Fatty Liver
Definition
Fatty Liver: Liver is the commonest site for accumulation of fat because it plays central role in fat metabolism. Additionally, Depending upon the cause and amount of accumulation, fatty change may be mild and reversible, or severe producing irreversible cell injury and cell death. [1]
Here are some synonyms for "fatty liver":
- Hepatic steatosis: This is the medical term for fatty liver disease. It comes from the Greek words "hepar" (liver) and "steatosis" (fatty).
- Steatotic liver disease (SLD): This is another medical term for fatty liver disease. "Steatosis" refers to the buildup of fat in an organ.
- Nonalcoholic fatty liver disease (NAFLD): This is the most common type of fatty liver disease and is not caused by alcohol consumption.
- Alcoholic fatty liver disease (AFLD): This type of fatty liver disease is caused by heavy alcohol consumption.
Overview
Epidemiology
Causes
Types
Risk Factors
Pathogenesis
Pathophysiology
Clinical Features
Sign & Symptoms
Clinical Examination
Diagnosis
Differential Diagnosis
Complications
Investigations
Treatment
Prevention
Homeopathic Treatment
Diet & Regimen
Do’s and Don'ts
Terminology
References
Also Search As
Overview
Overview
- It is also known as steato-hepatitis.
- Some ethnic groups are more susceptible to advanced disease than others (Native americans).
- In broad terms females are more susceptible than males. [3]
Fatty liver disease happens when fat builds up in your liver. There are two main types:
- Nonalcoholic fatty liver disease (NAFLD): The most common type, linked to obesity, diabetes, and high cholesterol.
- Alcoholic fatty liver disease (AFLD): Caused by heavy alcohol use.
Symptoms often don’t appear early on, but can include fatigue, abdominal pain, and jaundice.
Causes of NAFLD include obesity, insulin resistance, high cholesterol, and genetics. AFLD is caused by excessive alcohol consumption.
Diagnosis involves blood tests, imaging (ultrasound, CT/MRI), and sometimes a liver biopsy.
Treatment for NAFLD focuses on lifestyle changes: weight loss, healthy diet, and exercise. For AFLD, stopping alcohol use is crucial.
Complications include liver inflammation, scarring (fibrosis), cirrhosis, and liver cancer.
Prevention involves maintaining a healthy weight, eating a balanced diet, exercising, and limiting alcohol.
Epidemiology
Epidemiology
The epidemiology of fatty liver disease in India is concerning, with a high prevalence compared to the global average. A meta-analysis published in 2021 reported a pooled prevalence of 38.6% among adults in India, exceeding the global prevalence of 25.2%. This data emphasizes the need for further research and targeted interventions to address this growing health concern in India.[7]
Reference:
- State-wise Prevalence of Non-alcoholic Fatty Liver (NAFLD) Among the Adult Population of India: A Systematic Review and Meta-analysis. Cureus. 2021 Aug 27;13(8):e17598. doi: 10.7759/cureus.17598. PMID: 34513898; PMCID: PMC8418369.
Causes
Causes
Conditions with excess fat i.e.:
- Obesity
- Diabetes mellitus
- Congenital hyperlipidemia
Liver cell damage i.e.:
- Alcoholic liver disease (most common)
- Starvation
- Protein calorie malnutrition
- Chronic illnesses (tuberculosis)
- Acute fatty liver in late pregnancy
- Hypoxia (e.g. anaemia, cardiac failure)
- Hepatotoxins (e.g. carbon tetrachloride, chloroform, ether, aflatoxins and other poisons)
- Drug-induced liver cell injury (e.g. administration of methotrexate, steroids, CCl4, halothane anaesthetic, tetracycline etc)
- Reye’s syndrome. [1]
Types
Classification
- Non alcoholic (in other words, NAFLD)
- Alcoholic (in other words, AFLD) [2]
Risk Factors
Risk factors
The most common risk factor, particularly central obesity (excess fat around the waist).
- Insulin resistance and type 2 diabetes:
Strongly associated with FLD, even in non-higher weight person individuals.
