Hi, How are you? My name is Dr Suresh Raghavaiah. I am a Liver and pancreas specialist and I hope to answer your question today. Fatty liver can be caused by excessive alcohol intake (Alcoholic steato hepatitis, ASH) or due to excessive fatty food intake and sedentary life style (Non-alcoholic steato hepatitis, NASH). NASH is being much more commonly diagnosed currently owing to poor dietary habits and sedentary life styles of people. Continued intake of alcohol, high caloric intake, high fatty food intake and poor exercise regimens lead to deposition of fat goblets in the liver tissue leading to fatty liver (which shows up as increased echo texture on USG). Fatty liver is completely reversible if the patient adopts a healthy lifestyle, gives up alcohol, limits his caloric intake and exercises regularly. But If left un-checked, patients usually become obese, diabetic and in final stages may lead to cirrhosis of the liver which will necessitate a liver transplant. You also seem to suffering from a hernia which basically says that your abdominal wall has become weak and that the organs are pushing out. i would advise you to consult a surgeon immediately to get it evaluated, esp with regards to need for surgical correction. Hope this helped and please do not hesitate to contact me for further details - rxsuresh@gmail.com