Alcoholic fatty liver disease and how to treat it. Obesity of the liver: how to prevent, cure the disease and avoid possible consequences. Causes of pathology

A blurry figure is a problem that is easy or difficult, but is eliminated if desired, supported by willpower. Another thing is when the fat attacked the liver, but this did not affect the weight. A dangerous disease called fatty hepatosis, in a neglected state, leads to irreversible, sometimes unexpected consequences. It does not immediately appear, which is why precious time for the patient is lost. Consider the causes and treatment of fatty liver, possible complications, preventive measures.

What is fatty liver

According to WHO, this is one of the most common liver diseases in the world, caused by a person's lifestyle. The bottom line is the abnormal accumulation by hepatocytes (liver cells) of large vacuoles filled with lipids, an increase in their size, the appearance of collagen fibers, and the development of inflammation.

According to the morphological criterion, liver steatosis can be said if fats make up 1/10 of the dry residue of the gland. The course of the disease is so asymptomatic that it is difficult for the patient to believe that there is a problem. Although the consequences of the condition can be quite serious, up to myocardial infarction or diabetes.

The pathogenesis of the disease is not well understood. But in 2/3 of patients it is associated with alcohol abuse. Politicians, businessmen and other categories of the population suffer from fatty liver, for whom a glass of cognac is a stress reliever or an attribute of numerous business meetings. In the morning they do not complain about their health, but they do not suspect that such a lifestyle negatively affects the state of the gland.

A person's relationship with alcohol depends on specific factors. Alcohol destroys hepatocytes faster in women with their constantly changing hormonal levels. In Mongoloids, the decay products of ethanol are neutralized less actively than in representatives of the European race. With concomitant pathologies, the liver becomes sensitive to alcoholic beverages.

It is responsible for the breakdown of fatty acids (FA) and replenishment of the body with energy. Ethyl alcohol destroys hepatocyte membranes, as well as enzymes that transport and break down fatty acids, as a result of which they are not utilized, but accumulated. A weekly dose of 350 ml of vodka for men and 2 times less for women already threatens the liver with problems.

No less dangerous overweight due to dense brown fat, which is difficult to fight. It produces hormones that inhibit the breakdown of carbohydrates and lipids. A favorite place for their accumulation is the anterior abdominal wall. This form of obesity is called "beer belly". Among other causes of the condition:

Metabolic disorders.
Physical inactivity.
Poisoning with poisonous mushrooms, oil products, industrial pesticides, phosphorus.
Genetic predisposition and food preferences leading to an increased content of certain FA fractions in the blood.
Surgical intervention on the gastrointestinal tract.
Taking certain medications (Fluconazole, estrogens, glucocorticoids).

Factors contributing to liver steatosis also include hypervitaminosis A and chronic dysbacteriosis.

Is the condition dangerous?

A hepatocyte containing an excess amount of fat already has other characteristics that are not characteristic of it. Decreased sensitivity to insulin. Glucose, which normally nourishes the liver, loses this ability without a hormone. The body "starves" and requests additional amounts of sugars. The pancreas produces more and more secretions. Upon reaching a certain critical level, they still “open the doors” to the liver cells and give them energy. But the consequence of compensatory hyperinsulinemia is diabetes mellitus.

In addition, the products of excess fat oxidation are highly active substances that additionally damage the liver, causing inflammation (hepatitis). The development of pathology provokes the replacement of hepatocytes with connective tissue, resulting in impaired blood supply to the organ and liver failure.

Symptoms of fatty liver

Symptoms of hepatosis appear gradually:

At the initial stage, the disease has an imperceptible course. Small inclusions of lipids can only be judged by the analysis of hepatic transaminases.
Fat deposits increase. In the morning, a person is slightly nauseous, bitterness is felt in the mouth. Physical effort causes pain in the right side, which is already a sign of a violation motor activity bile ducts.
Connective tissue replaces most of the liver. Palpation reveals its increase. Ultrasound shows the heterogeneity of the organ.
Numerous cysts with fat cause complete dysfunction of the gland. The person suffers from dull aching pain in the right side, constant flatulence, stool disorders. Not far off cirrhosis.

For the final diagnosis, laboratory tests and instrumental examination are required.

Diagnostics

Fatty liver disease is often discovered incidentally. A patient who comes with pain in the heart is suddenly told about a violation in the structure and functions of the gland. The doctor collects anamnesis data, asks about the regularity and doses of alcohol taken, about concomitant diseases. After a physical examination of the patient, the size of the spleen and liver is determined.

About indirect signs of fatty hepatosis, changes characteristic of cirrhosis, you can find out with the help of ultrasound. Modern devices make it possible to assess which tissue is more in the gland: normal or degenerate. Ultrasound compression elastography determines the risk of cirrhosis and the prognosis of its development.

Blood biochemistry reveals inflammation and impaired bile metabolism. An analysis for hepatitis viruses is prescribed. Special indications require additional examination for immunological parameters, CT and biopsy.

How to treat fatty liver

Therapeutic measures begin with the elimination of the factor that provoked the disease. With ethyl alcohol, this is always possible. If there is an addiction to alcohol, a narcologist is connected to the treatment. Patients are prescribed a diet, physical activity in the fresh air is recommended. If this is not enough, the hepatologist prescribes drugs that normalize lipid metabolism in the body.

Medicines

There is no specific therapy for hepatic steatosis. The scheme is selected in order to eliminate factors that contribute to gland dystrophy, correct metabolic processes, improve recovery and detoxification of hepatocytes.

The doctor prescribes medications with antioxidant and membrane-stabilizing properties. Among them are a group of sulfoamino acids and phospholipids designed to protect the liver:

Phosphogliv.
Essliver forte.
Essentiale.
Dibikor.
Heptral.

An effective cure for fatty liver is Hofitol based on artichoke leaf extract. Has choleretic properties. Vitamins from its composition normalize metabolism.

Taurine also deserves attention, which ensures the stabilization of plasma membranes and the dissolution of fatty acids, which increases blood flow in the liver. It also has antioxidant, anti-sclerotic and hypotensive effects.

Vitamins contribute to the detoxification of the gland:

A nicotinic acid.
Riboflavin.
Betaine.

The drug Holosas reduces the density of bile, improves its outflow, relieves heaviness in the right side.

Folk remedies

Useful for fatty liver medicinal plants and spices.

Sorrel. Provides drainage of bile, normalizes its secretion. Reduces the number of fatty cysts in the liver. For cooking, take dry roots (1 tbsp.), Pour 1.5 tbsp. water. Slowly simmer for 4 hours. Drink 1 tbsp. l. 3 times before meals.
Milk thistle. The most useful herb for the liver. It has a hepatoprotective, membrane-stabilizing, antioxidant effect. In the preparation, Gepabene is combined with fume extract. Reception schedule: 3 times a day, 1 capsule.
Turmeric. Used to soften gallstones, bind free radicals. Included in the drug Cholagol. The duration of treatment is 3-6 weeks. Dosage: 5 to 10 drops per sugar 3 times a day half an hour before meals.
And finally, cinnamon. Regular consumption of dishes with the inclusion of spices burns fatty deposits in the liver, reduces the level of cholesterol and glucose in the blood, and reduces appetite.

