How to treat excessive fatigue while having enlarged liver and hiatus hernia?
Patient: Hi, I have gone to the doctor and have been told that I have an enlarged liver. It is palpable. I have extreme fatigue, bloating, and foamy urine. I am a perimenopausal 54 year old woman. I have a healthy diet, am 5 8 and 147 lbs. I am a moderate drinker but never to excess. Never smoked, don t do drugs. My enlarged liver presses on my stomach and makes it difficult to,eat much at a time and causes discomfort after eating.I am so,tired of feeling bad. I have had an endoscopy, a colonoscopy and a CT scan. They found,a small heital hurnea and the enlarged liver. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Usually, liver enlargement may indicate some types of hepatitis or fatty liver diseases, and in most cases, it doesn't require any specific treatment.If this is caused by diet, obesity and diabetes then dietary and lifestyle changes will be beneficial in every case. Alcohol and viral hepatitis are most common causes, and in this case, medical evaluation is required.Also, if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific treatment.You need to check your viral markers and do liver biopsy if necessary.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ivan R. Rommstein