Conversation: The conversation between human and AI assistant.
[|Human|] Hi, my weight is 74 kilos I am 170  tall. I am aged 57 woman. I was diagnosed with a couple of gallstones 5 years ago. I had full bloods and medical in early march in Australia and my bloods, liver showed not signs of a problem. However from 16 March till July 01 I have been living in hanoi, Vietnam, my place of temporary residence for the past 5 years.I went for a routine medical check for insurance and on ultra sound they discover my liver is fatty. Also in the blood. I have pain after the doctor pushed my abdomen to examine. I am wondering how medical exam in march shows no liver issue and now in hanoi less than three months later, I have a fatty liver. I am now thinking about the dental treatment I had here, the manicure and pedicures ...could this be some acute infection ...from maybe drinking ice, summer heat...or eating street food. The exam in Australia was very thorough yet did not detect such a change. Thank you
[|AI|]  Hi.fatty liver is mainly caused by your diet. High fat and high cholesterol food intake through the years may have contributed to your current condition. If you are not experiencing any signs or symptoms other than the findings in your ultrasound, observation may be done. But if there are, a repeat abdominal ultrasound focusing on your gallbladder, liver and pancreas may be suggested. You probably have a gallbladder pathology (possibly gallstones or biliary colic). It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Other diagnostics and management will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor.