Can anyone tell me why people are on lactulose and what it does? I think it is a stool softener? Also I am worrying about what sort of liver problem I have. I had slightly elevated ALT and ?AST 6 months ago and an ultrasound 5 months ago showing fatty liver. The doctor told me to loose weight. Since then I have gradually given up alcohol, all refined sugar and all but the smallest amounts of fat in my diet. No junk food at all. Have also recently given up diet soft drinks as they seemed to make me feel worse. What's worrying is that I am still getting pains around right side of back and sometimes right in the middle (is that the pancreas?) and occasional stabbing pains on the left under the ribs. And I'm either constipated or have loose stools that stick to the toilet bowl (sorry for TMI!) I am worried because I thought I should feel better after getting healthier. Does this suggest I already have cirrhosis or it's a hepatitis virus? Do they have to do specific tests for those? I am going back to my GP in a month and hopefully will have lost even more weight then. I need to do more exercise but I sprained my ankle 4 months ago which has meant I can only do walking and swimming but I am fairly active all day anyway. I get bad anxiety about it sometimes, was on a verge of a panic attack most of the weekend, so much so I was worried about my blood pressure. I had thought I could reverse my fatty liver and 'go back to normal' but it's increasingly looking like that's never going to happen. I suppose I'm scared. Would be grateful for any advice anyone has to offer.