Welcome to HCM! I have gone through your query carefully and it reflects that you take alcohol, have developed fatty liver grade I and now you have pain in upper right quadrant of abdomen . As you also know, the pain is due to fatty liver / liver problem, which in turn is mainly because of alcohol. Had I been at your place, I would just stop taking alcohol, what ever little Im taking, to help myself. It does not matter what amount of alcohol one takes, what matters it the individuals bodily capacity to tolerate it. In your case, even with four times a week of 250ml alcohol, is leading to significant problem, so, it will be wise to completely stop it or atleast cut it down. If it is difficult to do, please see a doctor for detoxification treatment. One thing is good that fatty liver is only of grade I, so, after stopping alcohol, most likely it will return to normal status in few weeks time. Had I been treating you, I would again go for ultrasound abdomen, as you have developed constant pain, and liver function test, lipid profile, sugar levels, blood pressure checkup, to see other systems. this pain may also be due to gastritis, which can be helped by taking some antacid till you see a doctor. Take healthy diet, good multivitamin, avoid oily and spicy food items,and you should start getting relief with first week of treatment it self. Hope the reply is helpful for you get well soon! Dr. Manisha Gopal.