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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Burning Sensation In Stomach, Endoscopy Shows Fatty Liver. Suggestions For Medication ?

good evening sir, namaskara, i am aged 61 years and weight 89 kgs male and retired employee.20 days back i got burning sensation in stomach and i had been to doctor and he had suggested me endoscope and scan and found i got fatty lever 262 points instead of 250 and it is mild verified tests with hepatits B & C and no such problems in my blood. i have no BP and sugar problems. can you please suggest good medicine and diet control system so that my liver point comes to less than 250 normalcy. i got mild fatty lever. i am not a drunkard. i am pure indian brahimin and chasttity man. i shall be thankful to you. i am fond of sweets.
Sat, 6 Apr 2013
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General & Family Physician 's  Response
Hi and thanks for the query,
acute fatty liver is easily controlled with a life style modification on its own. Its a good idea that you avoid alcohol already. Weight loss and exercise are key issues in the management. I suggest a diet rich in vegetables, fruits and fibres. Regular exercise, avoidance of alcohol and avoiding taking of drugs toxic to the liver, especially drugs containing Paracetamol should be avoided. Consider the opinion of your treating physician before taking any drugs. Continual abdominal scans and liver function tests are keys aspects in your management, preferably by your gastroenterologist.
Thanks and best regards,
Luchuo, MD.
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Critical Care Specialist Dr. Sadiq Mughal's  Response
Hi thanks for your question.
You have mild fatty liver and you are pure vegetarain and non alcoholic.Cause of your fatty liver is quite evident as you are fond of sweets.Consuming excessive amount of sweets can cause fatty liver.Since your fatty liver is very mild it can be managed by life style modification only.Life style modification means daily excercise and decrease in sweets and oil intake.There are medicines for fatty liver but since your fatty liver is very mild it can be managed by life style modification only.
Hope this answers your answers.
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General & Family Physician Dr. Nirmala P's  Response
Hello sir, thanks for asking in Healthcare Magic.

The cause of Non alcoholic fatty liver is not clear. It can have a hereditary lineage as it tends to run in families. Pain in the upper part of abdomen is one of the presenting symptom of non alcoholic fatty liver disease. It is often associated with Diabetes or high cholesterol. Though you dont have sugar and hepatitis B & C you should also rule out high cholesterol as you seem to be fond of sweets which may contain saturated fats like ghee and vanaspathi.

The most important aspect about control of fatty liver is to maintain proper weight and balanced diet. A moderate physical activity will help.

You should avoid diet with high glycemic index. These are substances rich in carbohydrates that which absorb quickly and completely causing an immediate fluctuation in blood sugar level like potato, rice, sweets, bread, corn, jaggery, concentrated sugar juice etc., Instead you should opt for low glycemic index food like wheat, ragi, fiber rich vegetables like beans, oat meal will be useful. Saturated fat should be avoided.

Antioxidants like vitamin E, Selenium are found to be beneficial but should not be taken in excess.
Many vegetables like carrot, tomato and fruits also have antioxidants and can be added to your regular diet.

I hope this is useful to you sir.
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Burning Sensation In Stomach, Endoscopy Shows Fatty Liver. Suggestions For Medication ?

Hi and thanks for the query, acute fatty liver is easily controlled with a life style modification on its own. Its a good idea that you avoid alcohol already. Weight loss and exercise are key issues in the management. I suggest a diet rich in vegetables, fruits and fibres. Regular exercise, avoidance of alcohol and avoiding taking of drugs toxic to the liver, especially drugs containing Paracetamol should be avoided. Consider the opinion of your treating physician before taking any drugs. Continual abdominal scans and liver function tests are keys aspects in your management, preferably by your gastroenterologist. Thanks and best regards, Luchuo, MD.