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Male | 23

Can Fatty Liver Fibrosis Fully Heal with Weight Loss?

Hello sir , Sir my age is 23 and I got fatty liver and ocd from 3 years when first time I got fatty liver my ultrasound report show grade 2 fatty liver and my doctor gave me proper medicine like golbi sr 450, adilip 45, zolfresh 10, ocid 20, folvite 5 , fluvox cr 300 , epilive 600 , rospitril plus 1 , clonil 75 SR . and after 6 months my treatment completed and docter advised me usg and I reversed to fatty grade 1 liver and docter stop my medication later I got fatty liver 1 and high triglycerides so doctor recheck my tests and I done with all test cbc , lft , kft , thyroid test , hba1c , lipid profile and usg and results were all kft , thyroid , hba1c are normal but elevated liver enzymes sgpt and sgot and lipid are also high and usg show fatty 1 grade and doctor re start my all medicines as same as first time medicines for six months then after 6 months my doctor advised all re test my all reports get normal except liver enzymes and grade 1 fatty liver and docter told me everything is normal so they stop my medication and advice me physically activity to do but I am little obese and doing no exercise and drink alcohol 90-120 ml a day six to seven times a month and later after just one year I got fatty liver symptoms and I go to new doctor well renowned doctor he advised me fibroscan , lft , cbc , esr , lipid profile , thyroid test , hba1c. Reports are : hba1c - 5.8 normal Kft : normal Thyroid : normal Esr : normal CBC : little low RBC , low p.c.v , little high m.c.h , m.c.h.c Lft : bilrubin direct 0.3 indirect 0.4 , sgpt 243 , sgot 170 IU/L Lipid profile : Total cholesterol : 210 mg/dl Triglycerides : 371 mg/dl Ldl : 141 mg/dl Hdl : 38 mg/dl Vldl : 74 mg/dl Tc/hdl ratio : 5.5 Ldl/hdl ratio : 3.7 Fibroscan report : Cap(dB/m) median : 355 Iqr : 28 Iqr/median : 8% E(KPa) median : 10.0 Iqr : 2.3 Iqr/med : 23% Examination M(Liver) Number of valid measurements : 10 Number of invalid measurements : 0 Success rate : 100% Measurements all 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 : 381 dB/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- Not given Clinical correlation with fibroscan data : Evidence of significantly with fibrosis of liver corresponding to liver biopsy metavir score F3 Treatment started : - Flunil 40< - ursotina 300< - cutee 400< - roseday F10- - zolfresh 10 - ocid 20 Treatment given : 1 Year After Treatment Tests : Fibroscan report : Cap(dB/m) mean : 361 E(KPa) median : 9.4 Iqr/median : 28% Examination M(Liver) Number of e- measurements : 10 Success rate : >100% Measurements all 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 Clinical correlation with fibroscan data : Evidence of significantly steatosis with evidence of fibrosis of liver corresponding to liver biopsy metavir score F2 B.M.I : 29 CBC : normal Esr : normal Thyroid test : normal Kft : normal Uric acid : normal Lipid profile : normal Lft test : sgpt 113 sgot 70 IU/L Serum GGTP : 42 IU/L (normal) Hba1c : 6.1 % prediabeties Treatment medicines for NASH : - Ocid 20- - Flunil 60- - Zolfresh 10- - Bilypsa- - Polvite E- - Fenocor R- - My question sir : Can my fibrosis F3 to F2 can come back to F0 healthy liver after weight loss and treatment I listen that scarring is natural process to heal itself but scar never go just it get fade with treatment not permanently heal or removed is it true or not what is your advice sir

Dr. Samrat Jankar

Surgical Gastroenterologist

Answered on 13th Sept '24

Nonalcoholic fatty liver disease can progress to fibrosis, which is the scaring of the liver. Healthy weight loss through diet and exercise can play a key role in the liver's health. The liver is capable of some self-repair, but the damage from serious scarring is probably not going to be reversed completely. Following your doctor's advice, taking your medication, and lifestyle changes to support your liver health are essential. 

3 people found this helpful

Questions & Answers on "Gastroenterologyy" (1169)

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

पेट मे जलन होना बार बार डकेर आणा पेट फुलना

Female | 52

The burning sensation in your stomach, the non-stop burping, and the bloated feeling can all be a consequence of acidity. It is a medical condition where the stomach is producing more acid than usual. Eating too much spicy food, stress, and not eating regular meals can bring this to you. To make you feel better start with a smaller portion of food avoid spicy meal, and stay calm. By drinking milk or using antacids you can also get some relief from the pain.

Answered on 29th Oct '24

Dr. Samrat Jankar

Dr. Samrat Jankar

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