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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Ultrasound Regarding Enlarged Liver Indicate?

Hi, Abdomen Ultrasound shows mildly enlarged liver ( size 152mm) with increased echopattern. No IHBD. Portal Vein is normal. Impression: Mild hepatomegaly with Grade 3 fatty changes. I was suggested to take Udiliv 300mg for 2 months.....how severe is my problem. Can this fatty lever situation be reversed...please suggest. Thank you
Tue, 2 Sep 2014
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Internal Medicine Specialist,  's  Response
You are having fatty liver disease.Yes, this can be reversed but it will take some time.If you are diabetic or having dyslipidemia then it should be well controlled.Stop if you are having any addiction- particularly alcohol.I don't think that Udiliv will help you in this condition- practically it has got no role in fatty liver disease.Citrus fruits and vit E (eg.Evion 400 capsule) have good role.Control your diet,eg-increase fibre rich diet, decrease fat consumption.Start having regular exercise (at least daily walking) and control healthy body weight. You should undergo following investigations urgently-
1.fasting blood sugar and post glucose load (2 hr after taking 75gm glucose) blood sugar
2.lipid profile
3.liver function test
4.anti HCV antibody (there is some association with chronic hepatitis C infection and fatty liver,so it's better be excluded )
5.blood pressure measurement
on the basis of these reports you might need Metformin +/- atorvastatin.You can mail me(mainak.nrsmc@gmail.com) your reports and I will be glad enough to help you.Good luck,stay healthy and stay positive.
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What Does The Ultrasound Regarding Enlarged Liver Indicate?

You are having fatty liver disease.Yes, this can be reversed but it will take some time.If you are diabetic or having dyslipidemia then it should be well controlled.Stop if you are having any addiction- particularly alcohol.I don t think that Udiliv will help you in this condition- practically it has got no role in fatty liver disease.Citrus fruits and vit E (eg.Evion 400 capsule) have good role.Control your diet,eg-increase fibre rich diet, decrease fat consumption.Start having regular exercise (at least daily walking) and control healthy body weight. You should undergo following investigations urgently- 1.fasting blood sugar and post glucose load (2 hr after taking 75gm glucose) blood sugar 2.lipid profile 3.liver function test 4.anti HCV antibody (there is some association with chronic hepatitis C infection and fatty liver,so it s better be excluded ) 5.blood pressure measurement on the basis of these reports you might need Metformin +/- atorvastatin.You can mail me(mainak.nrsmc@gmail.com) your reports and I will be glad enough to help you.Good luck,stay healthy and stay positive.