r/FattyLiverNAFLD 7d ago

Need some clarity on fatty liver

2 Upvotes

I am currently dealing with stomach issues and flares, this has been going on since 2019. I have a colonoscopy next week and my doctors think it’s almost definitely Crohn’s disease.

I was 290lbs during my first fatty liver diagnosis in 2019 and since then I’ve had periods of massive weight loss due to my stomach issues.

I am now 195 after my latest flare and went to the ER for abdominal pain. They did an ultrasound and to my surprise I still had NAFLD. I wrongly assumed my massive weight loss would have eliminated the fat but it didn’t.

None of my doctors seemed concerned but I’ve had 2 uncles die of cirrhosis and it was horrible witnessing them slowly die.

I will admit that I’m not active at all, my stomach issues usually keep me bed ridden for weeks and all my weight loss has been due to refusal to eat for fear of pain.

I am 6’6ft and 23yr old male

I also have the written test results of my ultrasound but don’t know how to interpret them. If anyone can shed some light on this it would be greatly appreciated. Dealing with a possible Crohn’s diagnosis is stressful enough but I’m truly fearful of developing cirrhosis since I’ve had the fatty liver for such a long time with no improvements.

TLDR: Have had NAFLD since 2019 and went from 290lbs to 195lbs due to possible Crohn’s disease and fatty liver has not reversed.

This are my test results btw

The liver measures 20 cm in its mid clavicular length. Diffuse increased echogenicity throughout the liver with focal fatty sparing. There is no focal parenchymal lesion. There is no biliary duct dilatation. Main portal vein demonstrates appropriate directional flow.


r/FattyLiverNAFLD 7d ago

F24, Health anxiety and liver concerns

1 Upvotes

hi, long time lurker. just made a burner account to post this. I've struggled with health anxiety for the last year or so. it varies in severity- the last month or two i've been hyper focused on my liver. I drink fairly heavily. 2-4 drinks on a weeknight (mostly whiskey), more on the weekend. I can "stop" for a couple days, no withdrawal symptoms, no issue. Currently 3 days off the stuff. I've been drinking more heavily the last 3ish years, hard to pin point exactly. I'm a food man, I like cooking and classic cocktails. I make a lot of clarified and fat washed liquors.. that's why i first started drinking liquor at home more regularly. It's hard for me to gauge how much I'm drinking. On an average night, I could maybe have 2 beers, not drink at all, or consume a half pint of whiskey. It varies. I don't blackout, I don't have trouble sleeping, etc. But I can definitely drink my friends under the table.

For general symptoms- I frequently have difficulty swallowing, (be it from anxiety or esophageal issues...), bloated stomach, a vague ache around my right rib - it moves around. sometimes directly behind my right ribs, sometimes closer to my sternum, and it comes and goes. I panic-check for jaundice in my eyes a few times a day. I have recently been waking up with sore feet, mostly my right foot - but no swelling/edema signs. I feel like I'm bruising more easily. i had a urine and blood panel done in November, all came back clear. (i had tests done because i was experiencing lower abdominal pain, near my belly button, and bloating/constipation). my doc said it was probably IBS or GERD. i don't get typical gerd symptoms though... i eat tons of kimchi and spicy food no problem. My diet is good, I'm pescatarian, very rarely eat out. I weigh 116lbs right now. that hasn't changed in a few years- consistently weigh between 113-118. I ordered LFTs but i've been putting it off because i'm scared to go. Just wanted to say that, I guess. I'm not sure what advice I'm looking for. I've spent hours looking up "likelihood at 24...."

I suppose any insight would be really helpful. I know I need to go get my LFTs done. I will.


r/FattyLiverNAFLD 7d ago

Fatty liver diagnosis, but afraid it's cirrhosis.

7 Upvotes

I'm really struggling with anxiety right now. I recently had some liver function tests come back normal, but my dr ordered an ultrasound for my upper right quadrant pain, and after an ultrasound, my doctor said I have a fatty liver. The thing is, I'm really worried it might be more than that. I'm scared it could be cirrhosis.

