I've been thinking about taking a probiotic supplement, maybe something like Sporlac, on a daily basis. I'm really curious if it would be good for my health, but I'm also a bit worried about any side effects it could have. Can you give me some guidance on whether it's a good idea to use this regularly?

Dr Chandra P

General Practitioner

• MBBS
• 5+ Yrs

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Mild Hepatomegaly with Fatty Liver Diagnosis

Results Interpretation

1. Enlarged liver (14.8 cm): Indicates mild hepatomegaly.
2. Diffuse fatty change (grade 3): Suggests fatty liver disease.
3. Negative hepatitis A and C tests: Rules out hepatitis A and C infections.
4. Elevated liver enzymes:
   • SGOT (AST): 46.5 (normal: 0-40 UL)
   • SGPT (ALT): 91.5 (normal: 0-40 UL)
   • Gamma GT: 97.1 (normal: 0-50 UL)

Recommended Next Steps

1. Consult a gastroenterologist or hepatologist: Discuss your results and determine the best course of action.
2. Lifestyle modifications:
   • Maintain a healthy weight
   • Exercise regularly
   • Eat a balanced diet
   • Avoid sugary and processed foods
3. Further testing: Your doctor may recommend additional tests, such as:
   • Liver biopsy
   • Imaging studies (e.g., MRI, CT scan)
   • Blood tests to rule out other liver diseases

Possible Causes of Fatty Liver Disease

1. Insulin resistance: Often associated with obesity, type 2 diabetes, or metabolic syndrome.
2. Genetic predisposition: Family history can play a role in developing fatty liver disease.
3. Other medical conditions: Certain conditions, such as polycystic ovary syndrome (PCOS), hypothyroidism, or sleep apnea, can increase the risk of fatty liver disease.

Answered 04/07/2025