Question: Hi,
I am 34 years, male. I am just done with ultrasound of my abdomen and here are the results. My doctor has also requested for blood work as well. I am having pain in my abdomen, feeling bloated most of the time when I sit and feels better when I standup and walk. I never had anything like this before and these symptoms appeared over the last 2-3 months or so. Can you please advice?

TECHNIQUE: Transverse and sagittal transabdominal sonograms of      
the abdomen, aorta and IVC were performed in conjunction with      
color Doppler.      

FINDINGS:      

Liver: Visualized portions demonstrate increased echogenicity      
without focal masses. No intra- or extrahepatic ductal      
dilatation. There is normal hepatopetal portal venous flow.      
Measures 18 cm.      

CBD: Normal in course and caliber, measuring 4 mm.      

Gallbladder: Unremarkable without gallstones, sludge, wall      
thickening or pericholecystic fluid. No sonographic Murphy's      
sign.      

Pancreas: The pancreas is unremarkable.      

Spleen: No splenomegaly or definite focal splenic lesion.      
Measures 9.9 cm.      

Kidneys: Right kidney measures 10.0 cm. Left kidney measures      
10.0 cm. There is normal renal cortical echogenicity and      
thickness without hydronephrosis, nephrolithiasis or focal renal      
parenchymal lesion.      

Aorta: The aorta is normal in caliber.      

IVC: The IVC is normal.      

Impression:

IMPRESSION:      
Hepatomegaly and hepatic steatosis. Otherwise normal exam.

Thanks.

thanks doc for your reply.. yes my doctor ordered me stool and blood work and going for it tomorrow. about me, im not a smoker and i am a very social drinker and take a XXXXXXX of 2 or 3 beers at a time...the last time i had alcohol was 4 or 5 months before. Reg my symptoms, i get some pain at the back but not always..once in a while and it doesnt bother me as the bloating and tightness and pain of my abdomen is. My stool color appear normal...but the frequency of bowel.movement varies. sometimes i get it n the morning or sometimes it haopens in the evening. Also, the stool sometimes appear very hard and long and the next day it is very soft and sticky. my urine output looks normal and color looks ok too. The pain and tightness around the abdomen is what is discomforting me. I also had a abdomen xray by drinking barium to check for GERD. The findings on xray appears normal but my doctor says i may have some sort of reflux disease going on. i have scheduled my appt only next week. im so worroed abt this pain and the ultrasound result also upset me where it says heptamelogy and fatty liver. please advice why this pain is and is there any food that i have to avoid at home and i eat mostly at home...

Hello Doctor,
I got my blood test results. Here it is..very much concerned about low neutrophill count. Does it mean something serious? Please advice.

Component     Your Value     Standard Range     Flag
White Blood Cell Count     7.0 K/uL     4.0 - 11.0 K/uL     
Red Blood Cell Count     5.50 M/uL     4.4 - 6.0 M/uL     
Hemoglobin     15.9 g/dL     13.5 - 18.0 g/dL     
Hematocrit     47.0 %     40.0 - 52.0 %     
MCV     86 fL     80.0 - 100.0 fL     
MCH     28.9 pg     27.0 - 33.0 pg     
MCHC     33.8 g/dL     31.0 - 36.0 g/dL     
RDW     13.0 %     <16.4 %     
Platelet Count     268 K/uL     150 - 400 K/uL     
Neutrophil     36 %     49 - 64 %     L
Neutrophil Bands     5 %     0 - 10 %     
Lymphocyte     49 %     26 - 46 %     H
Monocyte     4 %     0 - 12 %     
Eosinophil     6 %     0 - 5 %     H
Basophil     0 %     0 - 2 %     
Differential Type     Manual            
WBC Morphology     Normal            
RBC Morphology     Normal            
Platelet Morphology     Normal

Hello Doctor,
Here is my stool test result, metabolic panel and my lipid profile. Along with my other results that I mentioned earlier, did the below test say anything about the cause of my abdominal pain (or anything about my health in general).

Stool Test
HELICOBACTER AG RSLT     Neg

Sodium     141 mmol/L     136 - 145 mmol/L     
Potassium     3.3 mmol/L     3.5 - 5.1 mmol/L     L
Chloride     104 mmol/L     98 - 107 mmol/L     
CO2 (Bicarbonate)     25 mmol/L     21 - 32 mmol/L     
Glucose     87 mg/dL     70 - 100 mg/dL     
BUN     12 mg/dL     6 - 25 mg/dL     
Creatinine     0.92 mg/dL     0.50 - 1.30 mg/dL     
Note New Normal Range
IDMS-traceable method
GFR Est-Other     108 See Cmnt     >60 See Cmnt     
GFR Est-African XXXXXXX 125 See Cmnt     >60 See Cmnt     
Units: mL/min/1.73 m2. Estimated glomerular filtration rate values are
calculated using the CKD-EPI equation
Calcium     9.2 mg/dL     8.2 - 10.2 mg/dL     
Total Protein     7.8 g/dL     6.4 - 8.2 g/dL     
Albumin     4.4 g/dL     3.2 - 4.7 g/dL     
Total Bilirubin     1.1 mg/dL     <1.1 mg/dL     H
Alkaline Phosphatase     107 U/L     26 - 137 U/L     
AST     22 U/L     0 - 37 U/L     
ALT     43 U/L     12 - 78 U/L


and my LIPID profile is below.

Total cholesterol     219 mg/dL     <200 mg/dL     H
Triglyceride     144 mg/dL     <150 mg/dL     
HDL cholesterol     47 mg/dL     >40 mg/dL     
LDL Calculated     143 mg/dL     <130 mg/dL     H
Cholesterol to HDL Ratio     4.7      <5.0     
LDL:HDL Ratio     3.04      <3.51     
VLDL (Calculated)     29 mg/dL     <41 mg/dL

thanks doctor for your immediate reply. These are the tests my doctor referred me to and i have an appointment with him next week. I will try to request him to refer me for a complete stool test for me. I will let you know how it goes and so I can get your opinion as well. Any idea why total XXXXXXX rubin is high, what might be the reason for it and is that anything I need to do to get it down?

Ok Doctor. I will keep you posted after my appointment with my doctor next week. Thanks for your advice and support so far....