Diet

Diet is of paramount importance in the treatment of steatosis. You need to lose weight at a pace of about 500 g per week. A high rate of weight loss often leads to inflammation of the liver.

Prohibited:

Alcohol.
Fried food, fast food.
Sausages, ham, sausages.
Margarine and products containing palm oil.
Fatty fish, meat.
Sweets.
White flour products.
Seasonings.
Coffee, chocolate.
Energetic drinks, cola.
Eggs.

List of allowed products:

Cereals.
Dry bread.
Low-fat kefir, cottage cheese.
Vegetables fruits.
Vegetable oil.
Lamb, beef, chicken (organic).
Weak tea, non-carbonated water.
Garlic.
Apple vinegar.
Fresh seafood.
Ginger, cumin, cinnamon, turmeric, curry.

Instead of sugar, it is better to use stevia powder.

Possible Complications

The direct consequences of fatty hepatosis include:

Fibrosis of the liver, which is characterized by the replacement of hepatocytes with connective tissue, the formation of scars and other unusual elements that replace liver cells.
Weakening of the immune system, expressed in the inability of the body to resist pathogenic microbes of a viral and bacterial nature.

The final stage of fibrosis is cirrhosis, which captures the external and internal structure of the organ. It is accompanied by multiple immunoinflammatory processes leading to death.

Hepatosis is a serious disease caused by the gradual accumulation of fatty deposits on the liver cells. In the people, it is most often referred to as obesity of this organ. Both women and the stronger sex suffer from such a disease equally often. It is very important to start treating it on time in order to protect yourself from dangerous consequences. Few of the patients notice problems at an early stage of the development of the disease, therefore, hepatosis is most often detected at a late stage of the development of the disease.

Symptoms and signs

The biggest problem of hepatosis of the liver is that therapy is prescribed to the patient already in the later stages, when the disease is sufficiently advanced. This is because it can be diagnosed only in the process of a special comprehensive medical examination in the clinic. Few of the inhabitants of our country sign up for such examinations for no apparent reason.

If a person does not feel any discomfort and discomfort, then he tries by all means to avoid doctors and hospitals. But in vain.

This ailment in almost all cases proceeds without any obvious symptoms. Only occasionally can he feel some discomfort, for example, in the form of heaviness in the right hypochondrium, which is especially clearly felt while walking or running. This is perhaps the only symptom and therefore patients very rarely pay attention to it.

There may also be a general deterioration in well-being, including severe weakness, nausea and vomiting. But the patient most often writes off these signs for poisoning, severe overwork, lack of sleep, etc.
It is important to note that even a standard ultrasound will not allow you to establish a disease developing in the body. Most often, if hepatosis of the liver is suspected, the doctor prescribes the patient to undergo both magnetic resonance and computed topography at the same time. Thanks to these procedures, it is possible to accurately identify whether there is an ailment under discussion in the body.

Causes

Such a pathology can occur in a person for a variety of reasons.

What could be the consequences

This disease, if not dealt with in time, can lead to very serious consequences. First, the proper functioning of the liver is disrupted, which subsequently leads to numerous complications. As you know, this organ is necessary for our body to cleanse it of toxins. stops doing this, and such changes can eventually lead the patient to severe intoxication of all organs.

At the same time, at the moment, such a “magic” medical preparation has not yet been created that would allow getting rid of this disease instantly and fixing the result forever. Each patient will need a serious, long-term complex therapy, which will include a special diet, taking ready-made medicines, and traditional medicine products and procedures.

In any case, it is dangerous to self-medicate, therefore, all stages of therapy must necessarily take place under the constant supervision of a specialist. An experienced doctor will be able to develop an individual treatment plan for each individual patient, which will be the most effective and efficient for him.

Dietary nutrition in fatty liver hepatosis

If the main reason for the development of this disease was the patient's "love" for strong drinks, then the first step is to exclude any alcoholic drinks from your menu.
The basis of nutrition should be light soups cooked in vegetable or mushroom broth. If desired, you can also cook them in milk. Soups with cereals will be useful, as well as any first courses from the cuisine of vegetarians.

As for meat, it should be lean, for example, veal. It is best to boil it in salted water without adding any spices. It will be enough salt and a couple of bay leaves. The same can be said for fish. You should choose low-fat varieties for yourself, and best of all - sea fish. The best way to prepare it is stewing. But the consumption of chicken eggs should be reduced to one per day and it is better to eat only protein or cook an egg in the form of an omelette.

For patients suffering from fatty hepatosis, the doctor most often recommends consuming as many different fermented milk products as possible. Especially kefir, fermented baked milk, curdled milk and cottage cheese. Ideally, they should be prepared at home. And sweet bakery products you need to completely exclude it from your menu, the same goes for any white bread. It is allowed to eat only one small piece of black grain bread per day.

Also on the table of the patient should always be fresh fruits and vegetables. Sweets (especially with fatty creams), canned food, any spicy, smoked and fried foods must be excluded from the menu.

Treatment with folk remedies

If it is decided to add folk remedies for the treatment of fatty liver to the diet, then in no case should they be used uncontrollably at home. Each action should be discussed with a specialist. This will help to avoid deterioration in the well-being and health of the patient as a whole.

Most often, a variety of herbal preparations are used for this. For example, you can independently prepare a very effective medicine from available dry herbs.

To do this, you need to take: 15 grams of corn columns, the same amount of rose hips, the same amount of horsetail, 10 grams of medicinal chamomile, the same amount of strawberry leaf, 20 grams of sand immortelle inflorescences, 5 grams of forest cudweed, the same number of birch leaves, the same number of juniper fruits , the same number of dill seeds, the same number of calendula flowers.

All these ingredients will need to be thoroughly chopped, and then poured into any container that closes tightly, and used as needed. To prepare a decoction for the first dose of the medicine, 3 tablespoons of the resulting herbal collection is enough. This amount of herbs will need to pour 0.7 liters of boiling water, and then leave the resulting medicine to infuse in a thermos for several hours. You need to drink it once a day after meals.

The recommended dose is 70 milliliters. The full course of therapy with this medicine is 90 days. If there is a need, then further, after two weeks of rest, a new decoction is prepared with a slightly modified composition and the course is repeated.

Medicines and preparations

The treatment will be most effective if, along with the diet and the use of medicines prepared according to folk recipes, the patient will also take special medications, the effect of which is designed to normalize the functioning of the liver.

Most often, in this case, experts opt for hepatoprotectors. These are special drugs that can improve metabolic processes in the liver. One of these drugs is Essentiale. Sometimes, in addition to them, other drugs are prescribed, which include, for example, folic acid.

We must not forget about the importance of moderate physical activity in the treatment process, as well as regular walks on fresh air which will improve not only the patient's condition, but also his mood.

