Cirrhosis Of The Liver Fatty Liver

Do you know someone with sclerosis of the liver, or do you have it yourself? Do you want to know more about it?

Well, sclerosis of the liver is more commonly known as cirrhosis of the liver. And basically, you get it when your liver is damaged and then starts to scar. It’s similar to when you cut your arm and then the wound scars.

With the liver, the more it scars, the more symptoms you get and the harder it is to heal your liver.

The symptoms can be a little tricky because they don’t always show up right away. And some of them are the same as other issues. Some things might happen to your body like you might not be as interested in sex, or you might not feel like eating as people with sclerosis of the liver can get nausea.

As the disease progresses, you might have some other things show up like swelling in your legs, or stomach bloating.

If the disease gets too far along, and it scars too much, your liver will fail and you’ll need to get a transplant. Fortunately, there are things you can do before then to help heal your liver and get it back on the right track.

The right diet can certainly help. You want to avoid things like alcohol, salt and bad fats, and include things like fruits and veggies, healthy fats and there are certain proteins that can also help.

It’s also good to take supplements and vitamins. There are certain ones you want to look out for, so make sure you have a plan in place before you go shopping.

Stress-relieving exercises can also do wonders for your body. Just sitting and taking 10-20 deep breaths a few times a day can relax you and reduce your stress levels.

So, having sclerosis of the liver can be scary, but just know that with the right diet, supplements and stress reducers, you can start to heal your body.

Now listen, while in the earlier stages, it’s possible to reverse your sclerosis of the liver, but you have to have a good plan in place with the right foods and supplements laid out for you. It really isn’t as difficult as it sounds since there are solutions out there that have already done all the research and other hard work for you.

Interested in reversing your sclerosis of the liver – starting today? For more of your questions answered, plus an all-natural solution, follow the link. http://www.squidoo.com/sclerosisoftheliver

Frequently Asked Questions

  1. QUESTION:
    can you have cirrhosis of the liver and fatty liver disease at the same time?
    my father in law just got a “partial” result back on his liver count. they have said for right now all they know is he has fatty deposits in his liver. he has drank for over 45 years and i was wondering if you can have fatty deposits and cirrhosis at the same time?

    • ANSWER:
      Cirrhosis and a fatty liver can go hand in hand. A fatty liver is very common in drinkers and can lead to cirrhosis. This is very typical for alcoholics. That’s a long time to be a drinker so there very well could be significant damage already done to his liver from scarring which is cirrhosis.

      Everything is going to depend on how much damage has already been done. The liver has the ability to regenerate, but it cannot do that once cirrhosis has occurred. Cirrhosis is permanent damage that does not go away. If the damage is severe, only a transplant will save their life. If caught in the early stages where the damage is not so bad, then if they quit drinking and take care of themselves, they can get well again.

      I don’t know how much damage has been done to your father’s liver, but one thing is for certain. If he does not stop drinking forever, it will lead to total liver failure and death. Getting a transplant will be very difficult for him since they don’t give transplants to anyone that is an active drinker. He would have to quit and wait at least 6 months before they will even consider him for a transplant. Liver failure is not an easy way to die. I hope someone in your family can talk some sense into him before it kills him. Good luck.

  2. QUESTION:
    Is fatty liver the same has having cirrhosis?
    My friend has fatty liver from being morbidly obese; he had gastri bypass surgery and lost about 250 pounds, now weighing about 275 pounds. He drank alot of alcohol continually, against doctor orders, before and after his surgery. Now he has severe liver problems and the doctor says it is cirrhosis. Q: Is fatty liver the same as cirrhosis?

    • ANSWER:
      Fatty liver disease can lead to cirrhosis. In your friend’s case, it has, probably helped along by his drinking against doctor’s orders.

      Not everyone with fatty liver disease gets cirrhosis, though. Sorry your friend was in the unlucky group, but in a way he did it to himself by drinking.

      If you can, help him follow his doctor’s orders now, to the letter, or he may need a transplant.

  3. QUESTION:
    how long does it take to develop cirrhosis from a fatty liver?
    about a month ago i was diagnosed with a fatty liver the doctor told me to just eat healthyer and watch my diest but i kind of not been doing that lat night my leg felt a little warm and the other my lower back felt warm and when i looked up those symptoms it said it might be cirrhosis cpuld i devloped that in a month??
    sorry for all the misspelled words

    • ANSWER:
      Most people with a fatty liver never progresses to being cirrhosis. A lot depends on what is causing the fatty liver. Someone that has one due to alcoholism runs a greater risk of it becoming cirrhosis that if it were from something else such as diet. There are many people that have fatty livers and do not know it. Even thin people can have one. It’s not always about being obese. Just do as your doctor tells you and you should be fine. Don’t worry about cirrhosis at this time. Get your liver function checked from time to time to keep a check on things. I had cirrhosis and a liver transplant plus I’m a nurse. I never heard of the symptoms you describe as being a sign of cirrhosis. A warm back and leg is not a sign of cirrhosis. I don’t know what list you looked at, but that information is wrong.

  4. QUESTION:
    Could I have cirrhosis of the liver at age 24?
    I am a 23 almost 24 year old female and I’ve been drinking 3 bottles of wine or cocktail each weekend with nothing during the week for about 3 years now is it possible for me to have cirrhosis or at least some early start of a liver problem like possibly fatty liver from how much drinking I have done in the past and am currently doing? Could I have a liver problem and not even know?

    • ANSWER:
      You know very well Sarah that you could already have it, a liver function test will prove it one way or another, you’ve asked this question a hundred times under all the other accounts that you’ve been suspended from, do you want me to list them for you?

      I think you asked it about a year ago when you were ‘Mother of Rainesha’.

  5. QUESTION:
    What are the sequence of steps in damage to the liver?
    What are the sequence of steps in damage to the liver (from lowest level of damage to highest level) caused by chronic over-consumption of alcohol?
    A) fibrosis, gout and cirrhosis
    B) fibrosis, cirrhosis, and fat depletion of fat stores in the liver
    C) Fat accumulation (fatty liver), fibrosis, and cirrhosis
    D) Fatty liver, cirrhosis, fibrosis

    • ANSWER:
      It is C) Fat accumulation (fatty liver), fibrosis, and cirrhosis.

      When a person consumes alcohol over a time period,
      it causes fat to develop inside the liver (known as
      fat infiltration) This is simple fatty liver disease.
      If the alcohol isn’t stopped, then there can be damage
      to the liver cells (this is then known as Steatohepatitis;
      steato means fat, hepat means liver, and itis means
      inflammation) The inflammation occurs because
      the immune system of the body responds to the cell
      damage. It will cause the liver to enlarge in size.
      This leads to fibrosis. Since the alcohol is still
      consumed, then it can progress to where the liver
      cells die off and form scar tissue inside the liver that
      blocks the flow of blood…death of the liver cells is
      Cirrhosis of the liver.

  6. QUESTION:
    can a 23 year old get cirrhosis of the liver if they have fatty liver disease and drink alcohol?
    I was diagnosed with a fatty liver as a result of a blood test a few years back and was prescribed Deforming and Lovaza what are these medicines used for? from that day on I have been taking only Lovaza and I refused to take Metformin since it says on the bottle “DO NOT DRINK ALCOHOLIC BEVERAGES WHILE TAKING THIS MEDICATION” since I like to drink I ditched the Metformin and drank instead now my Triglycereds are 939 and I am not exactly sure if I still have fatty liver but I have been drinking these two years ever since that test. before I had fatty liver I used to eat greasy foods and junk food I would eat a bunch of Mayonniase with every meal but I didn’t really drink that much so I was thinking that my fatty liver was due to my food choices not the drinking.
    I know I wont be able to give up drinking completely since I like the taste of alcohol plus my grandfather drinks alot of beer and vodka and he is 74 years old and he has been drinking for a very long time and has no health problems and also my birthday is in 9 more days and I know I wont be able to handle a birthday party without celebrating which includes drinking
    I’m sorry I made a mistake I was prescribed Metformin not deforming
    yes I am on supplements I take them about 2 times a day are they helping?
    yes I am kind of overweight I weight about 254 pounds but this was a while ago I think I lost some weight but I am not exactly sure how much I weight now since I don’t weigh myself except when I go to the doctor and now I have decreased my drinking I only drink friday through sunday and during the week I might have 1 or 2 beers but nothing else am I improving my drinking habits?
    I am taking supplements not drugs
    and they are not prescribed my grandfather ordered them from me from a store

    • ANSWER:
      A fatty liver is cirrhosis and is due to “intrahepatic gallstones” that are hardened bile that are clogging your bile ducts. Your logic regarding your grandfather that drinks beer and vodka may seem like a logical reason for you to think it’s not a problem for you to drink because you are obviously saying, “Well if he can drink at be 74 years old and not have health problems, it must be O.K. for me to do the same.” 74 is very young, but in America you are right, he is reaching the average life span.

      Being functional is NOT the definition of health that anyone should settle on. In your case, it sounds like you have a major liver problem and that will greatly affect your overall health.

      The liver cleans 3 pints of blood per MINUTE in a healthy person and produces 1-1/2 quarts of bile, but only if it is working well. The liver is resilient, but ignoring it and abusing it will lead to lots of problems for you. A person can have as many as 20,000 intrahepatic gallstones in their liver before it quit working and that is about 60% of it’s functionality gone. A major function of bile is to SANITIZE the colon. The SEX HORMONES are made from cholesterol that is made in the liver. In fact, ALL the steroid hormones are made from cholesterol that is made in the liver.

      When triglycerides are at 939, you are in trouble. What is happening is the fats you are eating are not being digested and broken down properly. Bile is made in the liver and then stored in the gallbladder. When you eat fat, the bile is sent from the gallbladder to the small intestine where it mixes with the fats and emulsifies them into a watery mixture. Then the LIPASE enzyme comes from the pancreas and breaks down the watery substance into fatty acids where it is sent to the blood stream by way of lymphatic ducts.

      ALL FATS you eat are triglycerides. A triglyceride are the three categories of fatty acids, Saturated, monounsaturated, and polyunsaturated fatty acids. These are held together by a glycerol molecule and this forms the 3 fatty acids & glycerol to make a Triglyceride. All fats have different ratios of each of the fatty acids making them be classified as a particular fatty acid, like a “saturated fat,” but no fat in nature has just one fatty acid category, so to say saturated fat is bad for you is ridiculous, bad science and being promoted by drug companies with an agenda. What does make a difference is when the food industry takes a fat and changes it creating saturated fats that are harmful, like trans fats. If you take a fat that is primarily saturated, you cannot make a trans fat from that fat, unlike soybean, canola, cottonseed, and corn oils where they can and are being made into trans fats.

      If you eat bad fats, like soybean, canola, cottonseed, & corn oils, trans fats, fried foods, hydrogenated and partially hydrogenated oils, your liver will not make good bile. Drinking alcohol causes the same problem. So what happens is that your Triglycerides are not getting broken down as a result of bad bile or the lack of bile, leaving the fats to not be digested properly.

      You have the information of what the drinking is doing to you, but because you like what it makes you feel like, you are looking for anything that will tell you it’s “Just not that bad.” You use your grandfather as a way to say, “See, he’s O.K., so I can be like him.”

      Taking drugs will only give you “MAKE BELIEVE HEALTH” and a way for you to further justify your drinking. You are playing with FIRE my friend and all you have to do is look at the many famous people that have and are dying as a result of taking prescription drugs and alcohol as to what you are risking.

      You have two choices here. The first one is to just admit that you are trying to commit suicide and drinking is the easiest way to do that for you and live with the consequences that will happen to you. The second choice is to realize that the excuses you are looking for to say “It’s O.K. to drink” is your way of hiding and running away from reality. Reality in your case is DEATH and the only way you are going to stop the deterioration is to face reality and make the decision to become healthy.

      If you set a goal to become healthy and pursue that aggressively, you will find that the desire for alcohol will go away, but you need to set yourself on a course of becoming educated.

      good luck to you

  7. QUESTION:
    What are the primary symptoms of cirrhosis especially if one already has a fatty liver?

    • ANSWER:
      There are different types of fatty liver…
      The kind where the fat surrounds the outside
      of the liver capsule usually doesn’t cause
      much problems. However, when the fat is
      inside the liver cells it can. It is like a very
      small room where people crowd in so much
      and the walls start to close in. What happens
      is that the people inside the room cannot get
      out, they can’t get nourishment and the oxygen
      start to be low. This is what happens inside
      the cell, the fat can even push the nucleus of
      the cell into another area. This is when the
      cell can become so stressed, that the
      immune system is signaled and inflammation
      develops in the liver causing the liver to
      start to enlarge. Usually, the immune system
      helps but now it is like more people being
      pushed into this tiny space. When this takes
      place, the cells may start to die off.
      If this happens, then scar tissue will start to
      form inside the liver and this will block the
      blood flowing through it and then symptoms
      will appear. The liver is usually a very quiet
      organ when something is wrong. That is
      until the cells start to die off and the cells
      are no longer doing the function they once
      did to keep the body healthy…..this is
      then known as cirrhosis of the liver.
      In cirrhosis, the first symptoms are usually
      tiredness, sometimes nausea, and then
      the whites of the eyes and skin start to appear
      yellow in color. This yellowing is caused because the liver isn’t able to change the
      non soluble bilirubin into a soluble form so
      it can be eliminated from the body. Instead
      it goes into the blood and can cause these
      changes and maybe a darkening of the urine.
      As the disease progresses, then you may
      develop fluid in the abdominal area (Ascites),
      mental confusion (Encephalopathy),
      blood backing up into smaller vessels that
      are not used to handling it because it can
      no longer go through the liver (Portal Hypertension) and these smaller vessels can
      have weak spots and balloon out and burst
      open (Varies).
      Some people can cure the problem of
      fatty liver by losing weight or following the
      doctors instructions. It is best if this is
      done before the inflammation starts to
      develop. Inflammation can be treated also.
      Once the cells of the liver die, then it is a
      progressive disease.
      There are three types of fatty liver.
      Simple fatty liver can usually be cured.
      NASH, or non alcoholic fatty liver with
      inflammation can be treated. This usually
      involves weight loss. However, sometime
      it can be hereditary condition.
      Alcoholic fatty liver, by stopping the alcohol
      and before inflammation develops can also
      be treated.
      Cirrhosis of the liver can only be slowed down.

