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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fatty Liver, Back Pain And Abdominal Pain

Hi. I am 27 and have recently been diagnosed with Functional Dyspepsia. I started having pain in my upper right side just under my ribs in September. The pain moves around a lot depending on the position I am in. I also have had back pain for a while...Maybe like a year but I forgot to mention that as I just thought it was a muscle from picking up my daughter who is now two. It hurts right in the center of my back and ib profen seems to help. The doctor also told me that my liver enzymes were slightly elevated to 50 or so. he said I could have a little bit of a fatty liver. The rest of my blood work is completely normal. They have done an ultrasound, a CT scan, an MRI and a upper endoscopy and didn t find anything. Any ideas? Is the back pain normal and could it have presented itself before the abdominal pain?
Tue, 14 Feb 2017
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Gastroenterologist 's  Response
Hi.
Thanks for posting query at HCM.

Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal).

Value of AST or ALT greater than 85 or above maybe investigated further.
Alcohol ingestion and obesity are common causes of fatty liver disease.

advice for fatty liver:
- abstinence from "Alcohol"
- LOW fat diet should be followed, AVOID junk food and beverages
- decreased oil consumption (oily food)
- NO red meat
- green vegetables should be ingested daily
- use lemon juice (lemonade) once in a day
- reduce weight if overweight/obese
-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound.

any further questions are welcomed.

hope to answer your concern.

wish you good health.

regards,
Dr Tayyab Malik
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Suggest Treatment For Fatty Liver, Back Pain And Abdominal Pain

Hi. Thanks for posting query at HCM. Usually ALT or AST values higher than two times the upper normal limit , is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. advice for fatty liver: - abstinence from Alcohol - LOW fat diet should be followed, AVOID junk food and beverages - decreased oil consumption (oily food) - NO red meat - green vegetables should be ingested daily - use lemon juice (lemonade) once in a day - reduce weight if overweight/obese - recheck liver enzymes after 6 to 8 weeks and/or ultrasound. any further questions are welcomed. hope to answer your concern. wish you good health. regards, Dr Tayyab Malik