Fatty liver disease (hepatic steatosis) is a condition in which a large amount of fat builds up in hepatocytes( liver cells). Excess fat can increase liver weight and cause inflammation and complications throughout the period. There are three main types: alcoholic fatty liver disease, nonalcoholic fatty liver disease, and Pregnancy-related fatty liver. FLD can occur due to many factors and is common in drunkards (alcohol drinkers), chubby females, and diabetic patients. 

Difference between alcoholic and nonalcoholic fatty liver disease:

Alcoholic Fatty Liver Disease (AFLD) is common in drunkards. In this disease liver functions are disturbed and causes fat to accumulate in liver cells. Reducing or stopping alcohol intake is effective for alcoholic fatty liver disease. On the other hand non-alcoholic fatty liver disease causes are not fully understood but it is strongly associated with obesity and diabetes. lifestyle changes are the line of defense for managing NAFLD.

Hepatic steatosis: stages

Symptoms:

General symptoms:

Fatty liver disease symptoms are unnoticeable in early stages however as the condition progresses it may cause a wide range of symptoms.

• Fatigue and general body weakness 
• Dull aching pain in upper right abdomen 
• Advanced stages causes weight loss and reduce appetite
• Nausea may occur due to toxin production 
• Physical examination shows hepatomegaly in last stages of hepatic liver disease
• In advanced stages like cirrhosis, jaundice occur due to liver dysfunction 
• Dark urine and pale stool 
• Edema and ascites due to abnormal liver functions.
• Mental confusion 

Symptoms on the Skin:

• Spider-like Blood Vessels: small blood vessels appear under the skin often on shoulders and chest.
• Easy Bruising: in advanced fatty liver disease production of clotting proteins are reduced, patients may easily bruise.

Pregnancy-related fatty liver:

Pregnancy related fatty liver is a rare but serious problem that occurs during the third trimester in pregnancy. It requires immediate treatment as it can cause health risks for both the mother and the baby. The exact cause is not known but it’s thought to be related to genetic and metabolic factors. Pregnancy related fatty liver can progress rapidly. Common symptoms include nausea, vomiting, abdominal pain, jaundice and elevated blood pressure or edema. Treatment may include immediate delivery of the baby to prevent further complications. 

 Foods to eat and avoid:

For managing fatty liver disease, a balanced diet is essential to support liver health, fat reduction and prevent further complications of liver.  Foods high in fiber are particularly advantageous for liver health as they regulate blood sugar level, improve digestion and reduce body cholesterol. Healthy fats like omega-3 fatty acids found in some seeds like chia seeds, fatty fish and walnuts. It helps to reduce inflammation and liver fat. Lean protein sources like tofu, legumes and eggs maintain muscle mass. To improve overall liver function you should include antioxidants in your diet like kale, spinach and collard green. Green tea, broccoli and brussels do battle with oxidative stress in the liver. To avoid fatty liver disease limit sugary foods, pre packed meals, alcohol and red meat should be limited because of its high saturated fat content.