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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment To Be Taken For The Infiltration Of Liver?

It started with detection of HbsAg +ve after blood donation.

When I did Ultrasound, the following results were declared:
LIVER There is mild generalised in parenchymal echotexture suggestive of fatty infiltration of liver. Liver is mildly enlarged in size ( span measuresapprox 15.7 cm). No focal lesion seen. IHBR are not dilated.

FINDINGS ARE SUGGESTIVE OF
- MILD HEPATOMEGALY WITH FATTY LIVER GRADE-I.
Also on LFT:
Investigation     Reading     MinValue     MaxValue
T.PROTEIN     7.88     6.0     8.4
ALBUMIN     4.86     3.5     5.5
GLOBULIN     3.02     2.3     3.7
A/G Ratio     1.61     1.20     1.60

TOTAL BILIRUBIN     0.50     0.1     1.20
CONJUGATED BILIRUBIN     0.18     0.0     0.5
UNCONJUGATED BILIRUBIN     0.32     0     0.70
SGOT (AST)     23     5     34
SGPT (ALT)     36     5     55
ALK.PHOSPHATASE     103     40     150
GAMMA GT     32     15     73

Request for the suggestion & treatments for this diagnosis.
Mon, 11 Apr 2016
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General & Family Physician 's  Response
Hi thanks for asking question...

Noted you have grade 1 fatty liver but it is good not to have elevated liver enzymes.

You have mentioned HBSag positive .
But you might gave recovered from it as chances of getting chronic infection is only 5 to 10 % after acute infection....
But still first confirm HBSag positivity status by doing viral marker study by ELISA ...
If it remain positive after 6 month then it is matter for worry....

Fatty liver resolution take low fat diet with regular exercise....
Fruits taken more.
Avoid alcohol....
Junk food , non veg in taken taken very much less....
You can take udiliv tablet if need.
Hope your concern solved.

Take care.
Dr.Parth Goswami
Pathologist
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What Treatment To Be Taken For The Infiltration Of Liver?

Hi thanks for asking question... Noted you have grade 1 fatty liver but it is good not to have elevated liver enzymes. You have mentioned HBSag positive . But you might gave recovered from it as chances of getting chronic infection is only 5 to 10 % after acute infection.... But still first confirm HBSag positivity status by doing viral marker study by ELISA ... If it remain positive after 6 month then it is matter for worry.... Fatty liver resolution take low fat diet with regular exercise.... Fruits taken more. Avoid alcohol.... Junk food , non veg in taken taken very much less.... You can take udiliv tablet if need. Hope your concern solved. Take care. Dr.Parth Goswami Pathologist