Fatty liver


What foods should people with fatty liver avoid?
People with fatty liver should avoid overly greasy foods such as fatty meat, pig trotters, braised chicken, and braised duck. It is also important not to consume too much meat or foods high in sugar. Excessive intake of meat and sugar can be converted into fat and stored in the body, leading to high levels of fat. Therefore, control is also needed over the consumption of meat and fruits or foods that are high in sugar.


Fatty liver is divided into several stages.
Fatty liver is a disease caused by lipid metabolic disorder and lipid accumulation in liver cells. If the fat accounts for more than 5% of the liver's total mass, it is defined as fatty liver, which is divided into three stages: mild fatty liver, moderate fatty liver, and severe fatty liver. Mild fatty liver is when the fat content is more than 5% but less than 10%; moderate fatty liver is when it exceeds 10% but is less than 20%; severe fatty liver is when it exceeds 20%. We must pay sufficient attention to mild, moderate, and severe fatty liver.


Can fatty liver be contagious?
Fatty liver has many causes, the most common being obesity, as well as alcohol; long-term excessive drinking can cause alcoholic fatty liver. Other causes include malnutrition or long-term excessive use of certain medications, including anti-inflammatory drugs and corticosteroids, which can significantly damage the liver. Drugs used to lower blood lipids can also lead to fatty liver. Fatty liver is caused by these factors, not by an infection from a particular bacterium or virus, so it is not contagious. If you have fatty liver, it is recommended to exercise regularly under the guidance of a doctor. There are no shortcuts; only exercise can eliminate fatty liver.


How should fatty liver be managed in children?
The formation of fatty liver is mainly due to overeating foods that are greasy, overly sweet, or have a high fat content. This leads to a significant increase in fat content in the blood, which accumulates in the liver. Severe fatty liver can progress to cirrhosis, so it is important to intervene promptly. The intervention generally involves dietary management; specifically, children should avoid eating overly greasy foods, as well as high-calorie items like sugars, chocolates, candies, which are better consumed in moderation or not at all. Additionally, increasing physical exercise, which refers to managing and reducing weight, is recommended. Depending on their personal circumstances, children should appropriately increase their amount of physical activity, as more exercise also accelerates the metabolism of fat in the body. It is advised for individuals with fatty liver to undergo a detailed examination at a hospital, and for doctors to determine whether medical intervention is necessary based on the specific conditions of the child. If it is only a mild to moderate case of fatty liver, doctors will likely suggest diet modification or physical exercise to help reduce it.


Complete Recipe Collection for Fatty Liver Diet
Fatty liver disease currently has a high incidence rate in our country. If dietary habits are not modified, it can further damage the liver. To prevent the progression of fatty liver disease, it is necessary to pay attention to the following aspects of diet. Firstly, reduce the intake of sucrose and honey. For foods high in sugar, such as vegetables and fruits, consume them in smaller quantities. Additionally, you can eat appropriate amounts of grains and increase the intake of vegetables and fruits that are low in sugar, which is beneficial for the recovery from fatty liver. Secondly, it is advisable to increase the intake of fish, dairy products, and eggs, as patients with fatty liver need to repair and regenerate liver cells, and consuming high-protein foods is beneficial for liver recovery. Thirdly, the intake of fatty meats and animal liver, which are high in cholesterol, should be controlled to prevent further damage to the liver. For example, animal liver contains a lot of cholesterol and should be consumed less frequently. Fourthly, it is necessary to supplement vitamins, minerals, and dietary fiber. Moreover, regular physical exercise should be performed.


How to deal with fatty liver with elevated transaminases?
First, it is necessary to determine whether the fatty liver is alcoholic or non-alcoholic. If it is non-alcoholic fatty liver with elevated transaminases, lifestyle interventions should be implemented first. Weight loss and exercise can treat fat-associated fatty liver. Generally, it is necessary to control the intake of calories and fats, especially saturated fatty acids, maintain an ideal weight, and exercise sufficiently and consistently. Similarly, if there is a significant increase in blood lipids, lipid-lowering drugs can also be used. Additionally, some liver-protective drugs can be incorporated into treatment. If it is alcoholic fatty liver, abstaining from alcohol is a key treatment, as well as appropriate nutritional support. For long-term alcoholics, since alcohol replaces the calories provided by food, there is generally an insufficient intake of protein and vitamins. Therefore, a diet high in protein and low in fat should be provided, along with appropriate vitamin supplementation, and liver-protective drugs can also be used. (Please use medications under the guidance of a doctor.)


How is fatty liver treated in young people?
Fatty liver can include alcoholic fatty liver and non-alcoholic fatty liver, with non-alcoholic fatty liver being common among young people. The treatment principles for these patients are: first, remove the cause and inducement, control the primary disease. Second, adjust the dietary plan, correct nutritional imbalances. Third, engage in physical exercise, primarily aerobic exercise, to control weight. Fourth, maintain normal blood lipids and blood sugar levels. Fifth, correct unhealthy behaviors, such as binge eating and lack of physical activity. Sixth, when necessary, take medications for liver protection, lipid reduction, and anti-fibrosis.


Can fatty liver be cured?
Fatty liver is relatively common in clinical practice, often seen in obese patients or those who consume alcohol excessively. Fatty liver is also categorized as mild, moderate, or severe in clinical settings. Generally, mild fatty liver does not accompany liver function abnormalities. For such patients, the main approach involves appropriate weight loss, exercise, and dietary control. If there are indeed complications like cirrhosis or more severe liver disease, including abnormal liver functions, systematic diagnosis and treatment are recommended. Besides completing abdominal ultrasound and liver function tests, it is also suggested to conduct quantitative hepatitis B virus tests to eliminate the possibility of hepatitis B virus-induced steatosis. Generally, fatty liver can be treated successfully; however, if it is complicated by cirrhosis, the main principle of treatment is to prevent complications, and complete cure may not be possible. Therefore, regarding fatty liver, there is no need for excessive worry, but standard treatment should be followed. Particularly if the fatty liver is complicated by cirrhosis, active diagnosis and treatment are generally recommended.


Is hyperlipidemia fatty liver disease?
Hyperlipidemia and fatty liver are actually two different concepts. Hyperlipidemia is essentially dyslipidemia, which refers to abnormal quality and quantity of lipids in the plasma. The tests for blood lipids include total cholesterol, triglycerides, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol. With our medical history, physical signs, and laboratory tests, diagnosing hyperlipidemia is not difficult. The current diagnostic criteria are mainly based on the 2017 Chinese guidelines for the prevention and treatment of dyslipidemia in adults, where low-density lipoprotein greater than 4.14 mmol/L suggests elevated low-density lipoprotein. Fatty liver, on the other hand, refers to excessive fat accumulation within liver cells due to various reasons, and is a common pathological change in the liver, rather than an independent disease. Patients with hyperlipidemia are prone to fatty liver.


Symptoms of fatty liver pain
Patients with severe fatty liver, if the condition is serious and there is excessive accumulation of fat in the liver, the liver capsule may be overly distended. This stretching of the liver ligaments can cause pain in the liver area. At this time, patients may feel intense pain or tenderness in the upper right abdomen, and sometimes rebound pain may also occur. When pain in the liver area appears in patients with fatty liver, it indicates that the condition has become very severe and requires active treatment. If the condition progresses further, it can lead to fatty liver, hepatitis, liver cirrhosis, and even severe hepatitis or liver failure, which can greatly affect the patient's quality of life and life expectancy.