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alcoholic fatty liver; From diagnosis to treatment
مقاله تخصصی

alcoholic fatty liver; From diagnosis to treatment

3 months ago
621 بازدید
Dr. Mohammad Amani

Dr. Mohammad Amani

Tehran

Adult gastroenterology and liver specialist

Study duration 17 minutes
Alcoholic fatty liver is one of the most common liver diseases caused by excessive alcohol consumption. In this disease, fat gradually accumulates in the liver cells and disrupts its normal function. In this article, Parla Gastroenterology and Liver Specialist Clinic examines different ways of treating and controlling alcoholic fatty liver... What is alcoholic fatty liver?... **Alcoholic fatty liver disease** (Alcoholic fatty liver disease) is one of the types of liver diseases caused by excessive alcohol consumption. Find out... It is responsible for regulating the liver metabolism with excess alcohol consumption... Toxins and as a result, fats accumulate in the liver tissue and disrupt its normal function... In the early stages, alcoholic fatty liver may be asymptomatic and the person is not aware of its existence... But as the disease progresses, symptoms such as fatigue, weakness, weight loss and pain in the upper abdomen appear... More serious, such as alcoholic hepatitis. from hepatitis, permanent wounds in the liver) which carries the risk of liver failure and even death... One of the characteristics of alcoholic fatty liver is that in its early stages you can achieve a significant improvement in the condition of the liver by stopping alcohol consumption and modifying your lifestyle. Fatty liver?.. Different factors can cause fatty liver.... This disease is divided into two main categories **alcoholic fatty liver** and **non-alcoholic fatty liver**.... Each of these types has its own reasons and factors, but some common factors also play a role in this field.... **1... Excessive consumption of alcohol (alcoholic fatty liver)**: **Long-term and heavy consumption of alcohol** is one of the main causes of alcoholic fatty liver.... Alcohol damages the liver over time and causes **accumulation of fat in liver cells**... If alcohol consumption continues, liver disease progresses and leads to inflammation... Cirrhosis... **2. Obesity and excess Weight**: Obesity and overweight are the main causes of non-alcoholic fatty liver disease (NAFLD)... Excess fat in the body, especially in the abdominal area, can increase fat deposition in the liver and disrupt its function. Correct use of insulin leads to fat accumulation in the liver. Triglycerides: ** High levels of bad cholesterol (LDL) and triglycerides can cause fat accumulation in the liver. Diet and medication can help prevent fatty liver... **5... Improper diet:** High consumption of high-fat foods, processed foods, added sugars and sugar-containing drinks can lead to the accumulation of fat in the liver. Drugs such as steroids, non-steroidal anti-inflammatory drugs and some anti-seizure drugs can cause fat accumulation in the liver... Metabolic disorders, thyroid and autoimmune diseases can increase the risk of developing fatty liver... Treatment of alcoholic fatty liver The treatment of alcoholic fatty liver primarily starts with **abstaining from alcohol**, because its continuous consumption causes liver damage to progress.. It helps to reduce body fat and increase the general health of the liver. 2... **weight loss** in a gradual and healthy way 3... **healthy diet** including fruits, vegetables, whole grains and low-fat proteins 4... **regular exercise** such as walking, cycling or swimming (at least 150 minutes per week) 5... Control of diabetes and insulin resistance through diet, exercise and medication 6... **Drug therapy** to control blood fat, diabetes and reduce inflammation (if prescribed by a doctor) 7.. Quit smoking to improve liver health and prevent further damage 8... Stress management with techniques such as meditation and yoga 9... **use of supplements** such as silymarin (milk thistle extract) 10... Regular examinations to assess liver health and follow up treatment Regular follow-up and periodical examinations are very important to evaluate the condition of the liver. These measures help to identify any changes in the liver condition in time and prevent the disease from progressing. Also, the doctor can provide the best treatment recommendations and necessary corrections based on the results of the tests. In the early stages, it is less noticeable, but as the disease progresses, symptoms such as fatigue, abdominal pain, and yellow skin appear. **Cirrhosis**, more severe symptoms appear... These symptoms can include yellowing of the skin and eyes, abdominal swelling (ascites), unwanted weight loss, nausea, anorexia, and confusion or drowsiness (due to the accumulation of toxins in the body). - Pain or heaviness in the upper right side of the abdomen - Anorexia - Nausea - Gradual weight loss - General weakness - Enlargement of the liver (which can be felt by the doctor) - Yellowing of the skin and eyes (in advanced stages) - Abdominal swelling (ascites) - Confusion or loss of concentration (in severe cases) The timely treatment and control of alcoholic fatty liver plays an essential role in preventing serious and irreversible damage to the liver.... By changing lifestyle, quitting alcohol and regular medical care, the progression of the disease can be prevented... Awareness of the early symptoms and quick action is the best way to maintain liver health.... Methods of diagnosing alcoholic fatty liver Diagnosing alcoholic fatty liver includes a series of examinations and tests that are used to determine the condition of the liver and assess the extent of its damage. These methods include the following: 1... **Medical history review and clinical examination**: The doctor usually starts by asking about the history of alcohol consumption, family history of liver diseases and other risk factors... Also, a physical examination can help detect symptoms such as an enlarged liver or pain in the upper abdomen.. An increase in the level of these enzymes can be a sign of liver damage... More advanced, CT scan and MRI are also used to examine the liver in more detail and detect more damage. Liver in some cases.... In this method, a small sample of liver tissue is removed using a long needle and examined under a microscope... Liver biopsy is used to determine the