Video: doctor's opinion on the effectiveness of the use of hepatoprotective drugs

The doctor expresses his subjective point of view on the use of drugs such as Essentiale, Rezalyut, Heptral for fatty hepatosis.

Oat treatment

It is impossible not to mention another folk remedy used to treat this ailment - this is ordinary oats. This is a very affordable, economical and effective tool. To do this, 250 grams of oats are mixed with 50 grams of birch leaves and lingonberry leaves, pour 3.5 liters of water, and then remove for 24 hours on the bottom shelf of the refrigerator.

The finished medicine is diluted with a decoction of 250 grams of rose hips and 3 tablespoons of knotweed, and then consumed warm, 50 milliliters before meals. The course of treatment is 10 days. Every day, another 50 milliliters is added to the recommended dose.

It is important that during the period of such treatment you can not eat meat!

Video with a doctor candidate of medical sciences about fatty hepatosis

Fatty liver, also defined as fatty liver, is a chronic or acute disease of this organ. Liver obesity, the symptoms of which are associated with metabolic disorders occurring at the cellular level, proceeds in combination with dystrophic processes concentrated in the parenchyma of the affected organ.

general description

Predominantly obesity of the liver develops against the background of alcoholism, smoking and a sedentary lifestyle affect its development.

Much less often, this disease is endogenous in nature, developing as a result of severe forms,. In addition, factors such as vitamin and protein deficiency, chronic intoxication (caused by various toxic substances such as carbon tetrachloride, organophosphorus compounds, including bacterial toxins) can also contribute to the development of the disease.

Separately, one can single out the possibility of developing fatty hepatosis as a result of certain metabolic disorders (, hypovitaminosis, etc.). Too high-calorie diet can also act as a cause of fatty liver.

Features of the course of the disease

First of all, this disease provides for the need to highlight such features as liver enlargement. However, when the underlying cause that served as the manifestation of this disease is established, fatty degeneration often decreases, and within a few days from that moment.

The occurrence of complications may be accompanied by a parallel increase in temperature, as well as with the development.

Feeling the liver determines its density, with a deeper study, its grayish-yellowish hue is determined. There is a gradual accumulation of fat by the cells of this organ, often fatty cysts are formed.

Regular liver poisoning, which mainly occurs as a result of alcohol abuse, fatty degeneration relevant to the patient develops into cell death characteristic of this disease and with the replacement of liver tissue with connective tissue.

The subsequent development of the disease leads to the exclusion of the normal functioning of the liver, and such an exception becomes possible even in the absence of harmful factors.

The nature of the consequences of such liver poisoning is irreversible. It is noteworthy that about 20% of patients do not experience symptoms of fatty liver, despite its rapid progression.

Fatty liver: symptoms

The disease, as we have already noted, can proceed in its oligosymptomatic form, respectively, its manifestations can be masked by manifestations of the disease that has become the main one (diabetes, etc.), as well as manifestations indicating toxic damage to other organs, incl. this also applies to concomitant diseases of the gastrointestinal tract. In particular, this applies to chronic hepatosis.

As for other forms of manifestation of the development of the disease, the formation of severe dyspeptic symptoms is characteristic here, as well as general weakness, dull pain, concentrated in the right hypochondrium, pressure and heaviness in the abdomen. In some cases, there is mild jaundice, a feeling of fullness and pressure in the abdomen without the patient being able to determine the specific localization of such discomfort.

An increase in the liver is characterized by moderation, its surface is smooth. Palpation may determine tenderness. The development of symptoms of an acute form of liver hepatosis occurs rapidly. This pathology manifests itself in the form, accompanied by symptoms of severe intoxication and jaundice. It is at the initial stages that the increase in the affected organ in size and softness during palpation is determined. Somewhat later, as previously noted, a decrease in the percussion dimensions of the organ occurs, after which palpation becomes impossible.

It is an uncharacteristic symptom of this disease. In addition to the symptoms listed above, nausea and flatulence may appear, appetite worsens. The level of lipids in the blood increases significantly, which is also true for blood sugar levels.

In the light of the development of this disease, this kind of symptomatology of fatty hepatosis may also appear, which indicates the development. It can proceed in the following stages and symptoms characteristic of them:

I stage - drowsiness, weakness, nausea, pronounced aversion to food, deterioration in coordination of movements, decreased efficiency, monotony of speech;
II stage - characterized by general indigestion of food and manifestations in the form of jaundice, swelling, diathesis, the development of abdominal dropsy (), weakness of the general type;
III stage - it is characterized by manifestations in the form of severe metabolic disorders, as well as in the form of dystrophic changes that affect internal organs. In especially severe cases, manifested liver failure causes depletion of the body, which also manifests itself in the form of loss of consciousness, convulsions and even coma.

It is noteworthy that the lack of timely treatment of fatty liver can provoke a number of other health problems. In particular, the activity of the cardiovascular system undergoes certain changes, in addition, there is a general decrease in immunity. The hormonal balance is also disturbed, and, as you might guess, various problems associated with the digestive system can be added to top it off.

Diagnosis

Often, fatty liver disease, which may have no symptoms at all, is diagnosed at random. This is done, in particular, only on the basis of a biopsy (a diagnostic method based on the study of tissues of a given organ). The doctor removes a tissue sample, for which the method of laparoscopy or percutaneous needle puncture is used.

Predominantly, the greatest threat lies not so much in fatty liver, but in the presence of characteristic symptoms of another type of serious disease. Given this, the doctor must make the most thorough examination without fail.

Treatment of fatty liver

In the treatment of the disease in question, the main emphasis is on eliminating the impact of the main factor that provoked it. Alcohol in this case is under an absolute ban. This also applies to smoking and the use of certain drugs.

Additionally, diet No. 5 is prescribed, the main components of which are characterized by an increased content of animal proteins in their full form in combination with products of lithiotropic factors, which in particular include boiled cod, cottage cheese, products made from buckwheat and oatmeal, etc.

In general, nutrition requires a change in existing habits related to it, limiting the use of too fatty foods, and preventing overeating.

The intake of fats into the body is also limited, which is especially true for fats of animal origin and refractory fats. Preparations of the lipotropic group (folic acid, lipoic acid, vitamin B12, preparations with hydrolysates and liver extracts) are also prescribed separately.

In case of suspicion of the relevance of fatty liver, it is necessary to consult several specialists. In particular, this is a gastroenterologist and hepatologist, as well as a surgeon.

Fatty liver or fatty hepatosis is a violation of the fatty metabolism of the liver and the accumulation of fat cells in the tissues of the organ. Obesity of the liver develops due to the replacement of organ cells with adipose tissue. The disease is chronic and is accompanied by degenerative processes in the liver parenchyma. The disease develops very rapidly alcohol addiction and general obesity. Fatty hepatosis is accompanied by an increase in the size of the liver due to the appearance of fatty compounds. The disease develops in stages, each of which is accompanied by certain symptoms. On initial stage the course of the disease, it has no manifestations.