- Metabolic syndrome:
A cluster of conditions including high blood pressure, high triglycerides, low HDL cholesterol, and high blood sugar.
- Genetic predisposition:
Certain genes increase susceptibility to FLD.
- Other factors:
Rapid weight loss, certain medications, and exposure to some toxins.
This comprehensive book Nonalcoholic Fatty Liver Disease provides in-depth information on the risk factors, pathogenesis, diagnosis, and management of FLD, making it a valuable resource for healthcare professionals and researchers.[8]
Pathogenesis
Pathogenesis
The pathogenesis of fatty liver disease (FLD) is complex and multifactorial, involving an interplay of genetic, environmental, and metabolic factors. Key mechanisms include:
Insulin resistance:
Leads to increased lipolysis (breakdown of fat) in adipose tissue, releasing free fatty acids into the bloodstream. These excess fatty acids are taken up by the liver, leading to fat accumulation.
De novo lipogenesis (DNL):
Increased production of fatty acids within the liver due to insulin resistance and dysregulation of enzymes involved in fat metabolism.
Impaired lipid oxidation:
Decreased breakdown of fatty acids within the liver, further contributing to fat accumulation.
Mitochondrial dysfunction:
Impaired mitochondrial function leads to reduced energy production and increased oxidative stress, contributing to liver injury.
Inflammation and oxidative stress:
Release of inflammatory molecules and increased oxidative stress contribute to liver damage and progression to non-alcoholic steatohepatitis (NASH).
This book provides a comprehensive overview of the pathogenesis of FLD, covering the latest research and insights into the molecular mechanisms involved. It is a valuable resource for healthcare professionals and researchers seeking a deeper understanding of this complex disease.[9]
Pathophysiology
Pathophysiology:
In it, intracellular accumulation of triglycerides can occur due to defect at one or more of the following 6 steps in the normal fat metabolism i.e.:
- Firstly, Increased entry of free fatty acids into the liver.
- Secondly, Increased synthesis of fatty acids by the liver.
- Thirdly, Decreased conversion of fatty acids into ketone bodies resulting in increased esterification of fatty acids to triglycerides.
- Fourthly, Increased α-glycerophosphate causing increased esterification of fatty acids to triglycerides.
- Besides this, Decreased synthesis of ‘lipid acceptor protein’ resulting in decreased formation of lipoprotein from triglycerides.
- All in all, Block in the excretion of lipoprotein from the liver into plasma.
In the case of liver cell injury by chronic alcoholism, many factors are implicated which i.e.:
- Increased lipolysis
- Increased free fatty acid synthesis
- Decreased triglyceride utilization
- Decreased fatty acid oxidation to ketone bodies
- Block in lipoprotein excretion [1]
Clinical Features
Clinical Features
Fatty liver disease (FLD) is often asymptomatic, especially in the early stages. However, some individuals may experience:
- Fatigue: Feeling tired or lacking energy
- Abdominal discomfort: Vague pain or discomfort in the upper right abdomen, where the liver is located
- Hepatomegaly: Enlarged liver, detectable on physical examination
- Elevated liver enzymes: Blood tests may show elevated levels of liver enzymes (ALT, AST), indicating liver inflammation or damage
In more advanced stages of FLD, particularly non-alcoholic steatohepatitis (NASH), symptoms may include:
- Jaundice: Yellowing of the skin and eyes due to buildup of bilirubin
- Ascites: Fluid accumulation in the abdomen
- Spider angiomas: Small, dilated blood vessels on the skin
- Palmar erythema: Redness of the palms
- Enlarged spleen: Splenomegaly
- Other signs of liver dysfunction: Bleeding tendencies, easy bruising, confusion
This comprehensive textbook Sleisenger and Fordtran’s Gastrointestinal and Liver Disease Review and Assessment provides a detailed overview of the clinical features of FLD, including the various stages of the disease and associated complications. It is a valuable resource for healthcare professionals involved in the diagnosis and management of FLD.[10]
Sign & Symptoms
Sign & Symptoms of Fatty Liver
- Malaise
- Anorexia
- Weight loss
- Upper abdominal discomfort
- Tender hepatomegaly. [2]
Clinical Examination
Clinical Examination
In the early stages of fatty liver disease (FLD), physical examination findings are often unremarkable. However, as the disease progresses, the following signs may be observed:
- Hepatomegaly: Enlarged liver, palpable below the right costal margin.
