Fatty liver is a build-up of fat inside liver cells. It is one of the most common liver conditions and is often linked to excess weight, diabetes, abnormal blood fats and high blood pressure. Often it causes no symptoms and is found by chance on a scan or through raised liver enzymes.
Why does it matter?
Most people with fatty liver do not develop a serious problem, but in some it leads to inflammation of the liver and then scarring (fibrosis), which can progress over the years to cirrhosis. So what matters is not only the presence of fat but the degree of scarring.
How is it assessed?
- Blood tests, including liver enzymes, blood sugar and blood fats.
- An ultrasound scan of the abdomen.
- Measuring liver stiffness, with FibroScan or similar, to estimate the degree of scarring.
- Excluding other causes of liver disease, such as viral hepatitis, certain medicines and alcohol.
What treats it?
The foundation is lifestyle:
- Gradual weight loss. Losing about seven to ten percent of body weight improves the liver in many cases.
- A Mediterranean-style diet that cuts sugars, sweetened drinks and processed fats.
- Regular physical activity.
- Good control of diabetes, blood fats and blood pressure.
- Avoiding alcohol as your doctor advises.
Medicines may be considered in selected cases after assessment, with regular follow-up to track progress.
The information on this website is for health education and does not replace a medical examination or direct consultation.
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