Diseases Starting with F
Find Dr. Sanjeev's option on your ailment
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z
Fatty Liver Disease
A collection of fats in the liver cells is called fatty liver. This condition is also called steatosis hepatis or steatorrhoeic hepatosis.
Fatty liver by itself though abnormal, is a relatively harmless condition. The liver is the largest organ in the human body. It plays many roles in keeping the biochemical balance intact. You should know some normal functions of the liver to understand how disease affects it.
Under normal conditions, your liver creates optimal nutrition for all the 50 trillion odd cells in you body. Different roles played by the liver are:
Production of bile – which is necessary for proper digestion. Bile salts emulsify the fats and improve digestion. Also, when fat soluble vitamins A,D, and K are dissolved in bile, they are absorbed better. A good measure of toxic substances are produced in the body daily. Many of these are only fat soluble. These are dissolved in bile and finally emptied into the intestines to be thrown out as fecal matter. The liver thus helps in elimination of toxic byproducts from the body by producing bile.
Production of many clotting factors and proteins from amino acids which are important for every process of healing, repair and cell growth.
It is the largest storehouse of many vitamins (A, D, K + B12), iron and minerals. The liver also converts all the B-Complex vitamins into their active forms. Every nutrient, be it vitamins, minerals or amino acids, are converted into their biologically active forms by the liver. Nutrients in foods and supplements are never in their active, absorbable forms. The liver makes them active thus, making them available for body functions.
The liver has huge stores of energy. It produces glucose from the different sugars in our diet and stores it in the form of glycogens.
It buffers any major fluctuations in glucose levels by converting glycogens to glucose when glucose levels are low and vice versa when glucose levels are high.
It is vital in the removal of old, worn-out red blood cells from circulation.
The thyroid hormone T4 is converted into its more potent form T3 within the liver
Detoxification of the body is a major function. Chemicals, industrial pollutants, metabolic wastes from junk foods, drugs, insecticide residues, alcohol, etc. are some of the dangerous toxins eliminated through our liver.
What is Fatty Liver?
Fatty liver has large amounts of fats (triglycerides) accumulating within the liver cells. Excess aggregation of fats within the small hepatocytes swells them up and occasionally the whole liver is enlarged enough for feeling it.
Fatty liver can be a harbinger of more troublesome conditions. Steatosis simply means collection of fat vacuoles within the liver cells (hepatocytes).
Alcohol and obesity are two leading causes of fatty liver worldwide. Alcoholic Liver Disease (ALD) and Alcoholic Fatty Liver (AFL) are entities by themselves. Obesity plus other non-alcoholic conditions comprise Non Alcoholic Liver Disease (NALD).
When these fat cells cause inflammation of the liver tissues, it’s called steatotic hepatitis and it is of notable concern. Both alcohol as well as other conditions causing major biochemical changes in our bodies can cause steatotic hepatitis. When this condition is due to reasons other than alcohol, it’s denoted by the term Non-Alcoholic Steatotic Hepatitis or more commonly as NASH.
Fatty liver when inflamed, can over a period of time cause scarring and fibroses of the liver. This condition called cirrhosis is serious and has serious side-effects if left unchecked.
Stages (Grades) of Fatty Liver
Fatty liver as mentioned is not a critical condition, its stages of development are divided in grades
Grade 1
Grade 2
Grade 3
Grade 1 and grade 2 of fatty liver can be controlled with proper medication.
Causes of Fatty liver
Why fatty liver occurs, is unknown. A fatty diet or overeating by itself never results in a fatty liver. The fat may come from increased absorption from the intestines or from elsewhere in the body. But, putting it generally, the liver loses its capacity to eliminate fats deposited within it.
Yet, 70% of persons suffering from NASH are found to be obese.
Some common causes of NASH are:
Metabolic syndromes
Apart from alcohol, there are many conditions that cause an imbalance in the body’s metabolic capacity
Diabetes
High blood pressures (hypertension)
High blood cholesterols
Pregnancy
Glycogen storage disease
Congenital disorders like Wolman’s disease
Congenital diseases like Wilson’s disease which affects copper levels
Weber-Christian disease affecting nutrient absorption.
Galactosemia – a disorder which affects the way milk is metabolized in the body.
Infections like tuberculosis and malaria.
