U.S. doctors online nowAsk doctors free
A 36-year-old male asked:

Not a drinker. my ultrasnd says mild enlarged & fatty liver. i'v high biliru- 2.1(dir-0.5,ind-1.6).sgpt/sgot- just high. alp - ok ,proteins - ok.lipid profile - ok. panc - ok. esr -8, cbc- normal, blood sug - ok, kidney -ok.no hep b/c. is it serious?

2 doctor answers2 doctors weighed in
Dr. Rebecca Gliksman
Internal Medicine 40 years experience
Large fatty liver: What were your lipids? What is your B12? vgetarian? Increased bili is seen in low B12 and NAFLD is associated.. Also unconjugated bili is from hemolysis ( meds or G6PD-middle east), B- thalessemia( congenital), medications, diseases affecting conjugation( Gilbert's-Mediterranean ) Exposed to chemicals? carbon tetrachloride medications? gemfibrizol? Would avoid tylenol (acetaminophen) f/u/ w /doc
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Mohammad Shahzad
Specializes in Internal Medicine
NASH: Please read about NASH It leads to cirrhosis of liver Should see and follow up with gastroenterologist as there is new drug available for NASH/ fatty liver Also drink 2-3 cups of black Coffey ( no sweetener/ no milk/cream) daily
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Aug 26, 2016
Connect with a U.S. board-certified doctor by text or video anytime, anywhere.
$44 video appointments with $19/month membership*
*Billed $57 every 3 months. Cancel anytime.


Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.