As the pathology progresses, the patient develops functional disorders not only of the liver, but also of other systems. The disease progresses from fatty hepatosis to steatohepatitis, then to fibrosis, and finally to cirrhosis. With the initial appearance of fat cells, this process is reversible. Fat-filled hepatocytes can rupture and be replaced by connective tissue. Those parts of the liver in which connective tissue has appeared are not restored. By using proper treatment and diet can stop fatty degeneration and normalize the functionality of the liver.

Causes of fatty liver

It is impossible to say unequivocally what exactly affects the appearance of fatty hepatosis. This process can be triggered by various factors. The liver performs various functions and is able to work with a load exceeding the potential reserve. Such properties of the organ are due to the fact that the hepatocytes of the gland are able to recover on their own. With regular excess of permissible loads, the body does not cope with its functions and begins to accumulate toxins inside its cells.

The main cause of fatty liver is the abuse of fats and cholesterol, which in the body turn into triglycerols, which form adipose tissue. Fat in cells accumulates gradually, but over time, fat deposits break cell membranes, and the integrity of the organ is violated. It does not receive enough blood and oxygen, which provokes tissue death. The presence of fatty hepatosis is also accompanied by chronic diseases of the stomach, biliary tract and heart disease.

Scheme of fatty hepatosis of the liver

The main causes of fatty liver are due to:

chronic alcohol intoxication;
violation of metabolic processes in certain diseases;
malnutrition and abuse of carbohydrates, fats and cholesterol;
lack of protein in the body;
overweight;
systematic overeating;
drug abuse;
rapid weight loss with diets;
violation of oxygen metabolism;
liver failure and chronic liver damage.

Features of the diet for a diseased liver

Also, fatty liver can develop against the background of other diseases accompanied by a violation of fat metabolism. Factors contributing to the development of fatty hepatosis are:

diabetes;
diseases of the pancreas;
atherosclerosis;
high blood pressure;
liver failure.

The disease can be triggered by various factors, so there is also a risk of developing fatty hepatosis in overweight people and systemic disorders.

Fatty liver: symptoms

Symptoms of fatty liver depend on the degree of damage to the organ and the stage of development of the disease. At the initial stage of pathology development, hepatosis has no clinical manifestations and may be accompanied by functional disorders of other organs and systems. Symptoms of the disease appear as hepatocytes are damaged and filled with adipose tissue. Early symptoms fatty hepatosis are accompanied by pain in the right hypochondrium and epigastric region. The main manifestations of fatty liver, as a rule, occur in 2 stages and are accompanied by:

nausea;
discomfort and swelling in the liver;
decrease in working capacity;
chronic constipation;
increased fatigue;
yellowing of the skin;
exacerbation of symptoms when eating fatty foods.

Nausea is one of the symptoms of fatty liver.

As the disease progresses, the clinical manifestations only worsen, and functional disorders of the gastrointestinal tract and gallbladder join the general symptoms.

Stages of fatty liver

Hepatocyte lesions are accompanied by different symptoms, so the disease is conditionally divided into 4 stages, each of which has certain clinical manifestations.

1 stage- Accumulations of fat form focal lesions. Such lesions are a sign of diffuse organ damage, which manifests itself in the form of separate drops of fat on the liver.

2 stage- the area of accumulation of fat increases and affects entire areas of cells. Formations begin to increase, exceeding the allowable volume and rupture hepatocytes. The space between cells is filled with fibrous connective tissue.

3 stage- localization of foci of fatty lesions fills almost the entire volume of the liver. Connective tissue affects large areas of the organ.

Best Liver Cleanse Products

4 stage- fat goes beyond the cells and accumulates in the intercellular space. The liver is completely covered with fat, and large fatty cysts appear.

Stages 3 and 4 of fatty liver precede the development of cirrhosis. At this stage, treatment requires more radical measures, so it is almost impossible to completely cure the organ. In some cases, an organ transplant is done.

Stages of liver degradation in fatty hepatosis

There is also the so-called acute fatty degeneration, which develops as a result of poisoning with toxic substances and as a complication of a difficult pregnancy. Acute fatty degeneration begins with mild symptoms. In the future, DIC syndrome develops, which is accompanied by the appearance of ulcers in the stomach. The prognosis of hepatosis at this stage is unfavorable, since fatty liver is accompanied by the formation of blood clots.

How to treat fatty liver?

Treatment of hepatosis includes not only taking special drugs, but also following a diet to reduce the percentage of adipose tissue in the body. Treatment of fatty liver involves the elimination of factors that contribute to the accumulation of adipose tissue. Also, the treatment of the disease involves increasing physical activity to be combined with dietary nutrition. At stages 3 and 4 of fatty hepatosis, compulsory admission medicines. Drugs for the treatment of the disease should be prescribed by a doctor. The main treatment includes the following drugs:

preparations containing essential phospholipids:"Essentiale Forte", "Essliver", "Phosphogliv", "Phosfonciale";
medicines containing amino acids:"Hepa-Merz", "Glutargin";
drugs - hepatoprotectors:"Heptral", "Heptor";
medicines containing herbal ingredients: Karsil, Gepabene, Legalon;
drugs that improve blood viscosity:"Kurantil", "Trental";
preparations based on alpha-lipoic acids:"Dialipon", "Berlition";
choleretic medicines: "Holosas", "Allohole";
B vitamins;
milk thistle tablets.

"Hepa-Merz" is taken for fatty liver

Treatment of fatty liver is accompanied by physiotherapy.

Taking medication for hepatosis is indicated only as directed by a doctor. Also, treatment takes place under the supervision of a specialist to monitor the effectiveness of treatment.

Treatment of fatty liver folk remedies

Can fatty liver be treated? folk remedies and only if stage 1 or 2 of the disease is diagnosed, otherwise, treatment with folk remedies will not only be ineffective, but also dangerous. Treatment with folk remedies can be prescribed in combination with the main therapy. Before you start treatment with folk remedies, you need to consult a specialist. You can treat the disease with the following folk remedies:

1 teaspoon of calendula, centaury and currant leaves pour 500 ml. boiling water. Insist for a day. Drink 150 ml. before eating.

At the heart of fatty degeneration of the liver is a process in which fat droplets can be deposited both inside hepatocytes and outside, in the connective tissue base of the liver, or stroma. We can talk about fatty liver if fat (or rather, triglycerides) make up at least 10% of the mass of the liver tissue. In order to make a diagnosis of fatty liver, a needle biopsy is needed.

By itself, fatty liver disease is not a life-threatening disease, it preserves performance. But the liver reduces its functional activity to neutralize harmful substances, reduces the immune defense of the body and, in the end, the development of cirrhosis of the liver is possible.

