I recently went for a check-up and they found my spleen was enlarged at 13 cm and I have a grade 1 fatty liver. I did a bunch of tests like for malaria, typhoid, diabetes, thyroid, hepatitis B and C, ANA, and lipid profile, and everything came back normal except my bilirubin level is at 1.6 and my SGOT SGPT is around 5990. After sticking to regular exercise and a better diet for 50 days, I lost 6 kg, going from 87 to 81 kg. I still don't have any other symptoms but I feel some pain in my spleen area and now it's 14 cm in the ultrasound. I'm taking Udiliv 300 and vitamin E, but I've talked to a lot of doctors and still don't really understand why my spleen is enlarged. Can you help clarify what's going on?

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Dr Shubham Chauhan

General Practitioner

MBBS
4+ Yrs

Consult Now

As someone with high blood pressure (HBP), it's great that you're taking proactive steps to manage your condition and prevent potential complications, such as kidney problems.

Understanding the Link between HBP and Kidney Problems

High blood pressure can damage the blood vessels in your kidneys, reducing their ability to function properly. This can lead to kidney disease or exacerbate existing kidney issues.

Precautionary Measures to Protect Your Kidneys

Monitor your blood pressure regularly: Work with your doctor to ensure your blood pressure is well-controlled, aiming for a target range of 12080 mmHg or lower.

Get regular kidney function tests: Your doctor may recommend periodic urine and blood tests to monitor your kidney function.

Maintain a healthy lifestyle:

Exercise regularly: Aim for at least 30 minutes of moderate-intensity physical activity most days of the week.

Eat a balanced diet: Focus on whole, unprocessed foods like fruits, vegetables, whole grains, lean proteins, and low-fat dairy.

Stay hydrated: Drink plenty of water throughout the day.

Limit sodium intake: Consume no more than 2,300 milligrams of sodium per day. Choose low-sodium options, and season your food with herbs and spices instead of salt.

Stay hydrated: Drink plenty of water throughout the day to help your kidneys function properly.

Manage stress: Engage in stress-reducing activities like meditation, yoga, or deep breathing exercises.

Get enough sleep: Aim for 7-8 hours of sleep per night to help regulate your blood pressure and overall health.

Avoid smoking and limit alcohol: Both smoking and excessive alcohol consumption can increase your risk of kidney problems.

Dr. Shubham Suggests...

Consult a Gastroenterology/gi Medicine Specialist

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Answered 04/07/2025

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I recently had an abdominal ultrasound that showed multiple small gallstones in my gallbladder, the largest being 4mm. I haven't had any pain or issues so far do I still need surgery? Also, the scan showed Grade 1 fatty liver how serious is that? Should I be worried?

A detailed evaluation will help decide the best course of action.

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I've got 5.3mm gallstones but no major pain, just occasional back discomfort do I really need surgery or are there meds that can dissolve them

Having 5.3mm gallstones and no major pain is common, and in most cases, these gallstones don't require treatment. These are often called "silent stones" because they don't interfere with the gallbladder's function or cause any noticeable symptoms. However, it's important to be aware of potential future issues and to consult with a doctor to discuss your specific situation.

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Ive been experiencing this pain that gets worse after eating, and its been going on for three years now. I had an abdominal ultrasound, but nothing unusual came up. Some days I dont feel any pain at all. Over the past three years, I've lost about 12 kg, but I've also started walking more, so maybe that's why. Im now 45 kg and I'm 5 feet 3 inches tall. Should I be worried about this weight loss, or does it seem like it's just from being more active? Any idea what could be causing the pain?

You may be experiencing symptoms of gastritis, which is inflammation of the stomach lining. This can cause pain that worsens after eating. Since nothing was found on the abdominal ultrasound, other possible causes could be considered such as acid reflux or peptic ulcer disease. Some common medicines available for gastritis include Pantocid, Omez, and Rabicip. These medications help reduce stomach acid production and provide relief from symptoms. It is important to consult a healthcare professional for proper diagnosis and treatment plan.

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