Ultrasound or computed tomography (CT scan) to get a picture of the liver. Liver biopsy (tissue sample) to determine how far advanced liver disease has progressed. FibroScan®, a specialized ultrasound sometimes used instead of a liver biopsy to find out the amount of fat and scar tissue in the liver.
If you've been diagnosed with any fatty liver disease, let your health care provider know if you have any symptoms that mean the disease is getting worse. These include fatigue, loss of appetite, weight loss, weakness, fluid retention, or bleeding.
NAFLD has several phases of progression, which include simple steatosis, steatohepatitis, fibrosis, cirrhosis, and ultimately could even progress to hepatocellular carcinoma.
Both NAFLD and alcoholic fatty liver disease are usually silent diseases with few or no symptoms. If you do have symptoms, you may feel tired or have discomfort in the upper right side of your abdomen.
If you have fatty liver disease, the damage may be reversed if you abstain from alcohol for a period of time (this could be months or years). After this point, it's usually safe to start drinking again if you stick to the NHS guidelines on alcohol units. However, it's important to check with your doctor first.
It takes upwards of ten years for alcohol-related liver disease to progress from fatty liver through fibrosis to cirrhosis to acute on chronic liver failure. This process is silent and symptom free and can easily be missed in primary care, usually presenting with advanced cirrhosis.
Patients can live for many years with NAFLD, but many – about 30% – eventually end up with an inflamed liver or NASH (non-alcoholic steatohepatitis), and scarring. Of these, about 20% will develop end-stage cirrhosis, which can lead to liver failure and cancer.
You probably won't know you have it unless it's diagnosed during tests carried out for another reason. Occasionally, people with NASH or fibrosis (more advanced stages of the disease) may experience: a dull or aching pain in the top right of the tummy (over the lower right side of the ribs)
According to the American Liver Foundation, there are no medical treatments – yet – for non-alcoholic fatty liver disease. So that means that eating a healthy diet and exercising regularly are the best ways to both prevent liver damage from starting or reverse liver disease once it's in the early stages.
Fatty liver disease is reversible. If you stop drinking alcohol for 2 weeks, your liver should return to normal.
The onset of liver fibrosis is usually insidious, and most of the related morbidity and mortality occur after the development of cirrhosis (16). In the majority of patients, progression to cirrhosis occurs after an interval of 15–20 years.
cirrhosis – the most severe stage, occurring after years of inflammation, where the liver shrinks and becomes scarred and lumpy; this damage is permanent and can lead to liver failure (where your liver stops working properly) and liver cancer.
Up to 20% of people with non-alcohol related fatty liver disease may develop non-alcohol related steatohepatitis (NASH), a state of chronic inflammation of the liver. This can do progressive damage to your liver, eventually resulting in scarring of the tissues (cirrhosis).
However, NAFLD typically is diagnosed between the ages of 10–13 years. The actual onset of disease for most children is not known. At diagnosis 10–25% of children can have advanced fibrosis. In the most severe cases, children can progress within a few years to cirrhosis and end-stage liver disease.
Recent Findings. Significant weight loss can improve NAFLD and nonalcoholic steatohepatitis (NASH). Diet and exercise that result in a sustained body weight reduction of 7–10% can improve liver fat content, NASH, and fibrosis.
The lowdown
Liver disease can have many negative effects on bodily functions, including bowel movements. The best way to assist your bowel movements is to focus on lifestyle changes that improve liver function. These include exercise, weight loss, and minimizing alcohol consumption, among others.
Fat and toxins accumulate in the liver over time, causing the metabolism to slow down rather significantly. The liver becomes clogged and is unable to process sugars and fats as efficiently, causing fat to accumulate in other parts of the body and leading to overall weight gain. WHY IS FATTY LIVER DISEASE GOING UP?
Liver failure occurs when your liver isn't working well enough to perform its functions (for example, manufacturing bile and ridding your body of harmful substances). Symptoms include nausea, loss of appetite, and blood in the stool. Treatments include avoiding alcohol and avoiding certain foods.
Acute liver failure can develop quickly in an otherwise healthy person, and it is life-threatening. If you or someone you know suddenly develops a yellowing of the eyes or skin; tenderness in the upper abdomen; or any unusual changes in mental state, personality or behavior, seek medical attention right away.