• Fatty liver disease is a condition caused by fat buildup in the liver (i.e., when fat percentage exceeds 5 - 10% of your liver's weight), which can be caused by alcohol intake and/or a high fat diet. Individuals who are obese/overweight, have poor glycemic control/insulin resistance, have metabolic syndrome, and are taking specific drugs such as amiodarone, diltiazem, tamoxifen, or steroids are at risk of developing fatty liver.

• In some situations, it is thought to be symptomless, but in others, it can cause substantial liver damage. The good news is that it is frequently avoidable or reversible with lifestyle modifications.

• It progresses through 3 stages which include Steatohepatitis (swelling and damage of liver tissue), Fibrosis (scar tissue formation where your liver is damaged) and Cirrhosis (extensive scar tissue replacement with healthy tissue). Cirrhosis can lead to liver failure or cancer.

• Laboratory investigations consists of Liver functions tests such as AST, ALT, ALP and GGT; Total Albumin and Bilirubin, CBC, Test for viral infection, Fasting Blood Glucose, HbA1c and Lipid profile.

• Imaging procedures such as Ultrasound, CT /MRI, Elastography (for measuring stiffness of liver) and Magnetic resonance elastography and Biopsy (for ruling out any cancerous growth and for signs or any inflammation and scarring).

• If a patient has a fatty liver, he or she should be checked for the entire metabolic syndrome, which includes diabetes, hypertension, cholesterol, and thyroid issues.

• The best way to treat fatty liver is with making some lifestyle changes which can significantly improve your health which includes – Avoiding alcohol and High fat diet, Losing weight, taking medications for controlling glucose and fat(Triglyceride and Cholesterol) levels and Vitamin E with Thiazolidinediones in specific instances.

• Currently, no drug treatment is approved for management of fatty liver disease.

In order to prevent further progression of disease one can:

 Maintain a healthy weight by consuming food less/minimal in in its fat percentage.

 Follow a Mediterranean diet which is high in vegetables, fruits and good fats.

 Exercise regularly for 45 minutes where in you can include combination of cycling with walking, cardio, CrossFit and yoga with meditation.

 Restrict alcohol consumption

 Consult a hepatologist near you for further evaluation and treatment and your dietician for advice on fat loss.

Answered on 23rd May '24

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My father suffering from nonalcoholic steatohepatitis

Male | 53

This is a state where the liver gets fat-rich and thus there is inflammation. Symptoms can be tiredness, pain in your abdomen, and jaundice when the skin and eyes go yellow. To help, he will likely have to eat healthy food, exercise, and avoid alcohol. These changes can help his liver to be intact.

Answered on 4th Nov '24

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My question about liver problem

Female | 36

Liver issues can manifest through various signs such as fatigue, abdominal discomfort, jaundice (yellowing of the skin or eyes), or unusual swelling. Common causes include excessive alcohol consumption, viral infections, and obesity. Maintaining a healthy diet, staying active, and avoiding alcohol can significantly benefit liver health. It's essential to consult a gastroenterologist for personalized advice and testing if you have concerns.

Answered on 24th Feb '25

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My daughter has jaundice, what should I feed her?

Female | 5

Jaundice is a term that describes the yellow color of the skin and eyes which can be found in some people. This is a symptom of liver issues. Healthy liver-friendly foods, such as fruits, vegetables, and whole grains, should be included in your daughter's diet. Nothing oily or greasy should be on the menu. In addition, her water consumption should be high enough for her to resist dehydration. Treatment and monitoring by a hepatologist should be the first thing you do.

Answered on 9th Sept '24

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Doctor I have jaundice sir I have a lot of urine sir is there more urine in jaundice or not

Male | 18

When a person has jaundice, the urine is usually darker in color, although not more than normal. Jaundice is a condition that occurs when there is too much bilirubin in the blood and this causes a change in the color of the skin and eyes. The direct cause of jaundice will determine the exact treatment prescribed for this condition, so it is essential to visit a hepatologist.

Answered on 18th Sept '24

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I have jondies bilirubin count 1.42 any problem???

Male | 36

Bilirubin, a yellow substance from old blood cells, is slightly high at 1.42, which exceeds normal limits. Elevated bilirubin can cause jaundice, leading to yellowing of the skin and eyes. This may indicate liver issues, gallstones, or infections. It's important to consult a hepatologist for further tests to identify the cause and get the right treatment.

Answered on 12th Sept '24

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Kya 50% liver kharab hone ke bad liver theek ho sakta hai

Male | 35

The liver can partially recover even if it's 50% damaged, depending on the cause and overall health. Reversible conditions like viral infections or certain medication-related damage may allow for better recovery.

Answered on 23rd May '24

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I GOT DIAGNOSED WITH GRADE 1 FATTY LIVER. I AM SUFFERING FROM PAIN IN MY ABDOMEN SINCE 1 YEAR. WHAT SHOULD I DO NOW?

Female | 48

If your fatty liver has been diagnosed and you are also suffering from abdominal pain, it is very crucial to see a gastroenterologist for further analysis. They can suggest certain dietary adjustments, lifestyle changes and further tests or treatments depending on a the patient’s situation. For effective management of the fatty liver disease, it is very important to seek professional medical advice.

Answered on 23rd May '24

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After drinking seven Penadol at once, what should you do before something happens?

Female | 16

I don't advocate that a person must take seven Panadol tablets all at once. It is an excessive amount and it can even be dangerous. If your body has absorbed that amount, it is necessary to immediately see a hepatologist, they will analyze you for side effects in case there are any and recommend the right treatment.

Answered on 23rd May '24

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12.5kpa and 392 mean reversed to normal range.

Male | 35

Sometimes, fluctuations in these numbers can be due to various factors like hydration levels, diet, or even stress. It's essential to continue monitoring your health, staying hydrated, eating a balanced diet, and managing stress levels. If you have any more concerns or notice any changes, don't hesitate to reach out. It's always good to stay proactive about your health.

Answered on 7th Nov '25

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Alkaline phosphatase 160 and s.g.o.t 73

Male | 38

Elevated alkaline phosphatase and SGOT levels may indicate issues related to the liver, bones, or bile ducts. Common causes include liver disease, bone disorders, or certain medications. Symptoms to watch for include fatigue, jaundice, abdominal pain, or unusual bruising. It’s important to discuss these results with your healthcare provider, who can assess your overall health, recommend further tests if necessary, and provide guidance tailored to your situation.

Answered on 21st Jan '25

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