Q1：
What's going on with fatty liver?
Fatty liver is actually fat deposition in liver cells, which generally need to be found by imaging tests, such as abdominal ultrasound or CT, either to find echo changes in the liver, or to find different densities of the liver.
More precisely, in medicine, if more than 5% of liver cells are steatosis, it can be diagnosed as fatty liver.
Q2：
Is fatty liver a critical disease?
For most people, when the fatty liver is first detected, there may be no symptoms, blood test liver function, transaminases, γ-glutamyl transpeptidase, bilirubin and other indicators are also within the normal range, which gives everyone an impression - this disease does not matter.
But in fact, at that time, it may be a simple fatty liver, if not paid attention to, it may occur steatohepatitis, and even related to future cirrhosis, liver cancer.
At present, the proportion of simple fatty liver may reach 70%-90%, and fatty liver must not be taken seriously.
Q3：
Fatty liver can be good without taking medicine?
Many people think that "the treatment of fatty liver is not to eat less, is not to quit alcohol"! Indeed, reducing weight and waist circumference is the most important treatment measure for the prevention and treatment of "non-alcoholic fatty liver disease" and its complications, and it is necessary to control diet and abstain from alcohol.
But this does not mean that "fatty liver can be good without taking medicine", we have encountered many cases in the clinic, which have proved that it is difficult to improve fatty liver through lifestyle interventions alone.
For example, for an overweight and obese patient, it is difficult to achieve the effect by changing his lifestyle to reduce his weight by 5%, or even 10%, and to maintain it for more than a year.
In most cases, his fatty liver may also be accompanied by hypertension, hyperglycemia, hyperlipidemia, and high uric acid, which must be used.
In addition, some patients with transaminases themselves are very high, do not wait until 3-6 months after changing lifestyles, because waiting for 3-6 months, it is likely to wait for a worsening of the disease, you then use drug intervention, the effect will be greatly reduced.
Therefore, if you suffer from fatty liver, the first time to go to the hospital for treatment, the doctor will give a diagnosis according to the severity of the condition, do not preconceived not to take medicine.
For patients with fatty liver diseases with other diseases or high transaminases, we advocate the first time to carry out drug intervention, which may be for blood glucose, blood pressure, blood lipids, or for liver damage and elevated transaminases.
Image source: Stand Cool Helo
Q4：
Fatty liver, how to cure?
From the perspective of fatty liver treatment, what we emphasize most is to distinguish the causes of fatty liver formation, as well as possible triggers, or related diseases that coexist with it, and then combine treatment methods such as drugs and surgery.
If it is an alcoholic fatty liver patient, insist on abstaining from alcohol for a year, and then use some hepatoprotective enzyme-lowering drugs to make the liver damage improve in time.
If it is a fatty liver patient caused by obesity, first of all, control the weight gain, so that the waist circumference can be reduced, so that the fat deposition of the liver can be reduced.
If a patient with fatty liver caused by drugs can reduce or stop the drug when the condition is stable, the fatty liver may also get better.
Therefore, it is very important to find the cause, if the cause can be removed, the fatty liver is not yet to the extent of cirrhosis, it can still be recovered.
Once it has progressed to the stage of cirrhosis, or even to the stage of liver cancer, it is difficult to reverse it by quitting alcohol or losing weight. At this time, the doctor treats according to the condition.
Q5：
Suffering from fatty liver disease, how to protect the liver?
Livers with fatty livers are more susceptible to injury than livers without fat deposits. For example, to do a liver surgery, fat deposition of the liver, it can tolerate the volume of liver excision, much smaller than the normal liver.
For patients with fatty liver disease, it is necessary to work hard to reduce liver fat deposition on a daily basis, eat less and move as much as possible, and reduce alcohol consumption.
Through these ways, the fat in the liver is as small as possible, or even returned to normal, so that the "liver crisis" will be lifted.
Q6：
Suffering from fatty liver, can I still eat fatty meat?
Suffering from fatty liver, even if it is fatty liver caused by obesity, it is also okay to eat some braised pork occasionally, or even eat a little meat oil. But it must not be much, and it is necessary to control the number of consumption and the amount of consumption.
After eating fat meat, it is necessary to increase the amount of exercise and maintain a negative balance of body energy in order to reduce liver fat.
Q7：
What should I pay attention to when taking hepatoprotective drugs?
Many patients use hepatoprotective drugs, and after two or four weeks, they go to check liver function, hoping to see the effect; if they can't see the effect, they want to add drugs, in fact, there is no need. All patients should be patient and not in a hurry when initiating hepatoprotective drug therapy.
The hepatoprotective drug itself is a palliative, not a cure, and it cannot be stopped casually. If the doctor diagnoses and finds that steatohepatitis has become a simple fatty liver, it can be recommended that patients stop the drug, but many patients, as long as the symptoms of steatohepatitis are alleviated, they will reduce the amount privately, once the drug is stopped, it will rebound, which is not conducive to long-term treatment.
Therefore, fatty liver patients take liver protection drugs, do not worry, and do not blindly stop the drug.
*The content of this article is a popularization of health knowledge and cannot be used as a specific diagnosis and treatment recommendation, nor is it a substitute for face-to-face consultation by a practicing physician, for reference only.
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