Fat-Liver

[swissie]

Recent test has shown that I have a mild form of "Fat-Liver". Meaningful reduction of Alcohol consumption was recommended. No problem, can do.
Have just been wondering if it matters (with regard to Fat-Liver) if the alcohol comes from Distilled Spirits or Beer.
Probably same same. Just wondering.

[Isaanbiker]

Please be aware that there's a so-called Non-alcoholic fat liver disease. Certain liver tests, perhaps even a liver biopsy ( where they take out a tiny piece and check on it) will tell these doctor a lot more about your liver than any blood tests. Distilled spirits are of course way more destructive to your liver, it obviously depends on how much alcohol you drink.

 

A liver function test and blood count test should be done now. 

 

 

   A liver biopsy might hurt a bit, but better to be sure than lost. 

 

     Please see:  https://medlineplus.gov/fattyliverdisease.html

[NanLaew]

As I raced through middle-age into my dotage, the ritual, annual medical always mentioned the fatty liver. There was never any admonition to consume less alcohol. They only suggested a less sedentary lifestyle and dietary choices as a solution. With the warning for a 'meaningful' reduction of alcohol intake, maybe the OP looks like or is a bit of a pisshead. Trying to define which sort of alcoholic intake is less damaging suggests the OP is looking for some wiggle room on this diagnosis?

 

Eat fruit, white meat and drink wine. Riding a bicycle helps (but better do that before drinking wine).

 

Sorted.

[55Jay]

Sorry, but I have to agree with Head Banger above ^. 

Adjust your diet, meaning quit eating so much shit, and get off ur arse and exercise.  This will sort your "fatty liver" problem.  

 

Not saying become a tee totaler.  Cut down, exercise, don't eat shit, and you'll be ok into your 70s.  Then you die.  Simple. 

[55Jay]

Don't eat shit includes bowls full of steamed/fried/sticky rice.  

That's white death. 

A couple of spoon fulls is all you need, then leave the rest of that shit for the dogs.

[Sheryl]

Without knowing OP's weight, height and usual alcohol consumption it is impossible to say if diet or alcohol or both or neither are what needs to change.

 

Presumably he already had liver function tests that were normal, I cannot imagine a scenario where an ultrasound would be done but not these basic labs.

 

Being overweight will cause fatty liver. So will damage from alcohol.  If OP is overweight he should lose weight and yes, best way to do that is to avoid all processed carbs and processed foods in general, eat more fiber, get more exercise

 

But for all we know he might be normal weight already. Sounds like the doctors thought alcohol was the issue.

 

To answer OP's original question, except for crude "rot gut", homemade stuff and the like it does not matter what form the alcohol comes in liver-wise, only the alcohol content.  Though in terms of other health aspects and weight control beer seems especially bad and wine, especially dry red wine, best though of course in moderation.

 

Mild fatty liver with normal liver function tests and no symptoms would not be an indication for a liver biopsy, which is an invasive procedure not free of risks.

 

[lopburi3]

As one with fatty liver (non-drinker but overweight most of life) who now appears to have primary liver cancer (HCC) would strongly urge poster to stop the drinks and hope his liver can improve (believe normally if due to drinking it can).  HCC is rare but seems to be associated with fatty liver.   

 

As said there is not much else other than better eating and exercise currently available (the only drug treatment is not available in Thailand or approved AFAIK) - for some Vit E might be advised but that would depend on many factors from doctors I have spoken with.  

[swissie]

12 hours ago, Sheryl said:

Without knowing OP's weight, height and usual alcohol consumption it is impossible to say if diet or alcohol or both or neither are what needs to change.

 

Presumably he already had liver function tests that were normal, I cannot imagine a scenario where an ultrasound would be done but not these basic labs.

 

Being overweight will cause fatty liver. So will damage from alcohol.  If OP is overweight he should lose weight and yes, best way to do that is to avoid all processed carbs and processed foods in general, eat more fiber, get more exercise

 

But for all we know he might be normal weight already. Sounds like the doctors thought alcohol was the issue.

 

To answer OP's original question, except for crude "rot gut", homemade stuff and the like it does not matter what form the alcohol comes in liver-wise, only the alcohol content.  Though in terms of other health aspects and weight control beer seems especially bad and wine, especially dry red wine, best though of course in moderation.

 

Mild fatty liver with normal liver function tests and no symptoms would not be an indication for a liver biopsy, which is an invasive procedure not free of risks.

 

I am not overweight.
Diagnosis based on Blood-Test and Ultrasound. I was asked by the Medics how much Alcohol I drink. Truthfully I told them 1 to 1 1/2 litre of Beer within a period of 24 hours. That was considered as "too much". Fine, I can accept that and will cut down on Alcohol consumption as recommended.

On a more humoristic note: Considering the fact that a good number of Bavarians and Australians consider this amount of Beer as part of a healthy breakfast, I must assume that half of their populations MUST inevitably suffer from "fatty-liver" given above parameters of Alcohol consumption.

[ThaiPauly]

On 5/4/2019 at 6:23 PM, lopburi3 said:

As one with fatty liver (non-drinker but overweight most of life) who now appears to have primary liver cancer (HCC) would strongly urge poster to stop the drinks and hope his liver can improve (believe normally if due to drinking it can).  HCC is rare but seems to be associated with fatty liver.   

 

 

 

Wow I am so sorry to hear this Lopburi, what is your prognosis if you don't mind me asking?

Wishing you all the best

[lopburi3]

Primary liver cancer not common and has fatal prognosis but at age 76 that may not mean much difference from normal life expediency.  Was found very early as looking for cancer spread from previous bladder type (which was not found - so prognosis is likely better than it could have been).  Should have handful of years and if RFA can keep in check maybe more - plenty of time to die of something else.