hepatic Steatosis

A male pt aged 45 years with past history of drinking alcojol and kindney stones., now complains of pain in the rt hypochondriac area and back.......usg normal except hepatic steatosis grade 2.....pt complai s of sever pain in ghat area . No fever Lab reports are wnl. Both direct and indirect bilirubin are on higher end (1.4 and 1.0 )respectively. KFT normal please know how to manage tgis case .@Dr. Sepuri Krishna Mohan

A middle aged obese female ( BMI - 30) a k/c/o Hypothyroidism presented to ED with complains of Pain Right Hypochondrium, weight gain and Anorexia since 1 month....On examination, she was found to have Hepatomegaly (4 inches below the right costal margin)....USG and CECT W/A was done....Comment on the treatment approach to this patient...

Friends today I am discussing about Fatty liver. Fatty liver, or hepatic steatosis, is a term that describes the buildup of fat in the liver. It’s normal to have small amounts of fat in your liver, but too much can become a health problem. The liver is the second largest organ in the body. It’s responsible for a wide variety of functions, including processing everything we eat and drink, and filtering harmful substances from the blood. Too much fat in the liver can lead to long-term liver damage. View a BodyMap of the liver and learn more about its function. Early stage fatty liver is diagnosed when the proportion of liver cells that contain fat is more than 5 percent. This is often diagnosed by looking at small sample taken from the liver under the microscope. Ultrasounds, CT scans, and MRI scans can also help evaluate the fat content of the liver. The liver commonly repairs itself by rebuilding new liver cells when the old ones are damaged. When there’s repeated damage to the liver, permanent scarring takes place. This condition is called cirrhosis. In mild forms, fatty liver can be a reversible condition that may improve with lifestyle modifications such as diet changes, weight loss, and increased physical activity. In many cases, fatty liver has no symptoms. Fatty liver becomes harmful to the liver when it progresses. Liver inflammation (steatohepatitis) can lead to liver scarring, liver cancer, and end-stage liver disease. Symptoms of fatty liver Fatty liver typically has no associated symptoms. However, research has shown that about 20 percent of people with fatty liver inflammation progress to worse conditions. If this occurs you may experience fatigue or abdominal discomfort. Your liver may become slightly enlarged, which your doctor may be able to detect during a physical exam. It’s believed that the excess fat in the liver, along with certain medical conditions, increases inflammation. If your liver becomes inflamed, you may have symptoms such as: a poor appetite weight loss abdominal pain physical weakness fatigue confusion If fatty liver progresses to cirrhosis and liver failure, symptoms can include: an enlarging, fluid-filled abdomen jaundice of the skin and eyes confusion abnormal bleeding What are the causes of fatty liver? The most common cause of fatty liver is alcohol use disorder and heavy drinking. In many cases, it’s much less clear what causes fatty liver in people who don’t drink much alcohol. However, higher body weight, a high processed sugar diet, high triglycerides, diabetes, low physical activity, and genetics all play a role. Fatty liver develops when the body creates too much fat or cannot metabolize fat efficiently enough. The excess fat is stored in liver cells where it accumulates and causes fatty liver disease. Besides alcohol use disorder, other common causes of fatty liver include: obesity hyperlipidemia, or high levels of fats in the blood, especially high triglycerides diabetes genetic inheritance rapid weight loss side effects of certain medications, including methotrexate (Trexall), tamoxifen (Nolvadex), amiodorone (Pacerone), and valproic acid (Depakote) Types of fatty liver? There are two basic types of fatty liver: nonalcoholic and alcoholic. Nonalcoholic fatty liver disease Nonalcoholic fatty liver disease (NAFLD) develops when the liver has difficulty breaking down fats, which causes a buildup in the liver tissue. The cause is not related to alcohol. NAFLD is diagnosed when more than 5 percent of the liver is fat. Nonalcoholic steatohepatitis (NASH) Nonalcoholic steatohepatitis (NASH) is a type of NAFLD. As fat builds up, it can cause inflammation. Once more than 5 percent of the liver is fat and inflammation is also present, the condition is known as NASH. Symptoms of this condition are related to inflammation and worsening liver function. These can include: appetite loss nausea vomiting abdominal pain jaundice If left untreated, steatohepatitis can progress to permanent scarring of the liver, liver cancer, and eventual liver failure. Acute fatty liver of pregnancy Acute fatty liver is a rare and potentially life-threatening complication of pregnancy. Signs and symptoms begin in the third trimester. These include: persistent nausea and vomiting pain in the upper-right abdomen headache jaundice general malaise fatigue decreased appetite Women who are pregnant with any of these signs or symptoms should be evaluated for this condition. Treatment includes managing any complications and prompt delivery. Most women improve within several weeks after delivery and have no lasting effects. Alcoholic fatty liver Alcoholic fatty liver is the earliest stage of alcohol-related liver disease. Heavy drinking damages the liver, and the liver cannot break down fats as a result. Abstaining from alcohol will likely cause the fatty liver to subside. Within six weeks of not drinking alcohol, the fat can disappear. However, if excessive alcohol use continues, inflammation known as alcoholic steatohepatitis may develop, leading to cirrhosis. Read more about the effects of alcohol on the body. homeopathic medicines for fatty liver are Chelidonium: This is often used to treat a fatty liver accompanied by right upper abdominal pain. In such cases, the liver may be enlarged and the patient also usually suffers from constipation or experience nausea and vomiting. The patient will also probably suffer from excessive weakness and have a desire for hot food and drinks. Lycopodium: A fatty liver accompanied by acidity can be treated with this type of homeopathic medication. In such cases, the patient will also complain of bloating and belching with a burning sensation. These symptoms tend to worsen n the evening and the patient may have an intense craving for sweets and hot drinks. Phosphorus: This is used to treat cases of fatty acid which triggers regurgitation accompanied by sour belching. In some cases, the patient may also experience pain in the liver and excessive flatulence. Vomiting may also occur along with weakness while passing stool. Calcarea carb: Obese patients suffering from this condition can be treated with calcarea carb. These people often have a distended abdomen, are lactose intolerant and suffer from chronic constipation. They are also overly sensitive to cold air and sweat excessively from the head. Nux Vomica: homeopathic remedy for fatty liver with pain in abdomen after eating. Nux vomica is great for any abdominal problem including fatty liver caused by excessive consumption of alcohol. These patients often suffer from abdominal pain a few hours after eating with sour or bitter tasting belches. They may constantly feel the urge to pass stool but are unable to do so.

a patient age of 43yrs old, male . He has suffering from acute pain in lower abdomen due to calculas (13 mm size) mild hydronephrosis. he has taken the medication but no relief , almost hospital is lockdown for general patients. please help the patient because he is severe pain . what can I do for him.i suggest him for surgery patients is ready also but hospital will do after lockdown.

male 34yrs age diabetic since 2yrs and report s are like this kindly evaluate Bilirubin is high