Factors leading to fatty liver

In the modern civilized world, fatty degeneration of the liver occurs most often among the urban population, in countries with high level life. There are primary and secondary obesity. The most important causes leading to primary and secondary obesity are as follows:

elementary obesity;
diabetes mellitus, most often occurring in old age, that is, type 2 diabetes. The reason for the development of fatty hepatosis in diabetes is hyperlipidemia, hyperinsulinemia and metabolic syndrome leading to general obesity;
elevated levels of fat and cholesterol in the blood, or a state of hyperlipidemia;
taking medications that can be toxic to the liver. These include many antibiotics, cytostatics, hormones, NSAIDs (non-steroidal anti-inflammatory drugs), antiarrhythmic drugs;
postoperative conditions (intestinal resection, gastroplasty), in which malabsorption syndrome develops, or insufficient absorption;
chronic pancreatitis. With it, due to the insufficiency of the pancreatic lipase enzyme, fat does not break down;
rapid weight loss. Fat does not have time to oxidize and is deposited in the liver;
hepatocerebral dystrophy, or Wilson's disease - Konovalov.

Clinical manifestations of fatty hepatosis

Symptoms of fatty liver are more common in women than in men. At the same time, the highest incidence of the disease occurs in middle and partly old age. Subjective complaints, as a rule, are expressed insignificantly. Most often noted:

Moderate, aching pain in the right hypochondrium, the liver is sensitive to palpation, the lower edge of the liver is dense, rounded, the liver is enlarged.
Heaviness in the epigastric region, nausea, periodic vomiting, unstable stools are the so-called dyspeptic manifestations.
Manifestations of autonomic dysfunction nervous system: weakness, lethargy, fatigue, headaches.

As a rule, laboratory parameters of liver enzymes and bilirubin are normal (except in cases of combination with cholecystitis, chronic hepatitis).

Establishing diagnosis

As a rule, the diagnosis of fatty hepatosis in modern development imaging diagnostic methods ( ultrasonography, magnetic resonance and computed tomography) does not present any particular difficulties, especially taking into account the anamnesis and clinical picture. Usually, a needle biopsy of the liver specifically for the diagnosis of its obesity is not performed. It can be performed for other reasons, for example, if hepatocellular cancer is suspected, for various forms of chronic hepatitis, but fatty liver in this case can be identified as a concomitant diagnosis.

How to treat fatty liver

Treatment for fatty liver does not include any hospitalization or cessation of physical activity. On the contrary, exercises performed under the supervision of specialists lead to the utilization, or "burning" of fats and a decrease in fatty degeneration. The main principles of therapy are:

weight loss;
exercise therapy, swimming, moderate increase in physical activity;
drugs that have the ability to stabilize cell membranes: Heptral, Berlition, drugs, complexes of vitamins, antioxidants.
ursodeoxycholic acid preparations.

However, despite the possibilities of modern therapy, diet plays a leading role in the treatment of fatty degeneration. Diet for fatty liver - diet number 5 on the list of diets according to Pevzner, is called "liver" and must meet the following requirements: with a normal ratio of proteins and carbohydrates, the intake of fats is limited:

Refractory fats (butter, lard), products containing purines (brains, liver, liver, canned food, smoked meats, sausages), oxalic acid, and cholesterol are excluded.
It is not allowed to fry food in oil, deep-frying.
There are foods rich in fiber and ballast substances that improve peristalsis and do not have energy value: cereals, bran, vegetables and fruits, apples.
From lipotropic products, egg white, low-fat cottage cheese, boiled sea fish are allowed in a limited amount.
Bakery products - from coarse, peeled flour, better than yesterday's baking. It is strictly forbidden to use butter dough and fried pies.
Almost everything is possible from fermented milk products, the only limitation is the minimum fat content in sour cream, as well as the exclusion of fatty and spicy cheeses.

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Fatty liver - what is it?

Obesity, hepatosis, fatty degeneration, liver adiposis are the names of the same chronic disease, which is characterized by excessive fatty deposits in the liver. Fatty hepatosis of the liver is classified according to the severity:

The initial stage - small inclusions of fat are noted only in individual liver cells.
The first stage - large deposits of adipose tissue accumulate in certain parts of the liver.
Second degree - almost all liver cells are affected.
The third degree is diffuse obesity with the formation of cysts, inside which fat accumulates.

Fatty Liver Causes

To find out how to get rid of fatty liver, you need to find out for what reasons adiposis occurs and what methods of treatment exist in medicine. The causes of fatty liver are as follows:

Excessive alcohol consumption. Methanol disrupts metabolism, destroys liver cells, and as a result, the body begins to accumulate adipose tissue cells, replacing their own.
Starvation with rapid weight loss or the abuse of fatty foods can equally lead to fatty degeneration. The likelihood of developing the disease increases with sedentary manner life.
Toxins. Pathology can be caused by pesticides, poisonous mushrooms, some drugs whose active ingredients are methotrexate, tetracycline, estrogen.
Metabolic disorders in conditions such as diabetes mellitus, pregnancy, Reye's syndrome, Konovalov-Wilson's disease, Weber-Christian disease.

Smoking against the background of other factors only exacerbates the risks. Rare, but there are cases when hepatosis is endogenous and develops as a result of enteritis and pancreatitis in severe form. Among other things, hepatosis can be provoked by a deficiency of protein and vitamins in the diet, an excess of iron, chronic intoxication, hypovitaminosis, and general obesity of the human body.

Fatty liver - symptoms

The symptoms of fatty liver are not pronounced, so most patients seek medical help already when the disease is severely advanced. You can identify the disease with the help of a comprehensive examination in the clinic. Heaviness with the right hypochondrium, this is perhaps the only tangible symptom of hepatosis.

Each stage of hepatosis is characterized by its own symptoms:

At the initial and first stage, hepatosis can be detected using tests of hepatic transaminases (variability of ALT and AST enzymes).
In the second stage, the symptoms worsen. There is heaviness in the right side, discomfort in the abdomen, a significant increase in the organ is palpated. On ultrasound, an altered density of the liver is noticeable.
In the third stage, the patient feels frequent nausea, aching, dull pain in the stomach and on the right under the ribs, a feeling of fullness, flatulence ( constant rumbling). Constipation or loose stools, digestive problems.

Fatty liver - treatment

The basis of the diagnosis still remains palpation in the right hypochondrium, and then the doctor's assumptions are supplemented by MRI, CT, angiography, ultrasound, liver enzyme tests, serological studies to exclude the possibility viral hepatitis. The whole process is conducted by a gastroenterologist, so at the first symptoms of the disease, immediately consult a doctor.

The treatment of fatty liver is complex, it includes both the drug part and a number of preventive measures that the patient must comply with:

Normalize lifestyle.
Adhere to diet therapy and vitamin therapy with the inclusion of ascorbic acid.
Increase physical activity.
Cleanse the liver by fasting, arranging fasting days.
Normalize metabolism with fractional nutrition.
Reduce weight by an average of 2 kg per month.

Medications for fatty liver

In the process of recovery can not do without drug therapy. The following will help normalize liver function: medications:

Hepatoprotective drugs: Essentiale Forte, Berlition, Essliver. These drugs improve liver function, stimulate its work.
Sulfamic acid preparations: taurine, methionine. Pills for fatty liver help to process fats.
Blood lipid-lowering drugs (anticholesterol drugs): Atoris, Vasilip, nicotinic acid, Crestor.
Plant-based hepatoprotectors: Liv-52, Karsil (based on milk thistle), artichoke extract, turmeric extract, sorrel extract, hepabene, cholagol and others.
Antioxidant vitamins: tocopherol (Vitamin E), retinol (Vitamin A).
B vitamins (B2 - riboflavin, B9 - folic acid).

