How can indigestion and abdominal pain be managed?

Question
My 33 years old friend has been experiencing abdominal pain for the last two weeks. He also has problems in digesting his food. His blood test reports are cited below:- Lipid profile Total cholesterol- 249.58 mg/dl
  • LDL- 49.58 mg %
  • HDL-138 mg/dl
  • TG- 310 mg/dl
  • VLDL- 62 mg/dl
  • LDL/HDL- 2.78
  • Total cholesterol/HDL- 5.03
Liver Function Test
  • Serum bilirubin total- 2.59 mg/dl
  • Serum total protein- 6.9 mg/dl
  • Serum albumin- 3.7 mg/dl
  • Serum globulin- 3.2 mg/dl
  • Alkaline phosphatase- 148.4 I.U./L
  • SGOT- 47.74 I.U./L
  • SGPT- 107.8 I.U./L
Please comment on the above cited report and advise the mode of treatment.
Expert Answer
B
Your friend has elevated liver tests. There can be several causes for this, the most important are viral infections. Therefore, the first step is to test for viruses A, B, C and E. If these tests are negative, your friend may have increased fat in the liver (called fatty liver disease). In that case, I suggest the following:
  1. Maintain ideal body weight (if overweight).
  2. Proper control of diabetes and hyperlipidemia (if these problems are present).
  3. It is good to have regular (once a year) blood tests for these conditions.
  4. Regular exercise (1/2 hr of brisk walk, 4-5 times a week.
  5. Alcohol use in moderation.