Non-alcoholic Steatohepatitis

What is Non-Alcoholic Steatohepatitis (NASH)?

This condition is characterized by a fat buildup in your liver. NASH is not usually caused by alcohol intake. The excess fat in your liver causes inflammation which can lead to liver cell damage and ultimately lead to either cirrhosis or liver cancer. 

What are the symptoms of Non-Alcoholic Steatohepatitis?

  • Abdominal swelling
  • Enlarged spleen
  • Red palms
  • Yellowing of the skin and eyes
  • Enlarged blood vessels just beneath the skin surface

What are the complications of Non-Alcoholic Steatohepatitis?

  • Liver failure
  • Liver cancer
  • Cirrhosis
  • Cardiovascular disease

How is Non-Alcoholic Steatohepatitis diagnosed?

NASH is mostly diagnosed based on symptoms and physical exam.  Medical history such as insulin resistance, high cholesterol/ triglycerides, diabetes, and overweight or obesity can aid in the suspicion of the condition. A blood test to check for your liver function can be ordered. Increased levels of alanine aminotransferase (ALT) and aspartate aminotransferase (AST). An abdominal ultrasound can also show fat in the liver. 

What are the differential what are diagnoses of Non-Alcoholic Steatohepatitis?

  • Hepatomegaly
  • Cirrhosis  

How is Non-Alcoholic Steatohepatitis treated?

The treatment for NASH is based on lifestyle modifications. Weight loss, as well as a balanced diet and exercise, are the main step. Reducing the total cholesterol as well as cutting back or stopping alcohol consumption can improve NASH significantly.  The main prevention of NASH is to maintain a healthy lifestyle.  

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