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If anyone takes Orofer. XT twice daily, stools are said to be in black color and gas problem. Please suggest.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
If anyone takes Orofer. XT twice daily, stools are said to be in black color and gas problem. Please suggest.
You are taking extra iron. So take one daily. Gas formation is common with this tablet. Use gasex syrup.
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Sir I am 32yold my liver report is median stiffness is13. 8kpa&iqr is2. 1kpa & iqr/med is15% valid measurement is10 and success rate is100% please find.

Internal Medicine Specialist, Kendujhar
Hello, Thanks for your query on Lybrate "As" per your liver fibroscan report is concerned it is abnormal so you have liver disease which needs to be confirmed after clinical correlation so do a clinical examination by your Doctor[Hepatologist] soon. Do follow lifestyle modifications like this - 1) Try to avoid alcohol. 2) Eat a healthy diet. Choose a plant-based diet that's full of fruits and vegetables. Select whole grains and lean sources of protein. Reduce the amount of fatty and fried foods you eat. Consult with a dietician to make a diet chart. 3) Maintain a healthy weight. An excess amount of body fat can damage your liver. Talk to your doctor about a weight-loss plan if you are obese or overweight. 4) Reduce your risk of Hepatitis. Sharing needles and having unprotected sex can increase your risk of Hepatitis B and C. Ask your doctor about Hepatitis vaccinations. Hope that helps.
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Top 4 Internal Organs You Should Pay Attention!

General Physician, Gorakhpur
Top 4 Internal Organs You Should Pay Attention!
The health of our internal organs is one of those things we all take for granted until it s too late. We think our youth and vitality will never pass but in truth, even though you re not feeling it now, every dietary or lifestyle decision will affect you in the long run.

Fortunately, in our day and age, people are more in more interested in their lifestyle and habits. The number of people searching for a health-related subject is on the rise, while young people (especially millennials) and healthier and more physically active than ever.

Top 4 internal organs

When it comes to preserving our health, it s important to take a systematic, patient approach and deal with each of the internal organs separately, each with its needs. Occasionally some health issues are intertwined, so by focusing on one organ, you might be inadvertently preventing another more serious health problem. The top four internal organs that we should pay more attention to comprise the kidneys, heart, lungs, and the liver. Let us look at it in detail:


The kidneys are two fist-sized organs below the rib that basically act as your natural filtration system. Each day, they filter about 150 litres of blood to produce 2 litres of urine. They are one of the most important organs that we possess and are vital to our survival.

Kidney diseases

Neglecting them for long periods of time can lead to:

Kidney infections
Kidney failure
Kidney disease
Kidney stones

These health conditions and other ailments that will require an expensive trip to the doctor. Famously, selena gomez was diagnosed with lupus nephritis, a variant of the disease that targets the kidneys. Over 60 % of lupus patients are affected by it. The singer/actress is on recovery and received a kidney transplant in september 2017 from a friend.

Guidelines for kidney health

The first thing you need to do to preserve your kidneys is staying hydrated. A good indicator of proper hydration habits is the color of the urine if it s any darker than straw colored, drink more fluids. As a side note, make sure to not overdo it. Drinking more than six glasses of water per day is redundant and in some cases, it might do more harm than good.Moving on, a stable and healthy diet can do wonders for your kidney health. Foods that possess antioxidant qualities (also called super foods ) can eliminate free radicals and protect the body from various types of infections and diseases.

Some examples of super foods you should consume are as follows:
cabbage contains phytochemicals, an element that protects the body from free radicals.
onions have plenty of flavonoids (quercetin, in particular) which prevent heart diseases.
to reduce kidney inflammation, blueberries are a good source of anthocyanidins and vitamin c.
strawberries have phenols, which maintain the cellular integrity of the body and kidneys in particular.


The heart is an important organ that pumps blood throughout the body, providing it with oxygen and protecting it from various ailments. If not taken proper care of, it can lead to coronary artery disease, heart failure, chest pain, hypercholesterolemia, heart arrhythmia and cardiovascular disease.

Diet guidelines for heart health

With that being said, it is common knowledge that the most delicious foods are of the same type bad for your heart. High sodium and high-calorie foods such as fast foods, processed and refined should be avoided as much as possible. If resisting them is hard (as is for everybody), try adjusting the portions. Eat fewer high-calorie foods and more low-calorie products such as fruits and vegetables. For example, focus on canned fruit, especially if it s packed in low-calorie juice or water, canned vegetables or pick them frozen (preferably) fresh. Limit your intake of sugary frozen fruits, coconuts and vegetables dipped in sauces.

Fiber is an important ingredient not only for the heart but for the body in general. Fiber can reduce the levels of cholesterol, maintain blood pressure and prevent certain heart diseases by extension. Whole grains are rich in fibers.

