How to treat fatty liver disease?

Written by Wu Hai Wu
Gastroenterology
Updated on March 03, 2025
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The treatment of fatty liver includes pharmacotherapy, surgical treatment, and dietary and lifestyle management. Since the occurrence of fatty liver is related to various factors, it is important to adhere to the principles of early detection, early diagnosis, early treatment, and comprehensive management. Active measures should be taken to treat the cause of the disease. For example, it is crucial to quit alcohol early, discontinue medications harmful to the liver, monitor the patient's weight, and actively encourage weight loss. In everyday pharmacotherapy, vitamins, B-complex vitamins, vitamin C, vitamin K, and folic acid can be used. Appropriate hepatoprotective medications can also be utilized. In severe cases, liver transplant surgery or weight loss surgery may be necessary.

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Written by Wu Hai Wu
Gastroenterology
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Does having fatty liver and farting a lot mean expelling fat?

Fatty liver causing frequent flatulence does not involve expelling fats. The condition may be due to indigestion and rapid intestinal movements caused by the fatty liver. In such cases, further comprehensive auxiliary examinations are required, such as liver function tests, colonoscopy, hepatic imaging studies, and lipid tests to identify the causes of these symptoms and provide appropriate treatment based on those causes. Treatment can include the use of compound digestive enzymes to aid digestion, as well as medications like Bacillus cereus and Bifidobacterium tribacillus to regulate the gut flora. Patients with fatty liver should also control their diet by adopting a low-fat diet and engaging in feasible physical exercise and weight loss. (Please use medications under the guidance of a doctor.)

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Written by Si Li Li
Gastroenterology
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What should I do if I have mild fatty liver?

Mild fatty liver primarily requires dietary adjustments. It is necessary to quit smoking and drinking, and avoid high-calorie, high-fat foods such as greasy, rich dishes, fried foods, and animal organs. It is beneficial to consume light, easily digestible foods, such as fruits and vegetables. Secondly, increasing physical activity is important because exercise can metabolize fats, which positively impacts patients with mild fatty liver. Thirdly, control of blood lipids is crucial. If hyperlipidemia occurs, it should be treated with medication to lower blood lipids. Fourthly, maintain a regular routine and avoid excessive fatigue or staying up late.

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Written by Si Li Li
Gastroenterology
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What is good to eat for fatty liver?

Patients with fatty liver should focus on a diet rich in high-quality proteins and vitamins. Foods that are rich in high-quality protein mainly include lean meats, fish, shrimp, beans, and eggs. Additionally, fresh vegetables and fruits are rich in vitamins, so these foods should be consumed in larger quantities. Furthermore, patients with fatty liver should also pay attention to the mix of coarse and refined staples in their diet, avoiding excessive consumption of refined foods. It is advisable to incorporate some whole grains into the diet, such as oats, corn, and brown rice. Additionally, fatty meats, animal organs, and other fatty foods should be avoided. Meals should be well-balanced and nutritionally diverse, and it is important to abstain from smoking and drinking alcohol, as well as to avoid excessively oily and fatty foods.

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Written by Si Li Li
Gastroenterology
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Is fatty liver grade 2 serious?

Grade II fatty liver is moderate and not severe. When fatty liver occurs, we must first pay attention to diet. We should not eat greasy, rich, heavy foods, or foods that are fried or grilled. Instead, we should eat a light diet, consume more vegetables and fruits, and drink plenty of water. Additionally, we should increase physical activity, as exercise can metabolize body fat and help prevent the occurrence of fatty liver. Moreover, it is important to abstain from alcohol, as it can cause fatty liver, so try to avoid drinking alcohol. The third point is to control hyperlipidemia. If hyperlipidemia occurs, it must be controlled through medication or diet to reduce it, which can help in the recovery from fatty liver.

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Written by Wo Cheng
Hepatology
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How to treat the symptoms of fatty liver disease?

The treatment of fatty liver symptoms primarily requires distinguishing the type of fatty liver, which includes alcoholic fatty liver, nonalcoholic fatty liver (simple fatty liver), and steatohepatitis. For alcoholic fatty liver, the first step is to abstain from alcohol. Additionally, it is important to avoid high-fat and greasy foods in the diet. When alcoholic liver damage occurs, if the liver function is severely impaired, treatment with liver-protective, enzyme-lowering, and jaundice-reducing medications may be necessary. For nonalcoholic fatty liver, which is caused by being overweight or having a large waist circumference, treatment involves controlling weight and reducing waist size. Combined with appropriate physical exercise, reducing weight and waist size can help improve fatty liver. The diet should also limit high-fat, greasy, and high-sugar foods, focusing on light and easily digestible food, supplemented with an adequate amount of protein. For people with steatohepatitis, treatment usually involves intravenous infusions of liver-protective, enzyme-lowering, and jaundice-reducing medications.