Fatty liver - treatment with folk remedies

You can treat the liver at home with the help of herbal preparations offered by pharmacy chains or prepared with your own hands. Treatment of fatty liver with folk remedies is effective, but despite the seeming harmlessness herbal decoctions you should first consult with your doctor. List of plants that have a beneficial effect on the liver:

corn columns;
rose hip;
field horsetail;
chamomile officinalis;
strawberry leaf;
inflorescences of immortelle sandy;
cudweed forest;
birch leaves;
juniper fruits;
Dill seeds;
inflorescences of calendula.

A powerful remedy for fatty liver is oats. To prepare the infusion, you need 250 grams of oats (not flakes), 50 grams of birch and lingonberry leaves, 3.5 liters of water. Mix all the ingredients and refrigerate overnight. Ready infusion should be diluted with a decoction of wild rose and knotweed, drink warm before meals, 50 ml each. So repeat 10 days, with each subsequent day to drink 50 ml more than the previous one. During treatment with oats, exclude any meat from the diet. It is useful to constantly adhere to a special diet on the road to recovery.

Diet for fatty liver

protein products (not fatty meat, fish, seafood) for cell regeneration;
various cereals (cereals), rice, cottage cheese;
more vegetables, fruits, berries and bran to enrich the body with dietary fiber, pectin. Carrots and pumpkin, all varieties of cabbage have a choleretic effect;
water regime (drink 2 liters of water per day);
fruit drinks;
sour milk drinks.

Vegetables can be stewed, boiled, cooked in a slow cooker, baked in the oven and consumed raw, fried is excluded. Completely remove fatty milk, cream, cheeses, alcoholic beverages, fast carbohydrates (bread, muffins, pasta, sweets, sweet water), mayonnaise, sausages, butter from the diet. Limit the consumption of broilers, they are grown with the use of substances that are harmful to the liver.

Find out how the liver is treated with folk remedies at home.

What threatens fatty liver in adults

Fatty liver in adults is easily cured if the above rules are followed. If you neglect them and continue to lead an unhealthy lifestyle, drink, smoke, eat a lot, then hepatosis will turn into fibrosis, and then into the terminal stage - cirrhosis, hardening of the liver with scarring of healthy cells, development of liver failure, cancer. Consequences in 30% of all patients with hepatosis - the development of hepatitis. Liver disease can lead to a decrease in immunity, impaired hormonal background, intoxication, other imbalance of the body.

If the doctor made an unfavorable diagnosis, then one must be prepared for serious, long-term complex therapy. The magic pill that will get rid of the disease at one time has not yet been found. We must make every effort - diet, medicines, physical education, alternative treatment. If you do everything that the doctor says, the first results will be visible in a month. It will take several months of complex therapy to fully restore the liver.

Learn more about fatty liver disease.

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Causes of fatty liver

These are the main reasons that can provoke the disease.

Fatty liver must be treated, because in the future it can lead to cirrhosis and cancer of this organ.

obesity symptoms

In a disease such as fatty liver, the symptoms at the initial stage are mostly not manifested. During this period, fatty inclusions begin to appear on the organ, which do not cause any ailments. The disease can be manifested only by bitterness in the mouth and indigestion.

At the second stage, hepatocytes are almost completely filled with fat. Inflammation starts. This period is characterized by the following features:

bitterness in the mouth;
nausea may appear, very often there is bloating;
a plaque appears on the tongue, which has a yellowish color;
having problems with gastrointestinal tract, a series of constipation can be replaced by diarrhea and vice versa;
there are painful sensations in the right hypochondrium.

At the third stage, an irreversible process begins to occur with the liver. Cirrhosis appears. The symptoms characteristic of this stage are as follows:

irritability;
bad sleep;
jaundice;
varicose veins, which is visible on the abdominal wall;
persistent bitter taste in the mouth;
severe pain in the right hypochondrium;
fatigue, apathy, mental disorders.

These are the main signs that accompany fatty hepatosis.

Treatment

A disease such as fatty liver requires treatment. After all, if you run it, the consequences will be the saddest.

The treatment process will not be easy and fast even in the initial stages. It is necessary to abandon the past lifestyle and follow all the advice of a doctor.

First of all, it is necessary to identify the main factor that provokes this disease. Most often it is alcohol, which is prohibited during treatment. Experts also advise quitting smoking. Some medications can also affect the disease process, so you should tell your doctor about all the medications you take. During the treatment period, the patient must adhere to a certain high protein diet. But fatty and fried foods should be completely abandoned.

In addition, doctors prescribe a certain set of medications for treatment. These include:

essential phospholipids - Essentiale Forte, Phosphogliv, Essliver Forte;
hepaprotectors of plant origin - Karsil and others;
vitamins of group B, PP, C;
products containing ursodeoxycholic acid.

To get rid of this disease, you need to take these drugs for at least 2 months. And you may have to do this for the rest of your life to prevent fatty liver disease.

Treatment with folk remedies

However, it is not always desirable to treat the disease with medicines. In this case, folk remedies will help. There are many different recipes that will help overcome fatty hepatosis. For example, you can use the following:

100 g of rose hips are poured into 1 liter of boiling water and insisted in a thermos for about 8 hours. Drink this infusion three times a day in a glass.

20g of fresh mint leaves should be crushed and pour half a liter of boiling water. Insist all this a day in a thermos, then strain. You need to drink during the day. This folk remedy copes with pain, helps to get rid of sleep disorders.

There is another great folk recipe. You need to take a pumpkin, cut off the top of it, clean the seeds along with the pulp. Then pour honey inside, close with a cut top and put in a dark place for a couple of weeks. Then this honey is poured into a clean jar and left for storage in the refrigerator. You need to take such a remedy for 1 tbsp. spoon 3 times a day.

Decoctions of oats are of great benefit in this disease. Pour 1 cup of unpeeled oats into 1 liter of boiling water. Let everything sit for about an hour. And drink three times a day.

Warm milk with a spoonful of honey will also have a healing effect.

Or you can just brew chamomile tea, add a teaspoon of honey to it and drink it whenever you want.

You can drink carrot or cabbage juice. They also have a beneficial effect in the treatment of fatty liver.

Two tablespoons of a dry mixture of St. John's wort and yarrow should be poured with two glasses of water and brought to a boil. Boil it all for about 20 minutes. Then strain, divide by 4 times and drink everything in one day.

And to maintain the health of the liver, you need to add a couple of tablespoons of chopped pine nuts to tea.

There are many other recipes that help from this ailment. However, it is worth remembering that not a single remedy will help if you continue to lead a wrong lifestyle and, especially, abuse alcohol.

