<s>[INST] I have recently been diagnosed with a fatty liver and kidneys. I have been going to various GI doctors for years to try to discover why I have UTIs and IBS, mostly post a perforated colon in 2004. No questions were answered. I drink only occasionally and have four hernias post 2004 colonoscopy disaster. Had a 6-month ostomy bag but have never been able to get my questions answered re treatment. I am really concerned about this fatty liver diagnosis now when no doctor paid any attention to this in the past. [/INST] Hi, There are two main types of fatty liver disease so treatment depends on this: Alcoholic liver disease and Nonalcoholic fatty liver disease. You can get alcoholic liver disease from drinking lots of alcohol. It can even show up after a short period of heavy drinking, other causes are obesity and hepatitis B and C. If you have alcoholic liver disease and you are a heavy drinker, quitting is the most important thing you can do. Talk to your doctor about how to get help. If you don't stop you could get complications like alcoholic hepatitis or cirrhosis. Even if you have nonalcoholic fatty liver disease, it can help to avoid drinking. If you are overweight or obese, do what you can to gradually lose weight -- no more than 1 or 2 pounds a week. Eat a balanced and healthy diet and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on drinks with lots of sugar like sports drinks and juice. This should lead to improvement. You should repeat your liver markers in 3-4 weeks. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon </s>