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Doctor insights on: Non Alcoholic Steato Hepatitis

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Dear doctor, in recent ultra sound of my wife 52 shows hepatomegely and moderate fatty liver infilteration, non alcoholic steato hepatitis, guide?

Dear doctor, 
in recent ultra sound of my wife  52 shows hepatomegely and moderate fatty liver infilteration, non alcoholic steato hepatitis, 
guide?

NASH / NAFLD: Complicated. Need a very low fat diet and monitoring of blood to make sure there is no diabetes or high choleseterol that needs treatment. Depending upon lft elevation may need biopsy and routine monitoring of lft. Certainly need review of meds / alcohol use and immunization against viral hepatitis. ...Read more

Dr. Jay Park
1,157 doctors shared insights

Hepatitis (Definition)

Hepatitis is an inflammatory condition of the liver. Almost all cases are caused by viruses--most commonly hepatitis A, hepatitis B, and hepatitis C--or by toxins such as alcohol. With hepatitis, the liver will swell and not work properly, failing to rid the ...Read more


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Does results of alt, AST results can be changed during actual dyreia, vomit, abd pain session, diag non alcoholic steato hepatitis and metabolic synd. ?

Does results of alt, AST results can be changed during actual dyreia, vomit, abd pain session, diag non alcoholic steato hepatitis and metabolic synd. ?

One triggers other.: Liver function tests are elevated in usual given this diagnosis. With a flare, it is usually the case they are higher, and if the pancreas is involved as well (shown by lipase elevation), this will cause pain & vomiting & may require admission. With alcohol detox and treatment, this may improve over time. It should be stabilized medically and then treated for the alcohol issue. ...Read more

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Is there such a thing as mild alcoholic hepatitis?

Is there such a thing as mild alcoholic hepatitis?

Yes: But that doesn't mean the underlying drinking issue is not extremely serious. ...Read more

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What is the definition or description of: alcoholic hepatitis?

What is the definition or description of: alcoholic hepatitis?

Liver inflammation: In people who have an apparent genetic or other predisposition, repeated heavy use of alcohol initially causes fat to accumulate in liver cells, which ultimately causes inflammation, which is alcoholic hepatitis. Under microscope there are inflammatory cells and signs of the body's reaction. With repeated injury, scarring begins to occur, and when severe and widespread results in cirrhosis. ...Read more

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Can there be complications with hepatitis b if I am an alcoholic?

Can there be complications with hepatitis b if I am an alcoholic?

Yes: Both alcohol and hepatitis b can lead to fibrosis and cirrhosis. I advise patients with hepatitis b to minimize their alcohol exposure. ...Read more

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Can there be complications with hepatitis a if I am an alcoholic?

Can there be complications with hepatitis a if I am an alcoholic?

Yes, if you drink: Hepatitis a is generally a self-limited illness, but if you are injuring an already injured liver with alcohol, you may make it worse. A small percentage of cases can develop liver failure, and use of large amounts of alcohol on top of your illness might make this more likely to happen. Get help for your drinking, and abstain at least during your acute illness. Talk to your doctor or a counselor. ...Read more

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Will a hepatitis test show any kind of hepatitis, including alcoholic hepatitis?

Will a hepatitis test show any kind of hepatitis, including alcoholic hepatitis?

No: "hepatitis tests" are tests for viral hepatitis, the most common of which are A (infectious hepatitis), B and C (but there are others). There is no specific test for alcoholic hepatitis, but there are certain patterns of liver enzymes that are more typically seen with alcohol-related damage. A liver biopsy can show changes consistent with alcohol, but these are also seen with diabetes and obesity ...Read more

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How long does it take to recover from alcoholic hepatitis? Can this disease cause HE?

How long does it take to recover from alcoholic hepatitis? Can this disease cause HE?

Acute or chronic?: Acute alcoholic hepatitis will cause a rise in your liver enzymes and the damage will be transient but continued alcohol consumption may lead to chronic hepatitis with cirhossis and other sequelae including hepatic encephalopathy. If you know alcohol is a problem for you or a loved one, you should get help before it becomes irreversible. ...Read more

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Is it unsafe for an inactive hepatitis b carrier to eat alcoholic food that has been cooked or flamed?

Is it unsafe for an inactive hepatitis b carrier to eat alcoholic food that has been cooked or flamed?

Not unsafe: Good for you for being concerned about alcohol. Limiting alcohol consumption is important to protect your liver, especially if you have a viral hepatitis infection. Heating food that has alcohol in it will evaporate the alcohol, leaving just the taste behind (like a red wine reduction sauce) so these are safe to eat. Some people avoid all alcohol because of triggers and should be respected. ...Read more