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Enlarged Liver
Dec 30, 2009

My doctor said that my liver was large. He said he should not have been able to feel my liver as easily during my physical exam, but that I should worry because my liver was smooth. My question is that is an enlarged liver normal/common for HIV+ persons? I've been on Atripla since summer 2007 and I take a multiple vitamin, fish oil w/omega-3(1200mg), vitamin C(500mg),selenium(200mcg), and B-complex(vitamins c 300mg, thiamin 15mg, Riboflavin 10.2mg, Niacin 50mg, B6 5mg and pantothenic acid 10mg) on a daily basis. What does an enlarged liver represent healthwise?

Response from Dr. Henry

Enlargement of liver is rarely due to a direct effect of Atripla. Fatty liver is a common cause of liver enlargement in the general population. A variety of infections (including viral hepatitis), cirrhosis, alcohol liver disease, heart problems, auto-immune conditions, other systemic diseases can cause the liver to enlarge. In some cases it is a normal varient. To sort out need full history, physical, and lab assessment. KH



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