      If you would like to learn more about cirrhosis:

      http://www.medicinenet.com/cirrhosis/article.htm

      If you would like to learn more about the
      different kinds of fatty liver diseases:

      http://www.acg.gi.org/patients/gihealth/fld.asp

      Hope this helps you understand more about
      this disease.
      On these sites they state more symptoms of
      cirrhosis than what I could post here.

  8. QUESTION:
    Liver cirrhosis and liver cancer?
    My husband has just been informed that he has “slight scarring” on the liver and that his liver is enlarged. I have many questions regarding this, but PLEASE, I am looking for serious-minded answers, not for people telling me that he should stop drinking or other kinds of moralizing; it is hard enough as it is. First: the doctor said “there is slight scarring but no sign of cirrhosis”. I don’t quite understand this because I though scarring of the liver IS cirrhosis, although it might be at a very early stage in his case. Also, is an enlarged liver the same thing as fatty liver, or could there be other reasons for it being enlarged? Unfortunately, his main health issue is not the liver but advanced heart failure (severe dilated cardiomyopathy) and also COPD. He was told some years ago that he has Hepatitis C but then it was in a dormant state. Could his Hepatitis C have caused the scarring over time even if it has been in a dormant state? Also, when the scarring has started, is it bound continue? His doctor says that his liver is “working”, although I’m not sure whether she meant that it is working without any problems or working at a diminished capacity. I have done a lot of reading and it seems to me that he has many of the symptoms associated with acute liver failure: itching and small red lesions scattered over his body, a brief (one day) period of yellow skin and vomiting, periods of flu-like symptoms with fever, loss of appetite, severe sleep disturbances, clay-colored stool, brown urine, and his nails have turned very light. Also, he quit smoking, not because of his own determination but because he lost taste for cigarettes, which apparently is a sign of liver failure. He also bruise and bleed very easily, and he is easily fatigued. Many of these symptoms are of course also associated with heart disease, but it seems that they have become worse in the last couple of months. His bleeding and bruising can of course be caused by the heavy doses of coumadin he is on, but it seems that the bruising has gotten worse too. He is also getting easy confused and is becoming more and more forgetful. He is 60 years old. So, this is what I wonder: Can the heart disease and/or the COPD have caused the liver disease, or affect it negatively? And vice versa, what effect does the liver issue have on the heart disease and the COPD? His doctor wrote in the last report that there is no sign of ascites but he keeps saying that he feels very bloated and to me it seems like fluid, not fat. He often complain of discomfort in his lower right side and get winded very easily (also a sign of the heart disease, of course). How serious is this liver problem? If in fact he does have acute liver failure due to Hepatitis C, what is the outlook? I don’t believe liver transplant is an option in his case due to his advanced heart failure and generally poor condition. If it is left untreated and he continues to drink (he has at least 3 beers and usually a couple of shots of hard liquor per day. I am desperately trying to make him stop or seek help, but I am not able to), what is likely to happen? If scar tissue continues to build up in his liver, how dangerous is it and what kind of life expectancy does he have? Is it a matter of decades or years/months before his liver gives in completely? How do people with this kind of disease typically die, slowly by wasting away or suddenly? If it is not acute liver failure, what else could it be? Does the complications of Hepatitis C always come from cirrhosis/scarring caused by it, or can it cause symptoms independently without leading to cirrhosis? And is scarring always a sign of cirrhosis or can there be other reasons for it? If so, how likely is it that the scarring does lead to cirrhosis (unless it is the same disease just at different stages) How great is the risk of developing liver cancer? Is this risk increased because of his generally poor health or is it determined by other factors? Please, please, any information at all would be of great help. I know that all these questions should be directed to his doctor, but my husband refuses to let me meet her, and he himself seems to live in denial and doesn’t want to know anything about his disease. This is my reality, and any information you could provide would be gratefully accepted. Thankyou for reading all the way through this long question.

    • ANSWER:

  9. QUESTION:
    What are the symptoms of cirrhosis, I was diagnosed with hepatic steatosis/fatty liver and am still drinking..
    how would i know if I have scarring?

    • ANSWER:
      What Are the Symptoms and Complications of Cirrhosis?

      People with cirrhosis often have few symptoms at first. The two major problems that eventually cause symptoms are loss of functioning liver cells and distortion of the liver caused by scarring. The person may experience fatigue, weakness, and exhaustion. Loss of appetite is usual, often with nausea and weight loss.

      As liver function declines, less protein is made by the organ. For example, less of the protein albumin is made, which results in fluid accumulating in the legs (edema) or abdomen (ascites). A decrease in proteins needed for blood clotting makes it easy for the person to bruise or to bleed easily.

      In the later stages of cirrhosis, jaundice (yellow skin) may occur, caused by the buildup of bile pigment that is passed by the liver into the intestines.

      Some people with cirrhosis experience intense itching due to bile products that are deposited in the skin. Gallstones often form in persons with cirrhosis because not enough bile reaches the gallbladder.

      The liver of a person with cirrhosis also has trouble removing toxins, which may build up in the blood. These toxins can dull mental function and lead to personality changes and even coma (encephalopathy).

      Early signs of toxin accumulation in the brain may include neglect of personal appearance, unresponsiveness, forgetfulness, trouble concentrating, or changes in sleeping habits.

      Drugs taken usually are filtered out by the liver, and this cleansing process also is slowed down by cirrhosis. The liver does not remove the drugs from the blood at the usual rate, so the drugs act longer than expected, building up in the body. People with cirrhosis often are very sensitive to medications and their side effects.

      A serious problem for people with cirrhosis is pressure on blood vessels that flow through the liver. Normally, blood from the intestines and spleen is pumped to the liver through the portal vein. But in cirrhosis, this normal flow of blood is slowed, building pressure in the portal vein (portal hypertension). This blocks the normal flow of blood, causing the spleen to enlarge. So blood from the intestines tries to find a way around the liver through new vessels.

      Some of these new blood vessels become quite large and are called “varices.” These vessels may form in the stomach and esophagus (the tube that connects the mouth with the stomach). They have thin walls and carry high pressure.

      There is great danger that they may break, causing a serious bleeding problem in the upper stomach or esophagus. If this happens, the individual’s life is in danger, and action must be taken quickly to stop the bleeding.

      Liver: Three Types of Alcohol Induced Damage

      Three conditions of the liver are often associated with alcohol abuse. Liver disease in alcoholics usually progresses through the three conditions chronologically starting with fatty liver and proceeding to alcoholic hepatitis which can eventually lead to cirrhosis.

      Fatty Liver: Fat deposits in the liver. To some extent, fat deposits will happen in almost all heavy drinkers. It can also happen in non-alcoholics after just one incidence of drinking.

      Symptoms: People with fatty liver may have no symptoms and have just an abnormal enlargement of the liver that is smooth and non-tender with minimal or no functional changes. However, alcoholics may have

      · Abdominal pain

      · Severe jaundice syndrome(a yellow discoloration of the skin, mucus membranes, and white part around the eyes caused by greater than normal amounts of bilirubin in the blood)

      · Acute liver failure

      · Ascites (abnormal accumulation of fluid containing proteins and electrolytes and causing an abnormal swelling in the abdomen)

      · Coma

      · Death.

      Outcome: Chances of recovery are better at this stage than with cirrhosis. Damage is reversible and does not necessarily lead to more serious damage.

      Alcoholic Hepatitis: Widespread inflammation and destruction of liver tissue. Patients may develop fibrosis, where scar tissue begins to replace healthy liver tissue.

      Symptoms: Fever, jaundice, and abdominal pain.

      Outcome: May be fatal but also may be reversed by abstaining from alcohol.

      Frequency: Occurs in 50% of heavy drinkers.

      Alcoholic liver: Cut surface of gross autopsy specimen of liver showing unnatural paleness due to a dense network of scar tissue (fibrosis, cirrhosis). Scarring has occurred in response to chronic injury from alcohol abuse.
      Alcoholic cirrhosis: Most advanced form of liver disease, 15-30 percent of heavy drinkers.

      Early Symptoms: General weakness, weight loss.

      Later Symptoms: Loss of appetite, indigestion, nausea, vomiting, abdominal swelling, and spider nevi (spidery red marks on upper body arms and face). Causes extensive fibrosis that stiffens blood vessels and distorts the internal structure of the liver. Functions of the liver may be impaired which may lead to malfunction of other organs such as the brain and kidneys.

      Outcome: Usually fatal due to complications such as kidney failure, and hypertension (high blood pressure) in the vein carrying blood to the liver. This disease is usually fatal if chronic alcohol exposure continues; however, if the patient quits drinking, their condition may become stable.

      Frequency: Statistics from different populations vary because of varying lifestyles; however, statistics show that between 40-90% of the 26,000 annual deaths from cirrhosis are alcohol-related.

      The alcoholic will progress from fatty liver to alcoholic hepatitis, to cirrhosis. Sometimes heavy drinkers may develop alcoholic cirrhosis without first developing alcoholic hepatitis, and it could also happen that an alcoholic may have a sudden onset and rapid course of alcoholic hepatitis; then die before cirrhosis develops.

      Not all liver disease in alcoholics is caused by alcohol. Also, alcohol induced liver disease may be accompanied by other conditions not related to alcohol but which can cause liver failure, such as nonalcoholic hepatitis and exposure to drugs and occupational chemicals. Furthermore, it is important to remember that fatty liver and alcoholic hepatitis may be reversed if you stop drinking alcohol, and cirrhosis can be stabilized if you stop drinking alcohol.

      If the liver loses its ability to remove toxins from the brain, the patient may have additional symptoms. The patient may become forgetful and unresponsive, neglect personal care, have trouble concentrating, and acquire new sleeping habits. These symptoms are related to ammonia intoxication and the failure of the liver to convert ammonia to urea. High protein intake in these patients can also lead to these symptoms

      Based on the above; pls consider this as a wake-up call and stop drinking immediately. You’re asking for more trouble.
      I have taken care of pts on the late stages. They have constant frank red stools ( bloody, foul odor) and can’t stop bleeding.

  10. QUESTION:
    I have a fatty liver and am anemic. Tonite I started having deep dark green stools. Could this be related?
    Cirrhosis of the liver runs on my maternal side, but only in the females, and none of them ever drank, and neither do I. Can eating chocolate also cause this discoloration? I also had breast cancer seven years ago.

    • ANSWER:
      What did you eat the night before besides the chocolate? The main reason for stool discoloration is usually diet.
      Cirrhosis can cause discoloration in your stool but it would be clay whitish in color. This is from the lack of bilirubin which gives stools their brown color. Blood in the stools would make them look black and tarry.
      I think the reason is from your diet. I have had dark green stools from eating spinach or other dark leafy vegetables. A quick google search for green stools will yield many results.

