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Male | 23

¿Se puede curar completamente la fibrosis del hígado graso con la pérdida de peso?

Hola señor, Señor, mi edad es 23 y tengo hígado graso y TOC desde hace 3 años. La primera vez que tuve hígado graso, mi informe de ultrasonido muestra hígado graso de grado 2 y mi médico me dio el medicamento adecuado como golbi sr 450, adilip 45, zolfresh 10, ocid 20. , folvita 5 , fluvox cr 300 , epilive 600 , rospitril plus 1 , clonil 75 SR . y después de 6 meses, mi tratamiento se completó y el médico me recomendó usar y volví a hígado graso de grado 1 y el médico suspendió mi medicamento más tarde, tuve hígado graso 1 y triglicéridos altos, así que el médico volvió a revisar mis pruebas y terminé con todas las pruebas cbc, lft, kft. , prueba de tiroides, hba1c, perfil lipídico y uso y los resultados fueron todos kft, tiroides, hba1c son normales pero las enzimas hepáticas elevadas sgpt y sgot y los lípidos también son altos y el uso muestra grasa de 1 grado y el médico reinició todos mis medicamentos igual que al principio. tomé los medicamentos durante seis meses y luego, después de 6 meses, mi médico me recomendó que todos volvieran a realizar las pruebas. Todos mis informes son normales, excepto las enzimas hepáticas y el hígado graso de grado 1, y el médico me dijo que todo es normal, por lo que suspendieron mis medicamentos y me aconsejaron que hiciera actividad física, pero lo estoy. un poco obeso y no hago ejercicio y bebo alcohol 90-120 ml al día de seis a siete veces al mes y luego, después de solo un año, tuve síntomas de hígado graso y acudí a un nuevo médico, un médico de renombre que me recomendó fibroscan, lft, cbc, esr, perfil lipídico, test de tiroides, hba1c. Los informes son: hba1c - 5,8 normales Kf: normal Tiroides: normal Esr:normal CBC: poco bajo RBC, bajo p.c.v, poco alto m.c.h, m.c.h.c Lft: bilrubina directa 0,3 indirecta 0,4, sgpt 243, sgot 170 UI/L Perfil lipídico : Colesterol total : 210 mg/dl Triglicéridos : 371 mg/dl LDL : 141 mg/dl HDL: 38 mg/dl Vldl : 74 mg/dl Relación Tc/HDL: 5,5 Relación LDL/HDL: 3,7 Informe de fibroscan: Cap(dB/m) mediana: 355 Iqr: 28 Iqr/mediana: 8% E(KPa) mediana: 10,0 Iqr: 2,3 Iqr/med: 23% Examen M (hígado) Número de medidas válidas: 10 Número de mediciones no válidas: 0 Tasa de éxito: 100% Medidas los 10 : 1- CAP : 359 dB/m E: 10,2 kPa 2- CAP : 333 dB/m E: 12,8 kPa 3- CAP : 351 dB/m E: 7,6 kPa 4- CAP : 302 dB/m E: 7,1 kPa 5- CAP : 381dB/m E: 7,8 kPa 6- CAP : 359 dB/m E: 8,9 kPa 7- CAP : 368 dB/m E: 10,7 kPa 8- CAP : 345 dB/m E: 10,2 kPa 9- CAP : 310 dB/m E: 9,8 kPa 10- No dado Correlación clínica con datos de fibroscan: Evidencia de fibrosis hepática significativa correspondiente a la puntuación de metavir de la biopsia hepática F3 Tratamiento iniciado: - Flunil 40< - ursotina 300< - lindo 400< - día de rosa F10- - zolfresh 10 - ocido 20 Tratamiento administrado: 1 año Pruebas posteriores al tratamiento: Informe de fibroscan: Cap(dB/m) media: 361 E(KPa) mediana: 9,4 Iqr/mediana: 28% Examen M (hígado) Número de mediciones electrónicas: 10 Tasa de éxito: >100% Medidas los 10 : 1-E: 11 kPa 2- E : 11,5 kPa 3-E: 10,0 kPa 4-E: 10,7 kPa 5- E : 7,8 kPa 6- E : 8,5 kPa 7-E: 8,8 kPa 8-E: 11,4 kPa 9-E: 8,2 kPa 10-E: 7,5 kPa Correlación clínica con datos de fibroscan: Evidencia de esteatosis significativa con evidencia de fibrosis del hígado correspondiente a la puntuación metavir F2 de la biopsia hepática IMC: 29 hemograma completo: normal Esr:normal Prueba de tiroides: normal Kf: normal Ácido úrico: normal Perfil lipídico: normal Prueba Lft: sgpt 113 sgot 70 UI/L GGTP sérico: 42 UI/L (normal) Hba1c : 6,1 % prediabetes Medicamentos de tratamiento para NASH: -Ocido 20- - Flunil 60- -Zolfresh 10- -Bilypsa- -Polvite E- - Fenocor R- - Mi pregunta señor: ¿Puede mi fibrosis F3 a F2 volver a F0 con un hígado sano después de la pérdida de peso y el tratamiento? Escucho que las cicatrices son un proceso natural para curarse por sí solas, pero las cicatrices nunca desaparecen, solo se desvanecen con el tratamiento, no se curan ni se eliminan permanentemente, ¿verdad? cierto o no cual es su consejo señor

Answered on 13th Sept '24

La enfermedad del hígado graso no alcohólico puede progresar a fibrosis, que es la cicatrización del hígado. La pérdida de peso saludable mediante dieta y ejercicio puede desempeñar un papel clave en la salud del hígado. El hígado es capaz de autorrepararse en cierta medida, pero el daño causado por cicatrices graves probablemente no se revertirá por completo. Es esencial seguir los consejos de su médico, tomar sus medicamentos y realizar cambios en el estilo de vida para respaldar la salud de su hígado. 

