Dr. Mehdi Afzal Aghaei
مشهد
کد عضویت: System code: 67547
All you need to know about fatty liver.
===============================================================
Fatty liver, also known as steatosis, occurs when fat builds up in the liver. It's normal to have small amounts of fat in the liver, but too much can cause health problems.
Your liver is the second largest organ in your body that helps process nutrients from food and drink and removes harmful substances from the blood.
Too much fat in the liver causes inflammation of the liver, which can damage your liver and cause fibrosis or stiffness of the liver. In severe cases, this fibrosis can lead to liver failure.
Fatty liver is divided into two categories:
People who drink a lot of alcohol are said to have fatty liver disease (AFLD).
It is said that people who do not drink much alcohol have non-alcoholic fatty liver disease (NAFLD).
According to researchers in the World Journal Gastroenterology, nonalcoholic fatty liver disease affects 25 to 30 percent of people in the United States and Europe.
Symptoms of fatty liver
Fatty liver is one of the diseases that are mostly without symptoms.. A person with fatty liver may rarely feel a little pain in the upper abdomen.
Some people with fatty liver disease have complications such as fibrosis or liver ulcers. Liver ulcers are known as liver fibrosis.. Severe liver fibrosis is known as liver cirrhosis.
Cirrhosis may cause symptoms such as:
● Loss of appetite
● Weight loss
● Weakness
● fatigue
● Bleeding Abnormal
● Itchy skin
● yellowing of skin and eyes
● creating network clusters like blood vessels under the skin
● Abdominal pain
● Abdominal edema
● foot swelling
● Breast enlargement in men
● confused
Cirrhosis is a potentially life-threatening disease.
Causes of fatty liver
Fatty liver is a disease that occurs due to excessive fat produced in the body or when the liver is not able to metabolize fat in the body, it becomes fatty....Excess fat is stored in the liver cells and accumulates there, causing fatty liver disease....Fat accumulation can be caused by various factors..
For example, drinking too much alcohol can cause alcoholic fatty liver disease
In people who do not drink much alcohol, the cause of fatty liver disease is not completely clear, and one or more of the following factors may play a role:
● Obesity
● high blood sugar
● insulin resistance
● High levels of fat, especially triglycerides, in your blood
And some less common factors include:
● Pregnancy
● fast weight loss
● some types of infections such as hepatitis C
● Side effects of some drugs such as methotrexate, tamoxifen, amideArone and valproic acid as well as exposure to some toxins
● Some genes may also increase the risk of developing fatty liver.
Diagnosis of fatty liver
To determine whether your liver is fatty or not, the doctor will perform the necessary examinations and take your medical history... and finally, to make the patient more sure, he will write tests... The only way to diagnose fatty liver is to use imaging methods such as ultrasound or CT scan and...
So if your doctor suspects fatty liver, he will probably ask you questions like:
● Your family medical history including history of any liver disease
● Alcohol consumption and other habits in your life
● Any medication you may be taking
● Recent changes in your health
If you feel tired, lose your appetite, or have other unexplained symptoms, tell your doctor.
Physical examination
To check for inflammation of the liver, your doctor may feel or press your abdomen. If your liver is enlarged, he may be able to feel it.
Blood test
In many cases, fatty liver disease is diagnosed after elevated liver enzymes in blood tests. For example, a doctor may order tests for alanine aminotransferase (ALT) and aspartate (). dir="LTR">AST) to check liver enzymes.
These tests are recommended if you have signs or symptoms of liver disease or as part of routine blood work..
One of the symptoms of fatty liver disease is an increase in liver enzymes, but you should know that this symptom is not the only cause of this disease and is even normal in most patients with fatty liver
If the liver enzymes test is positive, the doctor will probably prescribe other tests to identify the cause of the inflammation.
Imaging studies
Your doctor may use one or more of the following imaging tests to check for excess fat or other liver problems:
● sonography
● CT scan
● MRI imaging
The doctor may also order a test called vibration elastography.
This test uses low-frequency sound waves to measure the stiffness of the liver, which helps check for scarring.
Liver sampling
Liver sampling is the best way to determine the severity of liver disease.
