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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fatty Liver With Hepatomegaly

hello doctor. my mother ,age 48,has got her annual check up done. reports suggest grade 2 fatty liver with mild hepatomegaly.she has normal serum creatinine and albumin levels,CBC is normal. she is obese with history of hysterectomy 4 years ago and hypertensive since 10 years,
please suggest next line of treatment
Fri, 18 Nov 2016
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Internal Medicine Specialist,  's  Response
Hi..
Welcome to HCM.

Grade 2 fatty liver with hepatomegaly in a obese patients usually require treatment along with lifestyle modification. So I would advise,
1.Get Fasting lipid profile which checks amount of cholesterol in body.If high start cholesterol lowering drugs such as atorvastatin/rosuvastatin.
2.Reduce obesity by taking low calorie diet and regular exercise. If BMI>35 she definitely requires medical intervention to reduce obesity.
3.Life style modification like avoiding alcohol/smoking, low calorie diet and diet devoid of cholesterol.
4.Yearly once ultrasound scan of liver to look for progression.
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Suggest Treatment For Fatty Liver With Hepatomegaly

Hi.. Welcome to HCM. Grade 2 fatty liver with hepatomegaly in a obese patients usually require treatment along with lifestyle modification. So I would advise, 1.Get Fasting lipid profile which checks amount of cholesterol in body.If high start cholesterol lowering drugs such as atorvastatin/rosuvastatin. 2.Reduce obesity by taking low calorie diet and regular exercise. If BMI 35 she definitely requires medical intervention to reduce obesity. 3.Life style modification like avoiding alcohol/smoking, low calorie diet and diet devoid of cholesterol. 4.Yearly once ultrasound scan of liver to look for progression.