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Thanks for using JustAnswerThe liver size that you have mentioned is on physical examination?JACUSTOMER-mqohsens- :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 cmJACUSTOMER-mqohsens- :So 17.6 cm is very hugeskindoctor2000 :yes it is. you will need to get a scan done to find out the detailsLiver function blood tests would need to be doneJACUSTOMER-mqohsens- :scan of what ?skindoctor2000 :scan of liverJACUSTOMER-mqohsens- :i have already done and the ALT is 68 and AST is 35.skindoctor2000 :so they are highyou will need to follow a few dietary restrictionsyou will also need to avoid alcoholJACUSTOMER-mqohsens- :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 painJACUSTOMER-mqohsens- :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 jaundiceJACUSTOMER-mqohsens- :none of it. ofcourse slight pain is there after seeing the abnormal liver tests.skindoctor2000 :so it is very unlikely to be hepatitisJACUSTOMER-mqohsens- :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 biopsythe horizontalJACUSTOMER-mqohsens- :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 painJACUSTOMER-mqohsens- :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 notJACUSTOMER-mqohsens- :so now how do i reduce these levels ? how much time will it take ?skindoctor2000 :it will take 4 weeksyou will need to avoid alcohol , high protein dietyou can take lactuloseJACUSTOMER-mqohsens- :rice, lentils and vegetables. yogurt can be taken ?skindoctor2000 :yes you can take lots of yoghurtJACUSTOMER-mqohsens- :my only worry is this should not be hepatitis b or hepatitis c. rest all i can manage. 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 testingBut i feel mostly your symptoms are showing any indicationsJACUSTOMER-mqohsens- :i did not understandskindoctor2000 :you need to repeat the blood test to detect the antigen for the Hep BJACUSTOMER-mqohsens- :what about hepatitis c ?skindoctor2000 :yes of course for that tooJACUSTOMER-mqohsens- :are the symptoms indicative of any such thing ?what are the chances ?skindoctor2000 :no your symptoms are not much indicative of hepatitischances are less than 20 %JACUSTOMER-mqohsens- :Ok doctor. thank you.