exact amount of liver damage and inflammation, especially in cases of suspected alcoholic hepatitis or cirrhosis... How to prevent alcoholic fatty liver?.. Prevention of alcoholic fatty liver is mainly possible with **reducing or stopping alcohol** is....having a **healthy** and **balanced** diet, including **fruits**, **vegetables** and **helping maintain good health... **regular exercise** can also help **reduce excess body fat** and **improving liver function** be effective.... Weight control and prevention of obesity are other important factors in preventing fatty liver.... Also, regular examinations and liver tests can identify problems.... Can alcohol help treat fatty liver? **Yes, alcoholic fatty liver is treatable in its early stages**, especially if the person stops drinking alcohol....At this stage, the liver still has the ability to regenerate and heal itself....By stopping alcohol consumption and adopting a healthy lifestyle including proper nutrition, regular exercise and weight control, the liver can reduce excess fat and gradually progress and if the disease returns to normal....(alcoholic hepatitis)...or lead to cirrhosis, The treatment becomes more difficult and **liver damage may be irreversible**... Therefore, early diagnosis and lifestyle changes play an essential role in treatment.... What should we eat for alcoholic fatty liver?... Proper nutrition is one of the key factors in improving and preventing fatty liver, you can improve fatty liver by choosing healthy food and help to improve alcoholic fatty liver.... Performance... Consuming fruits, vegetables, healthy fats and low-fat proteins is very effective in this way... Also, drinking enough water and using foods rich in fiber and antioxidants can help detoxify and reduce liver inflammation... ### Foods for alcoholic fatty liver: - Green leafy vegetables (such as spinach, kale) - garlic - Beetroot - Avocado - Walnut - Olive oil - Turmeric - Green tea - Oatmeal - Sour lemon - Broccoli - Berries (such as blueberries, raspberries) - apple - Tomatoes Coffee and alcoholic fatty liver As a popular drink around the world, coffee has been shown in various studies to have beneficial effects on liver health, including in people with alcoholic fatty liver... Although alcohol consumption damages the liver, research shows that regular coffee consumption may help reduce liver damage and prevent the progression of liver diseases such as fatty liver, alcoholic hepatitis and cirrhosis.. 1... **Reduce inflammation and liver damage**: Coffee contains anti-inflammatory and anti It is an oxidant that can help reduce inflammation in the liver. These substances prevent cell damage caused by alcohol by reducing oxidative stress in the liver. In this way, regular coffee consumption can help reduce the accumulation of fat in the liver and protect liver cells. Studies show that people who drink coffee regularly are less likely to develop liver cirrhosis. Enzymes show improved liver function and reduced inflammation caused by alcohol consumption in coffee. Coffee is one of the drinks that can have positive effects on liver health, especially in people with alcoholic fatty liver. Studies show that regular coffee consumption can help reduce liver inflammation and damage. 2 to 3 cups of coffee a day can be beneficial for liver health... but consuming too much coffee may have other negative effects on the body and should be balanced in its consumption.... **Coffee without sugar and fat:** To benefit from the benefits of coffee for fatty liver, it is better to consume coffee without sugar and high-fat additives (such as cream), because these substances can reduce the positive effects of coffee.... Coffee can act as a liver-protecting drink with alcohol and normal fats in people.... Prevention and treatment of alcoholic fatty liver is the best medicine for alcoholic fatty liver The main treatment for **Alcoholic Fatty Liver** includes complete cessation of alcohol consumption and changes in lifestyle, but some medications may also help improve the condition of the liver. So far, no specific medication has been approved exclusively for the treatment of alcoholic fatty liver, but there are medications that are effective in reducing inflammation, improving liver function, and may seek to improve disease progression and disease prevention. **1.Vitamin E**: Vitamin E as a strong antioxidant can help reduce inflammation and oxidative damage in the liver.... Studies have shown that the use of vitamin E can be effective in improving non-alcoholic fatty liver and in some cases it is also prescribed in alcoholic fatty liver... **2.. Pentoxifylline (Pentoxifylline (Pentoxifylline) may have anti-inflammatory and anti-inflammatory properties be inflammatory:** inflammation and healing of liver lesions... pentoxifylline is also prescribed in some cases to prevent the progression of the disease for patients with alcoholic hepatitis... 3... **statins**: statins are drugs used to reduce blood cholesterol and triglycerides... 4... glucocorticoids: in more severe cases such as acute alcoholic hepatitis, glucocorticoids may prescribed to reduce inflammation of the liver.. These drugs can prevent severe inflammation and accelerate the recovery of liver function... **6... Silymarin**: Silymarin, which is extracted from the milk thistle plant, is a herbal supplement that is known to protect the liver and may be effective in reducing inflammation and healing liver damage.... Along with other drugs, it may be used as a supportive treatment.... Complete cessation of alcohol consumption and following a healthy lifestyle, including the main treatment of alcohol diet and regular exercise. ** Finally, choosing the right medicine for each patient depends on the general health of the person, the extent of damage to the liver and other factors, so the medicine should be prescribed by a specialist doctor. Alcoholic fatty liver is one of the liver diseases caused by excessive alcohol consumption and can lead to serious complications such as cirrhosis and complete diagnosis of this disease through blood tests. Alcohol consumption and major lifestyle changes such as healthy eating and regular exercise. Also, regular medical follow-up and complete abstinence from alcohol play a vital role in preventing the progression of the disease and improving the condition of the liver...
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