- Splenomegaly: Enlarged spleen, detectable in advanced cases.
- Jaundice: Yellowing of the skin and eyes, indicating severe liver dysfunction.
- Ascites: Fluid accumulation in the abdomen, a sign of decompensated cirrhosis.
- Spider angiomas: Small, dilated blood vessels on the skin, commonly seen in liver disease.
- Palmar erythema: Redness of the palms, another sign associated with liver disease.
- Other signs of chronic liver disease: Muscle wasting, bruising, gynecomastia (enlarged breasts in men).
This comprehensive textbook Harrison’s Principles of Internal Medicine provides a detailed discussion of the clinical examination findings in FLD, along with the pathophysiological basis for these signs. It is an invaluable resource for healthcare professionals involved in the diagnosis and management of FLD.
Diagnosis
Diagnosis
- Laboratory findings of hyperbilirubinemia.
- Elevated serum aminotransferases also alkaline phosphatase.
- In addition, Often a neutrophilic leukocytosis.
- Serum AST levels tend to be higher than serum ALT levels in a 2:1 ratio.
- Ultra-Sonography of Abdomen. [2]
Differential Diagnosis
Differential Diagnosis of Fatty Liver
- Severe malnutrition
- Chronic debilitating infections
- Drug-induced liver injury
- Sepsis [5]
Complications
Complications
Fatty liver disease (FLD), particularly non-alcoholic steatohepatitis (NASH), can lead to various complications, including:
- Progression to cirrhosis: The most serious complication, where extensive scarring replaces healthy liver tissue, impairing liver function.
- Liver failure: In severe cases, cirrhosis can progress to liver failure, requiring a liver transplant.
- Liver cancer (hepatocellular carcinoma): FLD, especially NASH with cirrhosis, increases the risk of developing liver cancer.
- Cardiovascular disease: FLD is associated with an increased risk of heart disease, stroke, and other cardiovascular complications.
- Type 2 diabetes: FLD is linked to insulin resistance and can worsen glycemic control in people with diabetes.
- Chronic kidney disease: FLD can contribute to the development and progression of kidney disease.
- Other complications: FLD may also be associated with non-alcoholic fatty pancreas disease, gallstones, and certain types of skin conditions.
This comprehensive textbook Sleisenger and Fordtran’s Gastrointestinal and Liver Disease provides a detailed overview of the complications associated with FLD, including their pathophysiology, diagnosis, and management. It is a valuable resource for healthcare professionals involved in the care of patients with FLD.[12]
Investigations
Investigation
The investigation of fatty liver disease (FLD) involves a combination of laboratory tests, imaging studies, and sometimes a liver biopsy.
Laboratory Tests:
- Liver Function Tests: Elevated liver enzymes, particularly alanine aminotransferase (ALT) and aspartate aminotransferase (AST), may indicate liver inflammation or damage.
- Lipid Profile: Assessment of cholesterol levels, triglycerides, and HDL/LDL ratio can reveal dyslipidemia, a common feature in FLD.
- Glucose and Insulin Levels: Elevated fasting glucose and insulin levels may indicate insulin resistance, a key factor in the development of FLD.
- Other Tests: Additional tests, such as complete blood count, renal function tests, and inflammatory markers, may be ordered to assess overall health and rule out other conditions.
Imaging Studies:
- Abdominal Ultrasound: The first-line imaging modality for detecting fatty liver. It can reveal increased echogenicity (brightness) of the liver, suggesting fat accumulation.
- Computed Tomography (CT) Scan: Can provide more detailed information about the liver, including the extent of fat deposition and the presence of fibrosis (scarring).
- Magnetic Resonance Imaging (MRI): Can quantify liver fat content and assess for fibrosis.
- FibroScan (Transient Elastography): A non-invasive test that measures liver stiffness, an indicator of fibrosis.
