LIVER OBESITY SYMPTOMS DIAGNOSIS TREATMENT AND CONSEQUENCES ADMIN
Causes of problems
Modern experts have not been able to determine the causes of liver
obesity reliably. The development of the disease is affected by many factors:
- I have elevated blood
cholesterol.
- The presence of diabetes.
- Hepatic obesity is more
common in the elderly with a diagnosis of type 2 diabetes.
- The reason for the
development of this complication is hyperlipidemia, as well as metabolic
syndrome, which provokes weight gain.
- Excess body weight.
- Protein deficiency in the
body.
- Poor nutrition for a long
time.
- Rapid weight loss leads to
the fact that fat cells do not have time to oxidize and are deposited in
the liver.
- The use of hormonal drugs.
- Long-term treatment with
antibacterial drugs.
- Disorders of the endocrine
system.
- Chronic diseases of the
gastrointestinal tract.
- Most often, hepatosis is
accompanied by pancreatitis.
- This is due to a lack of an
enzyme that helps break down fats.
Hepatosis is most common in men with alcoholism, as well as in
overweight women. The development of the disease is influenced by hereditary
factors.
Features of alcoholic hepatosis
Most often, patients suffer from alcoholic liver obesity. It develops
due to excessive alcohol consumption. For this problem to occur, a person must
consume alcohol over the maximum allowable dose daily. Symptoms of non-alcoholic
and alcoholic liver obesity are similar. First of all, the patient develops
weakness, drowsiness, weight loss, nausea. Later, the body increases several
times in size. The most common result of this problem in people suffering from
alcohol dependence is cirrhosis. This problem is hazardous for women. In women,
ethanol is absorbed more quickly into the blood, and liver cells are most prone
to toxic damage. As a result, less alcohol is needed for the disease to
develop. In some cases, the condition can form in the shortest possible time
and is initially asymptomatic.
Stages of disease development
With fatty liver, the symptoms and treatment will largely be determined
by the severity of the disease. There are the following stages of hepatosis:
- Initial. Small patches of
fat cells appear in the liver. They are localized in certain parts of the
body.
- The first. At stage 1, large
clusters of fat cells are localized in the body.
- Another. Almost all cells of
the body are affected.
- Third. In the body, there is
the formation of large cysts filled with fat.
It is tough to cure liver obesity in the third stage. The earlier
the problem is diagnosed, the more likely you are to stay healthy.
Prevention of liver obesity
In the absence of treatment, liver obesity can transform into hepatitis
and even cirrhosis. Prevention of fatty hepatosis is to eliminate factors that
increase the risk of developing the disease. It is based on a healthy lifestyle
that excludes smoking and alcohol consumption. Regular sports, morning exercise,
walks in the fresh air should become a habit for everyone. People suffering
from diseases of the cardiovascular and endocrine systems and other
comorbidities should be regularly monitored and, if necessary, adjust the level
of glucose and cholesterol in the blood. Briefly, these methods can be
described as follows:
- healthy balanced diet;
- reduction of alcohol
consumption or complete abstinence from it;
- regular sports;
- control of blood cholesterol
levels for people over 45 years.
Methods of treatment with oats
Whole oats are a product used to cleanse the liver and intestines
so that they can work typically. Whole grains in the shell will be needed to
prepare the medicine. In oatmeal, all the active substances lose their activity
and do not help treat fatty liver disease. A glass of grains is poured into
boiling water in 2 liters and put on low heat. It should be boiled for 20
minutes, then the medicine is removed from the heat and insisted for a few more
hours in the heat. The whole mixture should be drunk during the day in small
portions without salt, sugar, and other flavorings. The course of treatment
lasts an average of about two weeks, and the drug must be prepared every
morning.
Treatment
Fatty hepatosis may be asymptomatic for a long time, but an ultrasound
reveals changes based on which the doctor diagnoses "obesity of the liver.
Steatosis occurs not only in obese people. A person with a slender physique is
also at risk if exposed to provoking factors. Preventive examinations and
routine ultrasounds at least once a year are necessary for early diagnosis and
effective treatment.
Curable disease?
The prognosis for liver obesity depends on how quickly the diagnosis is
made. At the initial and first stage, when fat deposits are represented by
single patches or occupy a small part of the body volume, hepatosis can be
cured without any negative consequences. It is better to talk to your doctor
about whether the third degree of steatosis is curable. The advanced disease
requires long-term therapy with mandatory medication. In this case, it is
necessary to struggle not only with fatty deposits in a liver but also with
functional insufficiency. How to deal with liver obesity, the doctor decides
depending on the stage of the disease. The best solution is a comprehensive
approach to the problem, including drugs, folk remedies, changes in diet, and
lifestyle adjustments.
