Disease
Fatty Liver Disease (Non-Alcoholic Fatty Liver Disease – NAFLD)

Overview of NAFLD/FLD

Fatty liver disease particularly Non-Alcoholic Fatty Liver Disease (NAFLD) is a condition where excess fat accumulates in the liver without alcohol consumption as a contributing factor. This disease can range from simple hepatic steatosis (fatty liver) to more serious forms such as Non-Alcoholic Steatohepatitis (NASH) which can lead to liver inflammation and damage.

Types of NAFLD/FLD

  • Non Alcoholic Fatty Liver Disease (NAFLD): A common condition where fat builds up in the liver but without any history of alcohol abuse.
  •  Non Alcoholic Steatohepatitis (NASH): A more advanced stage of NAFLD where the fat buildup causes liver inflammation and damage.
  •  Fatty Liver Disease (FLD): A general term that refers to the accumulation of fat in the liver which can be caused by various factors such as obesity and diabetes.

Symptoms of NAFLD/FLD

  • Silent Early Stages: Often there are no noticeable symptoms in the beginning.
  • Fatigue: Feeling more tired than usual.
  • Abdominal Discomfort: Pain or discomfort in the upper right side of the abdomen.
  • Unexplained Weight Loss: Losing weight without trying.
  • Skin Changes: Yellowing of the skin and eyes (jaundice) in advanced cases.
  • Swollen Abdomen: Accumulation of fluid causing bloating.

Causes of NAFLD/FLD

  • Obesity: Excess fat in the body leads to fat accumulation in the liver.
  • Type 2 Diabetes: High blood sugar levels contribute to fatty liver.
  • Poor Diet: High fat and high sugar diets increase fat in the liver.
  • Genetics: Family history can make individuals more prone to developing fatty liver disease.
  • Medications: Certain drugs, like steroids can cause liver fat accumulation.

Complications of NAFLD/FLD

  • Cirrhosis: Scarring of liver tissue often leading to liver failure.
  • Liver Cancer: The risk increases with prolonged fatty liver or NASH.
  • Cardiovascular Disease: NAFLD increases the risk of heart problems.
  • Non Alcoholic Steatohepatitis (NASH): Progresses into severe liver damage or fibrosis if untreated.

Risk Factors of NAFLD/FLD

  • Obesity or Overweight: Extra weight, especially around the abdomen is a major risk factor.
  • Diabetes or Pre diabetes: Increased blood sugar makes the liver more likely to store fat.
  • High Cholesterol: Elevated cholesterol levels can contribute to fatty liver.
  • Lack of Physical Activity: Sedentary lifestyle significantly raises the risk.
  • Age: Older adults are at a higher risk.

Prevention of NAFLD/FLD

  • Healthy Weight: Maintain a balanced weight to reduce the strain on your liver.
  • Balanced Diet: Focus on a diet rich in fruits, vegetables, lean proteins and whole grains.
  • Physical Activity: Engage in at least 30 minutes of exercise daily.
  • Limit Alcohol: Excessive alcohol can worsen liver health.
  • Regular Check ups: Keep track of blood sugar and cholesterol levels.

Diagnosis of NAFLD/FLD

  • Blood Tests: To check liver function and enzyme levels.
  • Ultrasound or CT Scan: Non invasive methods to spot liver fat accumulation.
  • Liver Biopsy: In cases of NASH, this can help assess the extent of liver damage.
  • MRI: Helps to evaluate the severity of the liver fat build up.

Treatments of NAFLD/FLD

  • Lifestyle Changes: The most effective treatment involves maintaining a healthy weight and regular exercise.
  • Medications: While no specific drugs for NAFLD exist, medications for underlying conditions like diabetes and high cholesterol may help.
  • Liver Transplant: In cases of severe cirrhosis or liver failure a transplant might be necessary.

Prognosis of NAFLD/FLD

  • Early Detection: If diagnosed early and managed well most people can live healthy lives without severe complications.
  • Untreated Disease: Without intervention fatty liver can progress to NASH, cirrhosis, or liver cancer, impacting life expectancy.
  • Lifestyle Management: Maintaining a healthy lifestyle is key to managing the condition and preventing liver damage.

Care at MyhealthMydoctor

  • Personalised Care: At MyhealthMydoctor we create tailored treatment plans for fatty liver patients, addressing the root causes like obesity, diabetes and poor diet.
  • Expert Guidance: Our specialists provide support every step of the way, from diagnosis to treatment and long term care.
  • Comprehensive Support: We ensure continuous monitoring and management, helping patients lead healthier lives.

Some Important Questions Patients Should Ask Their Doctor During a Consultation

  • How can I reverse fatty liver disease?
  •  What foods should I avoid to prevent further liver damage?
  • How can I manage my weight to reduce liver fat?
  • Is there a specific medication for fatty liver disease?
  •  How do I know if my liver has progressed to NASH or cirrhosis?

What Patients Expect from Doctors During Consultation?

  • Thorough Examination: Expect a complete health checkup, including blood tests and imaging to assess liver function.
  • Personalised Advice: Receive advice on lifestyle changes, dietary modifications and exercise plans tailored to your condition.
  • Clear Communication: The doctor will explain the stage of the disease, available treatments and what to expect moving forward.
  • Regular Monitoring: Be prepared for follow up visits to track progress and make adjustments to the treatment plan if necessary.