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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Fatty Liver Be Treated?

i have been diagonsed with a fatty liver two months back and have gone on diet of protiens and have started avoiding fats / potatoes / rice and normal bread . i have also lost a few kilos and i need advice if i need to do anything else. a stone has also been diagnosed in the bladder can i wait or i should get the gall bladder removed immediately. my report is belowSonogram examination shows liver is enlarged in size and regular in outlines, fatty in echo pattern and shows no focal defect. Intra-hepatic biliary radicals are not dilated and normal in echo-genicity. Span is 16.5 cms only. Gall bladder is seen, walls are 1.7 mm in thickness, lumen shows echogenic solitary calculus of 19 mm size are seen in the lumen. Common bile duct is 5.0 mm in diameter and is normal. Portal vein is 12.7 mm. Pancreas is normal regular in outlines and normal echopattern. Spleen is normal in outlines and shows normal echotexture of parenchyma. Size of the spleen is about 8.8 x 5.0 cms. Right kidney size is about 10.6 x 4.8 cms and is normal in cortical texture. No dilated calyces are seen. Cortico-medullary differentiation is normal. No calculus is seen. Left kidney size is about 10.5 x 4.9 cms and regular in outlines and echopattern is normal. No calculus is seen. No dilated calyx is seen. Cortico-medullary differentiation is normal. No ascites is seen. No pleural effusion is seen. No gross enlarged aortic and para-aortic lymphnodes seen. Diaphragmatic movements are normal. Impression -- Hepatomegaly, fatty change grade II, Cholelithiasis.
Fri, 5 Jul 2019
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General Surgeon 's  Response
Hi,

There are two main types of fatty liver disease so the treatment depends on this: Alcoholic liver disease and Nonalcoholic fatty liver disease. You can get the alcoholic liver disease from drinking lots of alcohol.

It can even show up after a short period of heavy drinking, other causes are obesity and hepatitis B and C.

If you have alcoholic liver disease and you are a heavy drinker, quitting is the most important thing you can do.

Talk to your doctor about how to get help. If you don't stop you could get complications like alcoholic hepatitis or cirrhosis.

Even if you have nonalcoholic fatty liver disease, it can help to avoid drinking. If you are overweight or obese, do what you can to gradually lose weight -- no more than 1 or 2 pounds a week.

Eat a balanced and healthy diet and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on drinks with lots of sugar like sports drinks and juice.

This should lead to improvement. You should repeat your liver markers in 3-4 weeks.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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How Can Fatty Liver Be Treated?

Hi, There are two main types of fatty liver disease so the treatment depends on this: Alcoholic liver disease and Nonalcoholic fatty liver disease. You can get the alcoholic liver disease from drinking lots of alcohol. It can even show up after a short period of heavy drinking, other causes are obesity and hepatitis B and C. If you have alcoholic liver disease and you are a heavy drinker, quitting is the most important thing you can do. Talk to your doctor about how to get help. If you don t stop you could get complications like alcoholic hepatitis or cirrhosis. Even if you have nonalcoholic fatty liver disease, it can help to avoid drinking. If you are overweight or obese, do what you can to gradually lose weight -- no more than 1 or 2 pounds a week. Eat a balanced and healthy diet and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on drinks with lots of sugar like sports drinks and juice. This should lead to improvement. You should repeat your liver markers in 3-4 weeks. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon