<s>[INST] I am 42 yrs old woman having pain in the stomach so I checked with the doctor he told me to do the ultrasound and blood test and ultrasound report shows enlarge liver. earlier 4 years before i was having problem of stomach pain and doctor found that i have Gerd 1 gastrities and H.phylori accordingly it was treated but gastrities still gives me pain and stomach upset. last year due to stomach aches on the right side of the lower stomach I had done ultrasound and it showed fatty liver and now two days before it shows on stage 2. Doctor please tell what should i do and what test i have to do. [/INST] Hello, bin, Four years ago, you say that you were treated for HERD and also for. Pylori. During this past four years, I am assuming that you were taking some kind of PPI (Proton Pump Inhibitor) to control your HERD symptoms. If you were not on any maintenance meds, you probably need re-evaluationwith endoscopy and biopsy. Recurrence of H. Pylori are not uncommon. Sometimes a triple or four Chat Doctor. Now, as for your stage-2 fatty liver, I have some information for you. This occurs in overweight individuals and also who have high levels of lipid and insulin resistance or type-2 diabetes. As part of the treatment, weight loss is important, also for blood sugar control. Your cholesterol and Triglycerides have to be lowered, by dietary men and may be  </s>