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What Do "hemangiomas In Liver" Indicate?
Posted on
Sun, 9 Nov 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sun, 9 Nov 2014
Answered on
Wed, 10 Dec 2014
Last reviewed on
Question : Attention Dr XXXXXXX sir
File attached
File attached
Brief Answer:
Possible hemangiomas in liver.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
It is seen from the CT scan images that there are certain ill defined areas in the liver which are termed hypoattenuated and on venous phase it is showing contrast filling from periphery to centre, a characteristic of hemangiomas.
I think your doctor might have discussed this with you.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Possible hemangiomas in liver.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
It is seen from the CT scan images that there are certain ill defined areas in the liver which are termed hypoattenuated and on venous phase it is showing contrast filling from periphery to centre, a characteristic of hemangiomas.
I think your doctor might have discussed this with you.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir saw your answer thanks. Stress comes and goes but i had my regulat food till last 15 days. Now too even if i am not hungry i gave my food on time. Before i might have had my food late due to work load ie afternoon lunch might be late but no skip. 6 months back scan report shows no ulcers also is my Dr saying. Ulcers will also known in ct scan sir. She says this ia because of your stress in your mind u fear for cancer and so your appetite has lost. So to come out you have to come out by doing yoga and other activities. Will stomac cancer give any other reaction like feel tiered and so. Stress is the reason she says i dint know how to come out fron this .
Brief Answer:
Please follow instructions below.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Cancer will not cause tiredness in hip to toe. In early stages stomach cancer will cause the following
Indigestion and stomach discomfort.
A bloated feeling after eating.
Mild nausea.
Loss of appetite.
Heartburn.
Since you wrote about loss of appetite in the first query that is why I asked about stomach cancer. After seeing your CT scan I am convinced that you do not have any stomach cancer. Big ulcers will also be known in CT scan and you do not have it.
For meals I suggest you take small foods ever 3 - 4 hours instead of taking heavy meals. Also take small amounts of fruits and snacks regularly and then milk and fresh juices to get vitamins and minerals.
I have seen many patients who are afraid of stomach cancer as you are and they have become normal and started eating normally with proper guidance. Yoga helps the mind to relax and you can do it for 30 minutes every alternate day. On the rest of the days you can do brisk walking in the morning for 30 minutes.
You can start meeting friends and relatives in the evenings. Please stop drinking alcohol and smoking.
In the evening also you can do 15 minutes meditation. Go to bed early and wake up early in the morning. Drink a glass of warm water when you wake up to decrease acidity might help.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please follow instructions below.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Cancer will not cause tiredness in hip to toe. In early stages stomach cancer will cause the following
Indigestion and stomach discomfort.
A bloated feeling after eating.
Mild nausea.
Loss of appetite.
Heartburn.
Since you wrote about loss of appetite in the first query that is why I asked about stomach cancer. After seeing your CT scan I am convinced that you do not have any stomach cancer. Big ulcers will also be known in CT scan and you do not have it.
For meals I suggest you take small foods ever 3 - 4 hours instead of taking heavy meals. Also take small amounts of fruits and snacks regularly and then milk and fresh juices to get vitamins and minerals.
I have seen many patients who are afraid of stomach cancer as you are and they have become normal and started eating normally with proper guidance. Yoga helps the mind to relax and you can do it for 30 minutes every alternate day. On the rest of the days you can do brisk walking in the morning for 30 minutes.
You can start meeting friends and relatives in the evenings. Please stop drinking alcohol and smoking.
In the evening also you can do 15 minutes meditation. Go to bed early and wake up early in the morning. Drink a glass of warm water when you wake up to decrease acidity might help.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir for my satisfaction i took a blood report wbc is shooting up what may be the reason
Brief Answer:
Raised WBC count due to stress and not eating.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Your WBC counts are slightly high probably due to stress. This stress can be in form of anxiety or not taking meals at proper times and in adequate amount.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Raised WBC count due to stress and not eating.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Your WBC counts are slightly high probably due to stress. This stress can be in form of anxiety or not taking meals at proper times and in adequate amount.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir i have contacted you before. Thanks. Still my appetite us low. I dont feel hunger and i eat little no vomiting sensation and no other stmptoms. When i eat little i feel full and not hungry atall. My fear is all toward cancer. Will cancer develop so fast within 6 months. My dr says depression and fear has made u to this level and now i satrted taking antiexity rab also. Will it be a cancer or depression prob. How to come out. No other symptoms like black stool or any prob. My first appetite lost 15 days back when i was in fear. Lost wt so far is 3 kgs .
Brief Answer:
It is illness anxiety, meet clinical psychologist.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Hope you are having your meals in small quantities and after regular intervals. You can have light foods like idli, vada, rice items cooked at home, cakes and bakery products, juices whatever is available.
