Baptist Health Madisonville: Nonalcoholic Steatohepatitis (NASH)
Nonalcoholic Steatohepatitis is the buildup of liver fat in people who don’t drink alcohol. Learn about NASH symptoms, causes & treatment.
Nonalcoholic Steatohepatitis (NASH) in Madisonville, Kentucky HealthTalks Transcript
Sumalatha Satoor, MD, Gastroenterology:
NASH is nonalcoholic steatohepatitis. It is a form of fatty liver that happens in people who do not drink alcohol. There are a number of factors that could cause NASH, but the major one is obesity. Having higher BMI is one of the major factors. Essentially, in NASH, you have accumulation of fat in the liver that leads to scar tissue formation in the liver. That scar tissue actually is what eventually leads to end-stage liver disease or cirrhosis. When we see a patient with NASH, it is important for us to know how much scar tissue is already built in the liver. A fibrosis score and FibroSURE® help us to determine that part.
Diet is actually the cornerstone for the treatment of NASH because the majority of the time it’s insulin resistance that causes the fatty tissue deposition in the liver. We recommend steady weight loss, a change in lifestyle to a healthier one, with decreasing carbohydrate intake, and a moderate exercise regimen — at least five times a week, 20 minutes a day, would be helpful.
NASH is reversible. If you follow the exercise and lifestyle modification regimen, the liver fat can be reversed, and the liver can continue to function normally for years to come. You have to take care of your liver because it’s yours and you only have one liver to live with.
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