my liver has enlarged occuping 3cm below Rt costal margin extending the gastric regine to the umblicus,and has mass at epigastric regine.now I have fever,vomiting,abd discomfort,skin color not chenged,no halitosis,no edema so what types of lab exam shall I do?
Hi thanks for contacting Chat Doctor... Noted you have liver enlargement with fever and omitting with pain.... So here it could be viral hepatitis like infection by heterotrophic virus, or it could be liver abscess like condition... Do following investigations....1.USG 2. Liver enzyme estimation Sept and sgot3.viral marker study for hepatitis A, B, C, E...4. Serum bilirubin 5.urine urobilinogen If abscess present then antibiotic given intravenous.... And if needed surgical Chat Doctor. ... If it is viral hepatitis keep immunity high... Cutt of oil.... Fruits taken more.... Green leafy veg more... Excess fatty and fried food avoided. One tsp carom and cumin seed with water taken daily... Sugar can juice, apple juice, carrot juice good one.... Rest is important.... Avoid strenuous activity.... Recovery will be gradual within month in hepatitis..... With keeping my answer in mind consult gastroenterologist.... Tale care...