Suggest treatment for mild hepatomegaly with fatty change
Patient: Hello Doctor,Iam suffring from back pain since 6months.Doctor doing some test Ultrasonography abdomin in tha test Liver:Ismildy enlarged in size with regular outline ang echotexture.It shows diffuse fatty change.Nofocal lassion or biliary dilatation.portal vein,common duct,IVC and hepatic are normal.spleen:is enlarged in size (13.9).No focal lesion.Pancreas:NormalKidneys:Normal in size (Rt:11.3cm;lt:12.2cm) and echotexture.There is Parenchymal scar in mild pole of left Kidney.No calculi or hydronephrosis.Urinary Bladder:Normal.Prostate:Normal.  -   No free fluid in abdomen-   No para-aortic lymphadenopathy.Impression:     * Mild Hepatomegaly wit fatty change.                         * Splenomegaly.                         * Lt Renal. Parenchymal scar.Please sir tell me this is dangerous. Please some daignostice. Doctor: Thank you for posting query at HCMyour condition as per now is not dangerous, if  you take care and follow advice.Alcohol is toxic to liver (mitochondria).it should be avoided and strictly avoided if liver enzymes are elevated (hepatitis).further evaluation.is hep A, B C viral serology Negative??do a lipid profile test?if all above results negative thenadvice:abstinence from "Alcohol and drugs" - LOW fat diet should be followed- NO red meat- vegetables should be ingested daily- Moreover, less activity should be carried out (no sports). - use lemon juice (lemonade) once in a day- walk 30 to 40 minutes everyday.- or swimming is alternative to walking- NO sports and NO jogging-"recheck liver enzymes after 6 to 8 weeks".wish you good health.further queries are welcomed.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik