{"id":100,"date":"2019-07-24T15:46:53","date_gmt":"2019-07-24T15:46:53","guid":{"rendered":"http:\/\/doctorprabhjot.com\/?p=100"},"modified":"2020-10-10T10:54:41","modified_gmt":"2020-10-10T10:54:41","slug":"fattyliver-lesser-known-danger","status":"publish","type":"post","link":"https:\/\/doctorprabhjot.com\/index.php\/2019\/07\/24\/fattyliver-lesser-known-danger\/","title":{"rendered":"Fatty Liver – a lesser-known danger"},"content":{"rendered":"\n

Featured on The Star Newspaper, 25 June 2019<\/em><\/p>\n\n\n\n

\u201cWhat if you had a potentially life-threatening disease and didn\u2019t know? Fatty liver disease is one such disease. With often no symptoms whatsoever in the beginning, symptoms soon appear when significant and sometimes irreversible damage to the liver has already occurred. <\/strong><\/p>\n\n\n\n

\u201cSymptoms include experiencing abdominal pain and distension, vomiting blood, and jaundice. This silent progression is what makes this disease all the more dangerous,\u201d says Dr Prabhjot Singh Sidhu, Gastroenterology and Hepatology Consultant at Ara Damansara Medical Centre.<\/p>\n\n\n\n

Fatty liver occurs when there is excessive fat deposition in the liver. Its causes are many excessive alcohol consumption, viral hepatitis, autoimmune conditions and metabolic syndrome.<\/p>\n\n\n\n

Dr Prabhjot shares that\nwith our extremely high rates of obesity, diabetes mellitus and hypertension\nall contributing to the metabolic syndrome, it is this that is the commonest\nculprit of fatty liver disease in our country.<\/p>\n\n\n\n

\u201cThe risk of having a fatty\nliver, or in this case, non-alcoholic fatty liver disease (NAFLD), by way of the\nmetabolic syndrome is by having risk factors such as weight gain, significant weight\nloss, diabetes mellitus, raised lipid levels, hypertension and hypothyroidism.\nYou only need two of these factors to be at increased risk of developing NAFLD.\u201d<\/p>\n\n\n\n

Many people, including\ndoctors, used to think that fatty liver disease is nothing serious because it\u2019s\njust fat and we all have a little. However, Dr Prabhjot warns, \u201cThis fat\ndeposit causes inflammation over time, which can lead to fibrosis, cirrhosis\nand even liver cancer. Yes, it can take years at times for the condition to\nprogress from one stage to the next, but the progression can be more rapid and\neven skip a stage in some people.<\/p>\n\n\n\n

\u201cIt is important to\nremember that the top two killers in people with fatty liver disease are heart\ndisease and cancer, not liver failure, as previously assumed. Having a fatty\nliver also significantly increases your risk of heart disease, diabetes\nmellitus (by up to five times), colorectal cancer (by up to three times) and\ncolonic polyps (by 1.5 times).\u201d<\/p>\n\n\n\n

\u201cThe severity varies between\nindividuals, but the risk factors are there, so it is essential to diagnose\nfatty liver as early as possible to address its causes.\u201d<\/p>\n\n\n\n

Lack of proper awareness<\/strong><\/p>\n\n\n\n

\u201cThere is a common\nmisconception that only obese people are susceptible to NAFLD. People with\nobesity are at risk, but people with centripetal obesity (fat accumulation\naround the stomach region) are more at risk. Let\u2019s not forget that between 7%\nand 20% of patients with fatty liver disease are considered slim or of normal\nweight.\u201d<\/p>\n\n\n\n

Many people misjudge\ntheir fat accumulation because they depend on body mass index, which is not an\naccurate measure since it doesn\u2019t consider muscle weight. A better way is to\nfind out your body fat percentage.<\/p>\n\n\n\n

\u201cSince there are no\nsymptoms in the early stages of fatty liver disease, it is best to go for a\nscreening if you have the risk factors or are worried. However, for those with\ndiabetes mellitus or obesity, screening is a must!\u201d says Dr Prabhjot.<\/p>\n\n\n\n

\u201cDiagnosis of fatty\nliver is fairly easy since it can be detected with a simple ultrasound and\nblood test. The treatment can be simple if the right approach \u2013 addressing the\nroot cause \u2013 is taken. For instance, if obesity is the cause, the treatment is\nto lose weight. If drinking excessive alcohol is the cause, then quitting\nalcohol is the remedy. As for NAFLD, aside from exceptional cases, the only\nrecognised treatment is weight loss. There are no recommended drugs as a form\nof treatment as it stands.\u201d<\/p>\n\n\n\n

Beware\nof randomly popping pills<\/strong><\/p>\n\n\n\n

\u201cWhen faced with a\nserious disease and in this case the treatment course requires some work, we\noften see people look for \u201cshort-cuts\u201d and reach for supplements and\/or herbal\nremedies. This practice can in fact be very dangerous.\u201d <\/p>\n\n\n\n

Dr Prabhjot has a word\nof warning for such people, \u201cMedicines must pass stringent tests to be classified\nsafe and effective by an appropriate governing body but when it comes to herbal\nremedies and supplements, the rules are different. The requirements are much\nmore relaxed.<\/p>\n\n\n\n

\u201cThere is often little\nevidence that these remedies work and sometimes even less of safety data. Drug-induced\nliver injury (DILI), although rare, is serious, with anabolic steroids, weight-loss\nsupplements, herbs and green tea extracts topping the list of its causes.<\/p>\n\n\n\n

