Fatty liver is divided into several stages.

Written by Li Xue Qing
Gastroenterology
Updated on September 22, 2024
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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.

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Written by Wo Cheng
Hepatology
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Can people with fatty liver smoke?

Patients with fatty liver disease should also appropriately quit smoking or reduce the frequency of smoking. The treatment for severe fatty liver disease mainly includes a reasonable diet, appropriate exercise, as well as choosing to quit smoking and drinking, controlling diet properly, increasing physical exercise, removing the cause of the disease, and actively treating the primary disease. Although smoking mainly causes damage to the lungs, nicotine in cigarettes can also damage liver cells. When people with fatty liver disease smoke excessively, it can exacerbate the condition. It also damages liver cells, so people with fatty liver disease also need to quit smoking or reduce the frequency of smoking. People with fatty liver disease should regularly monitor liver function and undergo imaging tests of the liver to timely monitor the condition and actively enhance physical exercise to control the cause of the disease.

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Written by Si Li Li
Gastroenterology
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What should I do about moderate fatty liver?

In cases of moderate fatty liver, it is essential to be very cautious about diet, strictly abstaining from smoking and drinking, and avoiding greasy foods. Additionally, engaging in appropriate physical exercise is advisable, ideally maintaining over half an hour of activity daily, which can boost immunity and prevent weight gain, potentially exacerbating the condition otherwise. Fatty liver is a reversible disease, but if not promptly addressed, it can progress to cirrhosis. Therefore, a light diet should be the primary focus, avoiding fried foods and high-fat foods, including animal organs. Regular follow-up visits to the hospital are also necessary.

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Written by Wu Peng
Gastroenterology
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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.

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Written by Li Xue Qing
Gastroenterology
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What department should I visit for fatty liver?

Fatty liver is a disease that indicates a metabolic disorder and is considered a type of digestive system disease, as well as a liver disease. In top-tier hospitals, there is generally a hepatology department where one can seek treatment at their outpatient clinic. In slightly less equipped county-level secondary hospitals or third-tier hospitals, which do not have a hepatology outpatient clinic, one can visit the gastroenterology outpatient clinic. Additionally, basic health clinics, which do not have a gastroenterology outpatient clinic, require visiting a general internal medicine outpatient clinic.

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Written by Ren Zheng Xin
Gastroenterology
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How long does it take to recover from fatty liver with exercise?

Fatty liver is a reversible disease that can gradually improve with proactive treatment, dietary adjustments, and appropriate exercise, although the duration of exercise varies from person to person. For mild fatty liver, the treatment period is short. In cases of severe fatty liver, exercise therapy must be complemented with medications, which extends the time required. Currently, there are no specific drugs that completely cure fatty liver. The main treatments involve protecting liver cells, reducing lipid levels, and using antioxidants. It is important to adjust the diet promptly, reduce the intake of greasy food, especially animal fats, and increase outdoor activities such as jogging and playing badminton. Maintaining a positive mindset also helps in recovery. (The use of medications should be under the guidance of a doctor.)