Hepatic Steatosis And It’s management

Cirrhosis is when scar tissue replaces healthy liver tissue. This stops the liver from working normally.

Cirrhosis is a long-term (chronic) liver disease. The damage to your liver builds up over time.

The liver is your body’s largest internal organ. It lies up under your ribs on the right side of your belly.

The liver does many important things, including:

• Removing waste from the body, such as toxins and medicines
• Making bile to help digest food
• Storing sugar that the body uses for energy
• Making new proteins

When you have cirrhosis, scar tissue slows the flow of blood through the liver. Over time, the liver can’t work the way it should.

In severe cases, the liver gets so badly damaged that it stops working. This is called liver failure.

What causes cirrhosis?

The most common causes of cirrhosis are:

• Hepatitis and other viruses
• Long-term alcohol abuse
• Nonalcoholic fatty liver disease (this happens from metabolic syndrome and is caused by conditions, such as obesity, diabetes, high cholesterol and triglycerides, and high blood pressure)

Other less common causes of cirrhosis may include:

• Autoimmune disorders, where the body’s infection-fighting system (immune system) attacks healthy tissue
• Blocked or damaged tubes (bile ducts) that carry bile from the liver to the intestine
• Use of certain medicines
• Exposure to certain toxic chemicals
• Repeated episodes of heart failure with blood buildup in the liver
• Parasite infections

Some diseases passed from parent to child (inherited diseases) may also cause cirrhosis. These may include:

• Alpha1-antitrypsin deficiency
• High blood galactose levels
• Glycogen storage diseases
• Cystic fibrosis
• Porphyria (a disorder in which certain chemicals build up in the blood)
• Hereditary buildup of too much copper (Wilson disease) or iron (hemochromatosis) in the body

• MRI. This test makes detailed pictures of organs and structures inside your body. It uses a magnetic field and pulses of radio wave energy. A dye may be shot (injected) into your vein. The dye helps the liver and other organs to be seen more clearly on the scan.
• Ultrasound. This shows your internal organs as they work. It checks how blood is flowing through different blood vessels. It uses high frequency sound waves and a computer to create images of blood vessels, tissues, and organs.
• Upper endoscopy. A lighted flexible camera is placed through your mouth into your upper digestive tract to look for enlarged blood vessels that are at risk of bleeding because of your cirrhosis.

If you have fluid in the belly (ascites), you may need a low-sodium diet, water pills (diuretics), and removal of the fluid with a needle (paracentesis).

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