Fatty liver, pain in upper quadrant, high cholesterol, ldl. MRI done. Reason for pain?
Patient: Hi. I am 35 years old , 5 feet 9 inches tall ,80 kgs, I have a fatty liver which got diagonosed during ultrasound. My alt is 102 and ast 65. I have persistent dull to moderate  pain in Right upper quadrent also felt in upper right side of back. My lipids are also high total cholestrol 265 ,ldl 185 , triglycerides 260. I am a daily drinker since last 12 -13 years , per day consumption 300 -350 ml alcohol. Got my mri , ct scan, mrcp done , they all suggest fatty infilteration.. during all these years of drinking I have been giving gaps of 30 days atleast twice or thrice an year that is 60 to 90 days in an year.. kindly advice ... where do I stand ...and reason for this pain.. although tests have ruled out pancreatitis ,  do u think this could be mild initial pancreatitis not sowing in imagery tests .... or is it related to liver  or gall bladder or is it some ulcer or just ibs...please guide... Doctor: HelloThanks for writing to HCMDefinitely pain is due to liver problem.You have to quit alcohol  completely.Fatty liver is reversible state.You can take tablet ursodeoxycholic acid 150 mg twice daily for three months. It will help in regeneration of cells.Pancreas involvement can be confirmed by blood amylase and lipase level test.So,get it done.Also you need medicines for altered lipid profile.Get well soon.Take CareDr.Indu Bhushan