Nutritional causes
Severe mal-nutrition
Obesity
Sudden rapid weight loss
Surgeries performed to reduce obesity – gastric bypass surgery, jejuno-ileal bypass, etc.
Drugs
Corticosteroids
Valproic acids (used in epileptic patients)
Medications for heart conditions like irregular heartbeats and high blood pressures e.g. amiodarone; diltiazem.
Sedatives
Tamoxifen – used in treating breast cancer.
Methotrexate
Anti-retroviral drugs (indinavir)
Overdose of Vitamin A.
In extreme cases, amiodarone and methotexate can cause cirrhosis.
Other
toxins from food stuffs like
rancid peanuts – aflatoxins are extremely toxic
mushroom poisonings
phosphorus from environment
Risk factors for Fatty liver
Your chances of developing fatty liver are high if you
are obese
are an alcoholic
Suffer from high blood pressures which often fluctuate or are on long-term medications for the same.
Blood cholesterol levels are high.
Symptoms of Fatty liver
Mild Fatty liver is usually asymptomatic. It is detected incidentally during routine tests performed. However, some persons can have symptoms which are often vague.
Malaise – or a feeling of severe discomfort, making the person want to rest,
Fatigue – even with moderate exertion
Fullness and heaviness in the abdomen, more in the right upper corner
Occasionally the liver maybe painful on pressure.
However, with fatty liver unchecked can progress into cirrhosis which is life-threatening. Thereafter, features of liver failure present themselves.
Yellowish discoloration of skin (jaundice), dark colored urine.
Weight loss
Nausea and vomiting
Loss of appetite
Mild to moderate reddish discolorations just below the superficial skin layers which blanch on pressure (spider naevi)
Abdominal dissension (due to increased fluid in the abdomen – ascites)
Easy bleeds from small trauma.
Blood doesn’t clot soon enough
Fine to moderate tremors of the fingers
Flapping tremors of the hands (asterexis)
Itching in hands and legs which gradually spread all over the body
Veins in legs, abdomen, seem engorged and distended.
Giddiness.
Poor memory, poor concentration, dullness of thoughts, mental confusion » this is an emergency (encephalopathy)!!
Depression
Loss of sexual interest
Diagnosi of Fatty liver
Commonly, the diagnosis is incidental. Some tests which identify the disorder are:-
Ultrasound (Ultrasonography): A painless, non-invasive test, when performed by an experienced personnel, it can accurately identify fatty liver. The liver size can be measured and this test can be valuable in grading the improvement.
Liver Function Tests: Abnormal levels of liver enzymes in the blood identify as well as provide a deeper understanding of the cause of fatty liver. This test also provides insight into the efficacy of treatment and the improvement to be expected.
Computed Tomography Scan (CT scan): non-invasive. Measures internal organs accurately and in detail by the use of X-rays.
MRI: Also non-invasive. Uses radio waves in a magnetic field to scan the structures of internal organs.
Tips for prevention of Fatty liver
Say No To Alcohol
Or if you have started having alcohol, try not to have more than two pegs in a week.
Quit Smoking
Smoking can cause many biochemical and hemodynamic changes which make you more vulnerable to liver damage.
Control Weight Gain
70% of persons suffering from NASH are found to be obese.
Omega-3 Fatty Acids
Found to be promising in preventing fatty liver. Found in natural sources like walnuts, fish oils (cod, salmons), and flaxseed oils.
Treatmnt of Fatty liver
Conventional treatment
There is no standardized treatment for fatty liver. Treating the underlying cause can easily reverse the abnormal changes in the liver, provided, it is early in the disease.
Some common measures that improve fatty liver are:
Exercise and weight loss programs: Obese patients have a Body Mass Index (BMI) of 30 or more. A realistic weight loss program should try reducing the BMI by two units of the existing one. Aerobic exercises are best suited to burn off fat. However, one should bear in mind that for long term success, it is not the intensity of the workout, but the sustenance that matters.
Control cholesterol levels.: Besides regular workouts, a healthy approach to avoid consumption of saturated fats in diet can reverse fatty liver. Cholesterol lowering medications used in adjunct to exercise can reverse fatty liver.
Control Diabetes: Effective management of sugar levels with life-style changes, medications and insulin can stop further advancement of fatty liver into something serious like cirrhosis or liver failure.
