Over the past 5 years, my liver enzymes have been up and down, mostly up and now I just found out my liver is enlarged from CT scan. I also have a marble size hard spot in the upper right quadrant of my abdomen that hurts to touch. My Dr. says I have fatty liver, which I believe, but I do eat mostly healthy foods and not much meat. So my question is how do I have fatty liver and it is that, that is really causing my tenderness and pain? I m also a redhead and fair skinned. Sometimes that plays into medical diagnosis. Thanks!
Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM).  There are many causes of fatty liver disease apart from taking high fat diet like hepatitis B/ C, metabolic disorders, autoimmune disorder, alcohol or Chat Doctor.  So for this you require evaluation and then appropriate management. So I will suggest you to visit a gastroenterologist for evaluation. Fatty liver leads to enlargement of liver and thus stretching of the capsule that covers liver leading to pain. So it may be the cause for pain under the right ribs hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.