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I am 28. How do I manage fatty liver and high cholesterol?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 28 years 28-year-old male and unmarried. For the last two months, I have been experiencing some gastric problems, which include incomplete evacuation of stool in the morning, abdominal swelling, numbness in the feet, low energy in the legs, low hunger, food not digested properly, slight pain in the right side under the ribs, and, very rarely, heart. I have also gone through an ECG, but the doctor told me that it is perfectly fine in the ECG.

So, I took some Probiotics, antibiotics like Ofloxacin, Ciprofloxacin, and Librax, but did not solve my problem entirely. Then I consulted a doctor. He told me that I have liver enlargement and told me some medical tests and an ultrasound. Then I found liver enlarged, high cholesterol, and some other issues. I used to drink alcohol for four years, then moderated. I started smoking eight years ago.

I masturbate a lot, which I think makes my body weak. I tried to control myself very much, but I think I am addicted to it now. I have strong willpower, but my strong urge and anxiety lead me again towards it. I used my type multivitamin for some time, which includes Revital mainly. I used to drink water a lot, nearly 6 to 7 liters daily. A few months back, I came to know my vitamin D is also low. I am a vegetarian. I have multiple kidney stones (5 to 6) on both sides. This is the fourth time of formation. In the LFT test, OT and PT are very high.

Please prescribe some medicine for fatty liver, cholesterol, and other problems you find from my history and blood test.

Kindly advise.

Answered by Dr. Noushif. M

Hi,

Welcome to icliniq.com.

You need to modify your diet and lifestyle consistently and avoid all medicines and foods that can potentially damage the liver. You need to be on a diet high in protein and low in fat or carbohydrates. You should have regular physical activity. Regarding medicines, I need to see the liver function tests to comment. Can you give the exact SGOT and SGPT values?

I hope this helps.

Thank you.

Patient's Query

Thank you, doctor,

All blood test and ultrasound reports are attached. I also feel slight pain in the heart side may also be because of cholesterol.

Kindly advise.

Answered by Dr. Noushif. M

Hi,

Welcome back to icliniq.com.

You can have the following medicines: tablet Udiliv (Ursodeoxycholic acid) 300 mg twice daily for a month, Calcirol sachet (60 K) (Vitamin D3) one sachet weekly for six weeks. Follow the diet and other instructions well. Get a repeat liver function test done after two months and review the report.

I hope this helps.

Thank you.

Answered byDr. Noushif. M

Medically reviewed byiCliniq medical review team

Published At October 6, 2018
Reviewed AtJanuary 5, 2026

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Noushif. M
Dr. Noushif. M

Surgical Gastroenterology

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