This is not clear cut depression but more of a fear of disease. It is most likely and illness anxiety disorder under latest diagnostic terms in psychiatry. I have served in a psychiatric institute as radiologist and used to meet many patients like you on a regular basis.
Your doctors have followed the right approach to treatment. However you need a lot of encouragement and help to decrease your anxiety and eat normally.
I am always there to reply to your query and help you as you want. Meeting a clinical psychologist in XXXXXXX will benefit you a lot. They will hold interactive sessions and explain each and every problem like your weight loss and lack of interest in eating and give you methods to solve them.
Once again I assure you that there are many people having your symptoms and have got treated successfully over few days of counseling by a clinical psychologist.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
It is illness anxiety, meet clinical psychologist.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Hope you are having your meals in small quantities and after regular intervals. You can have light foods like idli, vada, rice items cooked at home, cakes and bakery products, juices whatever is available.
This is not clear cut depression but more of a fear of disease. It is most likely and illness anxiety disorder under latest diagnostic terms in psychiatry. I have served in a psychiatric institute as radiologist and used to meet many patients like you on a regular basis.
Your doctors have followed the right approach to treatment. However you need a lot of encouragement and help to decrease your anxiety and eat normally.
I am always there to reply to your query and help you as you want. Meeting a clinical psychologist in XXXXXXX will benefit you a lot. They will hold interactive sessions and explain each and every problem like your weight loss and lack of interest in eating and give you methods to solve them.
Once again I assure you that there are many people having your symptoms and have got treated successfully over few days of counseling by a clinical psychologist.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir
Thanks for reply. As you have worked in physactric clinic a small thing will fear on cancer will affect the stomact for fealing hunger. My fear always there in that only. I am taking these tab 1/2 on night oxetal 150,quatipin 25 ,resiprodine 8 drop in night and all tab in night. Will fear affect intake of appetite. Ig i eat 3 idliea i feel full and also not able to eat more .
Thanks for reply. As you have worked in physactric clinic a small thing will fear on cancer will affect the stomact for fealing hunger. My fear always there in that only. I am taking these tab 1/2 on night oxetal 150,quatipin 25 ,resiprodine 8 drop in night and all tab in night. Will fear affect intake of appetite. Ig i eat 3 idliea i feel full and also not able to eat more .
Brief Answer:
Fear of cancer can cause gastritis.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
If there is constant fear of cancer and you do not eat well then you will not get enough minerals and vitamins. There will also be excess acid production and this can cause gastritis.
Taking quetiapine, risperidone and oxycarbazepine can cause loss of appetite. This has to be discussed with your psychiatrist and dose adjustment to be made.
Talking about effect of the above medications, please allow 15 days to a month for the medications to work properly. Till that time you might experience some of the symptoms.
Fear and appetite are closely related and having fear can also cause nerve chemical imbalance which leads to decreased appetite.
Idli is a food which contains sodium bicarbonate and this can cause fullness after having 3 idlis but you should feel hungry within 3 hours of taking it and take some biscuits or snacks again. Please keep your mind at peace when eating.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Fear of cancer can cause gastritis.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
If there is constant fear of cancer and you do not eat well then you will not get enough minerals and vitamins. There will also be excess acid production and this can cause gastritis.
Taking quetiapine, risperidone and oxycarbazepine can cause loss of appetite. This has to be discussed with your psychiatrist and dose adjustment to be made.
Talking about effect of the above medications, please allow 15 days to a month for the medications to work properly. Till that time you might experience some of the symptoms.
Fear and appetite are closely related and having fear can also cause nerve chemical imbalance which leads to decreased appetite.
Idli is a food which contains sodium bicarbonate and this can cause fullness after having 3 idlis but you should feel hungry within 3 hours of taking it and take some biscuits or snacks again. Please keep your mind at peace when eating.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
H.pylori associated with long duration symptoms.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
H.pylori infection is known to cause many symptoms related to stomach and including loss of appetite. Medical literature says the following about H pylori infections.
Soon after being infected with H. pylori, most people develop gastritis--an inflammation of the stomach lining. However, most people will never have symptoms or problems related to the infection.
Symptoms if present might include:
1. Abdominal discomfort like
(i) Be a dull, gnawing pain.
(ii) Occur two to three hours after a meal.
(iii) Come and go for several days or weeks.
(iv) Occur in the middle of the night when stomach is empty.
(v) Be relieved by eating or taking antacid medication.
2. Weight loss
3. Loss of appetite
4. Bloating
5. Burping
5. Nausea
6. Vomiting
The weight loss in H.pylori not sudden as mentioned by you. Your situation is most likely due to anxiety related stress.
However should you be experiencing the symptoms for a long time then a treatment course with H.pylori kit for 7 days can bring relief.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
H.pylori associated with long duration symptoms.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
H.pylori infection is known to cause many symptoms related to stomach and including loss of appetite. Medical literature says the following about H pylori infections.
