Fatty liver disease, characterized by an excessive accumulation of fat in the liver, is increasingly prevalent and affecting younger individuals in recent years. This condition is categorized into two main types: alcoholic fatty liver disease, caused by prolonged alcohol consumption that impairs liver function, and non-alcoholic fatty liver disease, often linked to overweight, obesity, and other medical conditions. While early stages typically present no clear symptoms, uncontrolled fatty liver disease can progress to more serious conditions like hepatitis, cirrhosis, and liver cancer.

The good news is that in its early stages, before inflammation or fibrosis occurs, the accumulation of fat in the liver can improve. The liver, an organ with strong regenerative capabilities, can recover its function once the metabolic burden is reduced through lifestyle changes and strict control of risk factors such as weight, blood sugar, and blood lipids. However, if fatty liver disease progresses to advanced cirrhosis, complete recovery is not possible.

Given your diagnosis of mild fatty liver disease without complications, it is crucial to consult a doctor. A medical evaluation will help determine whether the cause is alcohol-related or a metabolic disorder, guiding the most appropriate treatment approach for your specific situation.

The diet for people with fatty liver disease should prioritize green vegetables, fish, and lean protein sources. *Photo: Ly Nguyen*.

Currently, there is no specific medication to treat fatty liver disease; the primary treatment strategy involves significant lifestyle modifications. You should stop consuming alcohol, limit sweets, soft drinks, and refined carbohydrates, and reduce your intake of fried foods and animal fats. Instead, prioritize green vegetables, fish, and lean protein sources. Additionally, aim for a minimum of 150 minutes of physical activity each week and achieve healthy weight loss if you are overweight. It is also important to effectively manage any co-existing conditions, such as diabetes, hypertension, or dyslipidemia.

Alongside these changes, schedule regular follow-up appointments every 3-6 months. During these visits, your doctor can assess your liver condition through blood tests, ultrasound, or other necessary methods, providing tailored advice and interventions. If you experience persistent fatigue, jaundice, dark urine, pain in the right upper abdomen, or have a history of liver disease, you should seek medical attention promptly.

Master, Doctor Ho Thi Ha Phuong

Department of Gastroenterology - Hepatobiliary - Pancreatology

Tam Anh Cau Giay General Clinic