  11. QUESTION:
    Scarring of the liver and cirrhosis?
    My husband has just been informed that he has “slight scarring” on the liver and that his liver is enlarged. I have many questions regarding this, but PLEASE, I am looking for serious-minded answers, not for people telling me that he should stop drinking or other kinds of moralizing; it is hard enough as it is. First: the doctor said “there is slight scarring but no sign of cirrhosis”. I don’t quite understand this because I though scarring of the liver IS cirrhosis, although it might be at a very early stage in his case. Also, is an enlarged liver the same thing as fatty liver, or could there be other reasons for it being enlarged? Unfortunately, his main health issue is not the liver but advanced heart failure (severe dilated cardiomyopathy) and also COPD. He was told some years ago that he has Hepatitis C but then it was in a dormant state. Could his Hepatitis C have caused the scarring over time even if it has been in a dormant state? Also, when the scarring has started, is it bound continue? His doctor says that his liver is “working”, although I’m not sure whether she meant that it is working without any problems or working at a diminished capacity. I have done a lot of reading and it seems to me that he has many of the symptoms associated with acute liver failure: itching and small red lesions scattered over his body, a brief (one day) period of yellow skin and vomiting, periods of flu-like symptoms with fever, loss of appetite, severe sleep disturbances, clay-colored stool, brown urine, and his nails have turned very light. Also, he quit smoking, not because of his own determination but because he lost taste for cigarettes, which apparently is a sign of liver failure. He also bruise and bleed very easily, and he is easily fatigued. Many of these symptoms are of course also associated with heart disease, but it seems that they have become worse in the last couple of months. His bleeding and bruising can of course be caused by the heavy doses of coumadin he is on, but it seems that the bruising has gotten worse too. He is also getting easy confused and is becoming more and more forgetful. He is 60 years old. So, this is what I wonder: Can the heart disease and/or the COPD have caused the liver disease, or affect it negatively? And vice versa, what effect does the liver issue have on the heart disease and the COPD? His doctor wrote in the last report that there is no sign of ascites but he keeps saying that he feels very bloated and to me it seems like fluid, not fat. He often complain of discomfort in his lower right side and get winded very easily (also a sign of the heart disease, of course). How serious is this liver problem? If in fact he does have acute liver failure due to Hepatitis C, what is the outlook? I don’t believe liver transplant is an option in his case due to his advanced heart failure and generally poor condition. If it is left untreated and he continues to drink (he has at least 3 beers and usually a couple of shots of hard liquor per day. I am desperately trying to make him stop or seek help, but I am not able to), what is likely to happen? If scar tissue continues to build up in his liver, how dangerous is it and what kind of life expectancy does he have? Is it a matter of decades or years/months before his liver gives in completely? How do people with this kind of disease typically die, slowly by wasting away or suddenly? If it is not acute liver failure, what else could it be? Does the complications of Hepatitis C always come from cirrhosis/scarring caused by it, or can it cause symptoms independently without leading to cirrhosis? And is scarring always a sign of cirrhosis or can there be other reasons for it? If so, how likely is it that the scarring does lead to cirrhosis (unless it is the same disease just at different stages) How great is the risk of developing liver cancer? Is this risk increased because of his generally poor health or is it determined by other factors? Please, please, any information at all would be of great help. I know that all these questions should be directed to his doctor, but my husband refuses to let me meet her, and he himself seems to live in denial and doesn’t want to know anything about his disease. This is my reality, and any information you could provide would be gratefully accepted. Thankyou for reading all the way through this long question.

    • ANSWER:
      Lena, an alcoholic is THE most difficult of all patients to help, especially when you want to do so much. ALL that you describe is due to alcohol. At first alcohol causes liver cells to fill with fat and produce an enlarged fatty liver which alone has caused sudden death. In time, as liver cells die, scarring results and can then progress (under the microscope) to produce a smaller scarred liver called alcoholic cirrhosis. The liver then produces inadequate clotting factors which can produce skin and other hemorrhages, as well as leak fluid into the belly (ascites), and change blood circulation to overload and damage an eenlarging heart under strain as well as dilated, thin-walled esophageal veins (varices) which can anytime suddenly rupture as great quantities of blood are coughed up. Hepatitis c also damages the liver and is believed to be a cause of liver cancer. As long as your husband continues to drink alcohol, he will continue to go downhill and die in spite of your efforts. Try the phone book or call Al-Anon, an organization for spouses of alcoholics for much more information on how to deal with your extremely difficult situation. You cannot go it alone and expect and success.

  12. QUESTION:
    can cirrhosis of the liver be avoided/prevented from this condition?
    i have a mild inflammation of the liver due to fatty liver (non-alcoholic type, NOT obese but overweight) I’ve been losing weight and eating right to try to burn the fat off my liver. Question is: I know this condition is chronic (but is said to be reversible) and CAN lead to cirrhosis, but say I change my lifestyle completely and keep a healthy body, can I prevent myself from ever getting cirrhosis in my entire life? They say fatty liver with inflammation can be reversible, does that mean I can get rid of the inflammation through healthy lifestyle choices?

    • ANSWER:
      yes, change your lifestyle, and it can repair, good luck x

  13. QUESTION:
    cirrhosis of the liver?
    How does a person know if their fatty liver has gone over to the irreversible liver disease known as cirrhosis? Are there any definite tell tale signs or symptoms? Thanks.

    • ANSWER:
      Please do not wait till you are pushed to the edge and then think of traveling back !

      It is best to stop the factor that caused cirrhosis in the first place ( Alcohol the commonest cause) !

      Follow up with your doctor once a month and do liver function tests and ultra sound every 3 months. The doctor can measure the size of liver by tapping and get to know if the liver is shrinking( a sign of progressing to cirrhosis)

      As per symptoms ..it may be too late by the time you develop them.

      Weight loss, fluctuating appetite and nausea, bleeding easily, anemia hypoproteinemia and weakness are some of the symptoms and signs.

      Please do not wait for these and try to reverse the stage of hepatitis.

      Taking vitamin B complex, lot of anti oxidant foods, decreasing intake of oxidants and as per recent reports taking a lot of Turmeric ( containing Curcumin) and Tomato ( containing Lycopene) may help in reversing and resolving this inflammatory disease.

      Hope you are eager for the cure and not a procrastinator !

  14. QUESTION:
    What are some things that are harmful to your liver?
    I’m doing a project on the liver (organ) and I need to know about 2 other things that you can do to harm it. For example, The abuse of alcohol shuts down your liver, causing a chronic liver disease called cirrhosis (which is caused by alcoholism, hepatitis b, hepatitis c and fatty liver disease).

    What are 2 other things you can to do harm your liver and what can that lead to?

    • ANSWER:
      There are a number of causes of a liver problem
      that can lead to cirrhosis of the liver:

      Alcohol consumption: some people are
      more sensitive to alcohol than others are.
      When the liver cannot handle the amount
      of alcohol taken into the body, then it
      stays in the blood and goes into the
      brain and causes a reaction there.
      The liver converts all toxic substances
      to a non toxic form so the body can
      dispose of them…however, this may not
      happen if the patient consumes too much
      alcohol and the liver cannot convert it
      fast enough…the alcohol itself, and its
      by product, can produce damage to the
      liver cells.

      Medication toxifications: it has been shown that acetaminophen taken with alcohol can cause permanent liver cell damage almost immediately. There are a lot of drugs on the market, including over the counter, herbs, and even prescription drugs that are very hard on the liver. Most all medications go through the liver first, to be broken down, before going to the rest of the body.
      Liver patients are told to only takes drugs
      prescribed by their doctors…if the liver
      cells become damaged…then this medication has to be adjusted according
      to how much damage there is.

      Chemical exposure: such as Carbon
      Tetrachloride..

      Mushroom poisoning: some people try to pick their own mushrooms…not knowing that some are very dangerous. This
      also can cause immediate damage to
      the cells of the liver and a very early death.

      Autoimmune disease: this is where the body’s immune system, turns on itself and causes destruction of its own cells. This can be a disease like Biliary cirrhosis or Sclerosing Cholangitis. In Sclerosing
      cholangitis…the bile ducts that the bile
      flows through from the liver to the
      gallbladder to be stored or to the intestines,
      become twisted or malformed.

      Hereditary Conditions: like Hemochromatosis where the body tend to retain iron too much. Or a disease where it retains copper.

      Gallbladder stones development where the
      stones move out of the gallbladder and into the biliary ducts and blocks them causing the bile to back up into the liver and harming the cells.

      Virus infections such as Hepatitis A,B,C,etc.

      Fatty liver disease which is caused by alcohol or non alcoholic reasons like hereditary conditions, weight, or metabolism problems.

      (There is even having a traffic accident where the liver may be lacerated or injured.
      Being gun shot or even stabbed with a knife.
      Sometimes sports accidents can also
      damage the liver.)

      Hepatitis is inflammation of the liver cells caused by any of those things I mentioned above. Any damage to the liver cells can cause the immune system of the body to respond to it and cause this inflammation.

      A liver is usually very smooth and soft…anyone that has cooked liver knows what it looks like. When inflammation develops, then it enlarges in size and takes on a spongy appearance. This inflammation cause more pressure inside the liver cause the liver is surrounded by a capsule membrane.

      If the inflammation is treated and the cause can be removed (as you can see, some cannot be removed)..then the liver cells
      may heal, if it is not done then it will progress to death of the liver cells and scar tissue forming inside the liver. This scar tissue blocks the flow of blood through the liver and also to the liver cells and even more
      cells will die off…it is a progressive disease that the doctors can only try to slow down, Known as cirrhosis then. Cirrhosis is the death of the liver cells that lead to fibrosis and scar tissue formation.
      When cirrhosis takes place, the liver will start to shrink in size and become hard in texture.

      I hope this information has been of some
      help to you.
      Here are a couple links to explain more about this disease and causes:

      http://www.medicinenet.com/cirrhosis/article.htm

      http://www.mayoclinic.com/health/cirrhosis/DS00373

  15. QUESTION:
    What does diffuse fatty liver change mean ?
    I have not been well since January. I had an Ultrasound then and it read that I had a fatty liver. To make a long story short, I had a CT with and without contrast done (for kidneys-I have kidney stones) and I ended up having my gallbladder taken out a couple of weeks ago due to large gallstones. Well, I have a copy of my report from the CT scan and it was compared to a previous CT and it read that I have diffuss fatty liver change. What does this mean ? Should I be concerned ? Is this the beginning of Cirrhosis ? Is this something that can end up killing me ? What should I expect next as far as testing is concerned ? I do not drink alcohol nor am I obese. I am going back in four weeks to see my Primary care physician and just wanted some input about this prior to that appointment. Thank you.

    • ANSWER:
      Alcohol is the most common cause. Toxic, metabolic and hypoxic conditions of all types.
      Pathogenesis

      • Liver is the principle organ of fat metabolism and synthesis.
      • Interference with mobilizing triglycerides out of the liver is the usual mechanism.
      • This happens when toxins or agents affect the mitochondrial and microsomal functions resulting in defective oxidation of fatty acids and aberrant mitochondrial function.
      • Factors casuing fatty change do not all act in the same way. ,
      Epidemiology

      • This is a common condition, but it is usually secondary to other diseases; again, alcohol is the most common cause, in the industrial world; however, among children and in the developing countries, malnutrition, especially protein and iron deficiencies, are the most common.
      General Gross Description

      •In severe and diffuse cases, the liver is enlarged, yellow, smooth, firmer than normal and greasy.
      •In partial involvement, a pale or yellow blotchy appearance is often noted.
      General Microscopic Description

      •There are two forms of fatty change : microvesicular and macrovesicular.
      •Microvesicular: Numerous tiny fat vesicles, requires fat stain to be appreciated. Often, one would be surprised as how enormous fat accumulation is without being seen in H&E sections. This is a toxic condition causing hepatocellular failure.
      •Macrovesicular: a few large clear vacuoles in the cytoplasm of hepatocytes, pushing the nucleus aside. Usually, has no effect on the function of the hepatocyte.
      •There is usually no inflammatory reaction to this, unless the fatty cells rupture.
      Clinical Correlation

      •Macrovesicular: Hepatomegaly is the only sign; liver function tests are minimally abnormal, if at all.
      • Examples include: Alcohol – with a combination of macro and microvesicular fatty change, Malnutrition – in particular protein deficiency, starvation, diabetes, obesity , severe infection or burn, Medication and Toxins, Hypoximia.
      •Microvesicular: a different disease; this is a toxic, metabolically abnormal and serious condition; although the patient has mild hepatomegaly, severe liver function test abnormalities to the point of liver failure is common.
      • Pure examples would include: Reye’s Synd., fatty liver of pregnancy and tetracyclinet toxicity.
      • The most common cause is alcohol.

  16. QUESTION:
    Is there any way to prevent liver disease other then not drinking alcohol?
    if a person chooses to drink alcohol are there any methods to prevent or reduce liver damage like taking milk thistle or other liver herbs and drinking water, exercise and healthy diet? My sister is a heavy drinker she is 24 and has been drinking ever since she was 19. She does not understand the consequnences of heavy drinking so she says she is not going to stop and will carry on partying through life I mean if she’s not going to stop I am sure I can’t force her to and neither can nobody else but she is young and naive and just living for todays and not tommorows satisfaction not thinking of the consequeneces of drinking too much, fatty liver, cirrhosis and all those liver dieases caused by high alcohol consumption. She says she will deal with it when it happens. Her doctor told her that she should only have one drink a day since this is the maximum that is considered safe for a woman but she ignores all advice and just does what she wants. I mean if she is not going to stop drinking are there at least some vitamins or supplements that can reduce her isk of getting liver disease from drinking? someone recommened please.
    P.S. I have told my sister that since she can’t stop drinking she might be alcoholic and advised her to at least give AA a try she refuses. I don’t know what else can be done. She says she is planning to drink and wont stop for nobody not even her 4 year old son.
    She also thinks liver disease is not caused by just alcohol alone. She thinks a person must have hepatitis c with alcohol abuse combined to get liver disease.

    • ANSWER:
      This question is about yourself, not your sister so why start lying about it now.

      As for liver disease, nothing can stop liver disease.

