How to treat hepatitis B coexisting with fatty liver?

Written by Ye Xi Yong

Infectious Diseases

Updated on September 01, 2024

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The coexistence of hepatitis B and fatty liver can exacerbate liver damage and may also affect the treatment efficacy of hepatitis B virus. For patients with both hepatitis B and fatty liver, in addition to monitoring and treatment for hepatitis B, it is important to adjust their diet and lifestyle, limit fat intake, engage in physical exercise, and promptly eliminate fatty liver. For carriers of the hepatitis B virus, before initiating antiviral therapy, if liver function abnormalities occur, it is necessary to determine whether the liver damage is due to fatty liver or active hepatitis B virus. Treatments can include protecting the liver and eliminating fatty liver. If the response to treatment is unsatisfactory, antiviral treatment for hepatitis should be considered.

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Written by Si Li Li

Gastroenterology

1min 6sec

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What foods are good for fatty liver?

Fatty liver is primarily caused by nutritional excess or abnormal lipid metabolism, leading to excessive storage of fat in liver cells, resulting in fatty liver. Therefore, it is very important to pay attention to the diet, which should be low in fat. Firstly, it is crucial to quit alcohol, as drinking with fatty liver can easily damage liver cells, leading to elevated transaminase levels. Additionally, it is important to reduce oil intake, especially fried foods which must be completely avoided, as well as high-fat foods such as fatty meats, which should be largely excluded from the diet. Foods rich in oils like seeds, peanuts, and walnuts, which are high in cholesterol and fats, should also be consumed less, as they can increase the severity of fatty liver. A light and easily digestible diet should be preferred, with an increased intake of vegetables and fruits. When consuming meat, lean meats should be chosen to help with the recovery of fatty liver.

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Written by Zhu Dan Hua

Gastroenterology

1min 29sec

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Can fatty liver be cured?

Fatty liver is relatively common in clinical practice, often seen in obese patients or those who consume alcohol excessively. Fatty liver is also categorized as mild, moderate, or severe in clinical settings. Generally, mild fatty liver does not accompany liver function abnormalities. For such patients, the main approach involves appropriate weight loss, exercise, and dietary control. If there are indeed complications like cirrhosis or more severe liver disease, including abnormal liver functions, systematic diagnosis and treatment are recommended. Besides completing abdominal ultrasound and liver function tests, it is also suggested to conduct quantitative hepatitis B virus tests to eliminate the possibility of hepatitis B virus-induced steatosis. Generally, fatty liver can be treated successfully; however, if it is complicated by cirrhosis, the main principle of treatment is to prevent complications, and complete cure may not be possible. Therefore, regarding fatty liver, there is no need for excessive worry, but standard treatment should be followed. Particularly if the fatty liver is complicated by cirrhosis, active diagnosis and treatment are generally recommended.

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Written by Si Li Li

Gastroenterology

45sec

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What should be noted for mild fatty liver?

People with mild fatty liver also need to pay special attention to their diet. It is important to consume a light diet and avoid high-calorie and high-fat foods such as fatty meats, fried foods, and animal organs; these should be minimized in the diet and replaced with more fruits and vegetables. Additionally, it is recommended to increase physical activity, as exercise can metabolize fats and has a certain therapeutic effect on patients with fatty liver. Simultaneously, alcohol should be avoided, as it can damage liver cells. If a patient with fatty liver frequently consumes alcohol, it can exacerbate the condition and may also lead to elevated liver enzymes.

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Written by Ren Zheng Xin

Gastroenterology

36sec

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What to eat for fatty liver?

Fatty liver refers to the decreased ability of the liver to metabolize fats or an increase in blood lipids. In such cases, it is first important to pay attention to a light diet, eat more vegetables, and drink more water, which is conducive to the metabolism of triglycerides. Additionally, it is best to avoid greasy and spicy foods, as excessively fatty foods can also enter the bloodstream after digestion and absorption, further burdening the liver. It is also important to engage in more outdoor exercise to enhance physical fitness and reduce the accumulation of fats.

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Written by Ren Zheng Xin

Gastroenterology

41sec

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How to improve diet for fatty liver

Patients with fatty liver should pay attention to a reasonable diet, ensuring three meals are balanced, both coarse and refined, eating more vegetables and fruits as well as whole grains, and eating less greasy and spicy foods, especially avoiding the intake of animal fats, and strictly abstaining from smoking and drinking. While adjusting the diet, it is important to engage in appropriate physical activities, such as jogging, playing table tennis, and practicing Tai Chi, to enhance the consumption of fat in the body. Be cautious when using medication to avoid liver-toxic drugs, maintain a positive attitude, and try not to get angry. (Medication should be used under the guidance of a doctor.)