Hi,
Welcome to HCM,
With available information you have pain in abdomen, and distension and also known to have Fatty liver.
Fatty liver could be
Alcoholic Liver Disease (ALD) or Nonalcoholic fatty liver disease (NAFLD), depending on you take alcohol or not.
Other factors which contribute are diabetes and Obesity, with
metabolic syndrome.
High cholesterol and Triglyceride level can also cause fatty liver.Many drugs are involved in many patients common one are
corticosteroids, antiviral, amiodarone .
You should go for complete check up like
complete blood count, Liver function tests, kidney function tests, Lipid profile, Serum Amylase and Lipase and Endoscopy to find if anything is detected.
Treatment depends on cause would involve Proton pump inhibitors, Prokinetics, Statin, a weight loss programme and complete stoppage of alcohol and smoking if any.
Diet modification taking food with low glycemic index and protein and lot of green vegetables and avoiding simple sugars animal fats and regular physical exercise as to treat such an issue multi pronged approach is essential for success.
Hope this information is useful to you.
Take care
Good Luck.
Dr.Akhilesh Dubey.