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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fatty Liver, Acid Reflux And Hiatal Hernia

Hi there, I went to the ER two night ago with horrible pains in my chest and diaphragm are when I would breathe. They did a CT scan with contrast and said my liver was swollen and so was my gallbladder and bladder. The said its most likely gastritis and sent me home. I cant sleep because I have so much discomfort. I do have acid reflux and lots of bile in my stomach. I had a scope like two months ago where they also discovered that I have a Hiatal Hernia. Could that be the reason I am in so much pain. I go to my PCP for ER follow up tomorrow. I also had an ultra sound of my liver a few month back also, and they found that I have a fatty liver. I have Autoimmune ITP and JRA. Many many health issues. I have also had a Six inch long PE in my IVC and history of PE in lungs. Thank you Maria
Mon, 17 Jun 2019
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General Surgeon 's  Response
Hi,

There are two main types of fatty liver disease so treatment depends on this: Alcoholic liver disease and Nonalcoholic fatty liver disease. You can get alcoholic liver disease from drinking lots of alcohol.

It can even show up after a short period of heavy drinking, other causes are obesity and hepatitis B and C.

If you have alcoholic liver disease and you are a heavy drinker, quitting is the most important thing you can do.

Talk to your doctor about how to get help. If you don't stop you could get complications like alcoholic hepatitis or cirrhosis.

Even if you have nonalcoholic fatty liver disease, it can help to avoid drinking. If you are overweight or obese, do what you can to gradually lose weight -- no more than 1 or 2 pounds a week.

Eat a balanced and healthy diet and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on drinks with lots of sugar like sports drinks and juice.

This should lead to improvement. You should repeat your liver markers in 3-4 weeks.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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Suggest Treatment For Fatty Liver, Acid Reflux And Hiatal Hernia

Hi, There are two main types of fatty liver disease so treatment depends on this: Alcoholic liver disease and Nonalcoholic fatty liver disease. You can get alcoholic liver disease from drinking lots of alcohol. It can even show up after a short period of heavy drinking, other causes are obesity and hepatitis B and C. If you have alcoholic liver disease and you are a heavy drinker, quitting is the most important thing you can do. Talk to your doctor about how to get help. If you don t stop you could get complications like alcoholic hepatitis or cirrhosis. Even if you have nonalcoholic fatty liver disease, it can help to avoid drinking. If you are overweight or obese, do what you can to gradually lose weight -- no more than 1 or 2 pounds a week. Eat a balanced and healthy diet and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on drinks with lots of sugar like sports drinks and juice. This should lead to improvement. You should repeat your liver markers in 3-4 weeks. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon