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Gastroenterology (Expert Forum)
Fatty Liver
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/ Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Fatty Liver
by foundry, Sep 16, 2006 12:00AM
Hi, I am a 34 year old male recently diagnosed with mild difuse fatty infaltration without focal lesions or duct dialation. In March of 2003, I had acute pancreatitis. At the time I was a moderate drinker of alcohol. In May of 2003 I had a CT scan that cleared me from the pancreatitis. Also at that time, I was told that I had fat deposits on my liver and to cut back on fat foods and start exercising and that would be all I needed to do. I ignored that information. In May of 2006 I had upper epigastric pain that was ruled acid reflux by endoscopy procedure. So I would not except this at first. I had GI doctor perform a CT scan to put my mind at ease about pancreatitis being the cause. That is when they found the mild difuse fatty infaltration. Please note that I have not been drinking any alcohol since 2003. Could not cutting back on fatty foods and not exercising when I was told to cause this condition to have progressed from just fatty deposits? I have also been told that this is a reversable condition. I am not overweight or have diabetes type 2 to my knowledge.
Doctor's Answer
by Kevin Pho, MD, Sep 17, 2006 12:00AM
, Sep 17, 2006 12:00AM
Most cases of fatty liver are caused by alcohol or what is known as non-alcoholic steatohepatitis. The latter cause is associated with being overweight.
Abstaining from alcohol - as you are doing - would be recommended.
Lifestyle improvement - such as exercise and weight loss - can treat NASH. There is no specific medical treatment that has been shown to work.
These options and questions can be discussed with your personal physician, or in conjunction with a gastroenterologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Abstaining from alcohol - as you are doing - would be recommended.
Lifestyle improvement - such as exercise and weight loss - can treat NASH. There is no specific medical treatment that has been shown to work.
These options and questions can be discussed with your personal physician, or in conjunction with a gastroenterologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
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