Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Overview

Nonalcoholic Fatty Liver Disease: Treatment, Procedure, Cost and Side Effects

What is the treatment? How is the treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the treatment?

Non-alcoholic fatty liver disease is also known as NAFLD.

How is the treatment done?

Non-alcoholic fatty liver disease is a disease which is caused due to the deposits of fat in the liver for reasons other than alcohol consumption. Non-alcoholic steatohepatitis (NASH) is the most extreme form of NAFLD. NAFLD is the most common liver disease in the developed countries. This may be caused due to the excessive drinking of soft drinks which has high levels of fructose present in them. Drinking a lot of soft drinks can deposit fat in the liver due to the fructose content present in the drinks. This can also be caused due to genetic variations, and is seen very commonly in the United States. There are other causes to this disease and they include Starvation, Intravenous nutrition, Lipodystrophy and Drugs such as corticosteroids, tamoxifen etc.

There are no symptoms for this disease unless it has reached the advanced level, in which case it exhibits excessive bleeding, jaundice, gastrointestinal bleeding, mental changes and liver cancer. Since fatty liver generally does not cause symptoms or signs, and any symptoms and signs are more likely to be due to the accompanying diseases such as obesity, diabetes, vascular disease, etc. Treatment for NAFLD includes lifestyle changes and liver transplantation.

Who is eligible for the treatment? (When is the treatment done?)

NAFLD is usually first suspected in a person who is found to have elevations in liver tests that are included in routine blood test panels, such as alanine aminotransferase (ALT) or aspartate aminotransferase (AST). When further evaluation shows no apparent reason for liver disease (such as medications, viral hepatitis, or excessive use of alcohol) and when x rays or imaging studies of the liver show fat, NAFLD is suspected. The only means of proving a diagnosis of NAFLD and separating it from simple fatty liver is a liver biopsy. For a liver biopsy, a needle is inserted through the skin to remove a small piece of the liver. The treatment includes changes in food habits and loss of weight. It does not take large amounts of weight loss to result in a decrease in liver fat. A less than 10% decrease in weight may be enough. If that does not work, a liver transplant is needed. This process is done when there are lot of complications in the liver. Normally doctors try treating the complications as and when they arise but another alternate Is liver transplant.

To have a liver transplant one needs to go through a check-up which takes around 5 days. This check-up includes a liver specialist who tests the condition of the liver and the general health in order to know if the body and the liver allow the transplantation. The liver specialists might ask for your drinking history, how this disease is affecting your life etc, which would help them decide if a transplant is a good decision or not. The specialists might want you to take several tests such as blood tests, endoscopy, x-rays and ECG. After all these tests, the doctors will decide if a transplant will be a success or not, if it is projected to be a success then they will proceed with a transplant if not then the doctors will ask you to come for regular check ups and give some medications to change the body condition for a transplant. There is no age restriction for liver transplantation, however, 70 years has been the maximum so for.

Who is not eligible for the treatment?

Anyone with NAFL is eligible for treatment. Patients generally feel well in the early stages and only begin to have symptoms—such as fatigue, weight loss, and weakness—once the disease is more advanced or cirrhosis develops.

Are there any side effects?

Pregnant women and people with a history of heart disease may not be eligible for transplants, depending on their health.

What are the post-treatment guidelines?

The most common side effects of a liver transplant aren’t from the surgery, but from the anti-rejection medication patients must take for the rest of their lives, such as cyclosporine, tacrolimus, sirolimus, prednisone, azathioprine and mycophenolate mofetil. The immune system will sense that a transplanted organ is a foreign object and will attack it. Anti-rejection medication tricks the immune system into accepting the transplanted organ but, in doing so, lowers the body’s resistance to infection and certain types of cancer. The lifelong regimen of medication will be constantly monitored and adjusted to maintain a balance between preventing rejection and avoiding infection.

How long does it take to recover?

After the surgery the patient needs to visit the hospital regularly to get check-ups and tests done. At home the patients surrounding should be cleaned with disinfectants and the accommodation should be close to the hospital in case of emergency. Patients are advised to walk and not use a wheel chair. The number of visitors should be restricted and also avoid contact with any animals or birds. For the first 3 months, patients are advised to wear a mask and avoid crowded places like malls, cinemas, restaurants, department stores, etc. After this, patients can resume their regular social calendars. The patient is advised to eat food which is cooked hygienically and drink boiled/filtered water. Patients are requested to eat a lot of fruits and vegetables.

What is the price of the treatment in India?

It takes around 3-4 months for the patient to recover and start a routine life, provided proper care has been given to the patient and no complication arises.

Are the results of the treatment permanent?

The cost of liver transplantation varies from 15lakhs -20 lakhs in India.

What are the alternatives to the treatment?

A person after liver transplant can survive for another 15 to 20 years provided they were no other complications raised during the recovery time.

Popular Questions & Answers

I have been suffering from nafld since 3 months and also taking medications for this Udiliv 150 mg .even though after this I have also been diagnosed with high triglycerides can for whom a doctor suggested me to take atorvastatin. So can I take both the medicines after dinner (udiliv 150 + atorvastatin 10 mg) ata a same time.

