### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, I am 36 years old male, obese, with a renal stone in my right kidney. It is silent and I have not experienced pain for last two years. Recently my legs have started to swell at calves during the day and if I take rest and place my legs higher than my body while sleeping it becomes normal. I have a slight discomfort around my right kidney but no pain. I also have a fatty lever problem also. Kindly tell me what should I do to rduce the swelling and how can I normalize my fatty lever?

### output:

Hi, Thanks for writing in. The swelling in the calf regions during periods of activity can mean decreased venous return and pooling of blood. This is not related to your right kidney stone. There are arteries which supply blood to the different regions including limbs and veins which bring back the blood to the heart. The veins have valves at some places to prevent back flow and allow the blood to reach the heart. In some people which progressing and in those doing standing jobs there is malfunctioning of the venous valves and the blood gets pooled in the lower limbs. This opens up connecting channels between veins called perforators and that causes varicose veins which is tortuous superficial veins in the lower limbs. It is suggested that you consult a doctor and discuss the probability of varicose veins and if required get a venous Doppler of lower limbs done. For the right kidney discomfort please get the ultrasound scan done again to know of any dislodgement of the stone which can cause the discomfort. If the stone is not showing Andy increase in size and is in place then nothing needs to be done. There are many causes of liver showing fatty changes (i) Increased intake of fatty foods and alcohol(ii) Over weight and obese patients.(iii) Those who have fatty liver running in family members.(iv) Any liver condition that is changing appearance of liver.(v) Mild fatty liver can also be there in many normal people can get your liver function test and lipid profile done to know if the liver enzymes are raised and cholesterol numbers are increased. Please discuss results with your doctor and take required treatment if your tests results are higher than normal. Please do not worry.