\u201cBetween 20% and 70% of\nDILI can be attributed to herbal remedies. Even though it\u2019s rare, we should\nstill worry because treatment is limited and outcomes can be poor. Aside from\nmislabelling, many ingredients in these products are often not listed. It is\nimportant to remember that something \u2018natural\u2019 does not automatically mean it\nis safe. Do the research and make educated, informed decisions. If unsure, see\nyour doctor.\u201d <\/p>\n\n\n\n

The\nignored powerhouse<\/strong><\/p>\n\n\n\n

While he is all for\npeople wanting to be healthy and taking care of themselves, Dr Prabhjot\nstresses that there is no shortcut to achieving it.<\/p>\n\n\n\n

\u201cKeeping healthy is a\ncontinuous process that takes dedication and hard work through eating well,\nexercising regularly and maintaining a healthy lifestyle overall. Unless you\nhave conditions that require medication, you can never achieve good health by\njust popping a pill because, for the moment at least, there is no such thing,\nespecially for liver health,\u201d he says.<\/p>\n\n\n\n

Dr Prabhjot emphasises\nthat the liver is one of the most neglected and often abused organs in our\nbodies, and people must put in more effort in being aware of and preserving\ntheir liver health. <\/p>\n\n\n\n

Extra: Proper awareness can save lives<\/strong><\/p>\n\n\n\n

While it is true that,\nthanks to the Internet, people are more informed today about their health then\nthey were a few decades ago, there is still a dire lack of proper awareness.<\/p>\n\n\n\n

Dr Prabhjot Singh Sidhu,\nGastroenterology and Hepatology Consultant at Ara Damansara Medical Centre, says,\n\u201cIt is good that people read up about diseases and ailments and take a keen\ninterest in their health, but it is important to remember that there a lot of\nmisinformation on the Internet. I would recommend that patients at least discuss\ntheir concerns or queries with a healthcare professional before embarking on self-medication\nendeavours.\u201d<\/p>\n\n\n\n

An example of such endeavours would be taking supplements and medications that claim to be able to detoxify your liver. Dr Prabhjot questions: \u201cWhy would an organ that is responsible for cleansing your entire system need external assistance to detoxify itself?\u201d<\/p>\n\n\n\n

Similarly, many people take\nprobiotics, thinking it will help improve their gut health. According to Dr\nPrabhjot, with so many options available, people are often at best just\nguessing when selecting one.<\/p>\n\n\n\n

\u201cProbiotics can be helpful in specific situations such as in the treatment of antibiotic-related diarrhoea, irritable bowel syndrome, bloating pains and ulcerative colitis, but you have to know which strain of bacteria at what dosage would be most beneficial in treating that symptom-based on prior studies for any chance of efficacy. Randomly taking just any probiotic off the shelf is certainly not a recommended approach.\u201d<\/p>\n\n\n\n

By taking such supplements and medications without proper guidance, you risk damaging your liver even more instead of making it healthier, so make sure you are not just aware of the dangers, but also have the right information.<\/p>\n\n\n\n

\"\"
The Star Newspaper, 25 June 2019<\/em><\/figcaption><\/figure>\n\n\n\n
Doctor Prabhjot<\/a> has been a Consultant in Gastroenterology & Hepatology in the UK for 19 years and is now back in Malaysia. With this blog, he aims to raise awareness of healthy living so we can all enjoy life to the fullest.<\/em><\/h5>\n\n\n\n

www.doctorprabhjot.com<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Featured on The Star Newspaper, 25 June 2019 \u201cWhat if you had a potentially life-threatening disease and didn\u2019t know? Fatty liver disease is one such disease. With often no symptoms whatsoever in the beginning, symptoms soon appear when significant and sometimes irreversible damage to the liver has already occurred. \u201cSymptoms include experiencing abdominal pain and […]<\/p>\n","protected":false},"author":1,"featured_media":262,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[2,5],"tags":[117,55,72,45,83,91,50,85,92,81,69,76,75,20,122,90,73,24,84,79,127,77,88,80,141,120,51,78,82,89,87,142,140,86,56,74],"class_list":["post-100","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gastroenterology-hepatology","category-media","tag-age","tag-alcohol","tag-blood","tag-cancer","tag-cirrhosis","tag-cleansing","tag-colon","tag-coloncancer","tag-detox","tag-diabetes","tag-doctor","tag-fat","tag-fatty-liver","tag-gastroenterologist","tag-gastroenterology","tag-green-tea","tag-health","tag-healthy","tag-heart-disease","tag-hepatitis","tag-hepatologist","tag-hepatology","tag-herbs","tag-herpertension","tag-inflammation","tag-life","tag-liver","tag-metabolic-syndrome","tag-obese","tag-steroids","tag-supplements","tag-symptoms","tag-time","tag-ultrasound","tag-wellbeing","tag-wellness"],"yoast_head":"\nFatty Liver - a lesser-known danger - Doctor Prabhjot<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/doctorprabhjot.com\/index.php\/2019\/07\/24\/fattyliver-lesser-known-danger\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fatty Liver - a lesser-known danger - Doctor Prabhjot\" \/>\n<meta property=\"og:description\" content=\"Featured on The Star Newspaper, 25 June 2019 \u201cWhat if you had a potentially life-threatening disease and didn\u2019t know? 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Fatty liver disease is one such disease. 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