a question fatty liver with inflammation from high cholesterol and triglycerides (NASH)?
Sep 01, 2010 in
Health FAQs
My gastroenterologist said that I have fatty liver with inflammation (NASH) and that I should lose weight. According to him and some other gastroenterologists, they said that the inflammation can be reversed and the condition can improve if I lose weight which I have been doing. However, when I read about this condition on the internet, they make it sound like the inflammation cannot go away and its not reversible. I know fatty liver with no inflammation is reversible 100% but can a fatty liver with inflammation be reversed as well through weight loss and proper eating? If anyone knows about NASH please provide some right information thanks
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3 comments
Dr Joe Blow on September 1, 2010 at 5:38 am
Nonalcoholic steatohepatitis or NASH can be reversible.
The major feature in NASH is fat in the liver, along with inflammation and damage. Most people feel well and are not aware that they have a problem. Nevertheless, NASH can be severe and can lead to cirrhosis.
Both NASH and Fatty Liver are becoming more common, possibly because of the greater number of Americans with obesity.
Currently, no specific therapies for NASH exist. The most important recommendations are to lose weight, follow a healthy diet, increase physical activity and avoid alcohol.
If the cause for the inflammation is removed such as obesity for NASH, then the liver will rejuvenate and the damage will be reversed. If the damage continues it can lead to cirrhosis which is permanent. There are four stages. Fatty Liver, Inflammation, Fibrosis, Cirrhosis.
So the best thing you can do now is not overreact, eat right, lose weight, don’t drink and follow up with your doctor in three months.
Tim Br on September 1, 2010 at 5:38 am
Losing weight helps a multitude of problems.
Stephanie on September 1, 2010 at 5:38 am
On a curious note, did the doctor test you for hepatitis c antibodies? Many doctors are unaware that the alt and ast levels can appear normal and you can still have hcv.
now, losing weight for nash is a good idea, it will lesson the burden on the liver and can reduce the inflammation dramatically.
as always if your battling a chronic disease like nash there will always be some sort of inflammation, however, it can wax and wane during the course too. you will have nash the rest of your life, so adhering to a diabetic diet will not only decrease the inflammation from nash but can prevent diabetes as well.
a caloric control diet seems to work just as well as cutting down on fatty foods.
good luck! oh! and cut out the diet soda! diet soda increases the chance for NASH since it actually induces a craving for carbohydrates which then turn into sugar. (empty calories)
HUGS!
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