Soon after being infected with H. pylori, most people develop gastritis--an inflammation of the stomach lining. However, most people will never have symptoms or problems related to the infection.
Symptoms if present might include:
1. Abdominal discomfort like
(i) Be a dull, gnawing pain.
(ii) Occur two to three hours after a meal.
(iii) Come and go for several days or weeks.
(iv) Occur in the middle of the night when stomach is empty.
(v) Be relieved by eating or taking antacid medication.
2. Weight loss
3. Loss of appetite
4. Bloating
5. Burping
5. Nausea
6. Vomiting
The weight loss in H.pylori not sudden as mentioned by you. Your situation is most likely due to anxiety related stress.
However should you be experiencing the symptoms for a long time then a treatment course with H.pylori kit for 7 days can bring relief.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir
Realy thanks for your reply. I am able to eat a little. My fear has been reduced 50% and 50% is there. Yeaturday night i had a better dinner. Now the prob is my stomac is not stimulating the hingerness by itself but if i sit on table i eat no hesitation .stimulation of hungerness to be stimulated by mind or stomac. I feel i will recover soon. Pls help me to recover .
Realy thanks for your reply. I am able to eat a little. My fear has been reduced 50% and 50% is there. Yeaturday night i had a better dinner. Now the prob is my stomac is not stimulating the hingerness by itself but if i sit on table i eat no hesitation .stimulation of hungerness to be stimulated by mind or stomac. I feel i will recover soon. Pls help me to recover .
Brief Answer:
Ways to stimulate your hunger.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Good to hear from you. I am always there to help you when you need my suggestions.
The hunger is controlled by a small part of brain called hypothalamus. At times a person can also eat without the influence of the hypothalmus. Research shows that a person can be motivated to eat by two methods.
1. If you are motivated to eat by external cues, such as stress, smell, or just the fact that food is in front of you, then you are en external.
2. If you are more motivated to eat by internal cues, empty stomach, feelings of hunger, then you are an internal.
Please know which type of hunger is felt by you and we can try to increase your appetite in that way.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Ways to stimulate your hunger.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Good to hear from you. I am always there to help you when you need my suggestions.
The hunger is controlled by a small part of brain called hypothalamus. At times a person can also eat without the influence of the hypothalmus. Research shows that a person can be motivated to eat by two methods.
1. If you are motivated to eat by external cues, such as stress, smell, or just the fact that food is in front of you, then you are en external.
2. If you are more motivated to eat by internal cues, empty stomach, feelings of hunger, then you are an internal.
Please know which type of hunger is felt by you and we can try to increase your appetite in that way.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir thanks for reply rhis many time.
Yesturday full day i had good food. Eventhough i dint feel hungry i had food once i went to table to eat i had and by night i dint take the tabs adviced by physactrist by midnight i felt a fear of cancer but slept well from the morning the old prob started i feld heaitating food and back to old position even though cancer fear not there but some prob may be there is in my mind and feel tiered and stomac discomfort .
Yesturday full day i had good food. Eventhough i dint feel hungry i had food once i went to table to eat i had and by night i dint take the tabs adviced by physactrist by midnight i felt a fear of cancer but slept well from the morning the old prob started i feld heaitating food and back to old position even though cancer fear not there but some prob may be there is in my mind and feel tiered and stomac discomfort .
Brief Answer:
Please continue taking psychiatry medications even if you feel normal.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
I am really happy that you were able to take good food on Sunday. The psychiatry medications are very important for you. I have seen many patient who stop psychiatry medications even for a day and then the symptoms appear even more strongly. As I really care about your health, please continue the psychiatry medications and do not stop taking it without asking your doctor and even if you feel alright.
Just remember that your brain chemicals need slight adjustment to make you feel better. For this you have to follow the medications and keep your mind stress free.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please continue taking psychiatry medications even if you feel normal.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
I am really happy that you were able to take good food on Sunday. The psychiatry medications are very important for you. I have seen many patient who stop psychiatry medications even for a day and then the symptoms appear even more strongly. As I really care about your health, please continue the psychiatry medications and do not stop taking it without asking your doctor and even if you feel alright.
Just remember that your brain chemicals need slight adjustment to make you feel better. For this you have to follow the medications and keep your mind stress free.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir
Again my appetite got low. My limpcytes is 13. Is it to worry. Wbc 11100
Again my appetite got low. My limpcytes is 13. Is it to worry. Wbc 11100
Brief Answer:
WBC is 11100 due to stress.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
The normal range of lymphocytes (differential count) is 1,000 to 4,000/cubic mm or 20 to 40 percent.
The normal WBC count in a healthy individual is 3,500 to 10,500 cells/cubic mm.