Medicines
Drug therapy facilitates liver function, normalizes metabolic and
hormonal processes, relieves intoxication syndrome, and restores hepatocytes.
Drug treatment takes place in several stages, at each of which the doctor
evaluates the change in blood and ultrasound and makes adjustments to the
scheme.
Medications for liver obesity:
hepatoprotectors (Essentiale);
anticholesterol drugs (Crestor);
vitamins;
amino acids;
antioxidants:
You should consult a doctor before taking any medication, as all
drugs have side effects, and the wrong dosage can lead to poor health.
folk methods
The use of herbs in the treatment of liver obesity cannot wholly replace
drug correction. Therefore, with the doctor's permission, folk remedies are
used as an adjunct when steatosis is recommended to drink a decoction of rose
hips, milk thistle, juniper, corn stigmas, and dill seeds infusion of calendula
flowers, and chamomile.
What else to do to get rid of the problem?
Understanding the causes of liver obesity is vital for people who have
experienced the problem and those who want to know what to do to prevent the
disease. The first step towards health is eliminating provoking factors and the
normalization of lifestyle, and taking medication and using folk remedies will
help recovery.
How to get rid of liver obesity:
- It is necessary to give up
bad habits, quit smoking, stop drinking alcohol.
- Exercise helps maintain
metabolism, so you need to move more and be in the fresh air.
- Maintain optimal weight, as
excess body weight increases the risk of pathology.
Annual preventive examinations help detect the disease at an early
stage, so it should be the norm to schedule a visit to the doctor for control
for a modern person.
Symptoms of fatty liver disease, the first signs
Symptoms of fatty liver appear gradually. As a rule, in the early
stages, there are no symptoms and reasons for concern. But even when fatty
hepatosis begins to give the first signs, they are so nonspecific and devoid of
"specifics" that can occur in other diseases. Judge for yourself with
hepatosis is:
- weakness, lethargy;
- pressing and aching pains in
the right hypochondrium;
- mild, transient jaundice (transient);
- periodic bitterness in the
mouth;
- enlargement of the liver;
- symptoms of gastric
dyspepsia (belching, heartburn, nausea in the morning).
These symptoms can be easily "adjusted" to gallstone
disease, parasitic invasion (opisthorchiasis), and other conditions.
"Finally, fatty hepatosis is an integral part of chronic alcoholic
hepatitis, and these symptoms may indicate more inflammation of the liver and
cytolysis syndrome than fatty hepatosis."
About diagnostics
The only method of diagnosis that is 100% reliable is a liver biopsy. All other methods (ultrasound, MRI, probing, biochemical analysis) can only more or less likely suggest the presence of hepatosis. Currently, new ways are being introduced into clinical practice to assess the degree of fibrosis without biopsy, such as elastomer. It is based on the assessment of changes in the elasticity of the liver, which correlates with the degree of fibrosis. The giandliverconsultants provide the best liver consultants in Irvine.
How the pathology develops and what is its danger?
Deposition of cholesterol and triglycerides in the liver begins as
a result of excessive formation and absorption of free fatty acids (FFA) in the
intestine, too much FFA in the liver, reduced oxidation of FFA in hepatocyte
mitochondria, increased production of fatty acids in the liver cells due to
decreased production or formation of very-low-density lipoproteins and
prolongation of their triglycerides. In chronic fatty hepatosis, there is an
imbalance between the entry of fats into the liver and their breakdown in the
gland, the formation, and the release of lipoproteins from the liver. With
fatty infiltration of the iron increasing slightly in size, the body is smooth
to the touch; the colour changes to yellow or reddish-brown. Triglycerides are
found in cells at histology. Fat accumulation occurs differently: sometimes it
is dusty or tiny droplets, and occasionally large drops are formed. Lipid
accumulation can occur in single hepatocytes (disseminated obesity), in a group
of liver cells (zonal obesity), or throughout the parenchyma (diffuse obesity).
Chronic fatty hepatosis can transform into chronic hepatitis if the patient
abuses alcohol or has an infection Fat displaces the still preserved structure
of the cell to the periphery. With significant infiltration, hepatocytes die,
and the fat droplets contained in them combine and form fatty cysts in the
intercellular space. A cellular reaction appears around these pathological
formations, and fibrous tissue is formed.
Stages of steatosis:
- Simple obesity (destructive
processes in cells are not expressed).