Liver Biopsy:
- Gold Standard: The most accurate way to diagnose NASH and assess the degree of inflammation and fibrosis. However, it is an invasive procedure with potential risks.
This comprehensive textbook Schiff’s Diseases of the Liver provides a detailed overview of the investigations used in the diagnosis and assessment of FLD, including the latest guidelines and recommendations. It is a valuable resource for healthcare professionals involved in the management of FLD.[13]
Treatment
Treatment
Glitazones- alter hepatic lipid storage and turnover. [3]
Prevention
Prevention
Fatty liver disease (FLD) prevention primarily focuses on lifestyle modifications, as it is closely linked to obesity, insulin resistance, and metabolic syndrome. Key preventive measures include:
Maintain a healthy weight:
Achieve and maintain a healthy body weight through a balanced diet and regular exercise.
Adopt a healthy diet:
Focus on a diet rich in fruits, vegetables, whole grains, and lean protein. Limit saturated and trans fats, refined carbohydrates, and sugary drinks.
Engage in regular physical activity:
Aim for at least 150 minutes of moderate-intensity exercise or 75 minutes of vigorous-intensity exercise per week.
Manage other health conditions:
Control blood sugar, blood pressure, and cholesterol levels within a healthy range.
Limit alcohol consumption:
Excessive alcohol intake can worsen FLD, so it’s best to limit or avoid alcohol altogether
This book Skinny Liver: A Proven Program to Prevent and Reverse the New Silent Epidemic—Fatty Liver Disease provides practical guidance on preventing and reversing fatty liver disease through dietary and lifestyle changes. It offers evidence-based advice on nutrition, exercise, and other lifestyle factors that can improve liver health and overall well-being.[14]
Homeopathic Treatment
Homeopathic Treatment of Fatty Liver
Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines selected after a full individualizing examination and case-analysis.
which includes
- The medical history of the patient,
- Physical and mental constitution,
- Family history,
- Presenting symptoms,
- Underlying pathology,
- Possible causative factors etc.
A miasmatic tendency (predisposition/susceptibility) also often taken into account for the treatment of chronic conditions.
What Homoeopathic doctors do?
A homeopathy doctor tries to treat more than just the presenting symptoms. The focus is usually on what caused the disease condition? Why ‘this patient’ is sick ‘this way’?.
The disease diagnosis is important but in homeopathy, the cause of disease not just probed to the level of bacteria and viruses. Other factors like mental, emotional and physical stress that could predispose a person to illness also looked for. No a days, even modern medicine also considers a large number of diseases as psychosomatic. The correct homeopathy remedy tries to correct this disease predisposition.
The focus is not on curing the disease but to cure the person who is sick, to restore the health. If a disease pathology not very advanced, homeopathy remedies do give a hope for cure but even in incurable cases, the quality of life can greatly improved with homeopathic medicines.
Homeopathic Medicines for Fatty Liver:
The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications also taken into account for selecting a remedy, potency and repetition of dose by Homeopathic doctor.
So, here we describe homeopathic medicine only for reference and education purpose. Do not take medicines without consulting registered homeopathic doctor (BHMS or M.D. Homeopath).
Medicines:
Aurum Metallicum:
- Liver region hot also painful.
- Hepatitis
- Additionally, Jaundice; of pregnancy.
- Liver with heart symptoms.
- Ascites, with heart affections.
- Constipation, amelioration during menses.
- Stools, knotty, hard, also large.
Chelidonium Majus:
- In general, Epigastric region tender.
- Liver Pains Going Backward; or fixed at angle of right scapula.
- Liver enlarged; tender.
- Especially in Gall-stones.
- Constriction across abdomen, as by a string.
- Ascites, with yellow palms.
- Crawling also itching in rectum.
- As of an animal wriggling in epigastrium.
- Navel drawn in during colic.
China:
- Liver and spleen enlarged. In detail, Flatulent bloating; amelioration motion.
- Periodical liver symptoms.
- Colic amelioration especially by bending double.
- Post operative gas pains, no relief from passing it.
- Heat in abdomen as if hot water running down.
- Gall stone colic.
