Q. I have grade 2 fatty liver with right-sided abdominal pain and high LFT parameters. Kindly help.

Answered by
Dr. Mian Shah Yousaf
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Aug 29, 2020 and last reviewed on: Nov 13, 2020

Hello doctor,

I am suffering from grade ll fatty liver with right side abdominal pain. And today's LFT report high parameters are AST-50, ALT- 88, and lactate dehydrogenase - 635. Please advice.

I am currently taking Ayurvedic medications. I have also done KFT, CBC, lipid profile, thyroid, and sugar one month back.

#

Hello,

Welcome to icliniq.com.

I reviewed your labs (attachment removed to protect patient identity) and yes, it shows raised LFTs (liver function test).

It is suggestive of NASH (nonalcoholic steatohepatitis), which is basically fats in the liver leading to hepatitis.

Do you drink alcohol? Kindly do the following tests and start this treatment. But you need to decrease the weight, which is the most important factor in your treatment.


The Probable causes:

Fatty liver.

Investigations to be done:

CBC (complete blood count). HbsAg. Anti HCV (hepatitis C virus).

Probable diagnosis:

NASH.

Treatment plan:

Capsule Evion (Vitamin E) 400 mg 1-0-1 for three months.

Preventive measures:

Regular exercise and weight reduction.

Thank you doctor,

I have attached the test reports. I do not drink alcohol and nonsmoker. This condition was diagonosed last year but LFT test was found normal in one month after diet precaution and exercise.

From the last month, we feel pain in the right side abdomen. Thyroid test is negative and blood sugar is normal last month and I take some Ayurvedic medicines from the last month. I slightly feel comfortable but not satisfactory. Now I have attached this month test report. I am continuing my exercise also. Please advice.

#

Hello,

Welcome back to icliniq.com.

I just reviewed your tests (attachment removed to protect patient identity).

It shows low platelets and others are normal. You need to repeat the CBC (complete blood count) after one month. Continue the treatment as I advised and you should decrease your weight. Continue your exercise and decrease carbohydrate intake.


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