3 people found this helpful

Questions & Answers on "Gastroenterologyy" (1117)

Tubular lession illeocec junction means

Male | 29

At the junction between the small and large intestines, abnormal growth can occur, resembling a tube with an issue inside. This can cause stomach pain, changes in bowel movements, and sometimes bleeding. The cause is often inflammation or small growths (polyps). Treatment may involve surgery to remove the growth or medications to relieve symptoms.

Answered on 12th Sept '24

Dr. Samrat Jankar

Dr. Samrat Jankar

Yesterday my mother felt sick she have symptoms such as vomiting and loose motions.

Female | 48

Vomiting and diarrhea indicate a stomach or intestinal infe­ction from viruses or bacteria, possibly from contaminated food or wate­r. Hydrate her well with wate­r. Provide bland foods like toast, rice, and bananas. If symptoms pe­rsist or worsen, seek me­dical advice. 

Answered on 12th Aug '24

Dr. Samrat Jankar

Dr. Samrat Jankar

I have acne from 5 years now I have heard about isotretinoin and I want to know if I can use it

Female | 19

Chronic stomach problems can have various causes, you need to get it diagnosed properly by a gastroenterologist. To address these issues, consider dietary adjustments, stress management, regular exercise, and maintaining a food diary to identify triggers. 

Answered on 23rd May '24

Dr. Samrat Jankar

Dr. Samrat Jankar

Ill-defined enhancing space occupying lesion approximately measuring 47 x 32 x 30 mm seen epicentered in the lumen of mid transverse colon. Mild fat stranding and subcentimetric lymph nodes are seen around the lesion. There is resultant dilatation of proximal large bowel loops and small bowel loops, measuring up to 6 cm in maximum calibre.

Female | 51

It see­ms like there is a worrying growth in your mid colon are­a. This growth is making the area swell up and push on your inte­stines. This can make them ge­t bigger. It can also cause pain, bloating, and changes in how you poop. The­ best thing to do is to get more te­sts done. These te­sts will help figure out what is causing the growth. The­n the right treatment can be­ decided. 

Answered on 23rd May '24

Dr. Samrat Jankar

Dr. Samrat Jankar

online Doctor Dashboard / My Health Queries / Query Thread Query Thread Answered Your Query8 hours ago Consulted for: Mr.HARSHA K N (Myself) , Age: 22, Gender: Male Hello, I am Harsha K N In december 14th 2023, I got admitted for frequent bowel movements with mucus for whole night. I got colonoscopy done on 15th dec in which they indicated it as "Ulcerative Proctosigmoiditis" and they had suggested mesacol OD and SR fil enema . In the 3rd follow up on 21st march 2024, they did a sigmoidoscopy and there it was said as "ulcers in rectosigmoid are 75% healed and in rectum it has healed completely, and also in the indication they have mentioned as "healing SRUS". So i got a bit confused about my condtion that it is' ulcerative colitis' or 'SRUS'. And also it would be helpful if got an explanation of difference between UC and SRUS because i could not be able to find out.

Male | 22

UC and SRUS have some things that are the­ same, but they are a bit diffe­rent. UC impacts your big intestine, making it re­d and sore. You may get loose poop, be­lly pain, and blood in your poop. SRUS often causes blee­ding from your rear end, gooey discharge­, and trouble controlling your poop. Meds that reduce­ redness help with UC, while­ SRUS may need food with lots of fiber and poop softe­ners.

Answered on 23rd May '24

Dr. Samrat Jankar

Dr. Samrat Jankar

Mere pet me bahut pain hota hai. 3 days ago I did endoscopy, I am suffering from gastritis problem. My period still comes till the time I take medicine.

Female | 21

The medication you're taking for gastritis may potentially affect your menstrual cycle. Consult your doctor for guidance.. If you're experiencing severe or worsening pain

Answered on 23rd May '24

Dr. Samrat Jankar

Dr. Samrat Jankar

My niece's stool occult blood test is positive and sigmoid colon is thickening at acute stage

Female | 7 month

Blood hidden in poop is occult blood. A swolle­n part of the sigmoid colon needs tre­atment fast. Look out for stomach pains, changes in how you poo, or losing weight. Infe­ctions, inflammation, or growths may be the problem. Doctors must do more­ tests to find the reason. The­n you'll get medicine or surge­ry.

Answered on 6th Aug '24

Dr. Samrat Jankar

Dr. Samrat Jankar

During time release of stool some pain and blood release. After release of stool sometime burning sensation feels

Male | 27

Experiencing pain, blood, and a burning sensation during or after a bowel movement could be due to various reasons such as anal fissures, hemorrhoids, inflammatory bowel disease, constipation, anal infections, or other concerns

Answered on 23rd May '24

Dr. Samrat Jankar

Dr. Samrat Jankar

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