- Jaundice; especially, after leukorrhea, masturbation, sexual excess, diarrhoea.
Kali Bichromicum:
- Feeling of constriction from liver to shoulder (especially, right).
- Stitches in spleen extending to lumbar region.
- Moreover, Chronic intestinal ulceration with vomiting and emaciation.
- Stools; gelatinous, jelly like; or gushes of brown frothy water; then burning also tenesmus aggravation after rising in the morning.
- Periodical dysentery – every year, in summer.
- Besides this, Diarrhoea or dysentery after rheumatism.
- Sensation of a plugin anus.
- Lastly, As if something eating in bowels.
Phosphorus:
- Pressure above epigastrium.
- Sore spot in pit of stomach.
- Rubs abdomen for relief.
- Painless; copious; gray bluish; watery; pouring out; nervous; involuntary, after fright; exhausting diarrhoea.
- Alternate diarrhoea and constipation in old people
- Jaundice; with either pneumonia or brain disease; during pregnancy; additionally, from nervous excitement; malignant; hematogenous.
- Acute yellow atrophy of liver.
- Specifically indicated in Acute hepatitis.
- Large yellow spots especially on abdomen.
Picric Acid:
- Vomits suddenly, without warning; vomits bright yellow, bitter.
- Oily burning stools.
- Diarrhoea from mental exertion.
- Burning in rectum while passing stools.
- Stools thin, also yellow.
- Jaundice with itching.
Vanadium:
- A remedy for degenerative conditions of liver and arteries.
- Fatty degeneration of heart and liver.
- Arterio-sclerosis.
- Deeply pigmented patches on forehead in liver affections.
- Profound weakness. [4]
Diet & Regimen
Diet & Regimen
Fatty Liver:
Calorie Control:
- If you’re person in higher weight or,heavier person losing 7-10% of your body weight can significantly improve fatty liver. Aim for gradual weight loss through a sustainable calorie deficit, rather than resorting to crash diets.
Embrace the Mediterranean Diet:
This eating pattern is consistently linked to liver health. It emphasizes:
- Abundant fruits, vegetables, whole grains, and legumes
- Healthy fats from olive oil, nuts, avocados, and fish
- Moderate consumption of poultry, eggs, and dairy
- Limited red meat and sweets
Minimize Sugar:
- Fructose, especially from added sugars in soda and processed foods, is a major contributor to fatty liver. Cut back drastically on sugary drinks and foods.
Enjoy Coffee:
Studies suggest coffee may have protective effects on the liver. Aim for 3 cups daily, but avoid excessive sugar and cream.
Limit These:
- Saturated fats (found in red meat, full-fat dairy, and fried foods)
- Refined carbohydrates (like white bread and pastries)
- Alcohol (can significantly worsen liver damage)
Exercise Regimen for Fatty Liver:
Goal: Aim for at least 150 minutes of moderate-intensity aerobic activity per week, along with strength training exercises twice a week.
Types of Exercise:
- Choose activities that elevate your heart rate, such as brisk walking, swimming, cycling, or dancing.
Benefits: Exercise supports weight loss, improves insulin sensitivity (crucial for liver health), and reduces inflammation.
Additional Lifestyle Factors:
Prioritize Sleep: Aim for 7-8 hours of quality sleep each night.
Manage Stress: Chronic stress can worsen fatty liver. Explore stress-reduction techniques like yoga, meditation, or deep breathing exercises.
Important Reminders:
Individualized Approach: Work with your doctor or a registered dietitian to create a personalized plan that considers your specific needs and any other health conditions.
No Quick Fixes: Fatty liver often develops gradually, and improvement takes time. Be patient, consistent, and focus on long-term lifestyle changes.
Monitor Your Progress: Regular checkups and liver function tests are essential to track your progress and make any necessary adjustments to your plan.
Do’s and Don'ts
Fatty Liver Do’s & Don’ts:
Do’s:
- Maintain a Healthy Weight: Lose weight gradually if you are higherweight .
- Eat a Balanced Diet: Focus on fruits, vegetables, whole grains, lean protein, and healthy fats.
- Exercise Regularly: Aim for at least 150 minutes of moderate-intensity exercise per week.
