Q: My 30 years old wife has been diagnosed with liver parenchymal disease. She has abdominal pain. The ultrasound scanning reports that she has mild hepatomegaly with diffusely heterogeneous echotexture and mildly enlarged caudate lobe. What exactly is she suffering from and how can it be treated?

A:It is difficult to determine the cause from the information provided. It is possible your wife has fatty liver disease. She should do the following:

1. Reduce weight to optimal level, if overweight.
   1. Get tested for high blood pressure
      1. Get blood tests for diabetes and hyperlipidemia. If positive, should achieve good control.
         1. Regular exercise (1/2 hr of brisk walking, 4-5 times a week).