If a person has any signs of fatty liver, then you should definitely consult a doctor to make an accurate diagnosis. And then, without delay, take up treatment so that the disease does not develop into a chronic form, which leads to irreversible consequences.

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Causes

Fatty liver can provoke diseases of the gastrointestinal tract.

Hereditary predisposition, when a predisposition to obesity is laid at the genetic level, especially the production of liver enzymes, hereditary diseases.

Hepatitis C, excess iron in the blood, oxidative stress.

Symptoms of this disease can occur even in people who do not drink alcohol at all.

Fatty liver disease affects it all. Hardening and scarring of cells occurs, followed by their destruction -. cirrhosis and cancer.

Symptoms

Symptoms of fatty hepatosis begin to manifest themselves only after a few years from the onset of the disease. At first they are invisible, the disease proceeds in a latent form.

Over time, they begin to worry more and more:

Additionally, the doctor will prescribe blood tests, ultrasound; biopsy.

Treatment

Obesity on the human body is noticeable to the naked eye, but a fatty liver is much more difficult to determine. Without the help of a specialist, ultrasound (not always detects) and magnetic resonance computed tomography is indispensable.

A cause for concern and immediate treatment should be fatty liver at 15% of the total weight of this.

In the treatment of fatty liver, the main focus is on the elimination of the disease-provoking factor. The most likely cause is alcohol. Smoking and certain medications are also excluded.

Patients are prescribed diet No. 5, which is dominated by animal proteins, boiled cod, cottage cheese, cereals - buckwheat and oatmeal. Change in eating behavior towards the exclusion of fatty foods and overeating. Minimize animal fats.

Medications of the lipotropic group (acids: folic and lipoic acids, vitamin B12, hydrolysates and liver extracts).

1. Need to adjust proper nutrition. The diet should be developed by a doctor. It should be balanced and gentle.

It should be light soups: cereal, dairy, fruit and vegetable. Necessarily in the diet boiled meat, sea fish, one egg per day, dairy products.

2. Flour products and pastries are limited.

3. Useful honey, cottage cheese, non-carbonated mineral water.

The main problem with fatty liver is the need to oxidize excess fat and treat hepatitis. Therefore, only qualified assistance of specialists will help to avoid serious consequences. In the case of an unspecified diagnosis or suspicion of fatty hepatosis, consultations of several narrow specialists are necessary: a gastroenterologist, a hepatologist, a surgeon, and possibly an oncologist.

Treatment with folk remedies is based on the use of herbal preparations, tinctures, decoctions of vegetables and fruits.

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Fatty liver, characteristic symptoms and modern treatment

Typical symptoms of this pathological condition:

Heaviness in the right hypochondrium.
Vomit.
Nausea.
Flatulence.
Heartburn.
Eruptions.
Constipation, diarrhea.
Sleep disturbance.
Absent-mindedness.
Bitterness in the mouth.
Deterioration of well-being.
Skin itching.
Jaundice.
Weakness.
Impaired coordination.
Heaviness in the abdomen.
Enlargement of the liver.
Decreased appetite.

A feature of the treatment of fatty liver is the difficulty of diagnosing early stages.

This disease is similar in symptoms to other human diseases (pancreatitis, diabetes). To diagnose fatty hepatosis of the liver, ultrasound, blood tests (general, biochemical), urine, and feces are required.

In some cases, an MRI and a biopsy may be needed. Another feature of the treatment of fatty liver is that you need to get rid of concomitant and chronic diseases. They can be provocateurs of the development of liver disease.

What is this disease

Fat involution is the degeneration of normal liver tissue into fatty tissue with subsequent dystrophic changes. Triglycerides begin to accumulate in the liver cells. This leads to the death of organ cells and their replacement with a fibrous component.

The zero stage of the disease is manifested by small foci of fatty involution and is not critical. The liver is not yet enlarged.

The first (diffuse) stage is characterized by an increase in the fatty component in the liver. The foci of inclusions become larger, but the patient does not have pronounced symptoms.

The second stage of fatty involution of the liver is expressed in more voluminous foci of fat with the formation connective tissue. The organ is enlarged. This stage is curable.

The third stage of liver steatohepatosis is characterized by a sharp increase in the number of fat cells. Irreversible processes begin, leading to fibrosis and cirrhosis of the liver. This stage of dystrophy is incurable.

Requires a liver transplant. If you turn to doctors in time, you can stop the process of changing the structure of the liver and achieve a cure.

Causes of pathology

Hepatosis of the liver can be caused by various factors, discussed below:

the presence of excess weight;
hormonal disbalance;
lack of proteins, vitamins;
pregnancy;
constant or sharp toxic load on the liver;
sweets abuse;
lack of physical activity;
lipid metabolism disorder;
an excess of iron;
starvation;
vegetarianism;
smoking;
radiation exposure;
diet abuse;
malnutrition;
long-term medication (antibiotics, hormonal and antiviral agents);
viral hepatitis;
endocrinological diseases;
gastroenterological diseases;
congenital metabolic disorder;
metabolic disorders;
alcohol and drug addiction.

Features of alcoholic obesity

It is necessary to dwell in more detail on liver dystrophy, which develops due to alcohol dependence. With excessive and systematic use of strong drinks, all body systems suffer. The liver is the most.

The process goes on for a long time. A person, not suspecting that he has a fatty liver, continues to drink.

Feasts are accompanied by an abundance of junk food, smoking, which aggravates the course of the disease. Then the first signs of fatty degeneration of the liver appear, but the patient does not pay attention to them.

At this point, you need to think and see a doctor. Delay is fraught with serious complications for the liver. Further, the condition will only worsen, because the sick person does not stop taking alcohol.

Symptoms appear as with liver involution caused by other factors. And only then the person starts to worry.

Women are more likely than men to suffer from fatty liver.

In their body, ethanol is absorbed faster, and the liver is much weaker. But the treatment is the same for both sexes. Going to the doctor, giving up alcohol, proper nutrition, sports are the basis of recovery from all liver ailments.

Useful video on the topic

What foods can you eat

Let's try to figure out what should be the diet for obesity and what you can eat and what not. It is known that in all forms of liver involution, the key to recovery is diet. In addition to weight loss, with the help of proper nutrition, the general condition improves.

Food should be varied, rich in vitamins and minerals. You can't overeat. You need to eat often, in small portions, to eliminate the burden on the liver and gastrointestinal tract.

With fatty degeneration of the liver, carbonated drinks, juice from packages are excluded from the menu. It is necessary to abandon rich broths, pastries, mayonnaise, ketchup, sausages, canned food. With hepatosis of the liver, alcohol, cigarettes, and narcotic substances are prohibited.

Do not eat too cold or hot food. The antibiotics are removed.

For the liver, it is useful to introduce vegetables, fruits, walnuts, honey, and low-fat dairy products to the menu.

Included in the diet are oatmeal and buckwheat porridge, seafood, fish, lean meats. With fatty liver, eggs should be eaten with caution. No more than 1-2 per day.

