Dr. Gurwant Singh Lamba

Just like the name suggests, Non-Alcoholic Fatty Liver Disease (NAFLD) is a set of diseases that can affect the liver due to excess accumulation of fat. One common disease that arises from this condition is known as nonalcoholic steatohepatitis. This can lead to cirrhosis as well. NAFLD is very common in the Western Countries affecting close to 100 million people annually. Although it can occur in any age group, the most affected age group being the one between 40-50 million. With this condition, the risk of getting other diseases such as cardiovascular problems and type 2 diabetes increases considerably.

Symptoms: Non-alcoholic fatty liver shows symptoms such as fatigue, enlarged liver, and pain, discomfort in the upper abdomen. Some other symptoms that have been witnessed in patients suffering from NAFLD include the development of breasts in men, swelling of the abdomen, red palms, jaundice, swelling of the blood vessels etc.

Causes: Experts have not been able to identify the exact causes of NAFLD. However, it is pretty evident that this condition only arises when the liver fails to produce bile which is responsible for digesting the fat cells. The fat in turn deposits in the liver cells resulting in NAFLD. Some of the possible causes include the following:

• The resistance of insulin
• Type 2 diabetes
• High level of triglyceride in the blood
• Obesity

Risk Factors: There is a wide array of risk factors that can pose a threat of NAFLD. Some of them include metabolic syndrome, high cholesterol, hypothyroidism, type 2 diabetes, hypopituitarism, obesity, polycystic ovary syndrome etc.

Complications: The major complications of NAFLD is liver cirrhosis. This is a condition that results in scarring of the liver cells resulting in fibrosis. Some other complications include fluid accumulation in the liver, liver cancer, swelling of the vein etc.

Diet: A mediterranean diet is a perfect diet suited for patients suffering from NAFLD. It includes nuts, fish, vegetables, grains, fruits and olive oil. Fat should be eliminated from the diet by a significant bit. It is important to add the right kind of fat in the diet. Omega-3 fatty acid available in flaxseed oil, leafy vegetables, and nuts fits the bill. Studies have shown that vitamin D and E helps a great deal in fighting liver diseases. Some other food items that should be included in the diet are green-tea, red grapes, brazil nuts, raw garlic, wolfberry etc.

Treatment: Once the disease is diagnosed, a doctor’s first endeavour is to ensure that the patient loses weight through a combination of diet and exercise. Vaccination against hepatitis A and B is the next step that a doctor would ideally suggest. For patients who are suffering from cirrhosis, a liver transplant is the only viable option to increase mortality.

An endoscopic examination includes inserting a tube into the patient’s esophagus to examine it closely and to take a biopsy of pieces of tissue. It is the best method to detect Barrett’s esophagus and early esophageal cancer.

Fatty liver, or hepatic steatosis, is a term that describes the buildup of fat in the liver. The most common cause of fatty liver is alcohol use disorder and heavy drinking. Higher body weight, a high processed sugar diet, high triglycerides, diabetes, low physical activity, and genetics all play a role.

The liver is a vital body organ (the second largest) that helps in detoxification of the harmful substances and chemicals, in addition to participating in various metabolic pathways. It is normal for the liver to contain some amount of fats. The problem arises when there is an excess deposition of fats (accounting to nearly 7- 10% of the total liver weight), a condition referred to as Steatosis or Fatty Liver. Fatty liver often interferes with the normal functioning of the liver triggering serious consequences.

Types of fatty liver

1. Alcoholic Fatty Liver: As the name suggests, the condition is an outcome of excessive alcohol consumption.
2. Nonalcoholic Fatty Liver (NAFL): Here the problem or the trigger is not alcohol. The excess fat deposition in NAFL (~10 % of the total liver weight) results from the inability of the liver to break down the fat molecules.
3. Nonalcoholic Steatohepatitis (NASH): In NASH, the liver tends to swell up due to excess buildup of fats in the liver tissue (alcohol is not the trigger in NASH)
4. Acute fatty liver of pregnancy: Some pregnant women may suffer from this fatal condition (extremely rare).

