What is fatty liver disease?

June 23, 2023

Fatty liver disease, also known as hepatic steatosis, is a condition characterized by the accumulation of fat in the liver cells. It is a common liver disorder that can range from mild to severe. There are two main types of fatty liver disease:

  1. Non-alcoholic fatty liver disease (NAFLD): This type of fatty liver disease occurs in people who consume little to no alcohol. It is often associated with obesity, insulin resistance, type 2 diabetes, high blood pressure, and high cholesterol levels. NAFLD is considered to be a spectrum of conditions that can progress from simple fatty liver (steatosis) to non-alcoholic steatohepatitis (NASH), which involves inflammation and liver cell damage.
  2. Alcoholic fatty liver disease: As the name suggests, this type of fatty liver disease is caused by excessive alcohol consumption. The liver is responsible for metabolizing alcohol, and heavy drinking over time can lead to fat accumulation, inflammation, and liver damage. Alcoholic fatty liver disease can progress to alcoholic hepatitis and cirrhosis if alcohol consumption continues.

Both types of fatty liver disease can occur without causing noticeable symptoms in the early stages. However, as the condition progresses, symptoms such as fatigue, abdominal discomfort, and jaundice (yellowing of the skin and eyes) may occur. Fatty liver disease can also increase the risk of developing complications such as liver fibrosis, cirrhosis, and liver cancer.

Diagnosis of fatty liver disease involves a combination of medical history evaluation, physical examination, blood tests to assess liver function and rule out other causes, and imaging studies like ultrasound, CT scan, or MRI to visualize the liver and determine the extent of fat accumulation.

Treatment of fatty liver disease primarily involves lifestyle changes to improve overall health. This includes weight loss through a balanced diet and regular exercise, managing underlying conditions like diabetes and high cholesterol, avoiding alcohol (in the case of alcoholic fatty liver disease), and medications to manage specific symptoms or conditions. It’s important to consult a healthcare professional for a proper diagnosis and guidance regarding the management of fatty liver disease.

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