Here are a few examples of grain products that have copious amounts of fibers:
whole-grain pasta
whole-wheat flour
buckwheat, brown rice and barley
whole-grain bread

And here are a few products that you could limit:
egg noodles

Another alternative is to reduce the consumption of trans fats. Without getting too technical, trans fats (or trans fatty acids) are unsaturated chemicals that are found in fast foods. Experts split them into two large categories: natural and artificial trans fats. The former is produced naturally in the stomach of some animals and the food made out of them, like meat and milk, while the latter is produced industrially for wide consumption by adding vegetable oils to solidify them. Trans fats can raise your levels of cholesterol and increase the risk of strokes, type 2 diabetes, and strokes.

Bill clinton, who served as the 42nd president of the united states, has had surgery twice due to blocked arteries. In 2004, he underwent quadruple bypass surgery. Since then, the former president has adopted a healthier lifestyle, losing a lot of weight and following a dated based on vegetables, beans, and fruit.

A good method to limit trans fats consumption is to carefully portion how many solid fats are added to food when cooking. Also, cutting the fat off the meat, adding low sodium salsa to baked potatoes or spreading fruits low on sugar on toast are good habits to develop in the long run.

Of course, fats are not necessarily bad. Here s a list of fats that, consumed in sensible proportions, can do wonders for the heart:
olive oil
canola oil
light margarine

Fats to avoid:
palm kernel oils


The lungs are as fragile as they are important. An intricate system of thousands of tubes, sacs, and alveoli power them throughout the day, absorbing air and eliminating what s not useful to the body continuously.

Lung diseases

Before getting into the specifics, as obvious as it s been for the last 60 years, this needs to go on the record: do not smoke. Experts have linked smoking to cancer over half a decade ago, as well as demonstrating that it clogs the airways and damages the cilia, which acts as kind of a filtration system that eliminates pollutants and heal infections.

Guidelines for lung health

Exercising will not compensate for smoking, but it does strengthen the cardiovascular system, improving the efficiency of the lungs in the process. What s not so obvious to many people is that many foods indirectly affect the health of the lungs. High-fat diets can lead to lung cancer, while fruits have been shown to prevent it.Together with avoiding smoking and exercising daily, there are a few dietary tips that can preserve the lungs. Staying hydrated is important because water acts as a cleansing agent, improves the blood flow and clears the area where the mucus is stored.
If you re concerned about lung tumors, pomegranates are known to slow their growth. When it comes to vegetables, kale, broccoli, cauliflower, and cabbage can draw the advancement of lung cancer to a stand. Consuming magnesium regularly in the form of nuts, seeds, and beans, while providing the aforementioned fatty acids, keep the lungs functioning properly. Vitamin c, which can be found in carrots and oranges, lower the risk of lung diseases.Don t think lung diseases are reserved for the elderly. Amy winehouse was diagnosed with early emphysema when she was just 24. Extensive touring, smoking and various other factors along with a generally unhealthy lifestyle contributed to the development of her disease.


The liver is one of the most important internal organs that manages the metabolic processes in the body. Old and damaged blood cells are sent to the liver, destroyed and promptly eliminated from the system, making way for newer ones.

Liver diseases

High consumption of alcohol causes cirrhosis, while other forms of neglect cause hepatitis, liver failure, chronic liver disease and fatty liver.

Diet guidelines for liver health

As always, there are some things that you can do in order to prevent the diseases mentioned above. A group of japanese researchers found out that consuming 5 to 10 cups of green tea daily improve the overall health of the liver. Another study states that high-oxidant tea can improve the liver enzyme after 12 weeks.Moving on, high antioxidant fruits such as grapefruits protect the liver cells and reduce inflammation. By consuming anthocyanins from cranberries and blueberries 3 to 4 times a week, the liver is protected from damage and scar tissues.Moreover, it s also been shown to halt the progression of liver cancer cells in rats, with further research being needed to determine if it can be replicated in humans. Grapes also lower inflammation, but in concentrated form.The prickly pear, an exotic species of comestible cactus used in traditional medicine, was the subject of a 2004 study that demonstrated how this fruit regulates cholesterol levels and compensates for the negative effects of alcohol consumption.


Thanks to science, we now know that a bacon and eggs-based breakfast is a thing of the 50 s, cutting down on fat will help prevent heart diseases, smoking cigarettes are linked to lung cancer and antioxidants halt infectious progressions and heal them. In our current era of fast eating and living city lives, stressed out and focusing on our careers, our personal health usually takes a second spot in our list of priorities. Thankfully, science and medicine progress at an incredible rate, and we re more aware of the health risks posed by our chaotic habits than ever before.

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I have calcification in the right upper lobe and right lobe of the liver. How can removed it.

