Who does fatty liver go to?

According to Chardivari in Jam Jam newspaper, fatty liver refers to fat deposits and mostly neutral fats such as triglycerides. According to statistics, it has been determined that the first stage of this disease is prevalent in 30% and the second stage in about 10% of the population of Iran. Also, fatty liver disease can be seen at any age, but its highest prevalence is between the ages of 40-60, and it is more common in women than men. It can be seen. Last week, the 16th Gastroenterology and Liver Congress was held at Shahid Beheshti University, and one of the topics discussed was liver diseases. For this purpose, we went to Dr. Nasser Ebrahimi-Daryani, gastroenterology and liver specialist and professor at Tehran University of Medical Sciences, to diagnose fatty liver disease and the reason why this disease is more common in women.

Diagnostic methods of fatty liver disease

Fatty liver can be diagnosed by examining the patient’s history, physical examination and liver imaging, ultrasound, CT scan, MRI and blood tests to rule out other liver diseases. It is important to know that in this disease the liver may not be large and the liver tests are all normal.

Of course, fatty liver patients are asymptomatic. The diagnosis is often made when patients refer to other causes and the doctor notices fatty liver in the imaging, also fatty liver may be diagnosed during examination of the patient with upper abdominal pain and liver enlargement.

Fatty liver from diagnosis to treatment

Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver disease in many parts of the world. Non-alcoholic fatty liver is strongly associated with overweight and obesity and resistance to the hormone insulin.

Insulin resistance is seen in type 2 diabetes, metabolic syndrome (which includes hypertension, dyslipidemia, dysglycemia, and central obesity), and polycystic ovary syndrome (PCOS). Also, long-term hunger, stomach and intestinal surgery for weight loss, and some diseases such as inflammatory bowel diseases, hepatitis C, alcohol consumption, and the use of some drugs such as tetracycline, coronet, and tamoxifen are among the causes of fatty liver.

Who gets fatty liver?

– People who have type 1 or type 2 diabetes, but their body rejects insulin, even if it is injected insulin, have fatty liver.

– The use of certain chemical drugs has a bad effect on the liver. Especially antibiotics, pus dryers, which are used without expert prescription and without proving infection or internal pus, which is unfortunately a lot in our country.

Those who consume a lot of fat. Fried foods cause several diseases, one of the most important of which is fatty liver.

Half-boiled or hard-boiled eggs cause several diseases, one of which is fatty liver.

– People who have wrong self-treatments and lose weight quickly.

Drug treatments

Several drugs have been tested for fatty liver, but no drug has been approved to completely cure fatty liver. Since most fatty liver patients have insulin resistance, drugs that improve insulin resistance such as metformin, rosiglitazone and pioglitazone and antioxidants such as vitamin E have been tested. Studies have shown that the use of metformin and rosiglitazone and pioglitazone in non-diabetic patients and liver Fat improves the laboratory and pathology, but these drugs also have side effects that should be taken under the supervision of a doctor.

Also, in patients with diabetes and fatty liver, metformin did not have a clear effect on the process of laboratory and pathological improvement, but pioglitazone was associated with pathological improvement.

Cause of disease

Obesity is present in 50-90% of patients and other symptoms of metabolic syndrome may also be present. In some patients, evidence of chronic liver disease such as enlarged spleen may also be seen. In the last stages of the disease, even jaundice may occur.

Fatty liver treatment can be divided into three parts:

1- Specific treatment of fatty liver related to liver disease

2- Treatment of fatty liver associated with associated diseases

3- Treatment of advanced fatty liver complications

Prevention methods to avoid getting infected

Lifestyle and diet changes are the basis of fatty liver treatment. Losing 3 to 5% of weight improves the condition of the liver, but weight loss of up to 10% is recommended for more advanced disease. Exercise is very important in fatty liver patients.

Source: Elo Doctor

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