### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I had a nasty cold that started approx 45 days ago. Started with sore throat almost swollen shot, got minutely better but have not gotten over the large scale mucous and congestion. Had elevated dimer-d, had CT Angioram, all clear Lung X-Ray clear. Fast forward today, routing exam for colonoscopy. Doc says liver feels enlarged. Does dimer-d have a connection. No pain nothing just still tons of head and upper resp congestion. Does OTC cold meds enlarge liver?

### output:

Hi.thanks for posting query at ChatDoctorincomplete history...how was enlarged liver observed>? Ultrasound?were liver enzymes tested? Was the values normal?your age/.?any liver disease history? HepB/HEPA? Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty/enlarged liver. Advice for fatty liver:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor. 