What could cause recurred fatty liver after being treated while having diabetes and calcium deficiency?
Patient: Hello doctor...i am nazeer. now i am 53 years old.i scanned my liver 2010.that time my report was mild hepatomegaly with diffuse fatty changes.after one year treatment i was normal..that time by doctor suggestion i took essential-L capsules.but now i am not normal.again i have fatty liver,swellingand digestion problem.and the quantity of food decreased.after eating i am getting pain when i take immediate  rest on bed.and also some undigested food come to my mouth.i have sugar problem also.i have calcium deficiency.so by doctor suggestion i am taking milk..but if  take daily ,after 5 or 6 days  liver swelling and pain occurs..after taking that tablet the prolem temporary.i use gold winner oil only. i avoided fatty food items.please give me the solution... Doctor: Hi,Diabetes itself is a cause of fatty liver. Other than that it causes gastroparesis      ( slowing down emptying of stomach) which gives feeling of distended abdomen after meals. Both being overweight and gatroparesis lead to gastroesophageal reflux,causing undigested food to come to mouth. I think its high time to check your ALT levels. Drugs commonly used for fatty Liver are Metformin 500mg thrice a day after meals and for diabetic gastoparesis, Metoclopramide before meals. Regards