40yr lady complain pain lt lumber u/s show swollen bowel loop, faty infiltratd liver fibroid uterus, kidney contain concretion, what is cause n management?

Multiple issues: Swollen bowel loop--i don't understand description but this could be diverticulosis or an ileum. Fatty liver: chronic condition associated with obesity and diabetes, can cause cirrhosis over time. Fibroid uterus: common in 40 year old women kidney concretion: I have no idea but maybe this is calcium deposited in the kidney. No 1 diagnosis puts all of these together. You need to see your doctor.