Question 1

I'm really concerned because my ultrasound report came back showing hepatomegaly with fatty liver grade 1 and a partially distended gallbladder. My SGPT and SGOT levels are normal, and so is my bilirubin and alkaline phosphate. I do experience light inflammation and occasional pain in my right upper abdomen. I'm worried and feeling a lot of anxiety about this. Could you please tell me what's going on and recommend any medications or treatments I should consider? I'm eager to understand more about my situation.

Accepted Answer

Your ultrasound shows a mild fatty liver (grade 1) and a partially distended gallbladder, which could be linked to diet or minor gallbladder dysfunction. Since your liver enzymes and bilirubin are normal, its not alarming. Focus on a low-fat, balanced diet and regular exercise, and consult a doctor to discuss potential medications like Ursodeoxycholic acid if needed. Don't worry; this is manageable with lifestyle changes.

Question 2

I'm concerned because I seem to be passing motion about 4-5 times a day, especially after 12 hours of eating anything, and it happens more when I'm at the office. But when I'm at home, it's only about twice, like in the morning and evening. Why could this be happening, and is there something specific I should do?

Accepted Answer

The urge to poop after eating is usually caused by the gastrocolic reflex, a naturalHere are some lifestyle changes that may help with gastrocolic reflex:
Eat smaller meals: Eat several smaller meals throughout the day instead of three large meals. 
Avoid certain foods: Limit or avoid foods that make symptoms worse, such as deep-fried or spicy foods, or meals high in fat. 
Drink fluids: Drink plenty of fluids, such as water, to keep things moving. 
Take probiotics: Take a probiotic supplement or eat foods rich in probiotics, like kimchi, sauerkraut, or low-fat yogurt. 
Manage stress: Try yoga, breathing exercises, guided imagery, or meditation to reduce stress. 
Exercise: Increasing physical activity can help. 
Take stool softeners: If stools are hard, take stool softeners with meals. 
Try peppermint: Take peppermint oil before meals or sip peppermint tea after meals.

Question 3

I'm feeling quite worried about a few things. I recently had a general check-up, and they found my gall bladder to be moderately distended but without any calculi or wall thickening. What concerns me is my bloating, indigestion, and irregular bowel movements. The ultrasound mentioned fatty liver grade 1 too, and that has me even more concerned. I've also been experiencing daily stomach cramps, along with back and leg cramps. I've tried a lot of tablets for these issues and even had a colonoscopy and endoscopy done - both were normal. All other tests like my CBC, LFT, and RFT came back normal too. Can you help me understand what might be going on?

Accepted Answer

A moderately distended gallbladder without calculi or wall thickening is often a benign finding, but given your symptoms of bloating, indigestion, stomach cramps, back pains, and leg cramps, it's understandable that you're concerned; the fatty liver grade 1 is a common condition, often related to diet and lifestyle; consider discussing the following with your doctor: dietary changes to manage fatty liver, potential gallbladder function tests (e.g., HIDA scan), and further evaluation of your symptoms to rule out other underlying conditions.

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