Which medicine can be used to reduce fatty liver?

Question

Hi doctor,

I am a hypertensive and diabetic patient with FBS 100 to 110, PPBS 120 to 130, HbA1c 5.3 (last measured), taking Glyciphage 1 gm, Telmisartan 40, and Amlodipine 5 mg. Clinical BP 150/100, just after clinic 125/78, at home 115/75. Fatty liver II, prostrate 25 CC (no problem urinating, no burning sensation, etc.,), lipids are under control.

I would like to know how to reduce the fatty liver condition from II to I. Is any medicine available? I had suffered from hepatitis two times during childhood at 7 and 10 years of age. No smoking and drinking at all. No pain in the abdomen. The problem faced now are that for the past few days. I am experiencing excessive gas, bloating, and discomfort in my neck and food pipe, as if some air is trapped, which is occasionally expelled as burps and relieved after I took Pudin Hara (Ayurvedic medicine) and Raciper Plus (which was prescribed to my wife for IBS).

I have no difficulty swallowing food, but I feel light pain in my neck, which is relieved when I release the trapped air. Please advise on appropriate medication. I had this condition 2 to 3 years ago, and it improved after taking Omez for a few days. I also have occasional microalbuminuria, with UACR values below normal.

Kindly help.

Answer 1

Hi,

Welcome to icliniq.com.

For the treatment of fatty liver, first of all, I need to know your liver function test. If you have your recent liver function test (LFT) reports please attach it. If not done yet, please get it done and write back to me.

Answer 2

Hi,

Welcome back to icliniq.com.

After evaluating your reports (attachment removed to protect patient identity), I would recommend you weight reduction for fatty liver. A few people advise tablet Udiliv (Ursodeoxycholic acid) but do not recommend it much in cases like yours. Weight reduction, exercise is the key to treatment.

For urinary protein, I would recommend you to take low protein diet. Strict control of blood sugar and blood pressure is required. Discuss with your doctor to add up tablet Ramipril in low dose for control of proteinuria.

Answer 3

Hi,

Welcome back to icliniq.com.

Actually, Ursodeoxycholic acid is usually given to people with very high SGOT and SGPT which is not your case. Suppose you take it for a few weeks and do not adopt lifestyle changes, then, still your fatty liver would persist. So, weight reduction and right diet is the key.

For your acidity related problems, take a combination of Pantoprazole and Domperidone once daily for a few weeks. Again weight reduction and right diet play a very good role in treatment for acid reflux.

I hope this has helped you. Please feel free to reach me again, in case of further queries.

Thank you.