Suggest Treatment For Enlarged Liver

Posted on Mon, 12 Jan 2015

Question: Hello Dr.

I got my ultra-sound report and my Liver is mildly Enlarged in size and shows increased echogenicity.
2nd thing :-

Prostate :- Its Boaderline enlarged in size and measures 3.28*3.81*3.28 Cm with volumne 21.47 Ml . No focal lesion Seen.

Is this "Prostate" is Initial Stage Cancer?
Please Let me know . My Age is 29 and I am overweight( 80 KG) My hight is 5.4

Regards

Answered by Dr. Indu Kumar (1 hour later)

Brief Answer:
Your age doesn't support prostate cancer.

Detailed Answer:
Hello XXXXXXX

USG findings indicate mildly enlarged liver size(hepatomegaly) with fatty changes in liver. Hepatomegaly may be due to deposition of fat in the liver cells. Increased echotexture suggests fatty liver. Most commonly it is due to obesity and sedentary life. It is also related to alcohol intake etc.

I suggest investigations like routine hemogram, Random blood sugar(RBS), Liver function test(LFT), Lipid profile, Renal function test(RFT) to my patients.

You should try to lose your weight as you are overweight.

Fatty liver is a reversible condition and it can be reversed by diet and life style changes.
You may need some medicines after full investigations.
It may take 8-10 months to reverse the findings.

You should be active in your daily life.
You should avoid red meat and high fat milk products.
Cook food in olive or canola oil.
You should also avoid fried and junk food.
Take lot of fruits and vegetables and increase your physical activity in the form of walking and exercise.

Your prostate size is also borderline increased. In your age, ideally it should be below 20 cc. It may be due to infection or simple enlargement.
Your age doesn't support cancer. PSA estimation can be done. It will rule out cancer.
In prostate cancer, PSA increases.

Don't worry at all. Go for investigations, it will relieve your anxiety. Most likely you are fine.

Get well soon.
Hope I have answered your query
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Indu Kumar (1 hour later)

Hello Dr XXXXXXX ,

Thanks For the details response , I have uploaded the images of the Tests which i have done , Please review them and let me know if i need to take more or you want me to go for any other tests.

Regards
XXXX

Answered by Dr. Indu Kumar (1 hour later)

Brief Answer:
SGPT is increased.

Detailed Answer:
Hello XXXXXXX

I have gone through your reports in detail.
SGPT is increased. It indicates liver injury and in your case it may be due to lipid deposition.
I suggest my patients to take tablet ursodeoxycholic acid 300 mg twice daily for three months. It helps in regeneration of liver cells. Discuss about this with your doctor.

Additionally you may go for PSA estimation due to borderline enlarged prostate. If it comes normal then there is nothing to be worried about.
Your findings are reversible.

Get well soon.
Hope I have answered your query
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju