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What Causes Fatty Liver Condition While On Metformin For Diabetes?
Hello Doctor, I am Ms.Khaing Su and 26 years old. I have diabetic type 2 and it caused last 2012 because of my uterus myoma. I have operated my uterus Myoma on last January, 2015. Now, I want to ask my abdominal discomfort. First, after I know i have diabetic, I go to diabetic doctor and I checked up my health. Doctor gives me metformin 500mg after breakfast and dinner. After I drank at least 2years, I feel start my stomach is fullness and cause constipation. But, I feel this symptom is gone after 1 week. Now, I cause serious stomach fullness. So, I go to diabetic doctor and explain my symptoms. Doctor tells me to omit metformin and drink Diamicron 60mg two tablets before breakfast. I go to gastrointestinal doctor again, Doctor told me my H Pylori blood test is negative. So, Doctor wants to see endoscope. I am afraid it to do. I checked up abdominal ultrasound. The result is fatty liver and liver is enlarged in size with bright echo. No sol. I drank Lipicard 200mg. I want to know why liver is enlarged. Please give me advice doctor how I do. Thanks you
Fri, 28 Jun 2019
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 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.
Regards,
Dr. Ivan R. Rommstein, General Surgeon
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 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.
Regards,
Dr. Ivan R. Rommstein, General Surgeon
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