NASH - GRADE 2

Update on previous case c/o RHC pain & tenderness. Radiating to back. No Renal calculus in usg Invg : USG abdomen. GRADE 2 FATTY LIVER is these symptoms due to. NASH ? Pls advise. Rx ?

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Usually Nash do not cause any symptoms Look for other causes of radiating pain, such as calculus in ureter which was missed by Sonography or spinal pathology, or appendicitis

Grade 2 fatty liver Ad low fat diet Exercise Reduce wt of patient Tab Liv 52 2 bd Syp Sorbiline 2 tsf bd 1/2 an hr before meals Cap Rabisac Dsr O d

NASH ..None alcoholic steatohepatitis..May scar in liver . MRI Scan abdomen is suggested as early as possible .All the liver marker should assessed . Endoscopy or MRCP suggested Tab Udiliv 150 BD Tab Hepamerz BD Tab Ultacet BD Cap Pantaprazole OD Multi vitamin OD Blend diet ,no oil and fatty foods . Clonafit plus OD HS

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-No dr u r jumping too high. -yess we remember earlier ur presentation. 51/M case of radiating and tenderness pain. usg report just showing grade 2 fatty liver. -NASH not at all.there is nothing such suggestive signs. -it just simple fatty liver. -First u need to rule out the cause of this fatty liver.. cause; alcoholic or non alcoholic -diet or drugs induced fatty liver -any other metabolic syndrome -here liver is normal sized not at all in enlarged size. -For NASH there is inflammatory and immunological infiltration takes place. -do lipid profile test. Advise: -find the cause ..eliminate the cause.. -dont put ptn under heavy test. -ptn is fine and in better condition.

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? FATTY LIVER.. ? NASH .. NEED'S .. PPI .. OBETICHOLIC ACID .. LIV-52 .. MULTIVITAMINS ANTIOXIDANTS.. GASTROENTEROLOGIST OPINION ..

it is grade II fatty liver, not NASH do liver enzymes hepatic fibroscan adv low fat diet regular exercise decrease weight tab ursolic 1 bd

Could be gastric etiology.

Clearly non urologic. Assumptions of disease by doctors without proof do more damage to patients than diseases themselves.

Need to rule out other causes of pain D/D peptic ulcer disease Pancreatitis

Vit E D

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