My ultrasound reports say 'bulky liver'. How can I get treated for that?

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concerns.

Looking at your reports (attachments removed to protect the patient's identity), I see your SGOT (serum glutamic oxaloacetic transaminase) is elevated, and so are bilirubin and GGT (gamma-glutamyl transferase), while the albumin level is normal. It suggests that you have hepatitis.

In your case, as you are overweight and perhaps you are an alcoholic, your liver is inflamed.

I would like to see the ultrasound reports and also know what your chief complaints are.

I would advise you to undergo a few more tests, like

1. HBsAg (Hepatitis B virus surface antigen).
2. Anti-HCV (Hepatitis C virus) test.
3. PT INR (Prothrombin time international normalized ratio).
4. CBC (Complete blood count).
5. RFT (Renal function test).

Seek a GI (gastrointestinal) physician with the above reports.

Please revert to me with the above details.

Thank you.

Hello,

Welcome back to icliniq.com.

I can see a few reports (attachment removed to protect patient identity).

Anti-HCV is negative. LDL (low-density lipoprotein) cholesterol is slightly elevated. The rest is quite normal.

I want to ask you

1. So what about alcohol intake and your ultrasound report?
2. What are your complaints?
3. Any other diseases?

Please revert in case of any other doubts.

Thank you.

Hello,

Welcome back to icliniq.com.

So, you have a bulky liver, you are overweight, and you have significant alcohol intake.

I sincerely advise you to quit drinking, as now you are going to a stage where it may cost your life.

Also, you must reduce your weight. Your liver is handling the brunt of both alcohol and being overweight.

For now, you should see a gastroenterologist.

There are certain medications like

1. Tablet Ursocol (Ursodiol) 300 mg twice a day.
2. Capsule Evion (Vitamin E) 400 IU twice a day.
3. Capsule Nusam (Ademetionine) twice a day.

Take these for 15 days and then repeat the LFT (liver function test). Consult your specialist doctor, discuss with him or her, and take the medicines with their consent.

Please revert in case of doubts.

Thank you.

Hello,

Welcome back to icliniq.com.

I saw your reports (attachment removed to protect patient identity).

1. Viral etiology is negative.
2. Although the CBC is normal, the platelet count is on the lower side.
3. Cholesterol is fine.
4. Urine examination is alright.

So, further advice would be the same, that is, to quit alcohol and reduce body weight.

You can start all the above-mentioned medications after your physician's consent.

Seek a gastroenterologist who can properly examine you.

Wish you a fast recovery.

Thank you.