Fatty Liver Disease

Fatty-Liver-Cirrhosis

Last Updated October 23rd, 2019

Background

The liver is a vital organ that performs many important roles. One of its most crucial functions is that of metabolism. The liver carries out metabolism of carbohydrates, fats and proteins. In other words, all the three macronutrients present in our diets are metabolised by this organ.

There can be a variety of afflictions of the liver, ranging from infection to malignancy. However, globally, one of the main causes of liver disease is the overconsumption of alcohol. Liver disease caused by alcohol develops gradually and progressively and leads to conditions such as fatty liver disease and liver cirrhosis. Beyond a certain point, alcohol damages the liver permanently.

What Is Fatty Liver Disease?

fatty vs healthy liverNormally, if you are healthy and you liver is healthy too, there may be no fat or only a small quantity of fat stored in the organ.

However, when the percentage of fat in the liver exceeds 5% of the organ’s total weight, the person is considered to be suffering from fatty liver disease.

In medical terms, this condition is known as hepatic steatosis.

This can be the outcome of excessive alcohol consumption or it may be entirely unrelated to alcohol.

The former type is known as alcoholic fatty liver disease and the former is known as non-alcoholic fatty liver disease. The non-alcoholic form is often related to obesity or even pregnancy.

Up to a certain point, fatty liver disease is reversible. However, if the conditions responsible for it are not actively rectified, it tends to give rise to liver cirrhosis and eventually permanent liver damage. In fact, fatty liver disease is acknowledged as one of the primary causes of liver cirrhosis. In extreme cases, patients may even die.

What Is Responsible For Fatty Liver Disease?

Fatty liver disease causesThe main problem that leads to this form of disease is excessive deposition of fat within the liver itself.

Fatty liver disease is often associated with excessive alcohol consumption.

Alcohol alters the way that the liver normally processes fat, forcing it to store more than the normal quantities of fat.

It does not only inflict alcoholics or those with a severe addiction to alcohol. Those who regularly consume large quantities of alcohol, whether or not they are actually addicted to it, are liable to develop this disorder.

Insufficient or imbalanced nutritional intake can also precipitate this condition. For instance, if your diet is rich in cholesterol, there is a greater risk of developing fatty liver disease. A diet poor in nutritional value can also lead to fatty liver disease.

The following conditions may also contribute:

  • Heredity
  • Existing liver disease
  • Inflammation of the liver due to autoimmune activity
  • Being middle aged
  • High blood cholesterol level
  • Being obese or underweight
  • Being pregnant
  • Smoking
  • Sleep apnea
  • Side-effect of certain medications
  • Having hypertension
  • Insulin resistance
  • Suffering from type 2 diabetes
  • Other endocrine disorders such as hypothyroidism and hypopituitarism
  • Hepatitis C
  • Having polycystic ovary syndrome
  • Metabolic syndrome
  • Malnutrition
  • Starvation and rapid weight loss

What Are The Identifying Features And Symptoms?

Fatty liver disease is often asymptomatic. In other words there may be no noticeable external signs of disease. However, having excess fat in your liver can lead to inflammation in the organ and symptoms more often arise as a result of this process. Patients who do experience symptoms typically complain of the following problems:

  • Loss of appetite
  • Distended abdomen
  • Abdominal discomfort
  • Vomiting
  • Fatigue
  • Confusion

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What Are The Different Types Of Fatty Liver Disease?

As we seen above in brief, the two main forms of fatty liver disease are the alcoholic and non-alcoholic types. Their causes and risk factors differ to some extent. Another form of fatty liver disease can develop in women during pregnancy. The causes for this are not well understood. The risks to maternal and foetal health are considerable. For instance, either of them may develop liver failure.

What Complications Can Fatty Liver Disease Lead To?

Usually, the liver is able to renew itself by replacing damaged cells. However, if the damage continues to occur and if unhealthy habits have not been rectified, the organ develops scarring. This is known as fibrosis. As the scarring gets worse it is irreversible. This condition is known as liver cirrhosis. In extreme cases, liver cirrhosis can lead to further complications such as liver cancer and liver failure.

In pregnant women suffering from fatty liver disease, there is a risk of liver failure or kidney damage in the mother as well as the foetus.

How Is It Diagnosed ?

Since a good number of patients tend to be asymptomatic, the condition is often detected incidentally. Usually, this happens when the liver appears abnormal upon conducting imaging tests. Earlier detection is associated with a greater likelihood of recovery. Based on an overview of your symptoms and dietary habits or medical history, your doctor may suspect fatty liver disease. In order to confirm the diagnosis, the following investigations may be required:

  • Blood tests such as AST 
  • Tests for viral hepatitis.
  • Liver function tests.
  • Lipid profile tests.
  • Ultrasounds.
  • Computerised tomography (CT).
  • Elastography.
  • Liver biopsy.

Fatty-Liver-CirrhosisIf detected early enough, fatty liver disease can be successfully resolved. The most effective way to do this is to reverse unhealthy diet patterns and lifestyle habits.

In case the patient is accustomed to consuming alcohol in excessive quantities, he or she will need to be supported in the process of overcoming this habit.

This can be hard to do and counseling may be required. Support groups can aid in the process of overcoming alcoholism.

Losing weight is a sound approach for non-alcoholic fatty liver disease.

However, if the condition has progressed too far and the patient has developed severe liver cirrhosis or even liver failure, the best option may be to undergo surgery for a liver transplant.

