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Non alcoholic steatohepatitis, nausea, ct scan and ultrasound gallbladder normal, fatty liver - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1714 Questions
User :   hello oh i sent an email inquiry instead i wanted to chat live instead can i apply my payment to ther 15 minute live chat?
User :   can i get a refund ofor the email inquiry want t ochat instead
User :   i paid 9.95 and 15,95 please refund the 9.95
Doctor :   hi
User :   hello you are?
Doctor :   Let us proceed here
Doctor :   You will get a refund
Doctor :   proceed with query
User :   ok i have frewunt feelings of nausea in the morning and immmediately after eating .. also gas, burping, feeling of bloating in abdomen .. blood tst reveals slightly elevated liver enzymes bilirubin etc. had this a long time .. had ct scan and ultrasound gallbladder normal but fatty liver -- i am 55 and overweight -- isn;t this that the gallbladder isn;t working right? i dont think its reflux
User :   frequent
Doctor :   Do you take alcohol?
User :   one drink a month
Doctor :   Ok, we can label this as Non Alcoholic Steatohepatitis (NASH)
Doctor :   but before that we need to rule out for Hepatitis infections
Doctor :   All the above symptoms can be related to this
User :   always sick in morning some diarhea, and to the point sometimes of retching-- no stomach contents just some mucus and right after eating get the feeling for ten minutes
Doctor :   Are you with me/
User :   yes
User :   how do i treat this are there any medications?
Doctor :   first is non medicines therapy
Doctor :   like high fibre diet, increased consumption of veggies and fruits
Doctor :   low fat food
User :   yes my diet is poor i think
Doctor :   You have to totally avoid alcohol and take lots of fresh fruits, vegetables and antioxidants and do some aerobic exercises.
Doctor :   Having this modifications in place, you can retest for liver enzymes after 3 months
User :   what do i do to stop the impulse to retch? i have urge vomit a few day a week -- nothing comes out but a little mucus will this lessen?
Doctor :   There are specific medications with proton pump inhibitors plus prokinetic, which fasten the gastric motility so that you do not retch
Doctor :   since they come only with prescription you can ask the doctor about these two names
Doctor :   you should be able to take them for 2 weeks and you see good results
User :   thats important cause its disrupting my day -- what is the prokinetic?
Doctor :   Increases the stomach emptying
Doctor :   into the duodenum
User :   is there a generic name?
Doctor :   Metoclopromide
User :   ok so ill tell the doctor that this was recommended?
Doctor :   yes
User :   ive had this off and on for maybe years -- so you don;t think the gallbladder function?
User :   image is normal
Doctor :   CT scan should have got some anatomical change
Doctor :   Gall bladder function needs a separate testing called
Doctor :   HIDA scan
User :   i dot feel any direct pain in gallbladder area just goin by sypmtoms
User :   do not
Doctor :   Ok let us first try this therapy for 2 weeks
Doctor :   and then if there is no result then we can go ahead with further investigations
Doctor :   Do you have bulky stools?
Doctor :   Do you have problems after taking fatty diet/
Doctor :   if yes, try not to take fried and fatty foods,
Doctor :   if that is getting better, then it can be gall bladder function too
User :   i do eat a rch fiet with meats true bulky stool nothing abnrmal just have some diahrea
User :   ruch
User :   rich
User :   diet
Doctor :   avoid them and check if it gets better
Doctor :   include the veggies and fruits
Doctor :   along with the above medicaions
Doctor :   you should get relief with simple modifications like these
User :   i will get back to you what is your direct email?
Doctor :   You can mail me at
User :   this has beentroubling me for a lng time but fewlti didn;t have the right approach
User :   the retching is very unpleasant
Doctor :   Yes I totally understand
Doctor :   but you got to do something on diet and exercise front
User :   to the point were its affecting my voice
Doctor :   It is in your hands now
User :   thanks
Doctor :   Do you have any more questions?
User :   since my worst symptoms are in the morning, so i take the meds before bed?
Doctor :   Thanks for consulting me.
Doctor :   no the medicines early in the morning
Doctor :   especially the ppi and prokinetic
User :   ok
Doctor :   you can take prokinetic in the evening also
User :   bye
Doctor :   that is single dose and not combintion
Doctor :   Bye
User :   ok
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