You should drink about 2 liters of clean water. It is necessary to use herbal tea, fruit drinks, decoctions, compotes, mineral water. There are such methods of cooking as stewing, boiling, baking.

Diet and sample menu for the week

Simple recipes for healthy and nutritious dishes recommended for fatty liver:

Omelette with chicken. Boil chicken fillet. Separate the protein from the yolk, combine with milk. Put the pieces of meat in a mold, pour over the whipped proteins, salt and put in the oven. Bake until done.
Baked apples. Wash the apples, remove the sticks, cut out some of the pulp. Put honey into the resulting recess and sprinkle with cinnamon. Bake until done.
Braised rabbit. Soak the rabbit carcass in cold water for 5 hours. Marinate with a spoon sunflower oil, salt, thyme, allspice for 1.5-2 hours. Put in a thick-walled container, pour water, simmer for about 2 hours.
Chicken with buckwheat. Steam buckwheat. Wash the chicken carcass, rub with salt, grease vegetable oil and stuff with buckwheat. Bake in the sleeve for 1-1.5 hours.
Baked cod. Wash the fish, cut into pieces, salt. Put in a baking dish, pour sour cream and bake until tender.
Zucchini baked with minced chicken. Wash the zucchini, cut in half and remove the pulp. put inside minced chicken. Bake for 30-35 minutes.
Steam cutlets. Twist the meat (any non-fatty variety). Add salt, egg, dry loaf and some potatoes. Mix. Form patties and steam.

To figure out what, how and in what volume to eat with liver dystrophy, the menu is given below.
Monday

breakfast: not sweet tea, boiled meat, cucumber;
second breakfast: low-fat cottage cheese and rosehip broth;
dinner: vegetable soup, stew, turkey cutlet, mineral water;
dinner: baked pollock and vegetables, dried fruit compote;
before bedtime: low-fat natural yogurt.

breakfast: not sweet coffee with milk, protein scrambled eggs;
snack: cheese sandwich, mineral water;
lunch: vegetable soup, baked meat or fish, salad, apple compote;
dinner: fruit salad, tea;
before going to bed: kefir.

breakfast: tea, rabbit meat, vinaigrette;
second breakfast: cottage cheese, dried fruit compote;
lunch: beetroot soup, stew, juice;
dinner: steamed hake, stewed cabbage, mineral water;
before bedtime: milk.

breakfast: carrot salad, cottage cheese, coffee with milk;
snack: fruit salad;
lunch: vegetable soup, buckwheat, chicken cutlet, tomato juice;
dinner: fish soufflé, vegetable salad, rosehip broth;
before bedtime: fat-free yogurt.

breakfast: oatmeal, tea;
second breakfast: cheese sandwich, mineral water;
lunch: mushroom soup, baked veal, vegetables, dried fruit compote;
dinner: boiled fish, braised cabbage, tea;
before going to bed: kefir.

breakfast: tea, protein omelet, biscuits;
snack: cottage cheese, mineral water;
lunch: vegetable soup, boiled cod with rice, compote;
dinner: steamed turkey, beetroot caviar, rosehip broth;
before bedtime: sour-milk drink.

Sunday

breakfast: low-fat cottage cheese casserole, coffee;
second breakfast: biscuits, tomato juice;
lunch: borsch - beetroot, buckwheat, boiled chicken, apple compote;
dinner: stewed pollock with vegetables, mineral water;
before bed: yogurt.

Effective drugs

Treatment of liver dystrophy with medications includes antioxidant drugs. They are divided into essential phospholipids, sulfoamino acids and drugs based on plant extracts.

With the help of these drugs, detoxification improves, the risk of liver fibrosis decreases. Medicines with sulfoamino acids increase the production of phospholipids, dilute bile, and improve blood flow in the liver.

Herbal preparations reduce toxicity, activate protein synthesis, stabilize cell membranes. During the treatment of hepatosis, vitamins of group B, C and PP are taken.

The following are examples effective drugs for the treatment of liver involution:

Galsten.
Hofitol.
Karsil.
Ovesol.
Allohol.
Bonjigar.
Silimar.
Gepabene.
Legalon.
Hepatofalk.
Plant.
LIV-52.
Kedrostat.
Flamin.
Heptor.
Troglitazone.
Essentiale.
Resolution.
Heptral.
Essliver.
Phosphogliv.
Ursosan.
Hepa-Merz.
Espa Lipon.
Urdox.
Taurine.
Methionine.
Cryomelt.
Exhol and others.

The choice of the right drug for the treatment of the liver remains with the doctor.

How to treat with folk remedies

In the fight against fatty degeneration of the liver, therapy with various herbs helps. Rosehip decoction perfectly removes accumulated fat. Chicory is a choleretic agent.

Green tea promotes the elimination of toxins and excess fluid. Greens (dill, parsley) cleanse the body of harmful substances.

You can take therapeutic baths with needles, horsetail, bitter wormwood. All these drugs have proven themselves in the treatment of liver diseases.

Recipes for remedies that speed up recovery:

Boil dates and peanuts in a glass of water, add a spoonful of honey. In the morning, eat thick and drink the remaining liquid.
Make chamomile tea. Drink it with honey.
mix carrot juice and hot milk. Take a glass in the morning.
Make oatmeal broth, add honey there. Infuse overnight in a warm place. Drink 1 glass 2 times a day.
Stir the ground leaves of St. John's wort and yarrow in a ratio of 1:1. Pour cold water at the rate of 0.5 liters per two tablespoons of the mixture. Put on fire. After boiling, leave for 20 minutes on low heat. Take ½ cup 4 times a day.
Make an infusion of marigold flowers, nasturtium, marigolds and centaury. Brew 2 tablespoons in a glass of boiling water, strain and drink on an empty stomach.
Take a pumpkin, wash, clean the pulp. Pour honey inside. 1-2 weeks to insist. Then pour the contents into a jar and eat 2-3 times a day for a small spoon.
Grind 3 lemons in a blender. Pour 0.5 liters of boiling water. Insist overnight, strain and drink between meals.
Mix crushed lemon seeds with honey and eat a teaspoon in the morning.
Boil milk thistle leaves in boiling water. Take 1 month 30 minutes before meals and at bedtime.
Mix chamomile flowers, yarrow, calamus root, linden in equal proportions. Add 2 tbsp. spoons of sage and string, 3 tbsp. spoons of birch and raspberry leaves, 4 tbsp. spoons of licorice root. For 1.5 months, brew 2 large spoons in a thermos, take 100 ml 3-4 times a day.
Pour 1 kg of young pine needles with 2 liters of cold boiled water. Mix with two kilograms of sugar. Pour into a thermos and leave for 5-6 days. Strain. Take ½ cup before meals.
Take 250 gr. oats (not flakes), 50 gr. birch and lingonberry leaves, 3.5 liters of water. Mix the ingredients, leave in the refrigerator for a day. Dilute the finished infusion with a decoction of wild rose and knotweed. Drink warm 50 ml before meals. The course is 10 days. Each subsequent day increase the dose by 50 ml. During treatment with oats, exclude any meat from the diet.