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Dr. Pravin
Dr. Pravin, Physician
Category: Medical
Satisfied Customers: 1938
Experience:  MBBS DNB
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I have a liver size of 17.6 cm. what does this mean

Resolved Question:

I have a liver size of 17.6 cm. what does this mean ?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Pravin replied 2 years ago.

skindoctor2000 :

hello thanks for using justanswer

Customer:

hello

skindoctor2000 :

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.

Customer:

doctor diagnosed fatty liver ++

Customer:

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.

skindoctor2000 :

the liver normal size in males is 10 cm

Customer:

so 17.6 cm is very huge

skindoctor2000 :

yes it is

skindoctor2000 :

you will need to get a scan done

skindoctor2000 :

to find out the details

Customer:

scan of what ?

skindoctor2000 :

liver function blood tests would need to be done

skindoctor2000 :

scan of liver

Customer:

i have already done and the ALT is 68 and AST is 35.

skindoctor2000 :

so they are high

skindoctor2000 :

you will need to follow a few dietary restrictions

Customer:

can hepatitis c or b cause such high sizes ?

skindoctor2000 :

you will also need to avoid alcohol

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.

Customer:

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. ofcourse 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

skindoctor2000 :

the horizontal

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

skindoctor2000 :

you will need to avoid alcohol , high protein diet

skindoctor2000 :

you can take 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. 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

skindoctor2000 :

testing

skindoctor2000 :

But i feel mostly your symptoms are showing any indications

Customer:

i did not understand

skindoctor2000 :

you need to repeat the blood test to detect the antigen for the Hep B

Customer:

what about hepatitis c ?

skindoctor2000 :

yes ofcourse for that too

Customer:

are the symptoms indicative of any such thing ?

Customer:

what are the chances ?

skindoctor2000 :

no your symptoms are not much indicative of hepatitis

skindoctor2000 :

chances are less than 20 %

Customer:

Ok doctor. thank you.

Dr. Pravin, Physician
Category: Medical
Satisfied Customers: 1938
Experience: MBBS DNB
Dr. Pravin and 3 other Medical Specialists are ready to help you

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