It is possible that your lymphocyte count is 13 (?percent) and WBC count is 11100 (?cells/ cubic mm) because of the stress in your mind.
Please do not worry about WBC reading. I hope you are taking anti stress medications as prescribed by the psychiatrist. You should be taking and not abruptly stop taking them.
Since you were able to have a normal diet on Sunday, please make every attempt to follow a strict daily schedule of food intake and this will help maintain your appetite.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
WBC is 11100 due to stress.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
The normal range of lymphocytes (differential count) is 1,000 to 4,000/cubic mm or 20 to 40 percent.
The normal WBC count in a healthy individual is 3,500 to 10,500 cells/cubic mm.
It is possible that your lymphocyte count is 13 (?percent) and WBC count is 11100 (?cells/ cubic mm) because of the stress in your mind.
Please do not worry about WBC reading. I hope you are taking anti stress medications as prescribed by the psychiatrist. You should be taking and not abruptly stop taking them.
Since you were able to have a normal diet on Sunday, please make every attempt to follow a strict daily schedule of food intake and this will help maintain your appetite.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Sir
I have attached my rwport. Pls help me .
I have attached my rwport. Pls help me .
Brief Answer:
Stress and starvation are causing low lymphocytes.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Your lymphocyte count is mildly below normal at 13 percent. The WBC count is 11400 and slightly elevated.
Review of medical literature after having known your condition indicates that the number of lymphocytes can decrease briefly during starvation, times of severe stress. Your lymphocyte has reduced because of stress and low appetite.
A reduction in the number of lymphocytes may not cause a significant decrease in the total number of white blood cells. Therefore your immunity is maintained.
Please try your best to remain stress free and increase your appetite. Take small meals every 4 hours and eat nutritious food. While eating please do not get distracted and try to enjoy your foods and snacks.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Stress and starvation are causing low lymphocytes.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Your lymphocyte count is mildly below normal at 13 percent. The WBC count is 11400 and slightly elevated.
Review of medical literature after having known your condition indicates that the number of lymphocytes can decrease briefly during starvation, times of severe stress. Your lymphocyte has reduced because of stress and low appetite.
A reduction in the number of lymphocytes may not cause a significant decrease in the total number of white blood cells. Therefore your immunity is maintained.
Please try your best to remain stress free and increase your appetite. Take small meals every 4 hours and eat nutritious food. While eating please do not get distracted and try to enjoy your foods and snacks.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Shanthi.E
Sir
Realy more thanks for reply. Still my mind is going around cancer only. Might a stomac cancer been developed within this 6 months gap and so my appetite is low. My mind is going in that form only. I am restless no concentration on other works. When my stomac is empty i feel its empty but hungerness not there. Will it be a cancer. I had this dought because my distant relative also had stomac cancer with loss of appetite with stage2 and his stool became black .
Realy more thanks for reply. Still my mind is going around cancer only. Might a stomac cancer been developed within this 6 months gap and so my appetite is low. My mind is going in that form only. I am restless no concentration on other works. When my stomac is empty i feel its empty but hungerness not there. Will it be a cancer. I had this dought because my distant relative also had stomac cancer with loss of appetite with stage2 and his stool became black .
Brief Answer:
A repeat endoscopy will confirm any stomach problems.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Your fear is understood and we can go in to detail and then discuss your thoughts of stomach cancer. Any stomach cancer will progress slowly and often cause symptoms related to eating. This is usually seen as significant nausea, vomiting, inability to digest food, sometimes blood in vomiting or stools with associated loss in weight and appetite over few months. Since you do not have these symptoms, it is most likely you do not have stomach cancer.
If you choose to get endoscopy repeated, it will show any early signs if present. You can get an endoscopy done for your stomach and then confirm the absence of stomach cancer. I assure you that your reports will be normal for cancer point of view.
Regarding your relative, each patient and condition is different and his might be a completely different case. Loss of appetite in cancer happens slowly and since you are having sudden aversion towards food, it is most likely psychological in origin.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
A repeat endoscopy will confirm any stomach problems.
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Your fear is understood and we can go in to detail and then discuss your thoughts of stomach cancer. Any stomach cancer will progress slowly and often cause symptoms related to eating. This is usually seen as significant nausea, vomiting, inability to digest food, sometimes blood in vomiting or stools with associated loss in weight and appetite over few months. Since you do not have these symptoms, it is most likely you do not have stomach cancer.
If you choose to get endoscopy repeated, it will show any early signs if present. You can get an endoscopy done for your stomach and then confirm the absence of stomach cancer. I assure you that your reports will be normal for cancer point of view.
Regarding your relative, each patient and condition is different and his might be a completely different case. Loss of appetite in cancer happens slowly and since you are having sudden aversion towards food, it is most likely psychological in origin.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
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