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Dull pain right abdomen and high fatigue
Hi
Every few months , I have recurring dull pain in right abdomen under ribs. Nowadays, having high fatigue even after taking proper rest.
Did lft test it revealed high sgpt 77 and bilirubin direct 0.42 and indirect 0.78.
Hba1c 5.8 and lipid profile is okay.
Few years back USG revealed fatty liver.
Can you let me know what is the cause and what can be done to rectify this.
Answers (14)
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Hello,
I am Dr. Romain Rajan, General Physician (Ex Govt Medical Officer at RML Hospital, New Delhi), and your case has been allotted to me.
Thank you for sharing your details. I understand your concern.
Based on your history of right upper abdominal dull pain, fatigue, elevated SGPT (77), and known fatty liver, the most likely cause is fatty liver related inflammation (NAFLD).
⸻
What this means
• Mild elevation of SGPT indicates liver inflammation
• Fatty liver can cause dull pain under right ribs and fatigue
• Your bilirubin is near normal, which is reassuring
⸻
What you should do now
• Strict lifestyle modification is the main treatment
• Avoid oily, fried, processed foods and alcohol
• Start regular exercise at least 30 to 45 minutes daily
• Aim for gradual weight reduction if overweight
⸻
Investigations to consider
• Repeat LFT after 6 to 8 weeks
• Ultrasound whole abdomen for current status
• Lipid profile and blood sugar monitoring
⸻
Treatment approach
• No specific medicine required in most cases
• Focus is on diet, exercise, and liver recovery
• Antioxidant supplements may be added if needed
⸻
When to consult a doctor immediately
• If pain becomes severe
• If jaundice, vomiting, or loss of appetite develops
• If LFT continues to rise
⸻
Important reassurance
Fatty liver is very common and completely reversible in early stages with proper lifestyle correction.
⸻
For a structured diet plan and liver recovery guidance, you can reach out to me directly on
WhatsApp at 85271646 seven seven.
Wishing you good health.
Dr. Romain Rajan
General Physician
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Thanks for sending across your query.
Plz repeat the USG whole abdomen again to know the cause of pain. Try to avoid all the oily fried and spicy food in your diet. Avoid all the processed food.
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• Your symptoms + reports point towards liver-related cause:
– Recurrent right upper abdominal pain
– Fatigue
– SGPT 77 (elevated)
– Past history of fatty liver
Next Steps
• Confirm current liver status:
– Repeat LFT after 4–6 weeks
– Ultrasound abdomen (to reassess fatty liver grade)
• Additional tests (if persistent):
– Viral markers (Hepatitis B, C)
– Lipid profile (already done)
• Management (main treatment = lifestyle):
– Weight reduction (target 5–10%)
– Regular exercise (at least 30–40 min/day)
Health Tips
• Strictly avoid:
– Alcohol (if any)
– Sugary drinks, refined carbs
• Diet:
– High protein + high fiber
– Reduce oily/junk food
• Coffee (in moderation) can actually help fatty liver
• Sleep and stress control also improve liver metabolism
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Eat less oily spicy food ,opt for early dinner,maintain healthy weight by exercising 30 min/day.
Next Steps
you can take milk thiestle1 tablets bd after food
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Fatigue can be due to several factors which should be evaluated thoroughly. In your case fatigue and dull aching pain can be due to underlying fatty liver
Which can be due to unhealthy life style,dietary habits,sedentary life style,Alcoholism,obesity, comorbities like Diabetes,hypertension
Next Steps
Start healthy eating habits, abstain alcohol, physical exercise and proper rest can help reduce symptoms and improvement in general condition
Health Tips
Review with CBP,LFT and usg abdomen in 3 months
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Fatty liver can be due to obesity, high insulin resistance. Diabetes,excess alcohol consumption.
It can be corrected by fat free diet, regular physical exercise. If severe, statins are given to reduce it.
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Maintain healthy weight and also healthy high protein diet. Stay physically active. Don't have to change all at once start with 30 min walk today..
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You have again fatty liver due to sedentary lifestyles and dietary habits. Change your lifestyle modifications and eat soft proteins diet.add a livtonic to support your liver health.
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Your reports suggest liver inflammation. Could be because of the fatty liver which can cause the pain in right upper quadrant.
Also hba1c 5.8 is in prediabetic range .
Next Steps
Try including exercise .
Once again get your LFTs checked if not recent and get a diabetes screening test with FBS,PPBS also.
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
USG whole abdomin
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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