Hepatomegaly with grade 2 fatty infiltration, high SGOT and SGPT levels. Need treatment?
Patient: Dear DoctorI have hepatomegaly with grade II fatty infilteration, 15.8 cm span of liver showing increased parenchymal echotexture suggestive of fatty changes, SGPT (ALT) 79 and SGOT(AST) 45 as per ultrasound and blodd test. Kindly tell how serious is this condition and treatment/lifestyle change etc. I am a non alcoholic vegetarian men of 44 year. Doctor: Hello!  Thank you for the query.  Fatty liver becomes quite common disease in modern society. This condition is caused by liver cells degeneration and liver overload by the fat.   Fatty liver can be caused by alcohol intake, severe medicines intake or due to bad diet (fatty foods). Luckily it is reversible condition and it is possible to regenerate the liver. However, fatty liver can lead to liver cirrhosis which is not reversible.  I suggest you to change your dietetic habits. Avoid fatty foods, spicy foods, soft drinks, alcohol. Increase fiber rich products, vegetables, fishes intake. You should also have checked blood level of cholesterol and triglycerides and if increased, statins should be prescribed by your doctor.  Ultrasound and liver tests should be repeated in a 3 months or so.  Hope this will help. Regards.