Suffer from abdominal pain, distention and constipation. Have fatty liver. Lack of appetite. Any suggestions?
Patient: Hi I suffer from abdominal pain, distention and constipation.  I have been told that I have a fatty liver. I have also had a history of vomiting, lack of appetite.  Today I have eaten two mince pockets, three cornchips and a muffin.  I am so bloated I could not even think of eating again.  I am so uncomfortable.  I have had to force myself to eat. It appears that there could be so many diagnoses for my symptoms.  I just feel like not eating again.   I am taking vitamin b tablets for my liver as per my doctors instructions. Doctor: Hi,Welcome to HCM,With available information you have pain in abdomen, and distension and also known to have Fatty liver.Fatty liver could be Alcoholic Liver Disease (ALD) or Nonalcoholic fatty liver disease (NAFLD), depending on you take alcohol or not.Other factors which contribute are diabetes and Obesity, with metabolic syndrome.High cholesterol and Triglyceride level can also cause fatty liver.Many drugs are involved in many patients common  one are corticosteroids, antiviral, amiodarone .You should go for complete check up like complete blood count, Liver function tests, kidney function tests, Lipid profile, Serum Amylase and Lipase and Endoscopy  to find if anything is detected.Treatment depends on cause would involve Proton pump inhibitors, Prokinetics, Statin, a weight loss programme and complete stoppage of alcohol and smoking if any.Diet modification taking food with low glycemic index and protein and lot of green vegetables and avoiding simple sugars animal fats and regular physical exercise as to treat such an issue multi pronged approach is essential for success.Hope this information is useful to you.Take care Good Luck.Dr.Akhilesh Dubey.