Causes of fatty liver
Fatty liver is a common condition that often results from unhealthy diet and lifestyle practices. In this context, it is important to mention that unlimited alcohol consumption plays a pivotal role in various liver disorders, with fatty liver being one of the most common consequences. In fact, steatosis is one of the earliest stages associated with alcohol related Liver disease. However, fatty liver is a reversible condition that can be successfully treated if diagnosed at an early stage.

The excess deposition of fats in the liver cells can be an outcome of medical conditions such as
Besides alcohol, obesity is one of the biggest factors responsible for fatty liver. As per a survey, 1 in every 50 obese people suffers from fatty liver and other related complications (scarring, liver hepatitis or liver cirrhosis).

• In addition to obesity, hyperlipidemia (a medical term used to define increased levels of lipids in the blood), high blood pressure, diabetes mellitus may have a significant role in triggering fatty liver.
• Rapid weight loss or malnutrition can, more than often, give rise to fatty liver and its related disorders.
• The use of certain medications such as carbon tetrachloride, tetracycline, and corticosteroids may be a contributing factor in fatty liver and associated complications.
• Genetics can also play a significant role in triggering steatosis in some people.
• Though fatty liver can affect children and young adults, people in the age group of 40 - 60 years are more susceptible to the condition.

Symptoms associated with fatty liver
There are no characteristic symptoms associated with fatty liver. However, in general, a person may experience
● Abdominal discomfort
● Extreme tiredness

With time, a person left undiagnosed and untreated, may exhibit the following symptoms
● A changed appetite (there is often a loss of appetite)
● Sudden weight loss (unexplained)
● Weakness
● Abdominal pain

In case you have a concern or query you can always consult an expert & get answers to your questions!

Namashkar dosto

Me hu doctor GS Lamba chief of gastroenterologist and hepatology balaji action pashchim bihar delhi se. Aj ham bat karen gy ek bohat he common problem ki jo he GERD(gastro esophageal reflux disease) jisko ham aam bhasa mein acidity, acid reflux ya tez ki problem ky nam sy bhe janty hein. Ajkal ky mahoole bohat sy log is problem sy garast he ar isky symptoms sy pareshan hein to aj ham isi ky bary mein kuch batein karen gy. Acidity ka mukhiya lakhshan kiya h? Acidity ka mukhiye lakshan he chaati ke bechobech hadi ke pechy jalan hona ar kaai bar ye jalan itni taiz ho jati he ke ye dard ka rop bhe dharan kar leti he isky ilava jo aniye lakhsan is bemari ky hein wo un me he pait ky upari hise me jalan hona ya dard hona, khaty dakar ana, mu me bar bar pani ana ,ya is tarah ke problem acidity sy ho sakti hein. But kaii bari esa hota he in common symptoms sy to ap sb wakif hein but kaai bari esa hota he ke asadharan sy symptoms bhe acidity me hoty he jis ko aksar mareez pehchan nahe paty Ky ye acidity ka karan he h ar aksar wo idhr udhr ilaj ky liye bhatakty rehty hein. In asadharan symptoms mein he jesy bar bar gala kahrab jesa mehsus hona,bar bar galy ko clear karny ke talab hona ,bar bar gala saf karny ki andar sy talab uthti rehti he, kai bar sans ka phulna ya asthma jesy symptoms hona ,ye bhe acidity ky karan hoty hein, bar bar mu mein chalay ana ,ya dantoe saraan peda hona. Ya sari chezen jo hein ye acidity ky karan ho sakti hein ar in asadharan symptoms ko aksar pehchan'na mushkil ho jata he. Ab acidity jo he isy ham diagnose kesy karty hein?

