<s>[INST] hello my husband is 36 yrs old and a diabetic who does not see a doctor and is also a alcoholic for about the past 4 yrs Ive noticed his skin color does have a little yellow tint and his face is dark and puffy he had a bowl movement this morning and said it has a grayish color to it also hes complaing his feet hurt ,his back and his right side please help what should I do [/INST] Hi thanks for contacting Chat Doctor. Yellow discoloration could be by jaundice. . As he is having alcohol habit, there might be alcoholic hepatitis.... If care not taken there might be chance of development of cirrhosis.... So consult him to gastroenterologist .... He needs to investigate with USG abdomen, liver enzymes, protein estimation and PT like investigations. He should limit alcohol Chat Doctor. . Always in morning give him carrot and spinach grinned juice. Fruit juice more... Refined food less.... Non veg less, butter, cheese less. Dandelion, turmeric in milk, broccoli, carrot, beet roots are some good food for liver. If history of blood transfusion, unprotected sex then rule out hepatitis b or c by ELISA. Take care. </s>