Non-alcoholic fatty liver, also known as NAFLD, is a condition in which fat is produced in the liver, and as you know, the liver is a large organ on the right and upper side of the abdomen. There are generally two types of fatty liver or NAFLD: - Non-alcoholic fatty liver (NAFL) In this type of fatty liver, the liver is fatty but not inflamed... - Non-alcoholic steatohepatitis (NASH) In this type of disease, the liver has fat and is also inflamed In this article, we are going to examine the second case, NASH... because it is a condition that can lead to more problems... People who drink a lot of alcohol may have conditions similar to NASH... but this disease may occur even in people who do not drink alcohol or people who drink a little alcohol... What is the cause of non-alcoholic fatty liver or NASH?... The main cause of this disease is not yet fully known, but doctors believe that certain conditions can affect this disease.. These factors are: - Overweight - Diabetes that increases blood sugar - High cholesterol - Taking certain medications What are the symptoms of non-alcoholic fatty liver disease? Most of the people with this disease do not have any special symptoms. The doctor may suspect NASH based on the results of your routine blood tests. Is there a need to do more tests? Yes!.. If your doctor suspects that you have this disease, he will probably prescribe the following tests for you: - More blood tests - Liver imaging tests such as ultrasound, CT or MRI These tests are ordered to take pictures of the inside of the body.. Some may require a liver biopsy.. During this test, the doctor takes a small sample of liver tissue and then another doctor examines it under a microscope to see if there are any signs of NASH.. A liver biopsy is the only test that can definitively tell if you have NAFLD! If your doctor is not sure if you have NASH or wants to check the level of liver inflammation, he will order this test... If your blood work and imaging tests are normal, you probably won't need a liver biopsy.... How is NASH treated?.. There is no direct cure for NASH, but if the condition that causes it is improved, the patient is more likely to recover. For example, losing weight, controlling blood sugar and cholesterol can help improve NASH. Accordingly, a doctor can: - Advice to lose weight.... If your doctor advises you to lose weight, it is best to do it slowly.... You should not lose more than 3.5 pounds or 1.6 kg per week.... - If you have high blood sugar, control your blood sugar... Stroke reduction.... This is very important because most people with NASH are often at risk of some heart disease or other strokes.. Studies have shown an increased risk of death in high doses of vitamin E... so without Do not take vitamin E arbitrarily as prescribed by your doctor.. Does non-alcoholic fatty liver disease get worse over time?.. NASH or non-alcoholic fatty liver disease usually does not get worse with time, but sometimes it causes a severe liver infection called cirrhosis.. Cirrhosis may cause various symptoms such as swelling in the legs, difficulty breathing or feeling tired.. If you have cirrhosis, your doctor will talk to you about different treatments. Often involves blood tests, follows up... > > To schedule an appointment, you can call 051 (38704066) every day.... > > Office address: Mashhad, Kausar Blvd., between Kausar 2 and 4 - Farabi Building - 2nd floor **Gastroenterologist in Mashhad** ==================================== **\*Gastroenterologist in Mashhad\***