During a liver biopsy, the doctor inserts a needle into your liver and removes a piece of tissue for testing. The doctor uses local anesthesia to reduce your pain.
This test can help you diagnose fatty liver disease as well as liver ulcer.
Treatment of fatty liver
Currently, no drug has been approved for the treatment of fatty liver disease.. More research is needed to develop and test drugs in the treatment of this disease...
In most cases, lifestyle changes can reverse fatty liver disease... For example, your doctor may recommend:
● Avoid drinking alcohol.
● Take action to lose weight.
● Change your diet.
Additional treatments are prescribed by the doctor in case of complications... For example, to treat cirrhosis, he can prescribe lifestyle changes, drugs and liver transplant surgery.... Cirrhosis can lead to liver failure.... If you develop liver failure, you may need a liver transplant.
Home Remedies
Lifestyle changes are the first line of treatment for fatty liver disease....Depending on your lifestyle and habits, the following may help:
● Weight loss
● Reduce alcohol consumption
● Eating nutrients low in calories, saturated fat and trans... ● Exercise at least 3 minutes a week.. According to the Mayo Clinic, some evidence suggests that vitamin E may help prevent or treat liver damage from fatty liver disease, although more research is needed.. dir="LTR">EAlways talk to your doctor before using a new medicine or supplement.
Some supplements or medications may stress your liver or interfere with medications you are taking.
Diet for fatty liver disease
If you have fatty liver disease, your doctor will encourage you to modify your diet to help treat the disease and reduce the risk of complications.
### Among the doctor's recommendations are:
● Eat a diet rich in plant foods such as fruits, vegetables, legumes, and whole grains.
● Limit refined carbohydrates such as sweets, white rice, white bread and other refined grains.
● Reduce the saturated fat found in red meat and many animal products.
● Avoid trans fats found in many processed snacks.
● Avoid drinking alcohol.
Your doctor may recommend reducing your calorie intake to lose weight.
Types of fatty liver disease
There are two types of fatty liver disease: non-alcoholic and alcoholic.
Non-alcoholic fatty liver disease including simple non-alcoholic fatty liver, non-alcoholic steatohepatitis (NASH) and acute fatty liver of pregnancy (A lang="AR-SA">).
Alcoholic fatty liver disease including simple osteohepatitis (AFLD) and alcoholic osteohepatitis (ASH) is... Non-alcoholic fatty liver disease (**NAFLD**)
Nonalcoholic fatty liver disease occurs when fat accumulates in the liver of people who do not drink much alcohol... If there is no inflammation or other complications associated with fat accumulation, this disease is known as simple nonalcoholic fatty liver disease.
Non-alcoholic osteohepatitis (**NASH**)
This type of disease occurs when the accumulation of fat in the liver is accompanied by inflammation of the liver.... If you have excess fat in the liver, your liver is inflamed and you have no history of alcohol consumption, your doctor will diagnose you with non-alcoholic steatohepatitis... (**AFLP**)
Acute fatty liver disease in pregnancy is very rare but serious and its cause is still unknown.. When this disease occurs, it appears in the third trimester of pregnancy and if left untreated, it poses serious risks to the health of the mother and the fetus.
Alcoholic fatty liver disease (**ALFD**)
It is clear that drinking too much alcohol is not a good thing and eventually causes damage to the body Consuming too much alcohol can damage the liver.. If there is no inflammation or other complications associated with fat accumulation, this disease is known as simple alcoholic fatty liver disease.
Alcoholic osteohepatitis (**ASH**)
Alcoholic osteohepatitis is one of the known types of alcoholic fatty liver disease, and this disease occurs when a lot of fat accumulates in the liver and the liver becomes inflamed, this disease is also called alcoholic hepatitis.
If you have excess fat in your liver, your liver is inflamed, and you drink a lot of alcohol, your doctor will diagnose you with this disease... If this disease is not treated properly, it will cause ulcers in the liver...
Severe liver injuries are known as liver failure, which can lead to liver failure.
To treat alcoholic fatty liver, it is very important to avoid alcohol. If you are addicted to alcohol, your doctor may recommend counseling or other treatment methods.
risk factors
Drinking large amounts of alcohol puts you at risk of fatty liver disease.. You are most at risk if:
● You are fat.