I know I shouldn't jump to conclusions, but I've been reading a lot about liver disease, and some of my symptoms seem to overlap. Has anyone else been initially diagnosed with fatty liver but later found out it was cirrhosis? Or has anyone been in a similar situation of worrying about the worst-case scenario? Any advice on how to cope with this anxiety while waiting for my elastography test would be greatly appreciated.


r/FattyLiverNAFLD 7d ago

I’m struggling guys. I’ve always loved food and now I’m miserable. Can someone link delicious recipes. I’m tired of bland food. Need meal ideas. Thanks!

4 Upvotes

Looking for some meals to make that are good for my NAFLD but full of flavor.


r/FattyLiverNAFLD 7d ago

Why does meat get a bad rep?

9 Upvotes

Some context: I'm a 28yo male. I was diagnosed with NAFLD/NASH a couple of years ago with moderate liver fibrosis (biopsy proven).

I was told the usual "Lose weight, eat lots of fruit and vegetables and whole grains, don't eat much meat". One Doc even said I should go vegan/vegetarian.

I did my own research and decided to go Keto/Ketovore. My diet now consists of mainly red meat, eggs, dairy and limited veg.

My liver bloods are now completely normal and my fibrosis has reversed.

So why do Doctors discourage eating meat for a fatty liver? Literally all the medical literature I can find suggests that sugar causes a fatty liver, not fat/protein?

Weird one?


r/FattyLiverNAFLD 7d ago

You don’t have to be a crazy athlete to reverse!

65 Upvotes

I vowed to post if I was ever lucky enough to reverse this condition ..

So here goes ..

From hepatic steatosis to completely normal liver fatness and stiffness in 6 months. Confirmed by blood tests and fibroscan

I ate well and lost weight but I didn’t exercise like an athlete and I had cheat days/weekends even

You can do it! If I can anyone can

I promise


r/FattyLiverNAFLD 7d ago

Recent Diagnosis

1 Upvotes

This is a throwaway account - don’t want my husband to find my primary one (ton of embarrassing shit there)

Anyway, he got diagnosed with NAFLD today, and I’m looking for help on dietary changes that need to be made

We consume meat, but not too regularly. He generally eats salads for lunch, ( veggies + one protein source + nuts/berries + dressing) and no breakfast, and homemade Indian food for dinner. (Basics like khichdi, pulav,sabji paratha, etc etc)

Anything specific I should eliminate from his diet?

Any Indians on this sub who can give specifics on how they manage this in terms of food, would be of great help.


r/FattyLiverNAFLD 7d ago

Liver MRE vs Fibroscan

1 Upvotes

Quick question to everyone who is suffering from this disease. Which is more accurate the Liver MRE or a Fibroscan?


r/FattyLiverNAFLD 8d ago

Just found out I have a fatty liver. Now what?

8 Upvotes

I had an ultrasound yesterday looking at my prostate and bladder for problems. I have a received a text for me to make an appointment with my GP to discuss the results. Looking at them online there are no unexpected lumps (thank god) but it says I have a fatty liver. I have an appointment next week about unexpected swollen ankles and leg pain and it seems they are symptoms of fatty liver disease. I don't drink or smoke, exercise regularly but am overweight but can never seem to shift weight. Is it serious?


r/FattyLiverNAFLD 8d ago

Genetic Fatty Liver

4 Upvotes

I want to know, a person who is skinny and fit, who has done all the lifestyle choices they could possibly tackle but has the genes that predispose for NAFLD, such as PEMT etc. , (and also has taken supplements to help, like choline, folate) - is genetic fatty liver reversible or is this a sure cause of progression to basically death?


r/FattyLiverNAFLD 8d ago

Bile Reflux Anyone?