  17. QUESTION:
    My Dr told me that i have some kind of inflammatory liver process going on.. what does that mean?
    My Dr told me to retake the liver function test since the results came out high. But he left me hanging with this response when I messaged him about my results: “You have some sort of inflammatory liver process going on, do your labs in 1 month”. That’s all he told me!! …. So.. i’m stumped… what can this indicate that i may have? Cirrhosis? Fatty liver disease?

    I’m feeling really bummed right now… I’m not obese at all, i stopped drinking 4 months ago, (but i was a heavy social drinker before i stopped, i didn’t drink everyday off the week just on the weekends), and i do take motrin when a headache comes on which is pretty often, and i don’t do any strenuous exercising. Any ideas? Thanks in advance…

    • ANSWER:
      When there is something actively bothering the liver, this can cause liver inflammation. Since your enzymes came out high, this is probably what the doctor means by “some kind of inflammatory liver process going on.” They don’t know what is causing the inflammation that made the numbers go up, but the doctor knows something is causing it. Inflammation can be caused by many things such as alcohol, meds, bile duct problems, gallbladder problems, etc. I have heard of them going up even when someone exercises a lot.

      Wait and see what the next blood work shows. The doctor wants to see if they remain high. If so, he might want to do some further testing to try and figure out what is going on. No need to be bummed out. It’s probably nothing. They might be perfectly normal next time you have them done. Don’t think the worst.

  18. QUESTION:
    Cirrhosis of the liver how bad has it got?
    My mum has Cirrhosis due to being an alcoholic, she started drinking about 10 years ago. 8 years a go we were told that if she carried on drinking she only had 6 months to live due to a fatty liver, now 8 years on she has Cirrhosis. She was recently taken to hospital by an ambulance as she was vomiting blood, she didn’t tell anyone that this was happening luckily my step dad caught her on day 3 of her doing it!

    Me and my sister arrived after our mum at the hospital and when we went to see her she was in the resuscitation room and the doctors wouldn’t say what they did to her, all they said is that she lost blood.

    On the 4th day of her being in hospital she had an operation in her throat to try and stop the bleeding but it was unsuccessful, she is now out of hospital and on tablets to help it, but my mum is now drinking again and most likely not taking the tablets. But surely even if she was they wouldn’t work if she is still drinking?

    I really would like advice on how serious her condition has got, as i am not her next of kin i can not find anything out from her doctors and my mum isn’t saying anything either.

    How long do you think she has left to live if she carries on drinking everyday?

    I went to the doctors yesterday and they say it could be any day now, but i dont just want ot listen to one opinion.

    Thank you for your time, and help.
    also my mum has brittle nails, fluid retention in her stomach (which has been drained 3 times in 8 months) she bruises easily, and yellowing in her skin.

    • ANSWER:
      your mum does now sound like she is at the end stages of her alcohol addiction….im sure if you have read the previous answer that she is now so advanced in her condition, re: ascites. clotting factor, varices, liver failure etc, that there is nothing that you can do….sadly…
      and dont blame your mum…and nor importantly yourself !!
      i have had parents that were dependent on alcohol, despite my immediate family having strong grounds in medicine [gp and `in law`respiratory consultant, state reg nurse and x2 regst paramedics] none of our help our advice was ever taken…..its a destructive illness and the only thing that your mum will listen too is the `bottle`…..its going to be hard for you and your family…..your mum has made her choice…and its not personal….its what she wants, she is now so advanced in her illness…it seems now irreversible….all i can say, is help your mum in any way you feel comfortable with ….and dont be angry [as tempting as it may seem] with her or yourself….and as for how long…..who knows….2 or 3 months?? i wish you well….but dont let it DESTROY YOU as well

  19. QUESTION:
    When liver cells die….?
    When liver cells die in large numbers during years of alcohol abuse, connective tissue fills in the spaces left by dead cells in a condition known as?

    fatty liver, liver cancer, cirrhosis, or cardiomyopathy?

    • ANSWER:
      cirrhosis. Cirrhosis is a complication of many liver diseases that is characterized by abnormal structure and function of the liver. The diseases that lead to cirrhosis do so because they injure and kill liver cells, and the inflammation and repair that is associated with the dying liver cells causes scar tissue to form. The liver cells that do not die multiply in an attempt to replace the cells that have died.

  20. QUESTION:
    I have NAFLD (Non Alcoholic Fatty Liver Disease). What are my chances of getting Cirrhosis?
    I went to the the ER the other day because I have had chronic diarrhea, dizziness, and abdominal pain for more than 3 months now. The Dr. found that I had NAFLD and said that I should be seeing a Dr. for this condition and said that I need MANY tests done to see what is causing it. She also said that I have to be on a vegan diet (I am not overweight) to see if it can reverse the Disease. My questions are: Is there a cure for this & What are the chances of it forming into Cirrhosis?

    • ANSWER:
      You should be seeing either a gastroenterlogist
      or hepatologist now.
      Fatty liver disease can be caused by many
      different things: alcohol consumption, certain
      medications like steriods, weight gain, hereditary conditions,
      diabetes, insulin resistance, high cholesterol/triglyceride levels
      and more.

      The cause needs to be determined.
      There are different stages of this disease….
      Simple fatty liver doesn’t usually cause a
      problem and can be easily reversed by
      stopping the cause. Alot of people are very
      thin and can still have this problem.

      The fat pushes on the liver cells and can
      even push the nucleus of the liver cell out of
      place. That is why it has to be treated immediately
      ….so the fat will disappear and not harm the cells.
      The liver is surrounded by a membrane capsule and
      the fat only adds to the pressure inside the liver.
      If the cells of the liver become damaged, it signals
      the immune system of the body to respond to
      this. The immune system then causes inflammation
      to develop inside the liver, also. This will cause the
      liver to enlarge in size. It then goes from simple
      fatty liver to steatohepatitis. Steato means fat,
      hepat means liver and itis means inflammation.
      This becomes more serious…the inflammation adds
      to more pressure inside the liver and the cells can
      more easily start to die off. When the cells die off,
      it becomes a progressive disease known as
      Cirrhosis of the liver. What happens now, it the
      cells die off and form scar tissue inside the liver
      that blocks the flow of blood through the liver on
      its way back to the heart and may also block
      the flow of blood to the other liver cells and they
      will continually die off.

      If the patient follows the doctor instructions and
      is treated for any inflammation that may have
      developed…then it may never go to the point of
      becoming Cirrhosis of the liver.

      Here are some links to help you learn more about
      this, that you can click on:

      http://www.medicinenet.com/fatty_liver/article.htm

      http://www.aafp.org/afp/20060601/1961.html

      http://yourtotalhealth.ivillage.com/fatty-liver.html

      http://en.wikipedia.org/wiki/Fatty_liver

      I hope this information has been of some help to you.

  21. QUESTION:
    how does a 40 year old man get diagnoised with cirrhosis of the liver and in die within 4 months of knowing?
    I have a friend who became very ill in December. He thought he had food poisoning. After going to the doctor he was told he had a fatty liver. He drank vodka on a daily basis. One month later is was admitted into the hospital with complications of cirrhosis. They gave him 2 – 5 years before he would need a liver transplant. He was released from the hospital and after about 2 weeks he became very ill again. This time he was unable to walk and had fluid built up in his stomach. He developed pneumonia and died within 2 weeks in the hospial. He was only 40 years old.

    • ANSWER:
      His liver might not have been that bad, but it can cause a hundred other problems that could have killed him. Doctors aren’t psychics. They could only guess at how bad the complications would get. Drink will kill you in dozens of different ways.

  22. QUESTION:
    fatty liver.I’ am concerned?
    Do any one have this fatty liver?I got the impression as fatty Infiltration of liver..My ALT is 41 and AST is 52…My bilrubin is normal and cholesterol and triglycerides are also normal and all other blood test and sonography were normal except for this ALT & AST level..Is this a cause of concern ??But all of the gastroenrtologist doctors whom i met are not concerned about my problem and they are asking me to forget about fatty liver..My doctors ruled out cirrhosis by making a physical examination..But I’m fearing whether I could have cirrhosis…Can any one tell me what this could be with my AST/ALT levels??

    • ANSWER:
      How is fatty liver treated?

      There are no medical or surgical treatments for fatty liver, but there are some steps you can take that may help prevent or reverse some of the damage. In general, if you have fatty liver, and in particular if you have NASH, you should:

      * Lose weight – safely! That usually means losing no more than one or two pounds a week.
      * Lower your triglycerides through diet, medication or both
      * Avoid alcohol
      * Control your diabetes, if you have it
      * Eat a balanced, healthy diet
      * Increase your physical activity
      * Get regular checkups from a doctor who specializes in liver care

      If I’ve been diagnosed with fatty liver, what questions should I ask my doctor?

      * “What is the likely cause of my fatty liver?”
      * “Do I have NASH? If not, how likely am I to develop NASH?”
      * “Do I have cirrhosis? If not, how likely am I to develop cirrhosis?”
      * “Do I need to lose weight? How can I do so safely?”
      * “Should I be taking any medication to control my triglyceride levels?”
      * “What medications or other substances should I avoid to protect my liver?”

  23. QUESTION:
    Innocent causes for high liver enzymes (ALT)?
    Please only respond if you know about this, rather than posting a URL with generic information.

    My husband had high levels of liver enzymes 3 years ago but we thought it was due to the fact that he had taken 2 tylenol the day before. Recently, he was retested and his ALT is almost 3 times the normal limit (highest normal is 55 and his is 145), twice what it was 3 years ago. All of his other liver panel tests were normal, AST, billirubin, etc., as well as CBC.

    Our GP suggested that it could be something called NASH, or fatty liver disease, however, other than the high ALT, he has NONE of the typical characteristics. He has below average triglycerides and cholesterol and his glucose levels are normal. Also, his liver proteins (albumin) are on the high side of normal and these levels would be low if he had cirrhosis or fatty liver. I should also add that he does not drink and is not exposed to toxic chemicals. He is not overweight but also does not exercise.

    Any ideas please? I’m hoping there could be some simple explanation like vitamin deficiency, poor diet or dehydration. We could not get an appt. with a specialist for another month, at which point they will presumably perform an ultrasound to check things out.
    He is negative for viral hepatitis.
    His Albumin/ Globulin ratio was elevated 3 years ago and approx. twice what it should be (2.2) but I don’t think they retested it.
    He is also negative for hemachromatosis, which runs on his father’s side of the family.

    • ANSWER:
      Hello,

      The ALT is an enzyme that is located in the liver and is released into the bloodstream when there is damage to the liver cells. ALT is also located in other tissues, such as muscle tissues. Other blood tests can be performed to evaluate whether it is from the muscle tissue, such as the creatinine phosphokinase and aldolase. Most cases of a persistently elevated ALT are related to liver disease though. The most common causes for an ALT of this level would be alcoholic liver disease, hepatitis C, non-alcoholic fatty liver disease (NAFLD), non-alcholic steatohepatitis and medication related. There are many other less common conditions, such as chronic hepatitis B, autoimmune hepatitis, Wilson’s disease, alpha-1 antitrypsin deficiency and hemochromatosis.

      Most of these conditions can be evaluated with by simple blood tests, which are routinely ordered for the evaluation of this. The exception would be NAFLD/NASH, because there is unfortunately no blood test that can identify this. NASH is becoming much more common and it is always something to consider when the rest of the work up was negative. It sounds like you already know the characteristics and risk factors of NASH including obesity, diabetes, and elevated triglycerides. The presence of these increases the likelihood of NASH, but is not necessarily diagnostic. The absence of these risk factors does not eliminate the possibility of NASH, but it does make it less likely. Even though your husband does not have these issues, NASH is still possible. The definitive test to evaluate for NASH is a liver biopsy.

      I would recommend that your husband be evaluated by a hepatologist or at least a gastroenterologist regarding this if he has not already. Standard blood tests that would be ordered to evaluate this include: Hepatitis B and C tests, Antinuclear antibody (ANA), anti-smooth muscle antibody, Ceruloplasmin, Iron, Total iron binding capacity and Ferritin. Imaging like ultrasound is also helpful in identifying any abnormalities in the liver. Your husband may have had some of these tests already. Do not worry about the details, because the doctor’s will know what to order.

      You are correct that albumin is a marker of the synthetic function of the liver and low albumin is associated with cirrhosis. The ALT and AST are markers of damage, but they do not tell anything about how well the liver is functioning. The PT/INR is also a marker of how well the liver is functioning. It is good that your husband has normal function of the liver based on his elevated albumin.

      The concern with a persistently elevated ALT is that it is a sign of ongoing liver damage that could eventually lead to cirrhosis. This is why it is important to try to identify the cause and treat it if possible to prevent progressive damage to the liver. Vitamin deficiency could potentially lead to elevated liver tests, but this would be very rare in the absence of other signs of vitamin deficiency. Dehydration is not known to increase ALT. Poor diet can lead to NAFLD and NASH, but do not cause elevation in the ALT directly. You will have more answers once your husband sees the specialist. If you have further questions, then let me know. Good luck to you and your husband.

      Edit: It is good that the viral hepatitis and hemochromatosis evaluation is negative. The specialist may want to check additional labs depending on the previous results. Hopefully, you will have more answers by then. If your husband is on medications, then it is also important to determine if any of them are causing them. Some herbal supplements can also elevate liver enzymes, so do not forget about them.