- Manage Diabetes and Cholesterol: Keep blood sugar and cholesterol levels under control.
- Limit Alcohol Intake: Avoid or limit alcohol consumption.
Don’ts:
- Don’t Consume Sugary Drinks: Avoid soda, sweetened tea, and fruit juices.
- Don’t Eat Processed Foods: Limit processed foods, fast food, and sugary snacks.
- Don’t Consume Saturated and Trans Fats: Avoid fried foods, fatty meats, and full-fat dairy products.
- Don’t Skip Meals: Eat regular meals and snacks to maintain stable blood sugar levels.
- Don’t Take Unnecessary Medications or Supplements: Consult your doctor before taking any medications or supplements.[15]
Terminology
Terminology
Fatty Liver Terminologies and Meanings:
Fatty Liver Disease (FLD):
A broad term encompassing a range of conditions characterized by the accumulation of fat in the liver.
Non-alcoholic Fatty Liver Disease (NAFLD):
The most common type of FLD, occurring in individuals who consume little or no alcohol.
Alcoholic Fatty Liver Disease (AFLD):
FLD caused by excessive alcohol consumption.
Simple Fatty Liver (Steatosis):
The initial stage of NAFLD, where fat accumulates in the liver without causing inflammation or damage.
Non-alcoholic Steatohepatitis (NASH):
A more severe form of NAFLD, characterized by fat accumulation, inflammation, and liver cell damage. NASH can progress to fibrosis and cirrhosis.
Fibrosis:
The development of scar tissue in the liver, a consequence of chronic inflammation.
Cirrhosis:
Advanced liver scarring that impairs liver function and can lead to liver failure.
Hepatocellular Carcinoma (HCC):
The most common type of primary liver cancer, often developing in individuals with cirrhosis.
Metabolic Syndrome:
A cluster of conditions including obesity, insulin resistance, high blood pressure, and abnormal cholesterol levels, which increase the risk of FLD.
Insulin Resistance:
A condition where the body’s cells become less responsive to insulin, leading to elevated blood sugar levels.
Hepatomegaly:
Enlarged liver.
Elevated Liver Enzymes:
Increased levels of liver enzymes (ALT and AST) in the blood, indicating liver inflammation or damage.
Liver Biopsy:
A procedure where a small sample of liver tissue is removed for examination under a microscope to diagnose the type and severity of FLD.
FibroScan:
A non-invasive test using ultrasound to measure liver stiffness, an indicator of fibrosis.
Homeopathic Terminology for Fatty Liver:
Steatosis:
The medical term for fatty liver, referring to the accumulation of fat in the liver cells.
Hepatic Steatosis:
Another term for fatty liver, emphasizing the involvement of the liver (hepatic).
Fatty Infiltration:
Describes the process of fat accumulating within the liver tissue.
Hepatomegaly:
Enlarged liver, a common finding in fatty liver.
Dyspepsia:
Indigestion, a common symptom associated with fatty liver.
Flatulence:
Excessive gas, often experienced by individuals with fatty liver.
Constipation:
Difficulty passing stools, a common complaint in fatty liver.
Jaundice:
Yellowing of the skin and eyes, a sign of liver dysfunction that may occur in advanced fatty liver.
Remedies:
Specific homeopathic medicines prescribed based on individual symptoms and constitutional type.
Constitutional Type:
An individual’s unique physical and mental characteristics, which guide the selection of homeopathic remedies.
Potentization:
The process of diluting and succussing (shaking) homeopathic remedies to enhance their therapeutic effects.
Aggravation:
A temporary worsening of symptoms after taking a homeopathic remedy, often considered a positive sign of healing.
Proving:
A systematic study of the effects of a homeopathic remedy on healthy individuals to determine its symptom picture.
Materia Medica:
A comprehensive reference book containing detailed information about homeopathic remedies and their therapeutic uses.
Repertory:
A reference book that lists symptoms and the corresponding homeopathic remedies that may be helpful for those symptoms.
