesterol.

You have two risk factors - alcohol intake and obesity.
By stopping alcohol intake and reducing weight you can reverse fatty liver.

This fat desposition has not caused any damage to your liver as evidenced by a normal liver function test. So there is no need to worry.

All you need to do is to stop drinking alcohol and reduce weight.

I hope that answers your question.
Let me know if I can assist you further.
Regards,
Dr.R.K.

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

Follow up: Dr. Dr.P.Ratnakar Kini (30 hours later)

Yes. You have precisely answered my questions. Thanks. I have to follow your advise religiously. Still, I require your considered opinion on two more things.

1. Should i go and consult doctor for a physical examination / any dosage of medicines?
2. What precautions i should take while stopping abruptly/ withdrawal of drinks? or Can i cut the frequency of moderate drinks to strictly once in a week.

Answered by Dr. Dr.P.Ratnakar Kini (23 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
1. No you need not consult any doctor for a physical examination or any medicine.
All you need to do is stop alcohol intake and reduce weight.

2. Since you are not a heavy drinker, abruptly stopping alcohol may not be causing any harm. But still, since I do not know how much you drink, I would advise you to consult a psychiatrist in your area who will assist you in stopping alcohol intake.

I hope that answers your question.
Let me know if I can assist you further.
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. Chakravarthy Mazumdar