About a year ago I was diagnosed with a fatty liver by Fibroscan with a finding of S3. I put myself on a diet and repeat Fribroscan shows S 0-1. Great, good job except part of the finding is a liver with course echo texture!
What is the significance of a liver with course echo texture, short term and long term. Does this place at increase risk for problems. Is it reversible.
Charpei was it the Fibroscan that indicated the course echo texture.
Yes, Fribroscan.
If your liver was an S3 it was pretty enlarged probably. Now that you are S0-1 it should have shrunk. Nothing ever gets stretched and becomes baby smooth but the question is really liver stiffness. If you have a low stiffness score too consider it cosmetic. If you have a stiff liver you need to be aware of possible inflammation. The FibroScan should have given you a kPa score, 7.0 is normal higher values suggest possible damage.
Thanks for your reply. My kPa score was 4.2. I want to liberalize my liver diet to include an occasional steak with a glass of wine. This also includes taking a dose of ibuprofen several times a week for achy joints. Is this ok as long I keep up with exercise but follow a less restrictive diet?
If I had that score I'd be OK with doing that. If possible, Tylenol is a better choice for liver health. It seems like you've done everything right and normal life is yours. You know where not to go again so congratulations.
Hi Wayne. As always, your answers are very insightful. My question here is why is Tylenol better for liver than Ibuprofen? I thought it was the opposite? I just had surgery yesterday unrelated to the liver. The pain meds they gave me are hydrocodone with ibuprofen. The Tylenol combo was an option but I said no to the Tylenol assuming that was terrible for my liver. Interested in your thoughts.
This may help answer your question. uspharmacist.com/article/pa...
Thank you. This is helpful but now I wish that I had gotten the Tylenol mix instead of the ibuprofen mix with my hydrocodone. It's always something🙄
I also thought it was just the opposite. I read that ibuprofen is well tolerated by the liver, considered safe. I use it to reduce inflammation due to a stubborn shoulder tendinitis and felt that ibuprofen was more therapeutic.
The article was very informative. I rarely use Tylenol and now it’s good to know I can use it without concern of harming my liver.
It is confusing. in some ways it is a lesser of evils debate. Tylenol is processed by the liver so dose is a big concern. The other NSAIDs have greater toxicity for gastro, kidney, and heart concerns in addition to possible liver issues. Since most people with liver disease actually die of heart failure that is a consideration. While rare, liver failure from NSAIDs is harder to manage than Tylenol so they generally go with that but none of them are risk free.
That is good to know. This is a short term use of pain meds after foot surgery. I don't plan on taking them longer than two days so hopefully the NSAIDs won't do too much damage. I appreciate your Insight. You are a wealth of information to an entire community. Thank you.
Help With enlarged liver
There is no specific medicine for enlarged liver. Lifestyle is usually the issue. Here is a link to our view of a liver friendly diet
fattyliverfoundation.org/li...
Hi, I had a CT scan for Kidney Stones and they found an enlarged liver and Spleen. Sent me to GI for Endoscopy, colonoscopy, liver enzymes blood work and hep A,B,C tests. All showed normal. Did Ultrasound Sonogram, doc says S2 STEATOSIS F0.
I went ahead and did what he said, lose weight eat better. Lost 30lbs but the pain in my abdomen upper right has not really gone away. Does this mean my liver is damaged more than reported and what do I do now.
Doc has actually scheduled an MRI with contrast for this Sat April 24.
Advice?
abdominal pain can have many sources. Liver pain comes from the covering of the liver and not the liver itself as it has no nerves. Very often doc can't really tell but the key question is whether you have scarring in the liver. Presumably not if the initial diagnosis is correct. The better test to determine that is FibroScan if that is available to you. MRI is great at structure but doesn't really measure stiffness but talk to your doc about the details of the diagnosis.
Hi sir what is your recent fibro scan score??
9.6
I am so happy after your what is your next goal sir??
That is probably as low a I can get the stiffness without some kind of drug therapy so my goal is to maintain at this level. I'm able to live a pretty normal life and that is what matters. I do not have symptoms at this point so I feel fine staying here.
Sir, is it possible your liver stiffness reverse to 0.
I did one of those fibro scans and it said I had fatty liver.....I called BS....did a liver biopsy and my liver was fine!
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