References
References
- Harsh Mohan – Textbook of Pathology, 6th Edition
- Robbins & Cotran Pathologic Basis of Disease, 9e (2014)
- Muirs_Textbo_of_Pathol_14th_Ed
- PHATAK S. R., Materia Medica of Homeopathic Medicines
- Atlas_of_Liver_Pathology_3rd_Edition
- https://www.healthline.com/health/fatty-liver-diet#_noHeaderPrefixedContent.
- State-wise Prevalence of Non-alcoholic Fatty Liver (NAFLD) Among the Adult Population of India: A Systematic Review and Meta-analysis. Cureus. 2021 Aug 27;13(8):e17598. doi: 10.7759/cureus.17598. PMID: 34513898; PMCID: PMC8418369.
- Nonalcoholic Fatty Liver Disease
Editors: Arun J. Sanyal (Editor)
Edition: 2nd Edition,(2020)
Publisher: Springer International Publishing. - Nonalcoholic Fatty Liver Disease: Pathogenesis, Diagnosis, and Treatment, Editors: Zobair M. Younossi, Rohit Loomba, Naga Chalasani, Edition: 1st Edition
(2018),Publisher: Springer International Publishing - Sleisenger and Fordtran’s Gastrointestinal and Liver Disease Review and Assessment, Editors: Anthony J. DiMarino Jr., Chung Owyang, Edition: 11th Edition
(2021), Publisher: Elsevier. - Harrison’s Principles of Internal Medicine, Editors: Dennis L. Kasper, Anthony S. Fauci, Stephen L. Hauser, Dan L. Longo, J. Larry Jameson, Joseph Loscalzo,Edition: 21st Edition,(2022),Publisher: McGraw Hill Professional.
- Sleisenger and Fordtran’s Gastrointestinal and Liver Disease
Editors: Mark Feldman, Lawrence S. Friedman, Lawrence J. Brandt
Edition: 11th Edition,(2021),Publisher: Elsevier. - Schiff’s Diseases of the Liver
Editors: Eugene R. Schiff, Michael F. Sorrell, Willis C. Maddrey
Edition: 12th Edition,(2020), Publisher: Wiley-Blackwell. - Skinny Liver: A Proven Program to Prevent and Reverse the New Silent Epidemic—Fatty Liver Disease
Author: Kristin Kirkpatrick MS RD LD, Edition: 1st Edition
(2015), Publisher: Houghton Mifflin Harcourt. - Fatty Liver Diet Cookbook: 85 Easy and Delicious Recipes to Prevent and Reverse Fatty Liver Disease
Author: Susan Peters, Edition: 1st Edition(2021),Publisher: Rockridge Press.
Also Search As
Also Search As
People can search for homeopathic articles on fatty liver using various online resources and search strategies:
Search Engines:
- Specific Keywords: Use terms like "homeopathic fatty liver," "homeopathy for fatty liver," "homeopathic remedies fatty liver," or "homeopathic treatment fatty liver."
- Long-tail Keywords: Try phrases like "best homeopathic medicine for fatty liver," "homeopathic treatment for fatty liver in adults," or "natural remedies for fatty liver using homeopathy."
- Add Location: If seeking local practitioners, include your city or region in the search query, e.g., "homeopathic doctor for fatty liver in [Your City]."
Homeopathic Websites and Forums:
- Professional Associations: Explore websites of national or regional homeopathic associations (e.g., The National Center for Homeopathy in the US) for articles, resources, or practitioner directories.
- Online Forums: Participate in online communities or forums dedicated to homeopathy to ask questions, share experiences, or find relevant articles.
- Homeopathic Blogs: Many homeopathic practitioners and enthusiasts maintain blogs with informative articles on various health conditions, including fatty liver.
Social Media:
- Hashtags: Search social media platforms like Twitter, Facebook, or Instagram using hashtags like #homeopathy, #fattyliver, #NAFLD, or #homeopathicremedies.
- Groups and Pages: Join relevant groups or follow pages dedicated to homeopathy or liver health to access shared articles and discussions.
Additional Tips:
- Consult a Homeopathic Practitioner: A qualified homeopath can provide personalized guidance and recommend relevant resources.
