I Went To The Emergency Room With Upper Stomach Pain.

Posted on Thu, 22 Nov 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 22 Nov 2018 Answered on

Last reviewed on

Question : I went to the emergency room with upper stomach pain. The ER doctor performed an ultrasound and my organs were fine, except he said I had a small amount of fat in my liver. My blood test were normal. He said I can reverse the issue with changing my diet and losing weight. I weigh 344lbs. what are your thoughts? My ALT: 42 AST:31

Answered by Dr. Dr.Arnab (25 minutes later)

Brief Answer:
you can certainly reverse this, please see the detailed answer below...

Detailed Answer:
Hello there,
Welcome to 'Ask A Doctor' service...
I've gone through your query in details...
I can understand your concerns...

First of all, please note, at clinical practice, ALT and AST ranges are not considered significantly elevated unless they're elevated 2 to 3 fold. So, this AST 31 and ALT 42 is not considered clinically significant. If the bilirubin and GGT level in the Liver function test also reported fine, then you need not worry.

However, since your blood tests were normal (I believe they must've checked for Diabetes and Lipid profile also), then you can certainly reverse this 'small amount of fat in the liver' with strict dietary and lifestyle modifications.

Just take a balanced high protein, high fibre, low-fat organic diet with a lot of green vegetables, seasonal fruits, and salads...

Never to skip breakfast...Have homemade foods mainly and avoid fast/junk/processed foods and fizzy drinks...

Drink plenty of water throughout the day...refrain from tobacco and alcohol (if at all do)...

It'll be better to join a gym and start working out under the supervision of the gym-trainer.

Do ensure to have a good night's sleep of 6-8hrs per day...

Let me know if I can assist you further...
Wish you a good health...

Take Care
Kind Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr.Arnab (4 hours later)

thanks for the information.
My Bilirubin total is 0.3 mg / dl
My glucose is 84.
No mention of issues with diabetes.

Answered by Dr. Dr.Arnab (7 minutes later)

Brief Answer:
follow as already advised...

Detailed Answer:
Welcome back,

Thanks for following up,

Well, the bilirubin level is fine. Although no mention of the specifics, this most likely is the report of random blood sugar which is also ok.

So, no need to worry, just follow all the advice as detailed earlier.

Wish you a good health...

Take Care
Kind Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr.Arnab (35 hours later)

Thanks for the assistance. So just to be clear, this is something that I can reverse through diet and exercise?

Answered by Dr. Dr.Arnab (43 minutes later)

Brief Answer:
follow as already advised...

Detailed Answer:
Welcome back,

Yes, it can be reversed, as already explained in details, just follow the vigorous exercise regimen along with diet and lifestyle modifications...

Wish you a good health...

Take Care
Kind Regards

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Above answer was peer-reviewed by : Dr. Arnab Banerjee