Conversation: The conversation between human and AI assistant.
[|Human|] Sir iam male 44 years old.I have gilbert syndrome, diagnosed 24 years ago.now I have fatty liver I used to drink alcohol till I found I got fatty liver. I only had 5 time alchol taken for the past 18 months.now I stopped. 6 months ago I had accute hepatitis e. And I revoverd from that .I had hepatitis b and c checked found negative. I have taken hepatitis b vaccine taken.but no antibody check done. Now for the past 3 years Ihave occassional stretching pain on my llver.other wise iam fine. Is it a worrying situation.pls answer me. Many thanks.
[|AI|]  Hi welcome to Chat Doctor. I understand your query and concern. The occasional stretching pain in your case is linked to multiple liver pathologies, but all having one thing in common that is stretching of the liver capsule due to associated enlargement of the liver parenchymal. This pain can be a predominant sequel to acute hepatitis E which you earlier had. Since you had vaccination against Hep B, you need not worry about it. Alcohol intake can also worsen liver pathology by causing enlargement and thereby contributing to pain. Abstinence from alcohol is also strongly needed. Regarding Gilbert syn Chat Doctor. This pain usually subsides in 6-8 weeks after the resolution of the acute hepatitis phase. Right Now I advise you to have a detailed ultrasound examination of your liver along witChatDoctorplete liver functional test. If these are found abnormal then further interventions are needed. Avoidance of fatty foods is strongly recommended. In The Majority of cases this pain will gradually subside with good dietary pattern alone. Discuss the above with your Gastroenterologist. Post your further queries, if any. Thank you.