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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Abdominal Pain With Fatty Liver

Hi I am 38 yo prediabetic. I have been detected for fatty lever. My cholesterol remains moderately high with high triglycerides. My total bilirubin stays modertely high too. I also have seen a weight loss from 178 to 160 lb with little exercise and diet control. I am on simvastatin and benicar. I used to have right side abdominal pain 5 (0-10 scale). It is now more or less gone. My USG and contrast CT scan was normal. Are these symptoms normal or do I need further testing.
Fri, 19 Dec 2014
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history.

I have read your history and understood your problem.
These are normal symptoms and you need to undergo further tests.
Fatty liver, high cholesterol can not cause pain in abdomen.
Your high bilirubin is indicative of the pain being related to the gall bladder or bile ducts or pancreas.
Since your CT scan and USG are normal, further tests can be MRCP and ERCP under the guidance of Gastroenterologist.
Continue your weight loss program by dieting and exercises as you are lucky enough to have the results.
Continue your medicines.
Get a proper diagnosis to plan for a proper treatment .
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Suggest Treatment For Abdominal Pain With Fatty Liver

Hi. Thanks for your query and an elucidate history. I have read your history and understood your problem. These are normal symptoms and you need to undergo further tests. Fatty liver, high cholesterol can not cause pain in abdomen. Your high bilirubin is indicative of the pain being related to the gall bladder or bile ducts or pancreas. Since your CT scan and USG are normal, further tests can be MRCP and ERCP under the guidance of Gastroenterologist. Continue your weight loss program by dieting and exercises as you are lucky enough to have the results. Continue your medicines. Get a proper diagnosis to plan for a proper treatment .