Treatment for mild hepatomegaly with grade 3 fatty infiltration
Patient: Doctor sir my ultrasound report gives opinion that i haveMILD HEPATOMEGALY WITH GRADE 3FATTY INFILTRATION andENLARGED PERI PANCREATIC LYMPH NODE my blood sugar fasting is 156 SGPT (ALT) serum is 136 andSGPT( AST)serum is 92 kindly advise me its cure dos and donts my age is 35 yrs weightc86 kg waiting for ur response Thank u Doctor: HelloIncreased SGPT/ALT indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile,medicines,auto immune causes etc.It may be related to fatty liver in your case.Excess fat damages liver cells.SGOT is non specific and it increases in many conditions.You may need few more investigations like routine hemogram,lipid profile,viral markers.I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients.It helps in regeneration of liver cells.Fatty liver is a reversible condition.You need to change your diet and life style.You should avoid fatty food and go for brisk walk.Your fasting blood sugar is also raised.You may need to take oral anti-diabetic medicines like tablet metformin.You may need contrast CT scan of abdomen as peripancreatic lymph nodes are enlarged.Get well soon.Take CareDr.Indu Bhushan