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

### input:
Hi, Abdomen Ultrasound shows mildly enlarged liver ( size 152mm) with increased echopattern. No IHBD. Portal Vein is normal. Impression: Mild hepatomegaly with Grade 3 fatty changes. I was suggested to take Udiliv 300mg for 2 months.....how severe is my problem. Can this fatty lever situation be reversed...please suggest. Thank you

### output:

You are having fatty liver disease. Yes, this can be reversed, but it will take some time. If you are diabetic or having dyslipidemia then it should be well controlled. Stop if you are having any addiction- particularly alcohol. I don't think that Adílio will help you in this condition- practically it has got no role in fatty liver disease. Citrus fruits and it E (e.g. Evion 400 capsule) have good role. Control your diet, eg-increase fiber rich diet, decrease fat consumption. Start having regular exercise (at least daily walking) and control healthy body weight. You should undergo following investigations urgently-1.fasting blood sugar and post glucose load (2 hr after taking 75gm glucose) blood sugar2.lipid profile3.liver function test4.anti HCV antibody (there is some association with chronic hepatitis C infection and fatty liver, so its better be excluded)5.blood pressure measurement on the basis of these reports you might need Metformin +/- atorvastatin. You can mail me(mainak.nrsmc@gmail.com) your reports and I will be glad enough to help you. Good luck, stay healthy and stay positive.