What is the treatment for fatty liver?
Hon. Consultant Physician and Gastroenterologist,
St. Bartholomew's The Royal London and Homerton Hospitals, UK
Q: I am a 46y old male (weight 105 kg) hypertensive. A few days back I had a cancer health check up which included a surgical and medical examination plus certain tests. The whole abdomen and pelvis sonography accidently revealed fatty infiltration of the liver. Four years ago I had psoriasis and had taken Methotrixin for several weeks after which I was cured. I have fullness of stomach, gas and acidity problem. Kindly enlighten me about the treatment. Rest of the reports are normal. I walk briskly for 50 minutes daily and do dieting. I am non-alcoholic and non diabetic. Can you suggest some treatment/precautions to control the fatty liver and also whether it can lead to any complications in future?
A:A fatty liver can be due to lot of causes but in your case it probably isrelated to your weight. The methotrexate that you had for your psoriasis isnot cause of the fatty liver now. Fat is stored in the body in obvious placesbut also goes to the liver. The treatment in your case would be to lose weight as there are no tabletsthat will help this situation. Your question about the complications is aninteresting one and is still under much debate. It used to be thought thatit would have no consequences for the future but nowadays it is felt that itmay be damaging and in an extreme case may eventually lead to cirrhosis. Thebest thing that you could do is to continue your exercising but also to makea firm attempt to lose weight.