They can be taken together. However, atorvastatin is not a medicine for high triglycerides. Instead of medicines, try diet for nafls and high triglycerides. Triglycerides are manufactured in liver from alcohol sugar jaggery and starchy foods, redu...
8 people found this helpful

Suffering from fatty liver with ALT -78 IU/l; GGT-121; lipid profile test value: cholesterol total- 148 mg/dl; triglycerides-170 mg/dl; HDL-34; LDL-80 mg/dl; VLDL-34; chol: hdl ratio-4.4, also hv higher TSH-6.9 with normal T3 and T4 level glucose (fasting)- 105 mg/dl; HbA1c- 6%; mean plasma glucose- 126 mg/dl I am teetotaller. Vegetarian (ovatarian) by food habits. Looking forward to your opinion and suggestions.

You need to be on a strict diet (low carbs, low saturated fat, high to moderate protein). You also need to exercise and lose weight. Simple lifestyle modification should take care of your problem. However, it is important to do your check-up annua...
4 people found this helpful

Hi, My LFT Test Results are as follows. Rest of the parameters are normal. I have Grade 1 Fatty Liver and cholelithiasis. Total Bilirubin:* 1.7 mg/dl 0.2 - 1.2 mg/dl Diazo Direct Bilirubin:* 0.7 mg/dl 0.0 - 0.3 mg/dl Diazo Indirect Bilirubin: 1.0 Calculated SGPT:* 126 IU/L 05 - 40 IU/L IFCC - Kinetic SGOT:* 56 IU/L 05 - 40 IU/L IFCC - Kinetic.

Hello dear lybrate-user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly.* These are minor variations from normal, need precise dietary control with certain medications for around 2 - 3 weeks period for complete recovery. Hop...
1 person found this helpful

Hi am 33 years hold, I have fatty liver grade 1. And high cholesterol ldl in blood. My body weight is 66 kgs and I don't have drinks. Why develops fat in liver? Please advise

Fat is made in liver from calories in our food that enter the liver from intestine via portal vein. Take less calories from modern foods like sugar, jaggery, etc. Take more calories from natural human foods. Natural human foods do not go to liver ...

Popular Health Tips

What Are The Reasons Behind Non-Alcoholic Fatty Liver Disease?

What Are The Reasons Behind Non-Alcoholic Fatty Liver Disease?
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. T...
2654 people found this helpful

Know More About Fatty Liver!

Know More About Fatty Liver!
Fatty liver is a condition where excess fat is deposited on this organ. Also called as steatosis, this condition happens when more than 5- 10 percent of the weight of the liver is made up of fat. Fatty liver is a common condition among people. A s...
3323 people found this helpful

फैटी लिवर डिजीज नेचुरल उपचार, इलाज़ और परहेज

फैटी लिवर डिजीज   नेचुरल उपचार, इलाज़ और परहेज
फैटी लिवर डिजीज, लिवर (यकृत) की कोशिकाओं में अधिक मात्रा में वसा उत्पन्न होने की स्थिति है, और यह कई लोगों में यकृत की सामान्य शिकायतों में से है। यह 10 में एक व्यक्ति को प्रभावित करती है। यकृत में वसा की कुछ मात्रा होना सामान्य बात है, लेकिन जब व...
9 people found this helpful

Fatty Liver - 5 Ways You Can Prevent It!

Fatty Liver - 5 Ways You Can Prevent It!
When there is too much accumulation of fat cells in the liver, the healthy tissue gets replaced by the fat cells resulting in fatty liver. The liver colour changes to yellowish greasy one. More than half of liver related diseases are caused due to...
6960 people found this helpful

Fatty Liver - Signs You Are Suffering From It!

Fatty Liver - Signs You Are Suffering From It!
The liver is a key organ in metabolism and will have some amount of fat. However, excessive fat accumulation in the liver can be abnormal and is referred to as fatty liver. If the fat content exceeds anything more than 5% to 10% of the liver s wei...
6407 people found this helpful
Play video
Fatty Liver - How To Avoid It?
Fatty liver is a condition where excess fat is deposited on this organ. Also called as steatosis, this condition happens when more than 5- 10 percent of the weight of the liver is made up of fat. Fatty liver is a common condition among people. A s...
Play video
Fatty Liver
Hi, I am Dr. Lovkesh Anand, Hepatologist. Aaj mai aap sab ko fatty liver ke baare mein btaunga. Toh aaiye, pehle jaante hain ki liver kya hota hai. Liver humare peat ke right upper portion mein hota hai. Jahan ye bhojan ko pachane mein sahayak hai...
Play video
Liver Disorder
Fatty liver is a condition where excess fat is deposited on this organ. Also called as steatosis, this condition happens when more than 5- 10 percent of the weight of the liver is made up of fat. Fatty liver is a common condition among people. A s...
Having issues? Consult a doctor for medical advice