● You have insulin resistance.
● You have type 2 diabetes.
● You have polycystic ovary syndrome.
● You are pregnant.
● You have a history of certain infections such as hepatitis C.
● You are taking certain medications such as methotrexate, tamoxifen, amiodarone, and valproic acid.
● You have high cholesterol.
● You have high triglycerides.
● Your blood sugar is high.
● You have metabolic syndrome.
● If you have a family history of fatty liver disease, you probably have it yourself.
Stages of fatty liver
Fatty liver can progress in four stages:
1. Simple fatty liver: excess fat is accumulated in the liver.
2. Osteohepatitis: In addition to excess fat, there is also inflammation in the liver.
3. Fibrosis: inflammation in the liver has caused scarring.
4. Cirrhosis: Liver ulcer is widely developed.
Cirrhosis is a serious and threatening disease that may cause liver failure.. In some cases, it may be irreversible, which is why it is important to prevent its progression at the very beginning of the disease.
To avoid developing fatty liver and causing complications, follow the treatment plan recommended by the doctor.
Prevention
To avoid fatty liver and its possible complications, it is better to have a healthy lifestyle.
● Avoid drinking alcohol.
● Have a proper weight.
● Eat a nutrient-dense diet that is low in saturated, trans, and refined carbohydrates.
● Control your blood sugar, cholesterol and triglycerides.
● If you have diabetes, follow your doctor's treatment recommendations.
● Exercise for 30 minutes most days of the week.
Doing these steps is even effective in improving your overall health.
Perspective
In many cases, fatty liver can be reversed through lifestyle changes. These changes may prevent liver damage and scarring.
If left untreated, this condition can cause inflammation, liver damage, and potentially irreversible scarring.
Severe scarring of the liver is known as cirrhosis
If you have cirrhosis, your risk of developing liver cancer and liver failure increases...these complications can be somewhat fatal.
To achieve the best result, it is very important to have a healthy lifestyle and follow the doctor's treatment recommendations.
Everything you need to know about fatty liver.
Fatty liver, also known as steatosis, occurs when fat builds up in the liver. It's normal to have small amounts of fat in the liver, but too much can cause health problems.
Your liver is the second largest organ in your body that helps process nutrients from food and drink and removes harmful substances from the blood.
Too much fat in the liver causes inflammation of the liver, which can damage your liver and cause fibrosis or stiffness of the liver. In severe cases, this fibrosis can lead to liver failure.
### Fatty liver is divided into two categories:
People who drink a lot of alcohol are said to have fatty liver disease (AFLD).
It is said that people who do not drink much alcohol have non-alcoholic fatty liver disease (NAFLD).
According to researchers in the World Journal Gastroenterology, nonalcoholic fatty liver disease affects 25 to 30 percent of people in the United States and Europe.
Symptoms of fatty liver
Fatty liver is one of the diseases that mostly have no symptoms... A person with fatty liver may rarely feel a slight pain in the upper abdomen.
Some people with fatty liver disease have complications such as fibrosis or liver ulcers. Liver ulcers are known as liver fibrosis.. Severe liver fibrosis is known as liver cirrhosis.
### Cirrhosis may have symptoms such as:
● Loss of appetite
● Weight loss
● Weakness
● fatigue
● Bleeding Abnormal
● Itchy skin
● yellowing of skin and eyes
● creating network clusters like blood vessels under the skin
● Abdominal pain
● Abdominal swelling
● Swelling of the legs
● Breast enlargement in men
● Confused
Cirrhosis is a potentially life-threatening disease.
Causes of fatty liver
Fatty liver is a disease that occurs due to excessive fat produced in the body or when the liver is not able to metabolize fat in the body, it becomes fatty....Excess fat is stored in the liver cells and accumulates there, causing fatty liver disease....Fat accumulation can be caused by various factors..
