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

### input:
Good Afternoon Sir, I am a female aged about 38 years. I am suffering with Mild Hepatomegaly (liver measuring 15.4 cm) and no other problem found in the whole abdomen scan. I am a vegetarian and taking only the simple food without spices. Not using any alcohal or any other like substance or medicine. One thing I want to bring to your notice that my my mother in law generally adds some poisnous substance (some times in very low quantity and sometimes in high quantity) in my food despite of every care I take. I think this is due to that reason only. It is happening since 7.6 years. My 3.6 years baby also takes this food and whenever that substance is added we both suffer from loose motion or severe constipation and pain in abdomen. Swelling in the vegina and other areas. Kindly suggest how to cure this increase in size of liver. My child has also gone through the scan and it shows normal report. Whenever we both suffer, I generally give him home made fruit juices but taking the same myself once in a while. The substance she uses is the lakshman rekha chowk for killing cocroaches or other insects. Kindly advice for both of us. Thanks n Regards,

### output:

Hi, Usually, liver enlargement may indicate some types of hepatitis or fatty liver diseases and in most cases, it doesn't require any specific treatment.  If this is caused by diet, obesity, and diabetes then dietary and lifestyle changes will be beneficial in every case.  Alcohol and viral hepatitis are the most common causes and in this case, medical evaluation is required.  Also, if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment.  You need to check your viral markers and do a liver biopsy if necessary. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.  Rammstein, General Surgeon