Wednesday, May 30, 2018 by Janine Acero
Nonalcoholic fatty liver disease (NAFLD) refers to a condition wherein there is too much fat in the liver (steatosis). Nonalcoholic steatohepatitis (NASH) occurs when fat continues to build up and the liver becomes inflamed.
NAFLD typically causes no symptoms, but some have fatigue or malaise, or may feel discomfort or pain in the abdomen. Enlargement of liver (hepatomegaly) develops in about 75 percent of patients with NASH. Enlargement of the spleen (splenomegaly) may also develop. It can also sometimes cause liver cirrhosis (scarring).
NASH is commonly related to obesity, high blood pressure, diabetes, dyslipidemia, and/or metabolic syndrome, but not alcohol abuse. It most especially occurs in overweight women with Type 2 diabetes (glucose intolerance).
NASH is diagnosed most often in patients between 40 and 60 years old. Children and adolescents may be affected by pediatric NASH.
The symptoms can resemble those of other conditions. Certain tests may determine if the following symptoms are caused by other conditions or NASH:
Ten to 25 percent of people with NASH will eventually develop cirrhosis and liver failure. Hepatocellular carcinoma (a type of liver cancer) can also occur if the condition progresses and is left untreated.
A combination of a healthy diet, limited portion sizes, and maintaining a healthy weight can help prevent NAFLD, NASH and other conditions.
Your healthcare provider may suggest limiting your intake of fats to help prevent or treat NAFLD or NASH, especially if you are overweight or obese.
Replace saturated fats (meat, poultry skin, butter, lard, milk and dairy products) and trans fats (crackers, commercial snacks, commercially baked goods, and fried foods) in your diet with the following to reduce your chance of heart disease if you have NAFLD:
Your healthcare provider may suggest other dietary changes to help treat NAFLD and NASH and support liver health:
NASH may be treated through a combination of weight loss programs and medications to manage diabetes and hypertriglyceridemia. Lifestyle changes are made to control weight.
A typical treatment plan for an individual with NASH may include:
Regardless of treatment, follow-up care and regular screening are important to ensure that NASH does not progress and cause further complications.
Nonalcoholic steatohepatitis (NASH) refers to the inflammation of the liver due to accumulation of excess fat in the liver, that’s caused by factors other than alcohol consumption.
NASH may progress to liver cirrhosis (scarring) and even liver cancer if left untreated.
Tagged Under: Tags: nonalcoholic steatohepatitis