For example, drinking too much alcohol can cause alcoholic fatty liver disease
In people who do not drink much alcohol, the cause of fatty liver disease is not completely clear, and one or more of the following factors may play a role:
● Obesity
● high blood sugar
● insulin resistance
● High levels of fat, especially triglycerides, in your blood
And some less common factors include:
● Pregnancy
● Rapid weight loss
● some types of infections such as hepatitis C
● Side effects of some drugs such as methotrexate, tamoxifen, amideArone and valproic acid as well as exposure to certain toxins
● Some genes may also increase the risk of developing fatty liver.
Diagnosis of fatty liver
To determine whether your liver is fatty or not, the doctor will perform the necessary examinations and take your medical history... and finally, to make the patient more sure, he will write tests... The only way to diagnose fatty liver is to use imaging methods such as ultrasound or CT scan and...
So if your doctor suspects fatty liver, he will probably ask you questions like:
● Your family medical history including history of any liver disease
● Alcohol consumption and other habits in your life
● Any medication you may be taking
● Recent changes in your health
If you feel tired, lose your appetite, or have other unexplained symptoms, tell your doctor.
Physical examination
To check for inflammation of the liver, your doctor may feel or press your abdomen. If your liver is enlarged, he may be able to feel it.
Blood test
In many cases, fatty liver disease is diagnosed after elevated liver enzymes in blood tests. For example, a doctor may order tests for alanine aminotransferase (ALT) and aspartate (). dir="LTR">AST) to check liver enzymes.
These tests are recommended if you have signs or symptoms of liver disease or as part of routine blood work..
One of the symptoms of fatty liver disease is an increase in liver enzymes, but you should know that this symptom is not the only cause of this disease and is even normal in most patients with fatty liver
If the liver enzymes test is positive, the doctor will probably prescribe other tests to identify the cause of the inflammation.
Imaging studies
Your doctor may use one or more of the following imaging tests to check for excess fat or other liver problems:
● sonography
● CT scan
● MRI imaging
The doctor may also order a test called vibration elastography.
This test uses low-frequency sound waves to measure the stiffness of the liver, which helps check for scarring.
Liver sampling
Liver sampling is the best way to determine the severity of liver disease.
During a liver biopsy, the doctor inserts a needle into your liver and removes a piece of tissue for testing. The doctor uses local anesthesia to reduce your pain.
This test can help you diagnose fatty liver disease as well as liver ulcer.
Treatment of fatty liver
Currently, no drug has been approved for the treatment of fatty liver disease.. More research is needed to develop and test drugs in the treatment of this disease...
In most cases, lifestyle changes can reverse fatty liver disease... For example, your doctor may recommend:
● Avoid drinking alcohol.
● Take action to lose weight.
● Change your diet.
Additional treatments are prescribed by the doctor in case of complications... For example, to treat cirrhosis, he can prescribe lifestyle changes, drugs and liver transplant surgery.... Cirrhosis can lead to liver failure.... If you develop liver failure, you may need a liver transplant.
Home Remedies
Lifestyle change is the first treatment for fatty liver disease.... Depending on your life circumstances and habits, the following may help you:
● Weight loss
● Reduce alcohol consumption
● Eating extra low-calorie, saturated fat and trans nutrients.
● Exercise at least 30 minutes most days of the week.
According to the Mayo Clinic, some evidence suggests that vitamin E supplements may help prevent or treat liver damage from fatty liver disease, although more research is needed. dir="LTR">EAlways talk to your doctor before using a new medicine or supplement.
Some supplements or medications may stress your liver or interfere with medications you are taking.
Diet for fatty liver disease
If you have fatty liver disease, your doctor will encourage you to modify your diet to help treat the disease and reduce the risk of complications.
Among the doctor's recommendations are:
● Have a diet rich in plant foods such as fruits, vegetables, legumes and whole grains.
● Limit refined carbohydrates such as sweets, white rice, white bread and other refined grains.
● Reduce the saturated fat found in red meat and many animal products.
● Avoid trans fats found in many processed snacks.
● Avoid drinking alcohol.
Your doctor may recommend reducing your calorie intake to lose weight.
Types of fatty liver disease
There are two types of fatty liver disease: non-alcoholic and alcoholic.