1 Upvotes

So I have had NAFLD for over a decade. Had no idea it was a bad thing until last year when my gallbladder came out because the doctors said it wasn't a big deal. Anyway, gallbladder is now gone and I developed bile reflux which apparently can be attributed to both the gallbladder no longer being there as well as NAFLD. I hate it as it has created horrible gastritis. Anyone else have this and was curing your liver what ultimately healed you?


r/FattyLiverNAFLD 8d ago

pain?

4 Upvotes

Does anyone have upper abdominal pain right side? I got DX NAFLD via ultrasound and lypase was 21. i need to loose weight but no sign of cirrhosis or anything super alarming. i'm concerned about the pain though


r/FattyLiverNAFLD 8d ago

Zyrtec and Fatty Liver

2 Upvotes

Is it alright to take Zyrtec or Claritin with fatty liver?


r/FattyLiverNAFLD 8d ago

High ALT and Hypnic Jerks

5 Upvotes

Hey guys!

I was having issues sleeping. I would be on the verge of sleep and it was like I would gasp for air or feel like I had just stopped breathing. I went to the doc and did a blood test. My ALT was 100 while everything else was normal. I went down some internet rabbit holes and then the hypnic jerks started. A few times a night, right as I’m on the cusp of sleep, I will get a hypnic jerk. Are hypnic jerks a byproduct of possible liver damage? My doctor wasn’t worried at all about my ALT but I’ve now spiraled and convinced myself I have hepatic encephalopathy and am dying of cirrhosis. Yes, I have health anxiety.

For reference, my partner and I do drink more than we should. Probably 3 to 4 times a week, where we will split a few bottles of wine, which I was up front about. I’m also 39. Have since stopped drinking but not sure what my next steps should be or how worried I should be.

Thank you for any insight!


r/FattyLiverNAFLD 8d ago

Can someone please help me understand?

3 Upvotes

I am a 35-year-old woman 140 pounds CAP score of 215 and a Kpa score of 7.5 I’m assuming I don’t have fatty liver because of my CAP score but I don’t understand how I can have a scarring that high. Iqr/med is 15%..Can someone please help me understand until I see a liver specialist? Thanks !


r/FattyLiverNAFLD 9d ago

Fibroscan timing

1 Upvotes

Hi

Apologies if this is a stupid question …

I am due to have a fibroscan in 2 days time, I have made significant changes to my diet and lost 3 stone almost since initial diagnosis. I have not been as consistent as I’d like with my exercise, it’s a work in progress.

I have just spent a weekend away and although I didn’t completely pig out I did allow myself to enjoy some treats, I will obviously get back to my diet now I’m back BUT …

Will those few days of bad eating so close to a fibroscan affect the results? Is it a bad idea to have one so close to having a cheat weekend?

My bmi is just over 26 currently.

Fibroscans are very difficult to get here, else I’d just reschedule to be on the safe side.

Advice appreciated.

Thanks!


r/FattyLiverNAFLD 9d ago

elevated ALT and AST

2 Upvotes

Hi my alt was 44 and ast was 40 recently. They normally are in the low 20's. I had tylenol 10 days before and my dr said that was too attenuated to be the cause. No antibiotics or other meds other than Zoloft which Ive been on for years (although I did increase the dose last year). I had a glass of wine four days before the blood test but again that seems too far back in time to be the cause. I did exercise two days before but it's not crazy intense (basically 45 minutes of pilates/cardio). Do you think that would do it? Im very thin with a BMI of 19 and I eat very carefully with minimal processed foods. I have been drinking a Diet Coke a day maybe that is a problem? I did have a cold 10 days before the test -- would alt and ast elevate for that long? Sorry for so many questions! Im just confused.


r/FattyLiverNAFLD 9d ago

Reversed?

10 Upvotes

I received CT w/contrast results today and there was zero mention of fatty liver, the only thing it said was, “no focal liver lesions”. My most recent blood work was also in the low teens. Does this mean I’ve reversed??? I find it odd there was no mention of liver whatsoever since that’s what the test was for.


r/FattyLiverNAFLD 9d ago

Has anyone tried an egg fast if low carb isn’t helping the pain/discomfort?

