I recently did an ultrasound again; however this time was told that I have sludge and a fatty liver. Was referred to a surgeon and he didn't want to operate instead blamed my diet without asking what I eat!! I maybe eat one meal a day and then throw that up or have severe diarrhea from it because of the condition. I asked for a second opinion from the insurance company. Should I have the surgery? My gp thinks I should because I am in constant pain and cannot hold food down, also I eat a very low fat diet. I was quite insulted by this surgeon. My back has been hurting and I feel sharp pains down my legs. I have had a low grade fever and my blood pressure has gone up 30 points in two days. Help!!