Non-alcoholic fatty liver disease including simple non-alcoholic fatty liver, non-alcoholic steatohepatitis (NASH) and acute fatty liver of pregnancy (A lang="AR-SA">).
Alcoholic fatty liver disease including simple osteohepatitis (AFLD) and alcoholic osteohepatitis (ASH) is...
Non-alcoholic fatty liver disease (**NAFLD**)
Nonalcoholic fatty liver disease occurs when fat accumulates in the liver of people who do not drink much alcohol.. If there is no inflammation or other complications associated with fat accumulation, this disease is known as simple non-alcoholic fatty liver.
Non-alcoholic osteohepatitis (**NASH**)
This type of disease occurs when the accumulation of fat in the liver is accompanied by inflammation of the liver.... If you have excess fat in the liver, your liver is inflamed and you have no history of alcohol consumption, your doctor will diagnose you with non-alcoholic steatohepatitis... (**AFLP**)
Acute fatty liver disease in pregnancy is very rare but serious and its cause is still unknown.. When this disease occurs, it appears in the third trimester of pregnancy and if left untreated, it poses serious risks to the health of the mother and the fetus.
Alcoholic fatty liver disease (**ALFD**)
It is clear that drinking too much alcohol is not a good thing and will eventually cause damage to the body... If there is no inflammation or other complications associated with fat accumulation, this disease is known as simple alcoholic fatty liver disease.
Alcoholic osteohepatitis (**ASH**)
Alcoholic osteohepatitis is one of the known types of alcoholic fatty liver disease, and this disease occurs when a lot of fat accumulates in the liver and the liver becomes inflamed, this disease is also called alcoholic hepatitis.
If you have excess fat in your liver, your liver is inflamed, and you drink a lot of alcohol, your doctor will diagnose you with this condition....If it is not treated properly, it can cause liver ulcers....Severe liver ulcers are known as liver failure, which can lead to liver failure.
To treat alcoholic fatty liver, it is very important to avoid alcohol.
If you are addicted to alcohol, your doctor may recommend counseling or other treatment methods.
risk factors
Drinking large amounts of alcohol puts you at risk of fatty liver disease.. You are most at risk if:
● You are fat.
● You have insulin resistance.
● You have type 2 diabetes.
● You have polycystic ovary syndrome.
● You are pregnant.
● You have a history of certain infections such as hepatitis C.
● You are taking certain medications such as methotrexate, tamoxifen, amiodarone, and valproic acid.
● You have high cholesterol.
● You have high triglycerides.
● Your blood sugar is high.
● You have metabolic syndrome.
● If you have a family history of fatty liver disease, you probably have it yourself.
Stages of fatty liver
Fatty liver can progress in four stages:
1. Simple fatty liver: excess fat is accumulated in the liver.
2. Osteohepatitis: In addition to excess fat, there is also inflammation in the liver.
3. Fibrosis: inflammation in the liver has caused scarring.
4. Cirrhosis: Liver ulcer is widely developed.
Cirrhosis is a serious and threatening disease that may cause liver failure.. In some cases, it may be irreversible, which is why it is important to prevent its progression at the very beginning of the disease.
To avoid developing fatty liver and causing complications, follow the treatment plan recommended by the doctor.
Prevention
To avoid fatty liver and its possible complications, it is better to have a healthy lifestyle.
● Avoid drinking alcohol.
● Have a proper weight.
● Eat a nutrient-dense diet that is low in saturated, trans, and refined carbohydrates.
● Control your blood sugar, cholesterol and triglycerides.
● If you have diabetes, follow your doctor's treatment recommendations.
● Exercise 30 minutes most days of the week.
Doing these steps is even effective in improving your overall health.
Perspective
In many cases, fatty liver can be reversed through lifestyle changes. These changes may prevent liver damage and scarring.
If left untreated, this condition can cause inflammation, liver damage, and potentially irreversible scarring. Severe scarring of the liver is known as cirrhosis.
If you have cirrhosis, your risk of developing liver cancer and liver failure increases...these complications can be somewhat fatal.
To achieve the best result, it is very important to have a healthy lifestyle and follow the doctor's treatment recommendations.
**\*Gastroenterologist in Mashhad\***