instruction: hello doctor my year old son has a diaphragm problem he has a heart problem post operated for vid and having pacemaker from his 1th month now he have a new problem like vomiting urine problem fatty liver gall bladder wall thickening mega cardio 30 percent heart function only what is the main problem here and what treatment to give
output: hello I am very much concerned about all the problems your son is going through now he has a few different issues overall not a single problem his urinary problem looks like due to inflammation of urinary bladder called cystitis which needs investigation of urine and if needed antibiotics for that his heart functions are weak and that may be leading to fluid accumulation and back pressure on the liver leading to gall bladder thickening and liver congestion and enlargement he may also be having some edema in his feet or some fluid in the abdomen kindly send me his ultrasound and all the reports recently done so that I can decide about his proper treatment and guide you accordingly