Conversation: The conversation between human and AI assistant.
[|Human|] Hello doctor, I am 37 years old and 5 months back when i had a abdominal ultrasound; i had fatty liver but now I have hepatomegaly measuring 17.4 cms with fatty infiltration. My gall bladder distended but wall of gall bladder is within normal limits. I also have bulky uterus measuring 9.9*5.5*3.9 and few nabothian cysts in cervix the largest measuring 1.9 cms. I am pretty obese for my age and height. what should i do. please help me with a suggestion as I am feeling uneasy in stomach for few days.
[|AI|]  Welcome to Chat Doctor! After reading your question the important points are - obesity (no weight mentioned), fatty and enlarged liver, distended but normal gall bladder, bulky uterus and cysts in cervix. From my clinical experience I can tell that just by reducing weight you can get rid of your -fatty liver, distended gall bladder, and possibly bulky uterus will also have improvement.  It would be wise to check your blood counts, thyroid, lipid levels, liver and kidney function, sugar and blood pressure. If there is an abnormality here, it needs to be treated. So, a visit to a physician or gynecologist is a must. For weight reduction one can meet a dietician or simply start with:-- walking half hour twice a day, or join a gym to get a momentum!- eating right food, i.e., avoiding all junk foods, oily foods completely for some time at least -reduce your sugar & starch / soda intake-take warm water with lemon in it four to five glasses per day-taking more of vegetables - go for corn flakes, sprouts, salads in breakfast.it must be looking like soon... much to do, but take my words, you will get better with them, and it is free of cost! Hope the reply helps feel free to ask more queries