I have a fatty lever. Got to know about it after I resumed my morning jogging. I had a severe pain in stomach and later visited a doctor who advised me to get sonography done to know the exact reason of it. So I found that I have a fatty lever which has increased by 2.5 cm. So now my question is how do I keep my lever in a good condition.

Dr. Lalit Kumar TripathyGeneral Physician40yrs exp

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(fatty liver is due to excess fat accumulation in liver cells. There are three grades of fatty liver. Grade 1- it is the initial stage of fatty liver. Fat accumulates on the outer surface of liver and does not interfere with functions of liver and the person is asymptomatic. It is only accidentally detected during routine health check up and screening test (increased liver enzymes, increased size of liver on usg grade 2 &3 are are severe form and patient may be symptomatic like 1. Malaise, fatigue, fullness/heaviness in abdomen, liver may be enlarged and tender, 2. Jaundice, dark colored urine, loss of weight, nausea, vomiting, loss of appetite, 3. Generalised itching, giddiness, bleeding tendency, flapping tremor, impotency etc. 4. It can lead to cirrhosis of liver cause of fatty liver 1. Alcohol, obesity are the two major causes. 2. Other causes could be diabetes, hypertension, hypercholestorlemia, tb, mal nutrition, c, pregnancy 3. Drugs like steroid anti epileptic, anti hypertensive, anti neoplastic precaution 1. Reduce weight if you are over weight by regular exercise, 2. Control diet by avoiding oily, fatty, cholesterol rich and high calorie diet, diary food product, fried /processed/junk food, soft drink, sugar, salt, ghee butter meat. 3. Take foods rich in omega3 fatty acid like walnut, fish oil, flax seed oil, high fiber diet, vegetables, beet/carrot and fruits 4. Drink plenty of water 5. Avoid hepato toxic drugs 4. Total abstinence from alcohol, smoking if you are having 5. Monitor your liver function test regularly and consult gastro enterologist/hepatologist for advice and treatment 6. Control diabetes/hypertension if you have 7. Take hepato protective drugs like liv 52 2 tablets twice daily 8. Consult gastro enterologist/hepatologist for further advice. 

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