How should fatty liver be managed in children?

Written by Li Jiao Yan
Neonatology
Updated on September 20, 2024
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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.

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Written by Xie Zheng Yuan
Gastroenterology
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Harm of Fatty Liver to the Body

Fatty liver has become a common disease in modern people and it can bring potentially great harm to the body. Firstly, fatty liver can cause steatohepatitis, leading to elevated transaminases and causing inflammatory changes in the liver, damaging liver function. Long-term liver damage can lead to cirrhosis, and the likelihood of fatty liver turning into liver cancer also significantly increases. At the same time, most patients with fatty liver have abnormalities in lipid metabolism, are likely to have comorbidities like high blood sugar and high blood pressure, which could damage various systems throughout the body.

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Written by Si Li Li
Gastroenterology
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What foods are good for fatty liver?

Fatty liver is primarily caused by nutritional excess or abnormal lipid metabolism, leading to excessive storage of fat in liver cells, resulting in fatty liver. Therefore, it is very important to pay attention to the diet, which should be low in fat. Firstly, it is crucial to quit alcohol, as drinking with fatty liver can easily damage liver cells, leading to elevated transaminase levels. Additionally, it is important to reduce oil intake, especially fried foods which must be completely avoided, as well as high-fat foods such as fatty meats, which should be largely excluded from the diet. Foods rich in oils like seeds, peanuts, and walnuts, which are high in cholesterol and fats, should also be consumed less, as they can increase the severity of fatty liver. A light and easily digestible diet should be preferred, with an increased intake of vegetables and fruits. When consuming meat, lean meats should be chosen to help with the recovery of fatty liver.

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Written by Si Li Li
Gastroenterology
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Is moderate fatty liver serious?

Moderate fatty liver is considered a relatively severe condition, mainly caused by the excessive accumulation of fat tissue in the liver. Generally, moderate fatty liver can cause varying degrees of inflammatory changes in liver cells. It can be roughly divided into three stages: the first stage is simple fatty liver, the second stage is steatohepatitis, and the third stage is fatty liver fibrosis, also known as steatotic liver cirrhosis. Many factors can cause fatty liver, such as obesity, alcohol consumption, and drug toxicity. If a patient experiences indigestion, diarrhea, or loss of appetite, the possibility of fatty liver should be considered. It is advisable to visit a hospital for an upper abdominal CT scan or an abdominal ultrasound to confirm the diagnosis. The treatment mainly involves three aspects: removing the cause, dietary adjustment, and medication.

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Written by Ren Zheng Xin
Gastroenterology
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How to improve diet for fatty liver

Patients with fatty liver should pay attention to a reasonable diet, ensuring three meals are balanced, both coarse and refined, eating more vegetables and fruits as well as whole grains, and eating less greasy and spicy foods, especially avoiding the intake of animal fats, and strictly abstaining from smoking and drinking. While adjusting the diet, it is important to engage in appropriate physical activities, such as jogging, playing table tennis, and practicing Tai Chi, to enhance the consumption of fat in the body. Be cautious when using medication to avoid liver-toxic drugs, maintain a positive attitude, and try not to get angry. (Medication should be used under the guidance of a doctor.)

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Written by Si Li Li
Gastroenterology
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What should be noted for mild fatty liver?

People with mild fatty liver also need to pay special attention to their diet. It is important to consume a light diet and avoid high-calorie and high-fat foods such as fatty meats, fried foods, and animal organs; these should be minimized in the diet and replaced with more fruits and vegetables. Additionally, it is recommended to increase physical activity, as exercise can metabolize fats and has a certain therapeutic effect on patients with fatty liver. Simultaneously, alcohol should be avoided, as it can damage liver cells. If a patient with fatty liver frequently consumes alcohol, it can exacerbate the condition and may also lead to elevated liver enzymes.