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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Treatment For Increased Creatinine, Enlarged Liver And Mildly Echogenic Bilateral Kidney

Dear Sir,

Recently around a month back i had severe UTI eith Ecoli count around 90000/ml. Based on this my creatinine shot up to around 2.2 and after proper antibiotics the infection got reduced and the present findings are Creatinine 1.46 with urine pus cells 2-3 hpf and RBC 4-5/hpf. An USG was also done with findings as Liver enlarged with increased echogenecity. Spllen enlarged measuring 17cm and Bilateral Kidney mildly echogenic.

Bit worried on this report can you pl suggest me the treatment.

Prashob
Mon, 29 Jun 2015
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Radiologist 's  Response
Hello

Your findings suggests liver enlargement(hepatomegaly) and deposition of fat within liver cells(fatty liver).Fatty liver causes diffusely increased echo texture.
Hepatomeglay may be due to fatty changes in liver.
Fatty liver is a reversible condition and it may be due to many reasons like hepatitis,obesity,alcoholism,metabolic disorder,drug toxicity etc.

You may need few investigations like routine hemogram,random blood sugar,lipid profile,liver function test.
You may need few medicines after complete investigations.

You should avoid saturated fat.

Findings also indicate mildly echogenic both kidneys.It may be due to renal parenchymal disease and it may be due to past history of UTI.
This condition need proper evaluation.
Complete renal function should be assessed.
Proper treatment depend upon findings.
You may also need follow up.

Get well soon.
Take Care
Dr.Indu Bhushan
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Treatment For Increased Creatinine, Enlarged Liver And Mildly Echogenic Bilateral Kidney

Hello Your findings suggests liver enlargement(hepatomegaly) and deposition of fat within liver cells(fatty liver).Fatty liver causes diffusely increased echo texture. Hepatomeglay may be due to fatty changes in liver. Fatty liver is a reversible condition and it may be due to many reasons like hepatitis,obesity,alcoholism,metabolic disorder,drug toxicity etc. You may need few investigations like routine hemogram,random blood sugar,lipid profile,liver function test. You may need few medicines after complete investigations. You should avoid saturated fat. Findings also indicate mildly echogenic both kidneys.It may be due to renal parenchymal disease and it may be due to past history of UTI. This condition need proper evaluation. Complete renal function should be assessed. Proper treatment depend upon findings. You may also need follow up. Get well soon. Take Care Dr.Indu Bhushan