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Fatty Liver Disease: Uncovering the Causes and Treatments


What is Fatty Liver Disease?

Fatty liver disease, also known as hepatic steatosis, is a condition in which fat builds up in the liver. It is a common condition in Singapore, affecting about 1 in 4 adults.


What are the symptoms of Fatty Liver Disease?

Fatty liver disease often does not cause any symptoms in the early stages. However, as the disease progresses, people may experience:

  • Abdominal Pain

  • Yellowing of the skin and eyes (jaundice)

  • Fluid buildup in the abdomen and legs (ascites)

  • Fatigue, Nausea or Vomiting


How Is Fatty Liver Disease Treated?

Blood Tests

Measure liver enzyme levels; high levels may indicate fatty liver disease.


Imaging Tests

Ultrasound, CT scan, or MRI visualize liver fat accumulation.


Bedside Fibroscan

Measures liver fat and excludes liver scarring.


Liver Biopsy

Examines liver tissue under a microscope for definitive diagnosis.


Treatment focuses on addressing underlying causes like obesity and diabetes through weight loss, exercise, and a healthy diet. Key lifestyle changes include avoiding fructose, regular cardio exercise, and increased intake of polyunsaturated fats and caffeine. Medications like vitamin E and GLP-1 agonists may be prescribed. Reducing alcohol intake is crucial for alcoholic liver disease.


How to Relieve Fatty Liver Disease?

Weight Loss

Aim for 7-10% body weight reduction.


Diet

Eat a healthy diet, avoiding fructose and increasing polyunsaturated fats.


Exercise

Engage in 140 minutes of moderate cardio weekly.


Medications

Use prescribed medications like vitamin E and GLP-1 agonists.


Alcohol

Reduce intake or abstain if necessary.

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