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Pain in right side and left side upper
Doctor I have attached the pain area photo undergone USG abdomen which says heterogeneous echo texture of liver rest all normal, mildly elevated ggt and alpt pain since 3-4 months which was earlier settle down then come again
Consulted with gastroenterologist he prescribed attached medicines which initially cure much but now problem again persist
Last 27 may ggt- 182, alpt- 119, sgot- 25, sgpt-29 ,a/g ratio-1.65
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Persistent upper abdominal pain with a heterogeneous liver appearance and abnormal liver enzymes needs correlation with the full report and examination.
Fatty liver is common, but gallbladder, gastric, muscular and other causes may also produce pain on either side.
Avoid alcohol and unnecessary painkillers/supplements, eat lighter meals, and continue only medicines advised after review.
Seek urgent care for severe worsening pain, fever, repeated vomiting, jaundice, black stools or abdominal swelling.
Please book a consultation with the ultrasound images and complete liver tests so further testing and treatment can be planned.
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Treatment is good.
Reconsult
CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST.
NO RELATION WITH GGT.
LIVER IS NOT MUCH DAMAGED.
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Your GGT (182) and ALT (119) are elevated and, along with a heterogeneous liver on ultrasound, warrant further evaluation.
This does not by itself mean serious liver damage, especially with normal AST, but recurrent pain for 3–4 months should not be managed only by repeatedly taking medicines.
Please avoid alcohol and unnecessary OTC/herbal supplements and get a repeat LFT with bilirubin, ALP, albumin and PT/INR, along with hepatitis B/C screening.
Depending on the examination and reports, further tests or additional liver work-up may be needed.
Please consult me on Practo with your complete LFT and ultrasound reports so I can assess the cause of the pain and abnormal liver enzymes and guide you further.
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it would have been nice if you have included whether its continuous pain or intermittent pain.....in the picture you have marked, it includes both lower chest and upper abdomen.
you have sorted upper abdominal causes by getting USG abdomen and consultation with gastroenterologist. the medicnes that are prescribed are right and in right dose and frequency. along with heterogenous echo texture in liver they would have mentioned which grade fatty liver it is. that could have helped us to understand your current condition better.
we still need to ruleout lower chest causes for pain
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Need lifestyle modifications also and stop alcohol ,if you drink ,because ggt has strong correlation with alcohol and fatty liver.
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