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Fatty liver grade 2/3 and abdominal pain
Hi
I was having dull pain under right abdomen and was advised USG.
Attached is the usg report which shows Grade2-3 fatty liver with mild nodular margin.
What is the next step
Answers (21)
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Grade 2-3 fatty liver with a nodular margin at 30 is not a report to shrug off - that wording means the liver is already irritated, not just fatty, and your dull right-sided pain fits a stretched liver capsule. The good news is that at this stage it is fully reversible; left alone for a few years is how it turns into fibrosis.
Next Steps
Get LFT, fasting sugar with HbA1c, lipid profile, TSH and hepatitis B and C screening done. Zero alcohol, no sugary drinks or fried food, cut refined carbs, and start 45 minutes of brisk walking daily with a target of losing 7-8% of your weight - that alone clears most fatty liver. Bring the USG and these reports on a Practo consult with me and I will fix the treatment plan and decide when to repeat the scan.
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine.
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Do Lft and fibro scan
Check serum amylase and lipase
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Grade 2 to Grade 3 fatty liver means fat buildup in your liver has moved from moderate (33% to 66% of cells) to severe. This serious level raises risks for swelling, permanent scarring (cirrhosis), and liver trouble, but you can still manage and improve it.
Treatment focuses on slow weight loss, a healthy diet, daily exercise, and quitting alcohol. regular follow-up with a hepatologist will help.
Next Steps
feel free to consult me on practo if you still have further queries
Health Tips
Weight and Diet ChangesLose weight safely: Aim to drop 7% to 10% of your total body weight, but do it slowly (about 0.5 kg per week).Eat high-fiber foods: Choose fresh vegetables, fruits, and whole grains like oats and brown rice.Choose lean proteins: Eat fish, chicken, beans, and lentils instead of red meat.Use healthy fats: Cook with olive oil and eat small amounts of nuts or avocados.Avoid bad foods: Cut out sugary drinks, white bread, fried food, and packaged snacks
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Do a fibroscan to check the level of fibrosis.
And you need medication and lifestyle changes.
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Plz share proper history
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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST OTHERWISE NO THERAPY GIVES U PROPER RESULT.
LAMONADE ELECTORAL POWDER BUTTERMILK CURD KANZI.
TAB UDILIV 300 TWO TIMES AFTER FOOD FOR 2 MONTHS.
TAN LIV 52 ONE AT NIGHT AFTER DINNER FOR LONG TERM.
MEFTAL SPAS DS TWO TIMES OR SOS FOR PAIN RELIEF.
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Please share details of your medical history, get liver function tests and lipid profile done and share results. Then I can help you further.
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Go for fibroscan, its sensitive.
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Do consult
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Mr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Aslam K Yoosuf
General Physician
1 yrs exp
Ernakulam
The immediate priority is to see a gastroenterologist or hepatologist for a FibroScan and comprehensive blood work to evaluate the extent of liver fat and check for early scarring (fibrosis).
Key Recommendations
Specialist Evaluation & FibroScan: Schedule a FibroScan (transient elastography) as recommended. This non-invasive test measures liver stiffness to clarify whether the "mildly nodular margins" reflect early tissue scarring or fibrosis.
Essential Lab Work: Complete the suggested tests:
Liver & Metabolic Profile: Liver Function Tests (LFTs), lipid panel, and fasting blood glucose/HbA1c to assess liver stress and metabolic health.
Pancreatic Panel: Serum amylase and lipase to evaluate pancreatic status given the fatty infiltration.
Targeted Lifestyle Adjustments:
Zero Alcohol: Avoid alcohol entirely to prevent additional stress on the liver.
Dietary Changes: Shift toward a Mediterranean-style diet high in vegetables, lean proteins, and fiber while eliminating sugary drinks and refined carbs.
Gradual Weight Loss: Aim for a steady reduction of 5–10% of body weight through regular exercise (e.g., 150 minutes of moderate aerobic activity per week). Avoid rapid weight loss, which can temporarily stress the liver.
Warning Signs: Seek immediate medical attention if you experience yellowing of the eyes/skin (jaundice), abdominal swelling, severe right-sided abdominal pain, or confusion.
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Mr. Soni Pratham Bharatbhai
General Practitioner
1 yrs exp
Palanpur
Consult Gastroenterologist for better investigation.
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Mr. Arunchand N K
General Practitioner
Alappuzha
Its adviced that you best get your LFT/FBS/PPBS/FLP/BRE and FIBROSCAN done . You can review with results
Health Tips
You're welcome for consultations with the above mentioned test reports.
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Dr. Reesha Varshney
General Physician
1 yrs exp
Bareilly
For further management in your case some tests will be required for confirmation of the cause of fatty liver
Following which I can suggest you some home remedies, medications and lifestyle modifications
Most importantly all your history will be required for assessment
Connect with me for further consultation and I will help you out
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Ms. Snehil Kumari
General Physician
Noida
Pls upload or get Fibroscan done and then consult and LFT
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.