- female
- 60 Years
- 22/01/2025
I'm really worried about my mom. She had an ultrasound a couple of days ago, and it said her liver is bigger than normal at 159 mm with mildly increased echotexture. Theres no sign of dilated IHBR or any abscess. Most other organs like her gall bladder, pancreas, spleen, kidneys, and uterus seem normal, but she has been feeling nauseous consistently for the last 10 days and it's hard for her to eat. She has diabetes and high blood pressure for which she's on medication. What do you think could be causing these symptoms, and what should we do next?
Answered by 1 Apollo Doctors
Visit your Physician for evaluation and appropriate management
Dr. Mubarak Suggests...
Consult a Gastroenterology/gi Medicine Specialist
Answered 04/07/2025
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More Gastroenterology/GI medicine Health Queries
View allI'm a bit worried after my recent liver function test results came back. My AG ratio is high at 3.5, and while my albumin is in the normal range, my globulin level is low at 1.7. Also, my direct bilirubin is slightly elevated at 0.33. Most other test results seem normal though. What could all this mean? Could there be something going on with my liver that I should be concerned about?
An elevated Anion Gap (AG) ratio of 3.5, low globulin levels, and slightly high direct bilirubin levels can indicate several possible conditions. Since your albumin levels are normal, let's explore potential causes: *Possible Causes* 1. *Malnutrition or Malabsorption*: Low globulin levels can be due to inadequate nutrition or malabsorption. 2. *Liver Disease*: Elevated AG ratio and slightly high direct bilirubin levels may indicate liver dysfunction or disease. 3. *Nephrotic Syndrome*: Although albumin levels are normal, low globulin levels can be seen in nephrotic syndrome. 4. *Chronic Infections or Inflammation*: Low globulin levels can be associated with chronic infections or inflammation. *Next Steps* 1. *Consult a Hepatologist or Gastroenterologist*: Discuss your test results with a specialist to determine the underlying cause. 2. *Additional Tests*: Your doctor may recommend further tests, such as: - Liver ultrasound or imaging studies - Viral hepatitis screening - Autoantibody tests for autoimmune liver diseases - Urine tests to evaluate kidney function 3. *Dietary Changes*: Ensure you're getting adequate nutrition, and consider consulting a dietitian for personalized guidance. Please consult a specialist to determine the underlying cause of your abnormal test results.
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Consult ENT
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refer to general physician
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.