  24. QUESTION:
    How can i take care of my liver?
    im 17 yo and i gotta “fatty liver”. is it ok for me to get so drunk every saturday nite? how much should i drink so that i wont get those liver diseases like those cirrhosis and stuff? btw does smoking affect the liver?! ill like it if u include links and sum research cuz im really scared ryt now. thanks

    • ANSWER:
      I drank a whole lot n my 20′s..i’m 30 now and the most ill drink now is a few sips or no drink. I dont have any kids but want some one day and if my child came out with a cleft lip from drinking so much alcohol that would be a reflection of me. Id love my child the same but it will be a reflection of me from being irresponsible and careless. Your body is ur temple so try to keep it clean, in diet as well. I watch what I eat too. I slowed down so much for health reasons. People my age like some dudes n girls i used to hang out with a couple of years ago now say they slowed down too. If i was 17 again i would not take one sip tho.

      Here’s some info on the job the liver does..more alcohol consumption makes it work harder: If the liver does not regulate fat metabolism efficiently, weight gain tends to occur around the abdominal area and a protuberant abdomen (pot belly) will develop.

      Heres a link on how to take care of ur liver: http://www.hepfi.org/living/liv_caring.html
      Also heres a link to how smoking affects ur liver:http://www.ehow.com/how-does_4565046_smoking-affect-liver.html

  25. QUESTION:
    How long for Liver Biopsy Results? (Do they always take so long!?!?)?
    I had a liver biopsy on Feb 17th. The discharge paper they gave to me said that my primary doctor would call me within 7 days with the results. Today since I got no call from anyone I called the hospital back (The Cleveland Clinic) and asked if they knew anything. The receptionist said that she would ask the nurse and call me back shortly. I never got a call back!

    I am sure if the results were normal they would call me back and just say I was okay, because that would take a lab only seconds to see that in my liver sample. If the lab wasn’t done testing, couldn’t she have just called me back and said that? And if it is not good news (fatty liver or Cirrhosis) it isn’t like in 2 weeks it is going to change, so it isn’t like they need to get me in right away. Someone I talked to said something about if it was bad they would call me right away.

    If they found something, is it possible they needed more time to do more tests on the sample they took?

    I know there is an old adage of “no news is good news”, but in this case with the extent of the test that was done, don’t you think they would want me to know if it came back normal?

    (The reason I had this done was because my platelet count is high, I am always tired and a CT scan found fat in my liver.)

    • ANSWER:
      Sometimes, doctors underestimate the time it takes to get these back. 7 days is the norm but sometimes, unusual tissue samples can take pathologists longer to figure out what this tissue consists of. The nurse could have spent a lot of time searching for the lab results, even calling the lab and by the time someone called her back as to why the report was not completed (if they called her back), it might have been time for the clinic to close for the day. There are numerous situations that might have occurred which could delay your results. Waiting is hard but that is your only choice right now. And, since you have called them, I would guess that they will be calling you as soon as the report shows up on your biopsy. Give them some more time.

  26. QUESTION:
    stage 4 liver disease?
    a friend of mine was diagnosed a couple of years ago with cirrhosis of the liver caused by a fatty liver. now she is in stage 4 liver failure. what does this mean?

    • ANSWER:
      It is the “end stage” of liver failure, meaning that a liver transplant may very well be required.

      I’m sorry that happened to your friend. But don’t give up hope.

  27. QUESTION:
    what is echogenic liver with fatty infiltration?
    Echogenic Liver with fatty infiltration – could that be a cancer type. Can you tell me is that is a sign of cirrhosis?
    the blood Alt is at 85 and Ast is at 48.

    Thank you

    • ANSWER:
      Fatty liver (steatosis) is the accumulation of fat in hepatocytes (liver cells). It is often an asymptomatic condition, which does not damage the liver. The patient may have an enlarged liver or minor elevation of liver enzyme tests. In fact, fatty liver is one of the most common causes of isolated minor elevation of liver enzymes found in routine blood tests. An ultrasound, CT scan, or MRI can detect a fatty liver, but the diagnosis can be conformed only by a liver biopsy. It is commonly seen in individuals who are diabetic or obese.

      Accumulation of fat can occur due to several mechanisms – transfer of fat from other parts of the body or an increase in the extraction of fat presented to the liver from the intestine or reduced breakdown and removal of fat by the liver. Eating fatty foods does not by itself produce a fatty liver.

      There are many clinical states that may lead to it and these include extreme weight gain, poor diet, diabetes, tuberculosis, and use of certain drugs like steroids. Alcohol abuse is a well-known cause for this as is toxicity of certain chemicals.

      In diagnosing fatty liver, it is important to exclude other causes of chronic liver disease, especially alcohol abuse. The treatment depends on the underlying cause. It is important to remember that simple fatty liver may not require treatment and simple measures like weight loss, dietary fat restriction, and exercise will help. Ursodeoxycholic acid may improve liver function test results, but its effect on improving the underlying liver abnormality is unclear.

      You need to discuss with your doctor prior to starting therapy.

      For signs and symptoms of Cirrhosis, click on the 2nd link.

  28. QUESTION:
    questions about ALT/AST levels and fatty liver (non-alcoholic)?
    I had a blood test recently which showed elevated levels of ALT (132) I also have high cholesterol and triglycerides. I had an ultrasound done and some further blood tests (for hepatitis and auto-immune diseases) and came out negative. The ultrasound however does show a fatty liver. My gastroenterologist says that fatty liver DOES raise ALT / AST levels but my primary physician (cardiologist) says a fatty liver does NOT raise ALT/AST since there is fat on the liver to begin with. He just says my liver has a high turn-over rate with an inconclusive cause. I don’t want to end up getting Cirrhosis. Who should I believe? What is the right answer?
    fatty liver CAUSES cirrhosis over time

    • ANSWER:
      Sorry hun, you must be worried. I am a little confused you say your primary physician (cardiologist) ? Do you mean your gp or cardiologist? Anyway neither of them are a specialist in this area. A gastroenterologist specializes in this area, so he knows best, and
      I would listen to him concerning my liver. The first thing that crosses their mind is always alcohol, the same as when you have lung problems, they assume that you smoke. I don’t know that you can get cirrhosis from a fatty liver?? But definetly listen to your gastroenterologist and do not blame yourself for your body make up. To say inconclusive cause is negligence, do not settle for that. Perhaps it is because of fatty liver, also alcohol and some meds can also do it, but DO NOT settle for the inconclusive cause.

  29. QUESTION:
    questions about the liver…please help..?
    I am a 26 year old male…I took a blood test in march of 2007 and it showed a high level of liver ALT (92 u/l) where the normal is between 3-60 u/l. I know that during that time I took multiviatmins. I’ve had all my hepatitis shots taken. I am a little bit overweight though and I do eat like crap. Could the high ALT be attributed to the multivitamins or is it really from a fatty liver? Can this be lowered? I don’t want cirrhosis of the liver which then would just put me at risk for liver cancer…any thoughts? Thanks!

    • ANSWER:
      The tests the doctor does for liver patients are (1) the
      liver enzymes, which includes the ALT, AST, and
      Alkaline Phosphatase. (2) the liver function tests which
      are the Bilirubin, Albumin, and INR. Just looking at the
      elevation of just one of these tests isn’t enough to tell a
      person much.
      You can read about each of these tests here:

      http://www.labtestsonline.org

      There are different things which cause cirrhosis of the
      liver: Alcohol consumption, medications that are toxic
      to the liver, chemical exposure, hereditary conditions,
      developing a fatty liver, mushroom poisoning, having
      a biliary problem (Bile ducts are tube like structures that
      lead from inside to the liver to the gallbladder and
      intestines) such as them becoming blocked by a stone,
      become twisted or strictured or malformed, Viral or
      bacterial hepatitis. And there are more.
      Your doctor should know all medications you are taking:
      over the counter meds of any kind which would include
      vitamins, minerals, pain meds, etc…herbal med, herbal
      teas, and also any drugs prescribed by other doctors.
      Medication goes to the liver first to be broken down
      before going to the rest of the body. Some people
      can overdose on multivitamins also. There are two
      types of vitamins, the kind that are fat soluble and the
      kind that are water (fluid) soluble. The water soluble
      ones can be flushed out of our body…the fat soluble ones
      can stay in our body too long and build up and become
      toxic. Here is a link about this from a very reliable source:

      http://www.ext.colostate.edu/pubs/foodnut/09315.html

      Usually, liver disease starts out as inflammation of the
      liver cells…what ever is causing this inflammation , it can
      be treated and this inflammation will go away and the
      cells of the liver will be healed. Stopping doing or taking
      anything that may injure the cells, like drinking alcohol…
      being exposed to chemicals…or if it is the kind of
      fatty liver that is caused by weight, losing weight will help.
      There are two types of fatty liver: NASH and NAFLD.
      Here is a multiple page article on that:

      http://www.medicinenet.com/fatty_liver/article.htm

      The liver enzymes can show the doctor is there is
      inflammation or damage to the liver cells. The liver
      function tests show how the liver is still functioning
      and if it is able to do the functions it needs to do
      in order to keep the body healthy.
      Some people just naturally have high liver enzymes.

      No one here can tell you for sure what is the cause of
      this slightly high elevations of your one liver enzyme.
      The doctor will be able to let you know this. When
      the blood tests show elevations, the doctor usually
      does more blood work just to be sure the first results
      are accurate and then he will go from there.

      I hope this has been of some help to you.

  30. QUESTION:
    I am 28yrs old with elevated liver enzymes for the better part of 3yrs. From ages 21-25 I used to drink A LOT,?
    I am 28yrs old with elevated liver enzymes for the better part of 3yrs. From ages 21-25 I used to drink A LOT, approx 12 drinks per day EVERYDAY. I now drink much, much less but am about 5’9” and 235. How likely is it the elevated enzymes are the start of cirrhosis instead of fatty liver or something else? Any elaboration at all is appreciated.
    Also, please read the questions—not to be rude but the 3 responses thus far are simply lecturing my behavior…..thats not what I asked for.

    • ANSWER:
      The experts say that 10 years of heavy drinking can put a person on the road to cirrhosis. That’s the average, and please keep in mind that everyone is different. It could be less. It could be more for some. My guess is that the liver is inflamed due to trying to process the alcohol. Even if you are drinking half of what you used to drink, it is still enough to irritate your liver to inflammation.

      I’m not going to lecture you on drinking. You won’t have any signs of cirrhosis at first except for those elevated levels. I had cirrhosis. My first sign was fluid retention in the belly. Out of the blue, I just started swelling up. Had no other symptoms other than that. My liver enzymes were only slightly elevated. It turned out that I only had 10% liver function left. 90% was destroyed with cirrhosis. It is an amazing organ in that it functions quite well without a clue as to something being wrong until it is too late to correct. My cirrhosis is caused by biliary disease, but cirrhosis is cirrhosis no matter what the cause. I had to get a liver transplant and am doing well today.

  31. QUESTION:
    Should he see a hepatologist or a gastroenterologist for potential liver disease?
    My husband (non-drinker) has high ALT liver enzymes, suggestive of liver damage. So far, all of the bloodwork has been inconclusive- very low cholesterol, normal CBC, slightly high albumin levels (cirrhosis usually causes low albumin), negative for viral hepatitis, diabetes and hemachromatosis. He has not had an ultrasound yet but the internist we saw suggested it could be something called NASH (fatty liver disease, for which he does not fit the stereotype). She referred us to a gastroenterologist for an ultrasound but I was wondering if we would not be better off seeing a liver specialist (hepatologist)?
    abijjan- thank you for your response. do you happen to know if a gastroenterologist would be qualified to make a diagnosis if it is in fact liver damage? We are having to be a bit careful with seeing a whole lot of specialists, as we are on a high deductable health insurance plan. We would like to “cut to the chase” so to speak, and see the most qualified person from the start.

    • ANSWER:
      If the doctor was very sure that this was just
      a liver/biliary problem and he thought he might
      have cirrhosis…then he may have referred
      him to the hepatologist. However, since this
      determination hasn’t been made…
      seeing a gastroenterologist is fine for now.

      There are many things that can cause a problem
      with the liver:
      alcohol consumption, medications toxification,
      chemical exposure, fatty liver disease,
      auto immune disease, hereditary conditions,
      viral infections, parasite infections,
      mushroom poisoning, bilary obstruction/
      malformation/infection, metabolic disorders,
      tumors/cysts/growths/cancer, cardiac/
      vascular problems and others.

      The tests they do for the liver, to determine a
      “possible” cause is the:
      1) liver enzymes (ALT,AST,GGT, and Alk Phos)
      this shows a potential liver cell damage.
      2) liver functions (Bilirubin, INR, PT, PTT, Albumin)
      this shows if the liver cells are able to perform
      the functions efficiently to keep the body well.
      3)liver viral tests to see if a virus has entered the
      body and is using the liver cells to replicate itself
      4)liver cancer test…like feto protein.

      With an ultrasound they can see if the liver cells
      have been damaged, because if they are damaged,
      the liver would enlarge in size because the immune
      system of the body would have responded to this.
      (Inflammation would have develops in the liver
      to cause this)
      They can also see how well the blood is flowing
      through the liver, if there are any growth and
      if there may be fatty infiltrations.

