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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Ultrasound Test Result For Fatty Liver Condition Indicate?

Hi Sir/ Madam,ultrasound.ll is increasing.In 2011 it was 40.. 2012 it was 93... 2013 it was 201.. 2014 it was 231 and now in 215 it is 374 Currently my ALT is 175 and ALP is 129 Last year I visited a gastroenterologist and had some checks of Hepatitis and ultrasound. Hepatitis was Ok and found level 1 fatty lever.Doctor has given few medicine for a month then the level of GGT went down to 90, and all other were normal after medicine.But after almost 8 months I ve again checked my lever function tests and found again very high as above. Plz suggest the way forward.Age -34,Sex -Male
Tue, 30 Mar 2021
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General & Family Physician,  's  Response
Hi,

I would like to note any history of alcohol intake if any and quantity and frequency of the same. GGT levels and grade 1 fatty liver may be attributed to alcohol intake. However, if there is no intake of alcohol then the same may be attributed to Non alcoholic fatty liver disease. The raised levels of AST and ALT also suggest the same.

Considering the increased levels of liver enzymes we must proceed with following:
1. CBC/ESR/LFT with Albumin levels/KFT/RBS
2. USG whole abdomen
3. Fasting Serum lipid profile
4. Thyroid profile(F3/FT4/TSH)
5. Fibroscan of liver(very important investigation)

We may start with the following treatment
1. Lifestyle modification is the mainstay with avoidance of fatty and high carbohydrate meals and increasing intake of antioxidants.
2. Daily brisk walking of 30 minutes duration 5 days in a week.
3. Tab Udiliv 300 mg for five days and repeat LFT again to target ALT and AST below 40 IU
4. Further treatment would depend upon the investigations as suggested

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Santosh K. Pandey, General & Family Physician
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What Does This Ultrasound Test Result For Fatty Liver Condition Indicate?

Hi, I would like to note any history of alcohol intake if any and quantity and frequency of the same. GGT levels and grade 1 fatty liver may be attributed to alcohol intake. However, if there is no intake of alcohol then the same may be attributed to Non alcoholic fatty liver disease. The raised levels of AST and ALT also suggest the same. Considering the increased levels of liver enzymes we must proceed with following: 1. CBC/ESR/LFT with Albumin levels/KFT/RBS 2. USG whole abdomen 3. Fasting Serum lipid profile 4. Thyroid profile(F3/FT4/TSH) 5. Fibroscan of liver(very important investigation) We may start with the following treatment 1. Lifestyle modification is the mainstay with avoidance of fatty and high carbohydrate meals and increasing intake of antioxidants. 2. Daily brisk walking of 30 minutes duration 5 days in a week. 3. Tab Udiliv 300 mg for five days and repeat LFT again to target ALT and AST below 40 IU 4. Further treatment would depend upon the investigations as suggested Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Santosh K. Pandey, General & Family Physician