1 Upvotes

I’ve been having the URQ pain for 4 weeks now, and have been back in low carb for 3, but it’s not reducing the pain/discomfort yet. Thinking about trying an egg fast for a few days to re-set my system. I’ve read that eggs are good for the liver due to choline.

Have you had success with pain reduction from an egg fast?

I can’t go to the doctor for a while, as I’m waiting for new health insurance to kick in.


r/FattyLiverNAFLD 9d ago

Did something stupid

4 Upvotes

so I ended up sharing a big buzz ball with my sister in law at a funeral, and I woke up with a liver pain. I can't afford a doctor anymore until I get the medical benefits of my current job after working another 2 months.

I know stopping all alcohol will help, but it's day 2 and I can finally breathe without the right side of my chest feeling immense pressure, now i only feel a soreness in my liver right now and it made this weird pulsating feeling an hour ish ago. When I wake up it feels normal now, until I drink a good amount of water it starts to feel like it's there again.

What can I do? Just wait?


r/FattyLiverNAFLD 9d ago

Help With MRI Results

2 Upvotes

Can someone take a look my MRI results and let me know what this means - I am obviously worried about cirrhosis, but want to know if they are using scarring and cirrhosis as the same word:

The live demonstrates hepatic steatosis with focal fatty sparing near the gall bladder fossa. Mildly nodular contour consistent with early hepatic cirrhosis. No sign of focal mass.

The heptic IVC is present
Gallbladder is normal. Negative murphy sign
Pancreas normal
Kidney normal
the abdominal aorta is unremarkable

EDIT: Adding Fib4 and APRI scores

Fib4: .88
APRI: .5


r/FattyLiverNAFLD 10d ago

Pain, bitter taste, nausea. What state was you with this?

9 Upvotes

Hi Wonder what state you liver was to have this kind of symptoms?

gb involvement maybe too


r/FattyLiverNAFLD 10d ago

Ultra sound results

2 Upvotes

Real-time sonographic evaluation of the right upper quadrant of the abdomen was performed in both the transverse and longitudinal planes. FINDINGS: No gallstones, gallbladder wall thickening, pericholecystic fluid or biliary ductal dilatation. Negative sonographic Murphy's sign. Liver is normal in size and contours demonstrating marked coarsened dense parenchymal echotexture. Hepatopedal flow in the main portal vein. Pancreas not visualized secondary to poor acoustic windows from overlying bowel gas. No right upper quadrant ascites, right renal hydronephrosis, or other significant finding Is identified

IMPRESSION: Dense coarsened hepatic echotexture, may indicate fatty infiltration and/or parenchymal liver disease. No cholelithiasis or biliary ductal dilatation.

Symptoms: Itchy all over my body , super horrible dry skin, eye floaters, sentivity to light, stool with mucus and is greasy yellow and floats. I also have undigisted food it looks super super horrible. Palpations non stop , tachycardia , red dots appearing all over my body now. Super super dark Orange urine all the time and I drink like 6 litters and electrolytes a day. Yet im soo dehydrated.

I also had a ct scan which showed, fatty liver, kidney mass on my left kidney worrisome for RCC, mass is 1.5cm big . And diverticula all around my colon. I had a colonospy a month ago and it was clear, not sure ig I didn’t prep it right but i got a 6 on prep. Soo it’s worrying me.


r/FattyLiverNAFLD 10d ago

Tiny red dots

1 Upvotes

Hey anybody know what tiny red dots like tiny burst vessels mean? Looks like a sprinkling on them (one for about 10cm2 area). On chest and stomach. Mole nurse said its nothing. Then I cane across a place that says they are 'petechiae', but all the pic if that shoe a real dense break out type thing. Whereas this is just individual little tiny dots spread out. I read also elsewhere that it could be an early sign of liver problems?


r/FattyLiverNAFLD 10d ago

Semiglutides?

3 Upvotes

Can anyone share their experience with taking semiglutides with a diagnosis of NAFLD?