<s>[INST] Hello doctor, I had problems like gas, diahhrea, and abdominal pain. I had an ultrasound of abdomen and diagnosed with fatty liver. Will this ultrasound show fibrosis of the liver? [/INST] Hello. Ultrasound abdomen can only tell about the presence of fat. For fibrosis and quantification of fat, another imaging modality is used called Fibroscan. It is similar to ultrasound. For confirmation of fibrosis, sometimes a biopsy of the liver is needed, but it is an invasive procedure, so we mostly rely on Fibroscan. For pain abdomen gas you can use the following medicines,  1 Capsule Esomeprazole 40 mg once daily before breakfast for four to eight weeks.  2. Tablet Mebeverine 135 mg twice a day before meals for four weeks.  3. Tablet Rifaximin 550 mg twice a day before meals for two weeks. </s>