instruction: hello doctor I have pain in the upper right abdomen the pain goes to the back and side especially when I sleep on the side sometimes the discomfort is in the middle right and lower abdomen I have taken a it scan of the abdomen and pelvis with iv contrast I had an ultrasound done a few months ago which revealed grade fatty liver I feel tired all the time I have gained keg within four months I also get frequent leg pain and weakness especially in the morning when I wake up I had vitamin b12 deficiency and have taken 15 injections before three months I have a lot of gastric issues with this as well I am uploading my it images please help
output: hi I have seen the attachment the it abdomen scan is showing mild fatty changes in the liver and a left inguinal hernia the ultrasound scan abdomen is showing fatty changes in the liver the upper gastrointestinal endoscopy report is showing a small hiatus hernia the blood test is showing upper limit of normal sept serum glutamic pyearuvate transaminase and got serum glutamic oxaloacetic transaminase the contrast it scan images of the abdomen are viewed the fatty changes in the liver are not significant such fatty changes are visualized in many people however if you are having a high fat diet or alcohol regularly then you need to discuss with your doctors and take precautions the hiatus hernia is a small herniation of the stomach above the diaphragm this causes discomfort on bending down please avoid bending frequently avoid lying down for two to three hours after a meal avoid smoking take meals in small amounts if you feel discomfort when eating too much for the left inguinal hernia you need to consult a surgeon and take an opinion it might need surgery and repair coming to the pain it is possible that the hernia can cause pain in the lower abdomen at the same time other causes of weakness need to be discussed it will help to know if you got a complete blood test done other than given liver tests and vitamin b12 test and if there are other areas that need attention