Jesy mene btaya ky ham boht sary mareezo ky symptoms bohat typical hoty hein ar jb wo apny lakhsan btaty hein to ham diagnose kar lete hein ky ye acidity ki problem he aur usi hisab se uska ilaj karty hein. Par jesa ke mene btaya ky kaaii bar symptoms asadharan bhe hoty hein. Agr esa kuch hota h to isko bohat asani sy jhanch kar ke diagnose kar saktey hein. Jo isky liye sb sy barhiaa jhanch he wo he endoscopy jis me ham ek dur-bin camera sy do minute me khany ke nali ar pait ke andar jhank sakty hein dekh sakty hein aur Problem ko diagnose kar Sakty hein ar na he kewal problem diagnose kar sakty hein but is sy hony wali jo complications hein unko bhe diagnose ham kar sakte hein. Ab jahan tak is bemari ke ilaj ka sawal he iska ilaj do tarah sy hota he. Kch esy parhaiz ya esy ehtiyat hein ya lifestyle modifications hein jo mareez ko khud karny parte hein ar kuch daway hein jo ham mareez ko khud dyty hein. Isky bary me bohat sy mareez aksar ham sy sawal puchty hein ky hamy kiya khana chahye kiya nahi khana chahye kia karna chahye kiya nahe karna chahye agr hamy acidity he. To aj ham un baton ka thira vistaar me discuss karen gy. Jin mareezo ko acidity rehti he sab sy pehle unhy bohat ziada tala huva ar mirch masaly wala khana nahe khana chahye kiu is sy acid production ziada hote he aur symptoms jo hein ziada hon ge. Isky ilava gas bhari huvi jo soft drinks hote hein specially jo cola drinks hoti hein unko agar ham bohat ziada lety hein to unko avoid karna chahye. Isky ilava agar ap chaaye ar cofee ka istimal ziada karty hein to usko kam karna chahye kiu ky caffeine sy bhe acidity jo he ziada banti he. Isky ilava bhe khany ke kuch chezen he jesy choclate he, peppermint he ,fruit juice he ,unsy bhe acidity jo he wo ziada hoti he aur acidity Ky mareez agar ye lein gy to is sy ziada pareshan log hoty hein.

Ek aue jo mukhiye karan he acidity ka wo he cigarette smoking. Cigarette sy jo he acidity bohat banti he to acidity ke mareezo ko cigarette ka istimal nahe karna chahye ar wesy bhe nahi karna chaye kiu acidity ky ilava bhe ar bohat bary bary nuqsan ho sakty hein. Isky ilava alcohal leny sy bhe acidity ziada hoti he to alcohal ka ziada istimal bhe kam karna chahye agar apko acidity ke problem he. Ajkal ke wayask jevan me ham ny ye bhe dekha he ke har insan bohat busy he time nahi he is liye ohat log jo hein rat ko der sy khana kahtey hein ar khaty sath he so jaty hein. Jin logo ko acidity ke problem he un logo ko dehan rakhna chahye ke unky raat ky khany mein ar sony me kam sy kam teen ghanty ka antaral ho. So acid jo he nichy utar jaay ar acid unki khany ki nali me naa ay Agar esa karen gy to acidity ky symptoms sy unhe bohat nivaran mily ga. Isky ilava rat ko soty waqat tight clothing ziada nahe pehn'i chahye us sy bhe acidity ky symptoms ziada hoty hein. Agar ap in choti choti baton ka dehan rakhein gy to bohat bari ap ko dawaio ki zarurat bhe nahi pary ge doctor ki zarurat bhe nahe pary ge ar apki acidity ky symptoms thk ho jayen gy bt agar ye sab karny ke bawajud bhe apko acidity ke problem rehti he to apko dawaio ka istimal karna parey ga ar doctor ki raay'e ly ke ap aram sy is bemari sy chutkara pa sakety hein aur ye achi bat he ke jo dawaiya'an ajkal available hein wo bohat he asar daar hein safe hein ar lamby samey tak lii ja sakti hein . Ek bat jo last mein me kehna chahu ga ky ham ny dekha he ke bohat sy mareez jo hoty hein wo acidity ko khud he diagnose kar ke usky liye dawai lyty rehty hein chahy wo ghareelu nuskhay hon chahy wo ayovedik dawaiya ho ya chemist sy ly ke hon to is bat ka hamy dehan rakhna he ke agar in sb ky bawajud bhe apky symptoms chalt rehty hein agar apko asadharan symptoms hein agar jalan ke sath sath apko khany me bhe dikaat arahi he. Apka khana atak raha he ya apky khoon ke kami a rahi he. Agar apko bar bar ulti ho rahe he agar apko bohat tez Pait me dard uth'ta he ya apka wazan kam ho rhaa he to is stithi me khud kiripya dawaiya mat lein. Kisi specialist sy mil ke uski raaye sy he dawai lein ar usky bad apna ilaj karvayen.

