How is fatty liver treated in young people?

Written by Wu Peng
Gastroenterology
Updated on September 15, 2024
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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.

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Written by Shen Jiang Chao
Radiology
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fatty liver CT manifestations

Fatty liver, also known as hepatic steatosis, is a metabolic and functional abnormality of the liver that leads to abnormal deposition of fat in liver cells. Fatty liver typically presents characteristic features on a CT scan, generally starting with a decrease in density. The reference standard for decreased density is based on the spleen. Normally, the CT value of the liver is greater than that of the spleen. If the CT value of the liver is lower than that of the spleen, it can be diagnosed as fatty liver. Some focal fatty liver changes can also be diagnosed by CT, mainly manifested by a decrease in density in a particular lobe or segment of the liver, but the blood vessels can still be normally visualized.

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Written by Ren Zheng Xin
Gastroenterology
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What to eat for fatty liver?

Fatty liver refers to the decreased ability of the liver to metabolize fats or an increase in blood lipids. In such cases, it is first important to pay attention to a light diet, eat more vegetables, and drink more water, which is conducive to the metabolism of triglycerides. Additionally, it is best to avoid greasy and spicy foods, as excessively fatty foods can also enter the bloodstream after digestion and absorption, further burdening the liver. It is also important to engage in more outdoor exercise to enhance physical fitness and reduce the accumulation of fats.

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Written by Huang Gang
Gastroenterology
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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.

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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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What is good to eat for fatty liver?

Patients with fatty liver should focus on a diet rich in high-quality proteins and vitamins. Foods that are rich in high-quality protein mainly include lean meats, fish, shrimp, beans, and eggs. Additionally, fresh vegetables and fruits are rich in vitamins, so these foods should be consumed in larger quantities. Furthermore, patients with fatty liver should also pay attention to the mix of coarse and refined staples in their diet, avoiding excessive consumption of refined foods. It is advisable to incorporate some whole grains into the diet, such as oats, corn, and brown rice. Additionally, fatty meats, animal organs, and other fatty foods should be avoided. Meals should be well-balanced and nutritionally diverse, and it is important to abstain from smoking and drinking alcohol, as well as to avoid excessively oily and fatty foods.