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

### input:
my father , 45yr old has vague complaints like abd discomfort, fullness , loss of apetite , difficulty in passing motion . us abd showed fatty liver . he also has heart murmer . blood lipid s not done . he has never touched alcohol . s US abd enough ? shud v do any othr test ? i know there r no drugs 4 fatty liver . wat diet should he take ? his blood sugar s normal . how 2 proceed sir ? am entering 4th yr mbbs . explain me medically sir . wat might be de cause ?

### output:

HelloWelcome to Chat Doctor It is really nice to hear from your side because you are a medical student and a future doctor and I am happy that you are so keen in trying to correlate the findings, that is really the big quality that a doctor should have, any way in case of your father, the ultrasound report of fatty liver may be related to his vague complaints of abdominal fullness and discomfort, constipation and loss of appetite in the sense that if he is having hypothyroidism then his vague complaints may be due to that and hypothyroidism is known to cause dyslipidemia especially hypertriglyceridemia which can cause fatty liver, more over hypothyroidism in advanced form can cause myocardial weakness leading to valvular regurgitation which can cause murders. So you can get the following tests done like Thyroid function test, Lipid profile, Echocardiography, Liver function test and can also seek an endocrinologists and cardiologists opinion. Regarding diet, he can take fat free diets. I hope you are convinced now and also hope your father will also get well soon thanks Chat Doctor. 