<s>[INST] Hello doctor, I had a problem with lower left abdominal pain for 7 years which is diagnosed in 2017 as an umbilical hernia. I subsequently did the surgery in January 2018 and I was diagnosed with moderate fatty liver during the test prior to the surgery. But I was given Liv 52 to take for three months and Lipitor 20 mg. But when I reported to work I started noticing mild pain in my heels and imbalance which I thought was due to the drugs side effects. Somewhere in March I panicked out of sleep and started sweating with my heart beating very fast. I rushed to the hospital and they did a brain CT and kidney function test which was normal and the gave me some anxiety tablets Lexotamil 1.5 mg. Afterward, I noticed that my heel pain was aggravating with flashes of dizziness and minor headaches which I could manage. I reported to the hospital and was referred to an orthopedic specialist. There I was asked to do and MRI of the brain, neck, and spine with magnesium, phosphate, calcium, and sodium test which were all normal. The doctor then gave me Renerve and Stugeron for the dizziness. But still the issue persisted so I reported back to focus and was asked to see and ENT specialist and EYE specialist. I went to an eye center but they all proved negative. So I was referred to see a neurologist who asked for an MRI of the thoracic and lumbar spines and also test for Folate and Vitamin B12. But again they were all negative and he said my situation might be idiomatic so he did not give anything. But in all these, I realized my energy levels were coming down I easily get tired and occasionally my heart rate will go up with a feeling of uneasiness and confusion all coupled with balancing disorders associated with cluster headaches. I went back to my hospital and was advised to see a cardiologist. He also did his relevant test which all proved negative and he declared me safe. But he advised if I am still not normal I should see his boys at the executive heart center which I did. They have been working on me since and nothing has come up. Although the symptoms still persist. So just last week I was not feeling very well and had to go for a check up when I was told of the micro-pulmonary embolism and was admitted. I currently have serious heel pain without swelling in the legs, dizziness without spinning, chest discomfort, unsteady gait, muscle weakness and extreme fatigue, diminished vision, issues with acid reflux and indigestion, occasional heart palpitations, insomnia, and pressure and discomfort in the chest after standing for about 5 minutes or while walking with extreme dizziness. I currently take Xarelto 15 mg, Motilium once daily, Stugeron 25 mg, Maalox plus suspension 150 ml, Pariet 20 mg, Carvedilol 6.25 mg, and Lexotanil 1.5 mg once daily at night. [/INST] Hello,  Welcome to icliniq.com. I can imagine how difficult time you have doing all these visit to doctors. Well, I have gone through your history, I could not see you have any specific gastrointestinal issues at this moment. Your main concerns are related to the neurological department not a gastroenterology department. I urge you to seek help from a neurology team. Well, some of your concerns like fatty liver, and indigestions are related to my field, hence I would like to give you some suggestion regarding that. So I see you already on some medicine for indigestion such as Maalox syrup and Pariet which is an acid suppressant medication. They are relatively safe and can be taken regularly or intermittently based on symptoms. The second concern from GI prespective are fatty liver. You did not mention your weight so I could not estimate the body mass index which is a direct tool to assess the level of fat one has over the liver and other body tissues. Atorvastatin (Lipitor) can reduce some fat from liver but they are not the preferred treatment for fatty liver disease, they can control lipids however if elevated. Atorvastatin can cause myopathy means muscle damage and can cause severe cramps over legs and throughout the body. I want you to check your creatine phosphokinase (CPK) levels to confirm this if you have recently stopped your Atorvastatin. The preferred therapy for fatty liver disease, if you are not diabetes is Vitamin E 400 mg twice daily for at least three months. The other recommendation is to reduce your weight by 7 to 10% of current body weight in the coming six months. Walk 150 minutes/week and dieting which is all required. I am sorry I could not answer the rest of your concern, but I want that should contact a neurologist available online on icliniq to be given proper suggestions regarding your health. I hope this helps. Fatty liver disease. Indigestion. Creatine phosphokinase. Drug-induced indigestion. Capsule Vitamin E 400 mg twice daily for three months. You can follow up with me for your GI related issues, and discuss long term management of your fatty liver disease. </s>