      With fatty liver disease…it goes from simple
      fatty liver to Steatohepatitis. Steato means
      fat, Hepat means liver, and itis means
      inflammation. Fatty liver can be caused
      by alcohol consumption, certain medications
      like steriods, high cholesterol/triglyceride levels,
      hereditary condition, diabetes, insulin resistance,
      weight gain, metabolic disorders. They are still
      researching into this field to find out even more
      about it.
      Just an added note: Read this the other day:
      Impaired peroxisomal oxidation of polyunsaturated
      Fatty acids (PUFA) is associated with the progression
      of Nonalcoholic fatty liver (NAFL) to nonalcoholic
      Steatohepatitis (NASH). The study found significantly
      higher plasma monounsaturated fatty acids in the blood
      of patients with these two (NAFL and NASH).

      When the liver cells become damaged, then the
      inflammation will appear inside the liver that makes
      the liver enlarge in size. In many cases, this can
      be reversed if the cause is found and stopped
      and the inflammation is treated. If this cannot
      be done, it can progress to where the liver
      cells may die off and form scar tissue inside
      the liver…this is then cirrhosis and it is irreversible.

      I’m giving you a few links on NASH since that
      is what the doctor thinks it is:

      http://www.medicinenet.com/fatty_liver/article.htm

      http://www.aafp.org/afp/20060601/1961.html

      http://yourtotalhealth.ivillage.com/fatty-liver.html

      http://en.wikipedia.org/wiki/Fatty_liver

      http://www.gastro.com/Gastro/liverdisease/fatty_liver.aspx

      I hope this information has been of some help to you.

  32. QUESTION:
    I am having an enlarged liver, is that dangerous for my life?
    I have been diagnosed with an enlarged, fatty liver problem, is that dangerous? Could it lead to cirrhosis’s, and is there any medications to get the liver back to its normal size? I am moderately obese also, so if I reduce my weight more, could my fatty liver come back to its normal size? I also have a large abdomen, so if I lessened my abdomen size, could that also help? A couple of doctors have told me that usually all obese people will have enlarged, fatty liver problems, and that there is no medications for that, except to avoid alcohol. I also have changed my diet to eat lesser than before, and also avoid junk, oily and sugary foods most of the time. Could this type of diet change also help to solve this problem? I have heard that by following a healthy diet, the liver can get shrunk to its normal size, and become regenerated once again.

    • ANSWER:
      Please have Homoeopathic medicine CARDUAS M.——-30 potency & Q potency of SBL or any reputed make 30 ml pack each. Now take 30 potency medicine 1 drop in half cup water thrice daily till the cure of problem. Have Q potency medicine 10 drops in 5ml coconut oil mix it well & massage this oil to the right side lowest rib area twice daily. I hope that your liver will be in normal shape with in 15-20 days.
      Have dry FIGS 100 gm from market & chew 4 Figs at bed time in such a manner that there seeds are completely crushed then swallow them & drink warm water.It will also help to improve mal function of the liver.

  33. QUESTION:
    I have some questions and need your help?
    1. Some of pleasure derived from smoking cigarettes is really due to the relief of unpleasant nicotine withdrawal symptoms? TRUE OR FALSE?

    2. Carbohydrates and fats generally…?
    SUPPLY ENERGY, MAKE VITAMINS, STIMULATE TISSUE GROWTH, OR BUILD MUSCLE?

    3. When liver cells die in large numbers during years of alcohol abuse, connective tissue fills in the spaces left by dead cells in a condition known as….?
    FATTY LIVER, LIVER CANCER, CIRRHOSIS, OR CARDIOMYOPATHY?
    (I’m thinking its either fatty liver or cirrhosis?)

    4. Why do women generally have a lower metabolic rates than men??
    THEY HAVE SMALLER THYROID GLANDS THAN MEN….TRUE OR FALSE?
    (true?)

    5. When caloric intakes are very low, the body….?
    GAINS LEAN MUSCLE MASS
    STORES CELLULITES AROUND THE WAISTLINE
    INCREASES ITS METABOLIC RATE
    OR BURNS LEAN TISSUES FOR ENERGY?

    • ANSWER:
      1.TRUE
      2.supplies energy,makes vitamins and builds muscle you need fat to build muscle
      3.It could be liver cancer
      4.true
      5.BURNS LEAN TISSUES FOR ENERGY

  34. QUESTION:
    How likley am I to develop cirrhosis?
    I have had some discomfort in my upper right area of stomach for a little over a year and half. The doctor just told me its probably due to my fatty liver. I am 21 weigh 259lbs and am 6’0. I drink alot and have a mediocore diet. If I start becoming healthy now. what are my chances of still developing cirrhosis?
    Im pretty freaked out

    • ANSWER:
      Heroes marked for death do NOT develop cirrhosis of the liver, and if they do they just heal by themselves hehehehehe!!!!

      I couldn’t resist after seeing your avatar!

      Seriously now, the best is to stop drinking. But it’s also the hardest to do. I am sorry if I sound crazy, but if you feel something common with the men and women in Heroes, then my advise is, do some research on line on autism and especially Asperger’s Syndrome. You might find that what makes you drink, the unhealthy lifestyle and uch of your depressions, the feeling of being different, the anxiety attacks, the feeling of social isolation and that others seem to have a normal life while you don’t… might be part of your having autism. I know cause I have Asperger’s Syndrome myself. Autism has many faces not just the mute autistic kids that wave their hands in the air.

      Do some research on line on Aspergers and high functioning autism and you might find some more “heroes” like you out there. Good luck.

  35. QUESTION:
    How long can it take to go from stage 5 cirrhosis to stage 6?
    My mother in law just informed that she has stage 5 cirrhosis of the liver this is non alcoholic, and she does not have hepatitis, just fatty liver. They said at stage 6 she would need consultation to be put on a transplant list. I actually have a few ?s about this. 1.) How long does it typically take to reach stage 6 2.) whats the typical lifespan of someone who has stage 6 cirrhosis? 3.) what are the chances that she would get a transplant given her medical history, she had breast cancer in 2004, triple bypass surgery in 2005, is diabetic, not insulin depede pendant and has nuropathy from her diabetes. She is also on many medications. 4.) why in the heck have they not cut down on her meds since her liver cannot process it all? I only know some of what she is on, aspirin for her heart, Oxycontin, oxycotin. Like I said this only only the few meds that I know she is on she takes roughly guessing around 10-15 different medicines prescribed by her dr.

    • ANSWER:
      This is a little confusing…so I’m going to start by explaining a few
      things:
      Fatty liver has different causes: alcohol consumption (not applicable)
      obesity, weight gain, diabetes, high cholesterol/triglyceride levels,
      fast weight loss, and others.
      Hepatitis is inflammation inside the liver
      Cirrhosis is death of the liver cells and scar tissue formation inside
      the liver.

      Fatty liver usually starts out as “simple fatty liver”. As the fat builds
      up inside the liver, it can cause damage to the liver cells. The
      immune system of the body responds to this damage and causes
      inflammation to develop inside the liver (hepatitis). This is then
      known as Steatohepatitis (steato stands for fat, hepat stands for
      liver, and itis stands for inflammation).

      If the cause cannot be stopped, then this can proceed to where
      scar tissue forms inside the liver that will block, eventually, the
      flow of blood through the liver…this is then known as Cirrhosis of
      the liver. IT is a progressive, irreversible disease.

      When Hepatitis is stated and it has a letter after it (then it is
      talking about the viral type of Hepatitis…Like Hep A,B,C,etc.)

      The doctors, through film testing and maybe a liver biopsy, are
      the only ones who know how far advance this disease really is.
      People can progress slow or fast based on their other medical
      conditions, age, response to treatment, etc.
      They take into determination all her medical problems, her
      blood test and biopsy test to determine how long she may live
      without having a transplant. If she is on the transplant list,
      she will be given a MELD score. The Meld score runs from
      6 to 40. Those closest to a 6 are the healthiest and may even
      go off the list. Those who are going up the ladder closer to
      the 40 are sicker and more in need of a transplant.
      Here is a MELD score calculator to give you an estimate of
      where she would be placed if she was already on the list.
      You will need the blood lab results of the Bilirubin, INR,
      and Creatinine for this calculator to give you this estimate.:

      http://www.unos.org/resources/MeldPeldCalculator.asp?index=98

      Only the Transplant team of doctors can determine if she will be
      able to withstand the long hours of surgery. Because of her other
      medical conditions…this may not be the case I wish I could tell
      you for sure, but I cannot.

      All her doctors should know “all” the medications she is on.
      It doesn’t hurt to ask about whether her dosage is correct.
      Doctors have to weigh the pros and cons of using certain drugs.

      She should have an advance directive or power of attorney
      form made to have someone handle her affairs for her and to be
      able to speak with the doctors directly on her behalf.

      http://www.caringinfo.org/stateaddownload

      http://www.caringinfo.org/index.cfm?

      Best wishes. Hope this information is of some help

  36. QUESTION:
    How soon can cirrhosis develop?
    I smoked for 10 yrs. then quit and now I’m healthy.I’ve been drinking over a 12 pk. of beer every night for 4 yrs. now and am ready to quit because, like the cigarettes, it’s making me sick.I’ve been trying to find out if I’ve already got irreversible liver damage like cirrhosis or hep C.I can’t afford to go to a doctor,but the research suggests that I probably have fatty liver and that will improve when I stop drinking and serious irreversible problems usually only develop after like 10 years,but I really want to know if I’m going to be okay.Please don’t say “you should quit” I already know that and like smoking…I will,I just want to know what I should expect from my health after I do.

    • ANSWER:
      You most likely do not have any irreversible damage at this time, so as Martha Stewart would say, “It’s a good thing.” Once you stop drinking, your liver will love you. You are probably inflaming it with all the alcohol right now. There is nothing physical telling you that, but it most likely is happening. Your liver enzymes might be a bit elevated right now, and maybe not since everyone is different. Those would normalize if they are elevated and you stop drinking.

      Believe me when I say that having cirrhosis is not fun. You do not want to ever get to that point. I had it from biliary disease followed by a liver transplant. You are very wise to wake up and take responsibility for your health. Congratulations on the not smoking. I did that too 4 years ago. You are on the right track. Stick with it and I believe you will be fine.

  37. QUESTION:
    a serious chronich dieses of the liver caused by chronic alcoholism and hepititis C infection causes initially?
    a serious chronich dieses of the liver caused by chronic alcoholism and hepititis C infection causes initially a build up of fatty tissue ;eading to healthy cells replaced by scar tissue, what is this serious disorder known as?

    i dont know kno which one it is , is it cirrhosis, inflamatory bowel diese, hepititis or ulcers?

    • ANSWER:
      cirrhosis

  38. QUESTION:
    what kind of disease is this..if it s?
    my brother’s platelet count is slightly decreased..his is 106..his eosinophil is 29…he saw a hematologist and she told him he wants to do abdominal ultrasound..and stool exam for worms..she said that if she cant find intestinal worms..shes entertaining liver cirrhosis..my brother used to drink a lot..but he’s stopped…is that possible..i read up on it and encountered the term alcoholic fatty liver..could that be it?we haven’t done the ultrasound yet..and i suggested for him to have his LFT and Coagulation profile done…what’s our best options?options?

    • ANSWER:

  39. QUESTION:
    SHould we make alcohol illegal?
    With all of the problems that alcohol causes, isn’t it time that we make it illegal again? How can we let this stay legal? Why should our society put up with a bunch of drunks? Look at all the problems that alcohol causes.

    Liver disease Elevated liver enzyme levels Fatty liver, alcoholic hepatitis, cirrhosis

    Pancreatic disease Acute pancreatitis, chronic pancreatitis
    Cardiovascular disease Hypertension Cardiomyopathy, arrhythmias, stroke

    Gastrointestinal problems Gastritis, gastroesophageal reflux disease, diarrhea, peptic ulcer disease Esophageal varices, Mallory-Weiss tears

    Neurologic disorders Headaches, blackouts, peripheral neuropathy Alcohol withdrawal syndrome, seizures, Wernicke’s encephalopathy, dementia, cerebral atrophy, peripheral neuropathy, cognitive deficits, impaired motor functioning

    Reproductive system disorders Fetal alcohol effects, fetal alcohol syndrome Sexual dysfunction, amenorrhea, anovulation, early menopause, spontaneous abortion

    Cancers Neoplasm of the liver, neoplasm of the head and neck, neoplasm of the pancreas, neoplasm of the esophagus

    Psychiatric comorbidities Depression, anxiety Affective disorders, anxiety disorders, antisocial personality

    Legal problems Traffic violations, driving while intoxicated, public intoxication Motor vehicle accidents, violent offenses, fires

    Employment problems Tardiness, sick days, inability to concentrate, decreased competence Accidents, injury, job loss, chronic unemployment

    Family problems Family conflict, erratic child discipline, neglect of responsibilities, social isolation Divorce, spouse abuse, child abuse or neglect, loss of child custody

    Effects on children Overresponsibility, acting out, withdrawal, inability to concentrate, school problems, social isolation Learning disorders, behavior problems, emotional disturbance
    We need to step up the War on Drugs to include alcohol.

