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treatment for heterogeneous parenchymal echopattern

PAST HISTORY : Liver shows heterogenous parenchymal echopattern.Intra hepatic biliary channels are not dilated. No focal solid or cystic SOL seen. (Liver span at mid calvicular line is 13.7cm) Porta Hepatis :- common duct measures 0.3cm Lumen is clear Portal vein diameter is 0.7cm

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i got sonography test which shows lever size enlarged by 3.3cm. later blood test for LFT showed Sl. No TEST RESULT NORMAL VALUE 01 G.G.T.P. 21.13 IU/L 08-37 IU/L 02 S.BILIRUBIN TOTAL 0.92 mg/dl 0-1.2 mg/dl 03 S.BILIRUBIN DIRECT 0.43 mg/dl 0-0.3 mg/dl 04 S.BILIRUBIN INDIRECT 0.49 mg/dl 0-0.9 mg/dl 05 S.G.O.T. 51.51 U/L 08-40 U/L 06 S.G.P.T. 94.11 U/L 05-35 U/L 07 S.ALKALINE PHOSPHATASE 355.1 IU/L 98-279 IU/L test no 3,5,6and 7 are showing increased valuess........any best solution to control them

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Hi, Most probably you are suffering from fatty liver changes. Discontinuing drinking alcohol or cutting way back potentially can allow your liver to return to normal but it will take atleast 4 weeks. However , many people who suffer from enlarged liver don't drink too much, and need to look for diet low in what's called high glycaemic index.You should focus your diets around fresh, preferably raw fruits and vegetables, along with home made juices, and to purge your diets of all simple carboh ...
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My father is 78 years old and has been suffering from constipation for the last 2 years. He has also lost a lot of weight around 10 kgs in this time span. In the last couple of months he has been complaining that his abdominal muscles have torn due to bowel straining and now he says there is loss of muscle in his stomach area. Which is why when he lies down everything is fine but when he sits up and walks around he feels like he is carrying a weight in his stomach. After intake of food it becomes worse and he also gets bloating. We have done all possible tests - colonoscopy, CT scan, ultrasound sometime last year and everything was clear. The doctors gave a verdict of idiopathic constipation and left it at that. His blood work is fine, haemoglobin levels, cholestrol etc. He still suffers from constipation. His prostrate is enlarged but results are fine. What is the solution to his stomach muscle problem ? Is it lack of exercise, lack of protein ? He doesnt have a pot belly and has never had and had always been physically active and fairly slender.

Doctor's Answer

Hi, History told by you favours irritable bowel syndrome ( IBS ). There are two alarming signs in your case : Firstly, loss of weight and that to10kg approx. Secondly, sensation of carrying a weight in stomach. Both of them do occurs in IBS. But to be on safer side,I would suggest you to go for colonoscopy again because it was done 1 yr back and symptoms have aggravated few months back. Treatments available for IBS - - Increase the level of physical activity. - Have regular meals and take t ...
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Hello, I have had a nail fungus for a good ten years or so. When I first noticed it, I went to my doctor and he game me lamasil which I stopped taking after a few days since it had negative affects on me. Thereafter, I stopped taking care of it and just let it go for a good 7 or 8 years. I eventually grew up and started getting very self conscious of how it looked and wanted to wear sandals and flip flops and not have people think nasty things about me. A few years ago I went to my doctor again and he gave me a topical oil which I used for over a year and did not see any results. About two years ago, I noticed that a vertical brown line was starting to grow from the bottom up. I went to a dermatologist who took a sample of my nail but did not take a sample of the nail bed or from the cuticle. Biopsy came back as of course it being a fungus. He in turn gave me pills to take which I also had to stop taking since it was having a bad affect on my liver. After that, my dermatologist said that he would give me laser treatments which I did two of. They did not clear it but it looks a little bit better then what it was before. Still thick, yellow, crumbling below the nail, nail bed where new nail is growing is darker then the others and the brown line is still there. It is a thick brown line. How did I get this brown line? Did I get it because of the prolonged damage of the nail bed due to the years of having the nail fungus?

Doctor's Answer

You're most welcome. Nail Melanoma does not affect multiple nails together while Longitudunal Melanonychia (LM) often does. The fact that an additional nail is showing changes is nearly conclusive that this is LM, which as I said is harmless. However it would be best to see your doctor to get this confirmed since I cannot see the affected area. I would recommend getting the entire nail removed if its the only one affected by fungus, but this will be solely to treat the fungus not because I thin ...
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I have a swollen area in the vicinity of my maxillary sinus on the right side. Dentist says not an abscess. It is sore. Appeared in a span of 3 hours. What could it be????

Doctor's Answer

Kindly consult a dentist in person for further suggestion. We need more investigations (Full mouth x-ray) & clinical examination to decide upon treatment ...
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Doctor my mother aged 63yrs have DVT. When scanned the report says following; 1- grey scale imaging shows enlarge diameter of Common Femoral Vein (CFV) & Superficial Fomoral Vein (SFV). 2- Color Doppler reveals non-fillilng of external lilac vein on the left side. Partial filling of colour is seen in the left CFV & SFV. The Popliteal vein does not show any colour filling. The Peroneal and Posterior Tibial veins are filling with the colour. Anterior tibial vein could not be identified on colour Doppler. 3- Doppler imaging shows mid respiratory plasticity in CFV. There is very poor Response to distal augmentation in the CFV. 4- Great Saphenous vein is Patent. IMPRESSION- Deep vein thrombosis in lower limb involving External lliac vein, CFV,SFV & Popliteal vein, and possibly Anterior Tibial Veins. There is partial recanalisation of CFV & SFV. Posterior Tibial and Peroneal veins are patent. Suggested clinical correlation. Scan copy added to the medical record in the profole. that the above is the report of the radiologist now what medicine you prescribe ,how to take and when to review the report? .whether the same will be cure or the patient should be in medicine for life long,what are the immediate risk?

Doctor's Answer

Hi, The Doppler examination shows a thrombus in the deep veins with partial recanalization. This suggests that the thrombus is of a chronic nature. The Doppler can be repeated after one month of treatment to see residual thrombus. We do not provide any prescription. For this you have to visit an internal medicine specialist. Feel free to ask more questions. ...
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