- Check Libraries and Bookstores: Explore the health sections of libraries or bookstores for books on homeopathy and liver health.
- Research Reputable Sources: Verify the credibility of the information and sources before relying on them for treatment decisions.
By using these strategies, individuals can access a wealth of information on homeopathic approaches to fatty liver and make informed decisions about their health care.
There are several ways to search for information about fatty liver:
General Search Engines:
- Use keywords like "fatty liver," "hepatic steatosis," "NAFLD," "NASH," or specific symptoms like "fatigue and fatty liver."
- Combine keywords with phrases like "causes," "symptoms," "treatment," "diet," or "exercise."
- Use quotation marks around phrases to search for exact matches, e.g., "non-alcoholic fatty liver disease."
Medical Websites and Databases:
- Reputable sources like Mayo Clinic, Cleveland Clinic, WebMD, and MedlinePlus offer comprehensive information on fatty liver.
- PubMed, a database of biomedical literature, can be used to find scientific articles and research studies on fatty liver.
Health Organizations:
- Organizations like the American Liver Foundation, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), and World Health Organization (WHO) provide reliable information and resources on fatty liver.
Social Media:
- Search for hashtags like #fattyliver, #NAFLD, #NASH, or #liverhealth on platforms like Twitter, Facebook, or Instagram.
- Join online communities and groups focused on fatty liver to connect with others and share information.
Books and Publications:
- Look for books or medical journals on fatty liver at your local library or bookstore.
- Search online retailers like Amazon for books or eBooks on fatty liver.
Healthcare Professionals:
- Consult your doctor or a hepatologist (liver specialist) for personalized information and guidance on fatty liver.
Additional Tips:
- When searching online, be sure to evaluate the credibility of the source. Look for information from reputable medical organizations and websites.
- Pay attention to the date of publication. Medical information can change rapidly, so make sure the information you are reading is up-to-date.
- Don’t hesitate to ask your doctor for clarification on any information you find online.
By utilizing these various search methods, you can access a wealth of information about fatty liver, enabling you to make informed decisions about your health and well-being.
Frequently Asked Questions (FAQ)
What is Fatty Liver?
Liver is the commonest site for accumulation of fat because it plays central role in fat metabolism. Depending upon the cause and amount of accumulation, fatty change may be mild and reversible, or severe producing irreversible cell injury and cell death.
What causes Fatty Liver?
- Obesity
- Diabetes mellitus
- Congenital hyperlipidemia
- Alcoholic liver disease (most common)
- Starvation
- Protein calorie malnutrition
- Chronic illnesses
Give the types of Fatty Liver?
- Non-alcoholic Fatty Liver Disease
- Alcoholic Fatty Liver Disease
What are the symptoms of Fatty Liver?
- Malaise
- Anorexia
- Weight loss
- Upper abdominal discomfort
- Tender hepatomegaly
What are the risk factors for fatty liver?
Obesity, insulin resistance, type 2 diabetes, high cholesterol, high triglycerides, and metabolic syndrome are major risk factors.
Are there any dietary or lifestyle recommendations for fatty liver in homeopathy?
A healthy diet, regular exercise, weight management, and avoiding alcohol are crucial for managing fatty liver, and homeopaths often provide specific dietary and lifestyle advice alongside remedies.
Homeopathic Medicines used by Homeopathic Doctors in treatment of Fatty Liver?
- Aurum Metallicum
- Chelidonium Majus
- China
- Kali Bichromicum
- Phosphorus
- Picric Acid
Can homeopathy help in treating fatty liver?
- Homeopathy aims to stimulate the body’s self-healing abilities.
- It considers the individual’s unique symptoms and constitution to select the most suitable remedy.
- While research is ongoing, some studies suggest homeopathy may be beneficial as a complementary therapy for fatty liver.
How does a homeopath select the right remedy?
A homeopath will conduct a detailed case-taking, considering:
- Physical symptoms
- Mental and emotional state
- Lifestyle factors
- Medical history
How long does it take to see improvement with homeopathic treatment?
- The response time varies depending on the individual and the severity of the condition.
- Some may experience improvement within a few weeks, while others may take longer.