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I Ask A Few Questions The Other Day And You
Posted on
Wed, 7 Aug 2019
Wed, 7 Aug 2019
Answered on
Last reviewed on
Question : I ask a few questions the other day and you kindly answered. I provided an excellent review.
My follow up question is either my ultrasound or MRI of the abdomen said I had simple fatty liver steatosis and my liver size is 17 cm.
My follow up question is either my ultrasound or MRI of the abdomen said I had simple fatty liver steatosis and my liver size is 17 cm.
Brief Answer:
Please give additional information
Detailed Answer:
Thanks for your review query.
Noted your history and queries.
Please give additional information for me to assist you better:
Your height in feet and inches and today's/recent weight to calculate BMI.
Can you please post all the available reports? For example actual reports of investigations of tests for inflammation and scarring.
In liver functions:
Bilirubin: Total/direct/indirect
SGOT (AST)/SGPT (ALT)
Alkaline Phosphatage
GGT - very important
Serum proteins: Total / Albumin/ Globulin/ AG Ratio and others.
Do have excess fat over tummy, buttocks and chest?
Any other information please.
Awaiting for your feedback.
Dr T Chandrakant
Please give additional information
Detailed Answer:
Thanks for your review query.
Noted your history and queries.
Please give additional information for me to assist you better:
Your height in feet and inches and today's/recent weight to calculate BMI.
Can you please post all the available reports? For example actual reports of investigations of tests for inflammation and scarring.
In liver functions:
Bilirubin: Total/direct/indirect
SGOT (AST)/SGPT (ALT)
Alkaline Phosphatage
GGT - very important
Serum proteins: Total / Albumin/ Globulin/ AG Ratio and others.
Do have excess fat over tummy, buttocks and chest?
Any other information please.
Awaiting for your feedback.
Dr T Chandrakant
Above answer was peer-reviewed by :
Dr. Kampana
Ok Dr I have attached all reports. You will note my liver is a bit enlarged. Evidently I have fatty liver disease but I am hoping its minimal or mild.
If so, could it still cause RUQ discomfort or is that unlikely? It may be my IBS?
I have eliminated all alcohol, and improved my diet: as a result I have actually gone from 205 no clothes to 197 pounds but trying to get to 190. I play tennis 1 1/2 hours singles 2x per week. I have added Vitamin E 800 mg and Milk thistle and take 3 teaspoons full of extra virgin olive oil daily.
Thank you for your analysis. I can tell you are a very smart dr.
If so, could it still cause RUQ discomfort or is that unlikely? It may be my IBS?
I have eliminated all alcohol, and improved my diet: as a result I have actually gone from 205 no clothes to 197 pounds but trying to get to 190. I play tennis 1 1/2 hours singles 2x per week. I have added Vitamin E 800 mg and Milk thistle and take 3 teaspoons full of extra virgin olive oil daily.
Thank you for your analysis. I can tell you are a very smart dr.
I did not add that I definitely have a bit of a belly albeit I have lost some weight via diet. I should add that I am 73 inches tall.
Brief Answer:
As detailed below.
Detailed Answer:
Seen the attached reports.
The reports specifically say:
Fibrosis stage= F0 means no fibrosis.
Microinflammation act grade = A0 means no activity.
All others within normal limits.
MRI showing no disease - except 2 tiny ''benign lesions'' and Kidney cysts.
Only Ultrasonography showing 17 cm size and hyerechoeic consistent with steatosis and same as MRI for Kidney cysts.
Both the reports are signed by the same Doctor.
In view of normal lab reports and mild enlargement of liver with steatosis seen only on ultrasonography, I do not think this to be the cause of pain in RUQ.
As per height and weight the BMI is about 26 means just above the normal limit of 25. So reducing the weight further is a better idea and you can really go for it as this will help the steatosis too. Elimination of alcohol will help further normalize the steatosis and next Ultrasonography may show normal liver.
I hope this answer helps you further.
Please feel free to communicate further and sincere thanks for your appreciation.
Your feedback awaited.
With Regards.
Dr T Chandrakant.
As detailed below.
Detailed Answer:
Seen the attached reports.
The reports specifically say:
Fibrosis stage= F0 means no fibrosis.
Microinflammation act grade = A0 means no activity.
All others within normal limits.
MRI showing no disease - except 2 tiny ''benign lesions'' and Kidney cysts.
Only Ultrasonography showing 17 cm size and hyerechoeic consistent with steatosis and same as MRI for Kidney cysts.
Both the reports are signed by the same Doctor.
In view of normal lab reports and mild enlargement of liver with steatosis seen only on ultrasonography, I do not think this to be the cause of pain in RUQ.
As per height and weight the BMI is about 26 means just above the normal limit of 25. So reducing the weight further is a better idea and you can really go for it as this will help the steatosis too. Elimination of alcohol will help further normalize the steatosis and next Ultrasonography may show normal liver.
I hope this answer helps you further.
Please feel free to communicate further and sincere thanks for your appreciation.
Your feedback awaited.
With Regards.
Dr T Chandrakant.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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