    It has NO positive benefits on our society.

    NONE.

    It should be illegal.

    • ANSWER:
      I totally agree!!

      Marijuana should be legal instead!!

  40. QUESTION:
    Can someone pls help interpret results from a LIVER ULTRASOUND???
    The ultrasound says…”interval since prior exam the echogenic pattern of liver has increased. Negative for local mass. Binary tree is negative. Cbd measures 4 mm. This is compatible with fatty infiltration and/or cirrhosis.”

    • ANSWER:
      Precious…Doctor’s language is full of pride an “ocus-pocus”, very much like the one from the Holly Priests, that everyone needs to contact to gain access to God !

      “the echogenic pattern of liver has increased” – I understand – I am a layman in this field – you overall “eco image” (as opposed to a “photographic image”, made out of photons and chemical media) “has increased”; in other words your liver is a bit larger.

      “Negative for local mass.” – there is no “mas”, otherwise known as “growths”, “tumors”, etc…Which I think is good.

      “Binary tree is negative” – I have no idea what is a “binary tree”..you swallow an MP3?

      “Cbd measures 4 mm” – This could be the duct from the liver to the stomach, whereby the bile is emptied inside the stomach and digestion is made this way. It does not say if it is in Length, Diameter or what. I suppose it’s diameter. Who knows; it sounds very important to use Acronysms, descriptive sylabs, letters, etc. The less people understand, the more important they seem. Of course it could be something like the Stm, Cw5, nop, or maybe the nfg. Who knows.

      “This is compatible with fatty infiltration and/or cirrhosis.” – A fatty liver means the tissue is not lean and the “laboratory’ (that’s what the liver is; God made it amazingly complicated (sorry, it came out of a smaller Bang!), and it has something like 200 plus functions. Fat does not produce wellness). Cirrhosis is an condition that requires your attention. Usually people that drink alcohol in excess are affected by this condition. The liver becomes harder and its cells harden. This makes its function to fail in some areas.

      The good thing is that our Designer made the liver a self suficient and an amazing laboratory, organ – very much like the heart, which He mentions several times in His word – capable of patching itself up and take care of its own repair, if you provide assistance. Some people live with one third of their liver. Tah is how well made we were designed. The liver grows back again, to a certain point.

      Hope this helped.

  41. QUESTION:
    Do you ever wonder How is alcohol legal? Cannabis VS alcohol?
    Alcohol——1. Alcohol is a depressant. Excessive alcohol use increases the risk of a number of diseases: fatty degeneration of the liver, infection of the liver, liver cirrhosis ( More ) , sleeping disorders, sexual problems, infection of the esophagus, infection of the stomach, infection of the pancreas, premature dementia, varying from a reduction of memory to the serious syndrome of Korsakoff; cancer of the mouth, throat, larynx, intestines and breasts; hypertension and heart problems. Alcohol is also damaging during pregnancy. Also alcohol takes its toll in traffic.

    Alcohol plays an important role in aggression. 40% of all incidents involving aggression occur while under the influence of alcohol. The police spend 22% of their time on cases involving alcohol. Violence on the streets and domestic violence while under the influence of alcohol happen often.

    Also at work, alcohol has big consequences. 13% of all employees on sick leave have alcohol problems. Employees with alcohol problems produce at least 10% less work than their colleagues.

    Alcohol can make people irresponsible; for example, getting pregnant in circumstances where they are not able to care for a child.

    Cannabis – Contributors weigh in with the following:

    * The definitive study of the long-term health effects of marijuana to date was done by Kaiser Permanente. They surveyed the health records of 65,000 patients over a long period of time. They found no significant differences in the health records of pot smokers versus people who did not smoke pot. See http://www.druglibrary.org/crl/aging/sidney-01.html

    Read more: http://wiki.answers.com/Q/How_bad_is_marijuana_for_you#ixzz1ROFKYwVS

    I hate when people assume, dont answer unless you have researched and or clicked on the link…

    • ANSWER:
      Nope.
      Simple answer – alcohol and cigarettes are legal because the government gain a lot of money through tax
      They don’t care about the nation’s health – al they care about is getting money from the people

  42. QUESTION:
    I’m scared I have got cirrhosis?
    I’m only 25, and have been a heavy drinker for several years now. About 8 years ago I started drinking heavily, 6 pints or more each night in the pub. I was diagnosed with depression aboout 5 years ago and so didn’t drink at all when I was on anti-depressants for 9 months or so. Since I came off antidepressants I have been drinking heavily again, at one stage about 2 bottles of red wine each night, and sometimes drinking all day at weekends (up to ten cans of lager). I am now terrified I have cirrhosis, I have no symptoms other than that I am tired all the time, and more worryingly I have red palms of the hands and feet, also some minor jaundice in my eyes, but not so bad that anyones commented on it. I am seeing the doctor on Friday on an unrelated manner but wonder if I should mention it to her. I am scared of hospitals and dont want to be sent for a liver biopsy. I am quite prepared to stop drinking from today, but I am worried that the damage may now already be done and irreversible. I’m too young to die, its seems that everything that could have gone wrong in my life has gone wrong and now this looks like it could be the final nail in the coffin. I totally regret the way I have been drinking over the last few years and if I could turn the clock back I would. :’( Do I have cirrhosis or could the damage have not gone that far yet? Everywhere I’ve looked, red palms (palmar erythema) is associated with cirrhosis and not any of the preceeding conditions (fatty liver, hepatitis). Dear God help me
    Forgot to say, a couple of years ago my liver was noticabley enlarged (fatty liver?) I am now concerned because my drinking has only reduced slightly, but I can no longer feel my liver at all which makes me think its shrunk due to cirrhosis

    • ANSWER:
      If you continue to drink, I guarantee that liver failure is going to kill you and it’s not an easy way to go. I hate being so blunt, but you are playing with fire here and need to know the truth. Everytime you drink alcohol it is poison to your liver. Remember that everytime you take a drink.

      You could have cirrhosis, but from what you tell me, it would indicate the early stage of the disease. You should at least get some labwork that would determine whether or not there is a serious problem. There are 4 stages of cirrhosis. In the early stage, when the source of the problem is taken away such as alcohol, people can get better. If they ignore the warning signs and continue to drink, the disease will progress to the later stages at which time only a transplant will keep them alive. You never want to reach that stage.

      Let this be your wake up call. Tell your doctor. Get the bloodwork done and stop drinking forever. I think you can get well again if you stop drinking NOW. You are very young and have your entire life ahead of you. Don’t make it a short one. Good luck and wish you the best.

  43. QUESTION:
    How Much Fructose and Sugar Can I eat?
    I read this from Answers. I want to avoid getting the following:

    “On top of containing a large number of calories, the sugars and high fructose corn syrup can slow the speed at which the liver digests and converts your in-take into energy. If you live a generally sedentary lifestyle and consume a lot of sugary products you will be at risk for non-alcoholic fatty liver, which could then progress to NASH (non-alcoholic steatohepatitis) or even cirrhosis and liver failure down the line. Approximately 2%-5% of under 18′s are affected by this in America at the moment, with most not even knowing.”

    Q: Can I have a couple of grams or so?

    • ANSWER:
      The killer sugar is table sugar (sucrose). Fructose is not a problem and that is the most common sugar in fruit. If you want 146 reasons why sugar (sucrose) is ruining your health you can find them in http://www.rheumatic.org/sugar.htm .

  44. QUESTION:
    Is there treatment for cirrohsis?
    I was just found out I have cirrhosis of the liver, Im not sure what my next skips are and what to do?I got it because I have a fatty, liver that is what my Doctor told me.. I not sure what to do??

    • ANSWER:
      Go to the website below, it gives a lot of information and may help you.
      Fatty liver is often the first stage and can be caused by a few different things.
      Do not drink any alcohol as that will speed up the process faster than anything else. Stick to a sensible, healthy diet, dont smoke and get plenty of rest. This is pretty basic advice, read the article for more detailed advice.

  45. QUESTION:
    Help, my mom won’t stop drinking…?
    My mom has been drinking for as long as I can remember. She gets drunk. Then the next morning she starts to drink again as soon as she wakes up. It usually lasts a week. I don’t live with her anymore because honestly I don’t want my daughters to see that.

    She works for my sister’s husband selling water softens. She is the best in the country and she makes about ten thousand dollars a month. Then she takes that money and goes MIA.

    The last couple of years it has gotten real bad. This is happening more and more often, and this time, it has been a 15 days. She missed my daughter’s fifth birthday, thanks giving, and her own birthday. I am getting really scared.

    I studied alcoholism in a history class, a drug class, and I wrote 4 research papers on the physical and mental long term effects of binge drinking. Alcohol is a central nervous system depressant. When a person drinks non-stop for a long time, like my mom, their brain tries to counter act the depression by over stimulating it. When the alcohol is suddenly taken away (when she decides to stop, or runs out of money) the central nervous system becomes over stimulated.

    The withdrawals from alcohol are called delirium-tremens. It is more deadly then heroin withdrawals. It starts with a really bad hang over. Any person’s hang over is withdrawals from the drug (Alcohol is a drug), that’s why drinking a small amount of alcohol helps the symptoms so much.

    After, or during that stage, the person begins to shake. They can’t stop their hands, head and other extremities from shaking. Kinda like boxers who have been hit in the head too many times.

    The next step is tingling sensations. It is described as spiders crawling on your skin, and can progress to the feeling of snake bites. These sensations make the next stage even more frightening, hallucinations (delirium). These hallucinations are almost always terrifying.

    Once a person reaches the delirium stage, they need to go to the hospital so that a doctor can give them a barbiturate. Barbiturates work because they are and alternative depressant drug, but the doctor is able to regulate this drug better then alcohol and slowly wean the patient off. It the alcoholic dose not receive medical attention, the final stage is grand-mal seizures (tremens). This is often followed by death. Every time a person survives these withdrawals, the symptoms become more and more sever every time.

    There are many other ways alcohol can kill you. In the short term, car accidents, falling, etc. ( those thing have happen to my mom) Long term, a person can get a fatty liver that leads to cirrhosis of the liver and death. If they don’t die from it, they will probably loss their mind. Binge drinking has detestation effects on a person’s short term memory, problem solving ability, emotions, and personality. Basically, in the long run, it’s like taking a sledgehammer to the forehead and permanently damaging your cerebral cortex (the part of your brain that makes you who your are).

    Most people don’t know about delirium-tremens, or these other horrible consequences. I certainly didn’t know when I was younger. Looking back, I saw some of these terrible symptoms in my mom. Her personality has changed and she repeats the same sentence a lot. The most terrifying, though, is that I have seen her shake, and heard her scream for seemingly no reason when she is coming down from a binge. She blacks out for days when this happens. She wakes up with no almost no memory of this happening, and acts like every thing is fine, but I know she realizes what she did. How can she deny loosing a week on the calendar?

    When I’m done writing I’m going to go to her apartment. She might not let me in, but I will get in anyway. Honestly, it has taken me this long to check on her because I am really afraid I will see her dead. I love my mom.

    My mom had my sister take her to the hospital last time this happened. They admitted her into the psyc ward. My mom didn’t like that very much. They couldn’t hold, for some reason and let her go. Now she is avoiding my sister and I.

    My sister called the cops on her and told them she was suicidal. They couldn’t do anything because my mom wouldn’t admit it. Also, she was in her a apartment, so they couldn’t take her in for public intoxication. What a f*cked up country. The police can arrest a pot smoker who is not hurting themselves or anyone else. But they can’t help my mom who is killing herself, and might try to drive and kill some innocent person.

    I really don’t know what to do anymore.

    Please, if anyone out there has an idea of a way to get her help against her own will. If I don’t find a way she might die. If she survives this time, it will happen again. She won’t stop until she dead.

    • ANSWER:
      You are in a difficult situation with difficult answers. You are a good researcher, I can only disagree with one small thing you said. When someone has liver disease, ammonia builds up in the blood, this is what causes the “loss of mind” you mention. But the ammonia build up is treatable with lactulose. Without the build up of ammonia, there is no development of confusion. There is Wernicke Encephalopathy that develops in people with chronic alcohol abuse. It is different than the effects of ammonia in cirrhosis. http://emedicine.medscape.com/article/794583-overview

      You know a lot about the health and physiological consequences of abusing alcohol. Now you should point your research in a different direction. Look into family dynamics in alcoholism,http://family.jrank.org/pages/246/Children-Alcoholics.html http://organizedwisdom.com/Alcoholism_and_Family_Dynamics Look into co-dependency and enabling. Here is a pace to start. http://alcoholism.about.com/od/coda/Codependency_Resources.htm Look up AA (alcoholics anonymous) in your area. Look up Drug and alcohol treatment and intervention in your area. http://www.intervention.com/ You grew up with this and have a learned pattern of behavior built around reacting to your mom’s drinking and protecting her from herself. If you keep doing the same thing, she will keep doing the same thing. Change your reactions, she won’t be able to do the same thing. You have leverage. Gonna sound very harsh. She has money to drink on, she has her apartment, she cannot be taken in for pubic drunkenness BECAUSE she has a job from your brother-in-law. Could she keep a job with anyone else? Who would hire her? “Mom, if you go to treatment, when you get back your job is here waiting for you, we will pay the rent on the apartment it will be here for you. As long as you stay sober, you have a job. If you won’t go to treatment, the job is gone as of right now, you are fired for drinking at work. We won’t pay the rent, you cannot move in with us, you can get what you want out of the apartment and put it in a shopping cart, we are not helping you hurt yourself, we will help you get well.” Don’t do that without the help of a professional though….you need the treatment set up, you need to be determined, you need a professional to back you up. This is the only way I know of to get help for someone who doesn’t want it.