- Obesity in which the process
that leads to cell death begins.
- Precirrotic stage (begins
the restructuring of the lobular structure of the gland. This stage of the
disease is irreversible).
Fatty liver hepatosis
diagnostic measures
The doctor can assume the presence of fatty hepatosis in the
patient at the stage of historical analysis. However, it is not possible to
confirm the preliminary diagnosis with the help of traditional laboratory
tests, even with an apparent decrease in liver function. The lack of specific
clinical symptoms and low in formativeness of biochemical studies do not allow
accurate diagnostic conclusions about liver disease. To obtain detailed
information about the specifics of the condition, instrumental diagnostic
methods are used.
The most informative diagnostic tests are:
ultrasound. Allows you to detect an increase in the size of the
liver and determine the relationship between healthy and affected areas by
comparing the level of their echogenicity;
computed tomography allows you to get more information about the
condition of the liver - the presence of regions with low absorption
coefficient is regarded as a sign of fatty infiltration;
blood tests make it possible to determine the level of hormones
produced by the thyroid gland, an increase in the number of liver enzymes, the
presence of antibodies to hepatitis, and establish markers of autoimmune
damage. These indicators are considered indirect signs of hepatosis, as they
indicate the presence of pathological processes in the tissues of the body;
liver biopsy is a method that is characterized by maximum accuracy
of results. Histological examination of biopsies allows us to conclude the
presence and amount of fat deposits. A high level of information is also
provided by static scintigraphy of the liver - a method of radionuclide
scanning of the body used to detect foci of fatty lesions. On Attuale.ru:
Gastroduodenitis: symptoms and treatment in adults - diet and drugs as an
additional factor confirming the diagnosis of steatosis, are taken into
account: the causes of increased liver size, elevated cholesterol, metabolic
and glycemic levels, the presence of triglyceridemia, as well as data from
serological tests and genetic testing.
"Fatty hepatosis is diagnosed in the presence of five or more
percent of fat in the total mass of the liver."
Anxious symptoms
At the initial stage of the liver, obesity does not show symptoms.
Therefore, a person may not suspect the development of the disease. In this
case, the time during which you can heal quickly is not taken. Later the
following signs are revealed:
There is a slight taste of bitterness in the mouth.
Dyspeptic disorders appear.
A person suffers from bouts of nausea, which are replaced by
vomiting.
The tongue is covered with a yellowish plaque.
There is a pain in the right hypochondrium.
The patient loses normal sleep he becomes angry and irritable.
At a late stage, liver failure develops, which is accompanied by
jaundice.
The stage of the disease will largely determine the symptoms of obesity.
However, it is possible to tell precisely about the emergence of a disease
already at the second stage. Thus the doctor will be able to make a reliable
diagnosis only after carrying out a medical examination.
Do not try to cope with the disease yourself. The sooner you seek
professional help, the better your chances of preventing complications.
Stages and characteristic symptoms
In the early stages of hepatic obesity has no pronounced clinical manifestations.
Therefore, most patients see a doctor at an early stage.
Typical symptoms are as follows:
- The initial stage. Small fat
spots appear in the liver. The disease is asymptomatic, and it can be
detected only by blood tests for liver transaminases.
- The first. In some areas of
the liver, large deposits of adipose tissue are localized. There are no
apparent signs of obesity at this stage, but in the morning, the patient
may feel nauseous, and in the right hypochondrium, there is a moderate
tingling. General weakness, drowsiness, and loss of appetite are also
possible.
- Another. Lipid cells replace
almost all healthy tissues of the body. The clinical picture is
complicated, and the patient feels heaviness in the right side and
abdomen; palpation shows an increase in the liver. The tongue is covered
with a yellowish plaque. At ultrasonic research atypical change of density
of fabrics is noted.
- Third. Patients suffer from
constant nausea, dull, aching pain in the stomach and on the right side
under the ribs. Almost all patients complain of a feeling of distension
(pressure in the abdomen) and flatulence in the intestines.
Complication
Fatty liver hepatosis has a successful outcome with timely
initiation of therapy and elimination of the provoking factor. Treatment of the
disease in the initial stages can be cured entirely. In the absence of
treatment, as well as the appointment of therapeutic measures for advanced
hepatosis, can develop dangerous complications, including:
- chronic hepatitis;
- decreased immunity;
- hormonal imbalance;
- diabetes mellitus
(significantly often develops in obese patients who show insulin
resistance);
- disorders of the
cardiovascular system (obesity and liver fibrosis disrupt the work of the
heart muscle and blood vessels);
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