Homeopath, Shimla
Hi. Liver calcification is usually due to any underlying cause. Or some sort of medicine intake can cause calcification of liver .progress of calcification can be controlled via homoeopathic medicine. Take proper consultation with any well qualified homoeopath for treatment.
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Sir my age is 36. Serum triglycerides-318.7,sgot-106.0,sgpt-214.3,serum alkaline phosphatase-214.8,gamma gt-140.9 What happen in my liver sir? I do not drink alcohol.

MD - Psychiatry
Psychiatrist, Chennai
If you do not drink alcohol and enzymes are high consult a gastroenterologist and do further tests to find the cause and get them down.
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Hello, My sgpt result is 176. Please kya solution hai isko normal karne ka or isse kya problem ho sakti h?

Homeopath, Hooghly
Take non spicy food,,avoid fatty food,,do regular exercise,,u need proper homoeopathic treatment to cure ur problem
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Hi Sir, I am 32 male my sgot is 60 and SGPT is 65 are this value is normal? Please give me valuable suggestions.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi Sir, I am 32 male my sgot is 60 and SGPT is 65 are this value is normal? Please give me valuable suggestions.
The best is to take proper treatment... You can consult me at lybrate for homoeopathic treatment. Till then take Liv T syrup.
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I am diabetic for last 30 years and taking insulin inj. Two times, also taking amaryl m2 as an oral drug for diabetes. My liver was found fatty. I don't take alcohol. Doctor started udiliv-300 and evion400 twice daily. After 2 months my sgpt and sgot found normal, but again my sgpt 70 and sgot 54 found. Should I again take above medicines? I don't feel hungry.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Mr. lybrate-user, Thanks for the query. In persons with diabetes fatty liver does occur. There is no need to take alcohol at all. It is known as Non Alcoholic Fatty Liver Disease (NAFLD). There is no specific treatment for it other than controlling blood glucose effectively, exercising regularly and maintaining normal or near normal weight. Strict glucose control is a must. Thanks.
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Fatty Liver Disease - Top Signs & Symptoms You Should Not Ignore!

Gastroenterologist, Bhopal
Fatty Liver Disease - Top Signs & Symptoms You Should Not Ignore!
Having some fat in your liver is legit. But, if you have too much of fat say more than 5%-10% of the organ's weight then you are at risk of getting fatty liver disease. At the onset, you can do one important thing to help your liver stop drinking. It causes fatty liver disease.

There are two main types of fatty liver disease

Alcoholic liver disease or ALD
Non-alcoholic fatty liver disease or NAFLD
If you are a woman who is pregnant, you can also get fatty liver disease.
Alcoholic Liver Disease (ALD)

You can get ALD from drinking lots of alcohol. ALD can also present itself after a short period of heavy drinking.
Genetics has a role to play in ALD. Genes can make you hit the bottle and increase your chances of becoming an alcoholic.
Genes can also impact the way your body breaks down the alcohol you drink.
Other root causes of ALD are:

Hep C doesn't cause ALD. it is one of the causes of fatty liver.
Hep B is also a cause of fatty liver. There are certain medications which may be helpful from person to person besides lifestyle management.
Excess iron in your body
Non-alcoholic Fatty Liver Disease (NAFLD)
The cause of NAFLD is not clear, but we know that it tends to run in families.
NAFLD is also more common in the middle-aged and the obese or, those who have high cholesterol and diabetes.

Other risk factors are:

Certain medicines
Viral hepatitis
Auto-immune or inherited liver disease
Gaining weight fast
Acute Fatty Liver during Pregnancy
Fat can build up in your liver when you're pregnant, causing this kind of fatty liver disease.
It s a serious condition as it can be risky for both you and your baby. It can cause liver or kidney failure in you and your child, both.
Causes are unknown. But, hormones may play a role.
Symptoms of fatty liver disease
This disease can sometimes cause no symptoms for long. But, the things to look out for are-

Feeling tired all the time
Loss of appetite or weight
General weakness
Confusion and trouble concentrating
Your liver can become larger
Pain in the centre or right upper part of your belly
In ALD, your symptoms get worse after bouts of heavy drinking. Fatty liver disease is diagnosed during routine exams when your doctor notices your enlarged liver. Ultrasound, blood tests to check for certain enzymes and biopsy of the liver are performed to confirm it.


There is no specific treatment for the fatty liver disease.
You can manage it by managing your diabetes and giving up drinking. If you have ALD and you don t quit, you get complications like alcoholic hepatitis or cirrhosis.
Even if you have a non-alcoholic fatty liver disease, alcohol cessation helps.
Losing weight if you are overweight also helps to manage this disease and having a good balanced diet with exercise also shows benefits.
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