Fatty liver can be caused by certain chemical compounds, nutritional, or endocrine disorders. Drugs or chemical compounds that can cause fatty liver inc lude alcohol, tetracycline, cortisone, phosphorous and carbon tetrachloride. Of these alcohol is by far the most common cause. Inflammation usually accompanies exposure to these toxins and is responsible for the associated sympt oms of fever, fatigue and jaundice. You said you don't drink so you can eliminate that.
Nutritional causes of fat in the liver result from starvation, obesity, protein malnutrition and intestinal bypass operation for obesity. In obesity th e fatty deposits are accompanied by some inflammatory changes and mild scarring of the liver.
The endocrine causes of fatty liver include diabetes mellitus and fatty liver of pregnancy. In both cases a large amount of fat can be rapidly deposited in t he liver leading to expansion of the liver with tenderness in the upper right part of the abdomen. In diabetes this occurs only in juveniles.
Fat in the liver does not often produce any symptoms because it is usually deposited slowly. When the fat content is increased rapidly, the liver expands and the covering is stretched and pain results.
Fat enters the liver through diet and from fat stored in the fatty tissue. Under normal conditions, fat from the diet is usually metabolized by th e liver and other tissues. If the amount exceeds what is required by the body it is stored in the fatty tissue. Eating fatty foods does not produce a fatty liver.
Fatty liver can be present in patients with alcoholic hepatitis and cirrhosis or may be an isolated finding. Present evidence shows that while fatty liver is usually present in excessive alcohol intake it probably does not lead to the development of alcholic hepatitis or cirrhosis. In fact, most individuals with alcoholic fatty liver do not develop the more serious form of liver diseases. However continued alcohol ingestion has been known to cause alcoholic hepatitis and cirrhosis. This has now been produced in primates after 4 years of alcohol ingestion. It may take even longer in humans.
Treatment of fatty liver is related to the cause. Fat is decreased by removal of the chemical compound or drug. Nutritional causes are treated by altering the availability of fat coming into the liver. This is accomplished by providing available carbohydrates or by adding protein to overcome a complete or large deficiency in protein needed to make lipoproteins (proteins not capable of being dissolved in water).
Did you talk to your doctor about you getting sick in the evenings? That is usually a sign of acid reflux disease. As for the white circles on your eyes, that has nothing to do with your fatty liver. Did the doctor test you for anemia?