Hepatic Steatosis

Some patients with CF may develop fatty infiltration of the liver, with hepatomegaly. This is not uncommon as part of refeeding of malnourished patients, and I have seen this arise over a few days in an inpatient on NG tube feeds. Most of the time, this is an entity diagnosed by US (hyper-echogenicity) or computed tomography (CT), and rarely has a biopsy been performed. Ensuring normal nutrition for both macronutrients and micronutrients is important and will help to resolve the problem. It needs to be remembered that many patients with CF will have a palpable liver on examination when they have pulmonary hyperinflation. This should not be confused with hepatomegaly.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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