What are the symptoms of fatty liver? Is fatty liver serious?

Written by Huang Gang
Gastroenterology
Updated on January 18, 2025
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If you have fatty liver disease, the symptoms are essentially the same as those of chronic hepatitis B and C, which include nausea, vomiting, loss of appetite, aversion to oily foods, and fatigue. Additionally, patients with fatty liver disease may experience a sensation of swelling and pain in the liver area. At this point, further liver function tests such as measuring transaminase and bilirubin levels can be conducted, and performing a hepatobiliary ultrasound can definitively diagnose the condition. If the fatty liver is due to obesity, it is advisable to strictly control food intake and engage in active and reasonable exercise for weight loss, as fatty liver can be reversed. However, if the fatty liver is due to long-term excessive alcohol consumption, it is recommended to strictly quit smoking and drinking, combined with reasonable exercise and diet control, as fatty liver can also be reversed.

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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 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.)

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Written by Tang Li
Cardiology
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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.

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Written by Zhu Dan Hua
Gastroenterology
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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.

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Written by Li Xue Qing
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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.