Treatment and Prevention

The treatment protocol followed for treating and managing this  condition focuses on minimizing liver damage. If the main cause is high-alcohol consumption, then the necessary abstinence methods need to be adopted. Similarly, if its diet or diabetes related, addressing unhealthy diet patterns or glucose control is the way to go. Weight control and increasing muscle mass in the body can help get rid of excess visceral fat deposition. It is important that the patient follows a strict cardio exercise routine. Cardio routine will not only help in losing weight and increasing body’s metabolism, but it will also control insulin resistance.

Treatment for fatty liver disease basically includes a complete lifestyle change. Including a healthy dietary pattern and physically active lifestyle will go a long way in improving the condition of the liver. Sugar and tobacco consumption should be refrained from. Drugs that faciltate cholesterol and triglyceride control are often prescribed to FLD patients. For extremely obese individuals, bariatric surgery might prove helpful. Regardless of the severity of this disease, it is advised to the patients to go for regular check-ups and follow-ups with the doctor.

Facts

  • Non-alcoholic fatty liver disease (NAFLD) affects roughly 30-40% Americans.
  • Obesity and diabetes are closely associated with the onset of fatty liver disease. Almost half of all type 2 diabetes patients and 1/3rd of all obese individuals in the USA are diagnosed with the fatty liver disease.

Facts

  • NAFLD affects almost 20% of the general population, and mainly due to rise in obesity, has increased by 200% in the last 20 years.
  • 10-30% of NAFLD patients can observe the disease progress into cirrhosis.

Facts

  • Liver-related diseases have shown a steady increase over the past few decades and have now become the 5th leading cause of worldwide fatalities.
  • People suffering from NAFLD have a higher risk of developing cardiovascular diseases.

Related Conditions

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Dos and Don'ts

Dos
  • A nutrient-rich diet with the healthy amount of vitamin B, sulfur, folic acid, and vitamin C is suitable for an individual diagnosed with the fatty liver disease. These are mostly found in citrus fruits and green vegetables.
  • You can consume lean meats such as chicken and turkey.
  • Whole grains and brown rice are good sources of carbohydrates.
Don'ts
  • Consume red meats and/or processed meat.
  • Indulge in drinking alcohol or sugary drinks.
  • Practice a regulated weight-loss regime instead of opting for crash diets.
  • Lead a largely sedentary lifestyle. Cut down on fatty food.

 

 

 

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Bromelain: 11 reasons why you should start adding pineapple to your pizza! If you didn't love pineapples already, here are some of the top health benefits that bromelain can bring…
The complete “what to eat” guide for gluten intolerance Does eating breads and pastas often makes you nauseous? Gluten intolerance is a common reason why you might…
How accurate is the hair follicle drug test? Hair follicle drug test is one of the best ways to identify drug use in professional circles. But…
Inversion Therapy: The anti-gravity way of healing chronic back pain Inversion therapy involves suspending a person upside dow using different types of equipment. This works by taking the…
Appendix pain: Recent findings on this not-so vestigial organ The exact function of the appendix is still not clear. Some consider it as an organ that once…
liver cleanse detox
14 go-to foods that are best for a complete natural liver detox Liver cleanse can be achieved by just choosing or avoiding certain types of food. Liver itself is a detoxifying…
GGt test
GGT – Gamma-Glutamyl Transferase Test GGT or gammaglutamyl transferase test is a liver function test that is used to detect the extent of…
complement c4 test
Anemia Profile Anemia Profile test (Basic) is a blood screening test that measures the levels of important components of the…
Tachycardia heart
Cardiac Profile Cardiac profile is panel of blood tests performed to check cholesterol level and other heart disease markers to…
Smiling-happy-pretty-woman-with-flowers
Laughter Therapy– The Best Medicine for Healthy Living Read how laughter influences your stress hormones, belly fat, heart health, and more. Use these simple tips to…
sleep deprivation
Don’t let your sleep deficit grow into memory loss or heart attack Why is sleep important for us? How could sleep deprivation harm you? We bet you didn't know about…
aspartame or sugar
Aspartame – Hidden truths about this storm in a teacup Aspartame, the artificial sweetener, has gone under the scanner on several occasions for allegedly doing more harm than…
Elderberry: More than just a folk medicine for cold and sinusitis While the raw elderberry can be a hazard, when consumed in the form of teas and syrup, elderberry…
Pescatarian Diet 101: What are the inherent health advantages of this diet? People opt to become a pescatarian in order to enrich their bodies with the essential health benefits that…
Oxidative Stress: Understanding the most lethal phenomenon happening in your body right now Free radicals cause damage to the body, which is known as oxidation.  The amount of oxidation caused by…
Tamarind: The top health benefits of this staple Asian ingredient Did you know this sweet and sour pulpy fruit does more than just add a tangy flavor to…
Gua sha: Scraping away layers of pain with this ancient healing tool Gua sha is an ancient oriental healing method which focuses on scraping the body with specific tools to…
Oxalates: How healthy greens can sometimes be bad news for your kidneys Oxalates are compounds present in a majority of healthy foods. However, at times an overconsumption of these could…
SIBO Diet: The important dos and don’ts of this gut-healing diet A SIBO diet is a diet that works by eliminating certain sugars from your diet and adding fibers…
Internal bleeding brain
Beware: Ignoring these tell-tale signs of stroke could cost a life The signs and symptoms of a stroke differ depending on which part of the brain has been affected.…
shakeology woman
Meal replacement or protein drink? Learn all about Shakeology and its claims Shakeology from Beachbody claims to be the most suitable shake that can aid in weight loss, regulate blood…