Hi Loretta. I have had chronic pancreatitis for more than a dozen years and been through more imaging studies than I can remember. I believe you are on the right track for the fatty liver as I know extra weight is not helpful. I take PPI's everyday and I know there is the potential for kidney damage, but not sure about the liver. I think there is a reasonable amount of evidence that Tylenol can do harm to both liver and kidneys, but not fully informed. The bile duct sounds like you have a problem with your gall bladder and possibly pancreas and not getting proper drainage there. Not a very difficult surgical fix, but I don't know that is what is needed; I think seeing a surgeon is a great next step. I know you are experiencing some terrible pain and hopefully they will give you something for the pain and a longer term solution.
Blessings, Gary

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