Isi ky sath apki achi sehat ki kamna karty huvy ham wida lety hein. Dhanevad

Namashkar dosto

Aaj ham bat karen gy ek jhanch ki jo bohat common ajkal hoti hy ar patient ko aksar wo jhanch karvany ki salah milti he to unky is bary me bohat sawal hoty hein.

To ye jhanch he endoscopy .boht sy logo ko endoscopy advice hoti he wo is sy darty bhe hein ar bohat anaek sii jo he ghalat dharnaaye is test ky bary me patient k dimagh me rehti hein. To aj isky bary me ham thori si bat karty hein. Endoscopy ek bohat hi simple bohat he useful test he ar endoscopy sy boht si bemariyon ko bht asani sy diagnose kiya jata he. Endoscopy sedha he base me hojati he isky liye koi admission ki zarurat nahe hoti ar ziada sy ziada is me do sy teen minute ka time lagta h. Endoscopy ek totally painless investigation he Endoscopy me koi dard nae hota ar is me apko koi bohat ziada ehtiyat bhe nahe baratnay party. Aksar ye local aresa sunnnn kr ke he hojati he is me koi behoshi ki zarurat nahe parti but agar kisi mareez ko bohat he dar lagta he ya mareez boht he apprehensive he to us case me ham usy nind ka injection laga ke endoscopy ko do teen minute me kar sakty hein. Endoscopy ky bohat faide hein is me khanny ke nali ,pait ya uperli antt ki jo bemariyan hein unko bohat he achy sy diagnose ar bohat he simple way me diagnose kiya ja sakta he kiu ky is me doctor direct andar jhaank raha he dekh raha he , Ar wahan oy dosra faida ye he ke wahan py koi nuqss dikhta he to us nuqss ka ap wahi sy sample utha sakty hein ar us sample ko test bhe karva sakty hein. Jo bemariyan is sy diagnose ki jati hein commonly us me acidity ki bemari ati he. Pait or khany ki nali ky cancer aty hein ,ulcer ki bemari ati he ,pait ki TB ki bemari ati he ,hiatal hernia waghera jo hein wo is sy diagnose ho skti hein ar is ky ilava liver ki bemariyon me iska bohat he muhutapun role he jahan pe liver sy hony wali bohat si jo problems hein wo ham endoscopy ky duwara diagnose kar sakty hein. Isky ilava bad hazmi,bar bar dast lagna ya apki jo digestive system me jo problems hein wo bhe ham is endoscopy sy diagnose kar skty hein ar ye kuch hi minutes ki kahani he ar is sy bohat faidy hein. Isky ilava na kewal diagnosis bohat sari bemariyan esi hein jinka ilaj bhe endoscopy sy asambhav he. Agar mareez ko khon ki ulti ati he ,ya uska ulcer phat jata he usy khon ata he agar andar mass ki wja sy usy khon ata he ya ulti me khon aya he to in sari bemariyon me ham treatment endoscopy duwara kar skty hein. Liver ky mareezo ki bohat sari pareshania hoti hein jin me unhy khon ki ultia ati hein aur pareshaniyan hoti hein jinhy ham endoscopy sy na kewal diagnose kar sakty hein balky ilaj bhe kar sakty hein. Pait ki choti moti jo rasoolia hoti hein unko ham endoscopy ky duwara nikal sakty hein. Aksar galti sy specially bacho sy mu mein kuch coin ya pin ya koi ar chez andar chali jati he to usy bina operation ky ham minutes me endoscopy ky duwara nikal sakty hein . Esi kaai aur bemariyan hein jin me endoscopy bohat he kam ati he diagnose karny me bhe aur treat karny me bhe.

So agar apko kbi endoscopy specialist ki salah mily to kiripya is sy daryn nahe ye bohat he simple aur painless test he bohat asani sy ho jata he ar kch he minutes me isy kiya ja sakta he.