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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My Ultrasound Test Result During Pregnancy Indicate?

I am 27 years old and suffering obesity am 105 kg weight and about 165 cm height ... my ultrasonic results conclusion was : 1. bright hepatomegaly ( by diffuse of fatty infiltration ).2. Spleenmegaly.My liver functions was good within the range i mean.What are the proper steps i have to take now .I am pregnant
Fri, 11 Dec 2015
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Radiologist 's  Response
Hello
For your height your weight should be around 55-60.your are obese with wt of 105 kg. Its very important to role out hormonal causes of obesity. The ultrasound report shows bright hepatomegaly means enlarged liver due to fatty accumulation in hepatocytes.LFT is normal that means fat is there in hepatocytes but its function is not deranged.its time to take action to avoid complications due to fatty liver. Reduce fatty fried foods,refined carbohydrates and encourage raw food,fruits & vegetables.better to avoid drugs to reduce fat accumulation as you are pregnant.exercise ( walking-mininmum 45mts) everyday.regarding spleen , how much it is enlarged is important. What is your hemoglobin.which area your living .whatever best thing is try to avoid further to put on weight.
Takecare of your pregnancy.
Thank u
Vasundhara
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General & Family Physician Dr. Michelle Gibson James's  Response
HI, thanks for using healthcare magic

Hepatomegaly refers to enlargement of the liver and spleenomegaly to enlargement of the spleen.

Fatty build up can go on to cause inflammation and damage to the affected organs.

Weight loss would help but this would be done after pregnancy. Right now, you would need to prevent unnecessarily weight gain.
You need to eat a healthy diet composed of a wide range of fruits and vegetables , cutting out unhealthy carbs ( sodas, fruit drinks , sweet deserts), using a lot of water.

The wide range of fruits and vegetables would make sure that you have vitamins and minerals needed.

I hope this helps
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What Does My Ultrasound Test Result During Pregnancy Indicate?

Hello For your height your weight should be around 55-60.your are obese with wt of 105 kg. Its very important to role out hormonal causes of obesity. The ultrasound report shows bright hepatomegaly means enlarged liver due to fatty accumulation in hepatocytes.LFT is normal that means fat is there in hepatocytes but its function is not deranged.its time to take action to avoid complications due to fatty liver. Reduce fatty fried foods,refined carbohydrates and encourage raw food,fruits & vegetables.better to avoid drugs to reduce fat accumulation as you are pregnant.exercise ( walking-mininmum 45mts) everyday.regarding spleen , how much it is enlarged is important. What is your hemoglobin.which area your living .whatever best thing is try to avoid further to put on weight. Takecare of your pregnancy. Thank u Vasundhara