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Hello, last week I had an MRI . The results are back with Fatty infiltration of the liver without evidence for a focal lesion within it or hepatosplenomegaly. My question is that every evening in between 5-8pm I am experiencing a burning pain in the liver area. The blood tests have all returned normal with no elevation. Yet I still continue to experience this pain every evening. It happens more when I eat a high carb diet . My question is what should I ask my doctor about for further figuring out whats going on here. I will add that I am also vomiting bile as well. Thick bile, not a little bit. Its a really bright yellow and have had pain in my kidney areas that fluctuates from a stabbing sensation to a burning depending on what I eat. Im really actually suprised that nothing showed up showing inflammation on the MRI. I had experienced it two days before the test during the evening hours. My main question is a liver biosy a viable way to check to see if something else is going on or would it first be better to do another imaging test of the liver, with contrast. This last one did not use contrast. Thanks for any thoughts. Stephen
Asked On : Sat, 12 Oct 2013
Answers:  1 Views:  38
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
The MRI report has suggested presence of fatty liver.
In fatty liver, the liver usually enlarges and there is stretching of the liver capsule and thus causing pain in the liver region.
Fatty liver is a reversible condition.
The most common cause of fatty liver is alcohol so if you take alcohol, reduce its consumption because alcohol will deteriorate the condition.
Vomiting after having carbohydrate rich diet suggests indigestion.
Vomiting out of bile is commonly due to obstruction beyond the opening of common bile duct.
You need to consult a gastroenterologist for investigation of vomiting and indigestion.
In the mean while do not take fatty and carbohydrate foods. take more of proteins, fluids and fiber.

Thanks and take care
Dr Shailja P Wahal
Answered: Sat, 2 Nov 2013
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