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

### input:
Hi Doctor, i was suffering from liver pain(pain at right bttom of chest and sometimes at center of chest. currently i m in chennai. i feel breathing trouble and when i drink water or take food, after taking it gives severe pain. i obsever no other symptoms other than this. and when i keep my hand on my chest i feel some hot temperature. can i know the best doctor in chennai. i feel very very uneasy. i went to a doctor and taken scan, only fatty liver was observed ans no other symptoms like kidney stone, stomach pain was observed

### output:

Hi, How are you? My name is Chat Doctor.  I am a Liver and pancreas specialist and I hope to answer your question today. Fatty liver can be caused by excessive alcohol intake (Alcoholic SEATO hepatitis, ASH) or due to excessive fatty food intake and sedentary lifestyle (Non-alcoholic SEATO hepatitis, NASH). ASH is usually the beginning stages of alcohol induced liver damage and is completely reversible if the patient refrains from alcohol. NASH is being much more commonly diagnosed currently owing to poor dietary habits and sedentary lifestyles of people. High caloric intake, high fatty food intake and poor exercise regimens lead to deposition of fat goblets in the liver tissue leading to fatty liver (which shows up as increased echo texture on USG). This is also completely reversible in the initial stages if caloric intake is limited and exercise regimens are adhered to. If left unchecked, patients usually become obese, diabetic and in final stages may lead to cirrhosis of the liver which will necessitate a liver transplant. I would suggest a healthy diet and exercise regimen. Although there is no time limit on when to get a repeat scan, I would suggest one, once you have succeeded in losing some weight. Chennai does have a number of excellent hospitals (Apollo, Global etc.) which should be able to evaluate you and guide you further. Hope this helped and hope you start to feel better. Please do not hesitate to contact me for further details. Have a great day.