  46. QUESTION:
    Cirrhosis and Gall-Bladder Surgery?
    My friend is in the early stages of cirrhosis (non-alcoholic) and is having surgery to remove her gall bladder because of painfull gall stones. The surgery is so risky that she was told she has a 50-50% chance of making it through.
    Is there anyone who has gone through this surgery with cirrhosis and/or knows someone who has? Was the outcome of the surgery favorable?

    It is believed her cirrhosis was caused by having had hepititis as a young adult. She first was diagnosed with fatty liver, progressed to NASH (non-alcoholic steatohepatitis (non contagious)) and then early stages of cirrhosis.
    Can you list some of these herbs that you claim can dissolve the stones? Can you guarantee they will dissolve them? If she postpones surgery and her cirrhosis becomes worse the surgery is even more dangerous so they say, “the sooner the better.”
    Some herbs, I’m sure can be harmful to the liver and although surgery isn’t always the best option, it seems to be the best one at this time.

    • ANSWER:
      Tell your friend to get a new doctor. 99% of ALL gallbladder operations are unnecessary. The very best thing is for your friend to see a Certified Nutritional Therapist that understands QRA testing. Do you really think not having a gallbladder is what nature intended? There are herbs that can shrink the gall stones and then herbs that will open the throat of the gallbladder to allow the smaller stones made from the first herb to pass.

      The liver is not a piece of rubber! It can be detoxed and will repair if given the right nutrients.

      The liver is responsible for making bile and if the wrong oils are consumed, the liver will make bad bile. Doctors do NOT understand how the body works or they would not take the gallbladders out and would take the time to help their patient(s) to repair the liver and make the patient healthy. Once you remove the gallbladder, they can’t put it back.

      It only takes a few weeks to get the gallbladder working better and there is a protocol for making the liver and gallbladder healthy again.

      The protocol does not require drugs and their are no side effects to good nutrition. If it doesn’t work, there is always the surgery option, but if you do the surgery first, there is no other options available.

      Gallbladder surgeries are becoming epidemic in the medical field. This is due to these low fat, high carb diets and bad oils being consumed. You will be very surprised at how you can change this situation with some good advice.

      good luck to you

  47. QUESTION:
    Cirrhosis…. Is it to late?
    Last year around june or july the doctor told me i had a fatty liver because of my weight so he told me to stop drinking and watch what i eat…But i didnt listen to him… i dont drink like before but i didnt stop drinking or do anything to try and lose weight…

    The doc did want to do a follow up but i dont have health insurance so i havent gone…anyways is it possible that i could have cirrhosis by now since its been awhile is it to late to try and change my lifestyle… I know i have to go to the doctor to be sure but i proabably wont anytime soon…also i cant really say that im scared because its my own fault.

    Anyway i just want to hear from people who maybe bave gone thru this or know anything about cirrhosis

    • ANSWER:
      You probably don’t have cirrhosis yet. Cirrhosis generally takes years to develop, although it can depend upon the reasons and the insults. Cirrhosis from fatty liver generally takes longer to develop, although I can’t guarantee anything–everybody is different. The liver is a pretty remarkable organ and it has amazing healing ability if it hasn’t been damaged too much. Cutting back was a good thing. Cutting back even more (or not drinking at all) would be even better. Watching what you eat will also help. So will exercise. One of my friend’s liver enzymes went from high to normal with exercise (and some diet, I think), even though she didn’t lose weight.

      I know that it’s hard to go to the doctor when you don’t have health insurance. However, it’s cheaper to take care of things now before they get worse and more serious (and thus more expensive). If you don’t have the money, there are probably health clinics near you that take patients without health insurance. Depending upon the clinic and your circumstances, the cost ranges from free to reduced cost.

  48. QUESTION:
    health questions?
    fat soluble vitamins – dont build up in the body, are absorbed by fat, a lot are needed by the body, or pass easily through the blood stream

    tiny air sacs in lungs destroyed and breathing becomes harder by a disease known as – lung cancer, chronic bronchitis, emphysema

    carbon monoxide is present in blood and boday tissues and cells are deprived of – hemoglobin, carcinogens, iron, oxygen

    nicotin causes addiction and – acts as a stimulant, is a carcinogen, competes with oxygen , or destroys cilia

    a symptom of alcohol poison is – irregular heart beat, or increased respiration

    liver tissues replaced with useless scar tissue is – fatty liver, alcoholic hepititis, cirrhosis, or fetal alcoholic syndrome

    tar contained in tobacco smoke is harmful to the lungs because -
    it clogs blodd vessels, paralyzies cilia, its a stimulant, or its addictive

    a disease caused by a virus is – tuberculosis , malaria, or influenza ringworm…

    plz help….. :)

    • ANSWER:
      - are absorbed by fat
      -emphysema
      -oxygen
      -acts as a stimulant
      -increased respiration
      –cirrhosis
      -paralyzies cilia
      -influenza

  49. QUESTION:
    Male breast cancer – high ALT AST values?
    We recently discovered a lump in my husbands breast. We have had a mammogram, in which the radiologist looked at it and ordered an ultrasound. Those came back with him requesting “Additional imaging” and “abnormal cell growth” Our doctor said its time to see a surgeon and dismiss further imaging. We see a surgeon on Wed. (I assume then they will take a look and decide rather or not they should remove or biopsy)

    Here is the kicker. Within the last two months, he has also been diagnosed with type II diabetes. AND he’s had what our doctors called a “fatty liver” . Diagnosed with that 3 years ago. HOWEVER, his cholesterol is good. Both his good and bad. His ALT and AST levels (liver function) has gradually went up over the last three years. He HAS had a liver CT scan that showed “NORMAL”. I was reading that cirrhosis of the liver could cause elevated ALT and AST levels. And also have read that cirrhosis is not always detected in CT scans.

    I’m wondering if this coudl all be related?
    I’ve read that cirrhosis of the liver can be a factor for male breast cancer.
    He’s recently lost 13 lbs in the last three weeks. However, he has changed his diet for diabetes too. So its hard to say rather or not that is from diet or something more serious.

    I know I’m probably jumping the gun here. I’m just concerned and worried. And the mammogram and ultrasound took him almost 2 weeks to get in for. Then another week for results. Another week to see a surgeon. I imagine another week for surgery and another week for results! UGH!!!!!!!

    Its getting more difficult to stay calm and collected here. We have four small children.
    I too was actually saddened by the “WOMANS breast health center” here in our town. When he went to have his mammogram, we were walking toward the entrance, and a sweet lil’ old lady (volunteer) gently grabbed my husbands arm, and told him ” I’m sorry sir, there are no men allowed back there” This not only saddened me, but emabaressed my husband because there were men there waiting for their wives, or partners in the waiting room. And of course they all looked up and knew that he was the one having the mammogram. My husband made light of the situation, however was clearly embaressed! He really had to pull his ‘man card’ and suck it up that day! Its sad that breast cancer is not recognized in both men and woman. I realize it happens 99% of the time, more in woman. But there is still that 1-2% of men who have it. They really should recognize those men too!

    • ANSWER:
      I can’t give you any medical advice unfortunately as I am not qualified to say so.. However.. I do know people are shocked when men get Breast cancer as the majority of women think only women get it.. obviously it’s rarer in men but I wanted to take part in a breast cancer fun run last year and was told I couldn’t because I was a man… I was saddened and outraged by this and it just shows you how ill informed some people are.

      All I can say to you is I wish your husband a speedy recovery and that everything gets sorted for both of you.

      Good luck

  50. QUESTION:
    Expertise needed good but simple flavorful sauce for spaghetti squash. Tasty enough so will make me want more!
    I recently found out I have NASH a fatty liver disease. I have to loose some weight so the fat will come out of my liver or it will scar it. Which could lead to major Cirrhosis of the liver later in life, pretty scary huh? Well now I’m looking for stuff to fill in my void of food that I love so! I boiled a spaghetti squash today and have just been staring at it. It doesn’t look appealing at all. I suppose I could learn to like it if it had a tasty sauce on it. Is there a trick to plumping it? Maybe boil it in water or is that it!. Just any little advice or experience you’ve had with Spaghetti squash. What are some other low calorie veggies & tasty recipes I can find to tame my stomach and stay under 1500 cals a day? I LOVE TO EAT! I am lifting weights twice a week in the stronger women program. I have lost 8 lbs but am stuck and starting to backslide! Give me foods I can eat a lot of and still be legal!!! Ive checked on some Shirataki noodles, but the shipping for California is high!
    Need really need tasty encouragement please! It can be Italian, Cajun, Mexican, Indian, vegetarian, anything, just low cal and tasty. Is there another veggie that is versatile to cook with? Maybe eggplant & what do you suggest. etc.

    • ANSWER:
      Lemon Caper Spaghetti Squash

      Ingredients (use vegan versions):
      1 small spaghetti squash
      2 tablespoons extra-virgin olive oil
      1/4 cup non-hydrogenated, vegan margarine
      2 tablespoons drained capers
      1/4 cup diced zucchini (green rind mostly)
      1/4 cup dice red bell pepper
      4 tablespoons lemon juice (bottled works fine)
      4 tablespoons chopped flat-leaf parsley
      1/4 cup chopped tomatoes, canned or fresh
      salt and pepper
      Preheat oven to 400 degrees F. Cut squash in half lengthwise and scoop out the seeds. (Toss them out for the birds.) Rub the inside well with the olive oil, use more than 2 tablespoon if you need to. Put the squash cut side down on a pan (cookie or pizza, whatever you have) and cover with foil. You don’t have to make a tight seal but you don’t want it too loose. Bake the squash until the squash “flesh” (sorry to use the “f” word) is done and can be easily scrapped out with a fork. It took about 30 minutes in my oven. Scrape out the spaghetti strings and put them aside where they’ll stay warm.
      Melt the margarine in a large pan or cast iron pot (what I used) and add the zucchini, bell pepper and capers, cooking them until they’re tender. Stir in the lemon juice, parsley and season with salt and pepper. Kosher salt if you have it but don’t make it too salty! Taste sauce to see if it’s OK before mixing in the squash and tomatoes. You can pan fried floured tofu slices to serve with this and it was excellent.
      Serves: 2-3. If not vagan have broiled chicken.

      Spaghetti Squash with Moroccan Spices
      1 (3 1/2- to 4-pound) spaghetti squash
      1/2 stick (4 tablespoons) unsalted butter, cut into pieces
      2 garlic cloves, minced
      1 teaspoon ground cumin
      1/2 teaspoon ground coriander
      1/8 teaspoon cayenne
      3/4 teaspoon salt
      2 tablespoons chopped fresh cilantro PreparationPierce squash (about an inch deep) all over with a small sharp knife to prevent bursting. Cook in an 800-watt microwave oven on high power (100 percent) for 6 to 7 minutes. Turn squash over and microwave until squash feels slightly soft when pressed, 8 to 10 minutes more. Cool squash for 5 minutes.
      Meanwhile, melt butter in a small heavy saucepan over moderately high heat. Add garlic and cook, stirring, until golden, about 1 minute. Stir in spices and salt and remove from heat. Carefully halve squash lengthwise (it will give off steam) and remove and discard seeds. Working over a bowl, scrape squash flesh with a fork, loosening and separating strands as you remove it from skin. Toss with spiced butter and cilantro.
      • Alternatively, you can bake the squash in a preheated 350°F oven for 1 to 1 1/4 hours.

      Spicy Spaghetti Squash
      1 small spaghetti squash, halved and seeded
      1 tablespoon olive oil
      1/2 cup minced onion
      3 cloves garlic, minced
      2 green onions, minced
      12 ounces ground white meat turkey
      2 cups crushed tomatoes
      2 tablespoons red wine
      2 teaspoons capers
      2 teaspoons minced fresh oregano
      2 teaspoons crushed red pepper flakes
      2 tablespoons chopped fresh parsley
      Preheat oven to 350 degrees F (175 degrees C). Place each squash half cut side down on a cookie sheet and bake uncovered for about 45 to 60 minutes or until a fork goes easily into the shell. Allow to cool and scoop out the strands of squash with a large spoon and set aside. Heat the oil in a skillet over medium high heat. Add the onion, garlic and scallions and saute for 2 minutes. Add the turkey and cook for 4 minutes. Add the tomatoes and wine and bring to a boil, lower the heat and simmer for 20 minutes. Add the capers, oregano, red pepper flakes and parsley; simmer for 5 minutes. If the squash has cooled too much, reheat it in the microwave, covered for 2 to 3 minutes. Top the squash with the sauce and serve.

      nfd