What should I do about moderate fatty liver?

Written by Si Li Li
Gastroenterology
Updated on November 15, 2024
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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 Wo Cheng
Hepatology
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How to treat the symptoms of fatty liver disease?

The treatment of fatty liver symptoms primarily requires distinguishing the type of fatty liver, which includes alcoholic fatty liver, nonalcoholic fatty liver (simple fatty liver), and steatohepatitis. For alcoholic fatty liver, the first step is to abstain from alcohol. Additionally, it is important to avoid high-fat and greasy foods in the diet. When alcoholic liver damage occurs, if the liver function is severely impaired, treatment with liver-protective, enzyme-lowering, and jaundice-reducing medications may be necessary. For nonalcoholic fatty liver, which is caused by being overweight or having a large waist circumference, treatment involves controlling weight and reducing waist size. Combined with appropriate physical exercise, reducing weight and waist size can help improve fatty liver. The diet should also limit high-fat, greasy, and high-sugar foods, focusing on light and easily digestible food, supplemented with an adequate amount of protein. For people with steatohepatitis, treatment usually involves intravenous infusions of liver-protective, enzyme-lowering, and jaundice-reducing medications.

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Written by Ren Zheng Xin
Gastroenterology
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Do fatty livers need to be treated?

Fatty liver refers to the excessive accumulation of fat in liver cells. For mild fatty liver, clinical symptoms are not obvious, and there are not many abnormal indicators during physical examinations. In such cases, one can adjust the diet and increase exercise appropriately to promote the consumption of fat in the body. If there is a significant liver function abnormality, increased transaminases, and symptoms of nausea and vomiting, one can choose to use medications that protect the liver, reduce lipids, and provide antioxidants for treatment. At the same time, it is important to maintain a positive mindset and regularly visit the hospital for follow-up checks. (The use of medications should be under the guidance of a doctor.)

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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 Zhu Dan Hua
Gastroenterology
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Does fatty liver disease transmit?

Fatty liver is relatively common in clinical practice. It is not an infectious disease and is not contagious. Fatty liver is generally considered to be caused by various reasons leading to fat deposition in the liver. Usually, there are no specific symptoms. Some patients may experience pain, dull pain, or discomfort in the upper right abdomen, along with nausea, etc. Typically, patients discover they have fatty liver during a physical examination or incidental liver function tests and abdominal ultrasound that indicate changes due to fatty liver. The general principle of treatment is symptomatic management. If liver function is abnormal, hepatoprotective treatment can be considered. Of course, if liver function is normal and it's purely fatty liver, the main approach is adjusting dietary and lifestyle habits. It is advised that patients consume high-quality proteins and reduce intake of greasy, fatty, low-fat, and low-sugar foods. Maintaining a good mental state, appropriately reducing weight, and exercising can cure mild fatty liver. If there is severe fatty liver, it is recommended that patients visit a local hospital for treatment.

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Written by Si Li Li
Gastroenterology
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The Harm of Fatty Liver

There are many causes of fatty liver disease, and the degree of harm varies according to the different causes. Non-alcoholic fatty liver is closely related to metabolic syndrome and often occurs in diseases such as hyperlipidemia, diabetes, coronary heart disease, and hypertension. It can easily lead to reduced arterial elasticity and increased risk of heart attacks, strokes, or sudden death. Fatty liver can also exacerbate liver damage. Long-term fatty liver may lead to liver fibrosis and eventually cirrhosis. If combined with chronic hepatitis B or chronic hepatitis C, the progression to liver fibrosis may accelerate.