How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Pravin Your Own Question
Dr. Pravin
Dr. Pravin, Physician
Category: Medical
Satisfied Customers: 2548
Experience:  MBBS DNB
25843817
Type Your Medical Question Here...
Dr. Pravin is online now
A new question is answered every 9 seconds

What does a liver size of 17.6 cm mean?

Resolved Question:

I have a liver size of 17.6 cm. What does this mean?

Submitted: 5 years ago.
Category: Medical
Expert:  Dr. Pravin replied 5 years ago.

Thanks for using JustAnswer
The liver size that you have mentioned is on physical examination?

Customer:
I had an ultra sound after detecting ALT level of 68 & AST of 35.
Doctor diagnosed fatty liver ++
size 17.6 cm.

skindoctor2000:
The liver can become enlarged if there is inflammation of the liver cells ( known as hepatitis) and if not treated, it can turn to cirrhosis of the liver which is a disease that result in the death of the liver cells that turn to scar tissue inside the liver and block the blood flow and nourishment to the rest of the cells that are left and they may die also. It is a very serious disease that can lead to having to have a liver transplant in order to survive.

The normal liver size in males is 10 cm

Customer:
So 17.6 cm is very large?

skindoctor2000:
Yes it is. You will need to get a scan done to find out the details.
Liver function blood tests would need to be done.

Customer:
Scan of what?

skindoctor2000:
A scan of your liver.

Customer:
I have already done and the ALT is 68 and AST is 35.

skindoctor2000:
So they are high.
You will need to follow a few dietary restrictions, and avoid alcohol.

Customer:
Can hepatitis c or b cause such high sizes?

skindoctor2000:
Yes they can result in such large size but normally associated with a lot of pain.

Customer:
Also I have had a hepatitis c/b test done in January 2011 and it was negative.
So in 6 months can the infection (if occurred) cause such huge hepatomegaly?

skindoctor2000:
No, it is unlikely to be hepatitis or you would surely have got bouts of pain and severe jaundice.

Customer:
None of it. Of course slight pain is there after seeing the abnormal liver tests.

skindoctor2000:
So it is very unlikely to be hepatitis.

Customer:
Also doctor when they say about size which size are they talking about? the vertical length/horizontal length or depth?

skindoctor2000:
You can also opt for a liver biopsy. The vertical size.
Customer:
In case of hepatitis b/c recent infections what would be the enzymes reading and liver inflammation size?

skindoctor2000:
Enzyme readings of bilirubin above 7 ALT levels above 80 and inflammation size would vary from person to person but associated with a lot of pain.

Customer:
AST does not have any bearing in that case. also my total protein is 7.1. in recent infections does that also have any bearing? I mean to say in recent infections does total protein also increase dramatically?

skindoctor2000:
No, it does not.

Customer:
So now how do I reduce these levels? How much time will it take?

skindoctor2000:
It will take 4 weeks.
You will need to avoid alcohol, and have a high protein diet. You should also consider taking lactulose.

Customer:
Rice, lentils and vegetables. Yogurt can be taken?

skindoctor2000:
Yes, you can take lots of yoghurt.

Customer:
My only worry is this should not be hepatitis b or hepatitis c. I had a possible exposure (bled by a razor and I am sure it was a new blade) about 2 months ago.

skindoctor2000:
For that you will need to repeat the Hepatitis B testing.
But I feel mostly your symptoms are not showing any indications.

Dr. Pravin, Physician
Category: Medical
Satisfied Customers: 2548
Experience: MBBS DNB
Dr. Pravin and 3 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    49754
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    49754
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2592
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2014-6-23_23155_mysticdocimage.64x64.jpg Dr Basu's Avatar

    Dr Basu

    Experienced Specialist

    Satisfied Customers:

    20009
    MD
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    15199
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/LoriExpertsMod/2010-09-13_212310_sumit.jpg Dr. B.'s Avatar

    Dr. B.

    Doctor

    Satisfied Customers:

    7797
    Physician with 8 years of experience.