Avoid harmful substances.: Certain drugs, alcohol, junk foods etc. are better avoided when once diagnosed with fatty liver. Talk to your doctor regarding medications that can cause fatty liver. Chances are he can suggest better alternatives.
Homeopathic treatment for Fatty liver
Homeopathy addresses the underlying causes behind fatty liver, improves liver functions and reduces the symptoms as well as modifies the disease process. Homeopathy is recommended for cases of Fatty Liver.
Fibroadenoma
Introduction
Fibro adenomas are non-cancerous (benign) and harmless tumors which are made up of fibrous tissues of the breast. These are common in adolescent and young women. The incidence of Fibroadenoma reduces with increasing age.
Signs and symptoms
Fibroadenomas are smooth, round and easily movable swellings. It is referred as ‘Breast Mouse’ or ‘floating tumor’ as it easily sleeps away from fingers. Size of the tumor may vary from one to five centimeters.
It could be single or multiple. Generally it is painless and may affect both breasts.
Pain and tenderness (pain when touched) may be present especially before periods and subsides after periods. These cyclical changes are because of the hormonal changes. This is the reason why it is less common after menopause.
Causes of Fibroadenoma
Exact cause of Fibroadenoma is unknown. It is because of the cyclical hormonal changes that take place in the body of women of child bearing age.
Diagnosis
Clinical history
Physical examination
Mamography – It is the process of using low amplitude x rays to examine breast.
Biopsy – Women in their teenage do not need biopsy, if lump dissolves on it’s own.
Dangerous signs
Sudden increase in size of tumor
Pain in breast not affected by menstrual cycle
Hard, immovable tumors
Transformation of Fibroadenoma into cancerous tumor is very rare. Only 0.002-0.012% of the Fibroadenoma convert into cancerous growth.
Treatment Conventional treatment
1) Fibroadenoma can subside on it’s own.
Cryoablation (use of extreme cold to destroy tissue) is safe and effective and less invasive method of treatment for Fibroadenoma.
Surgical removal may be required in case of large Fibroadenoma.
Homeopathic treatment
Homeopathy is strongly suggested in the treatment of Fibroadenoma. Homeopathy can be given as a baseline treatment in mild and moderate cases where as it has good supportive role in advanced cases of tissue changes. The results using homeopathy in the cases of Fibroadenoma are very good.
Homeopathic medicines are prescribed after studying patient’s complete case history. It enhances the body’s self healing mechanism (immunity) thus further recurrence of fibroadenoma can be prevented.
At Life Force we have treated and documented good number of cases of Fibroadenoma using homeopathy at Life Force.
Fibromyalgia
Fibromyalgia is a disorder which causes muscle pain and fatigue. The word Fibromyalgia means pain in the soft fibrous tissues in the body- the muscles, ligaments and tendons. Fibromyalgia and Chronic Fatigue Syndrome (CFS) share a number of symptoms and the names are often used interchangeably with each other. People with fibromyalgia have “tender points” on the body; these are specific places on the neck, shoulders, back, hips, arms, and legs and these points hurt when pressure is put on them.
Women are more commonly afflicted with Fibromyalgia than men and it can occur at any age. Patients with Fibromyalgia say that they have ache all over the body. Their muscles may feel like they have been overworked or pulled. The severity of symptoms may fluctuate from patient to patient. Patients generally feel devoid of all energy and extremely fatigued without any apparent cause.
Common features of Fibromyalgia are:
Pain: Deep muscular aching pain; at times there may be throbbing, shooting, and stabbing, burning pain. Pain generally involves muscle groups that are used repetitively.
Fatigue: May range from mild fatigue to incapacitating lack of energy in others. Typically describes as “brain fatigue” in which patients feel totally drained of energy.
Sleep disturbances: Un-refreshing sleep; waking up tired after sleep.
Chronic headaches: Recurrent migraine or tension-type headaches frequently seen in these patients.
Other common symptoms:
a Premenstrual syndrome and painful periods
b Chest pain
c Morning stiffness
d Numbness and tingling sensations
e Muscle twitching
f Dizziness and impaired coordination can occur
Probable causes of Fibromyalgia:
Fibromyalgia is a widespread musculoskeletal pain and fatigue disorder for which the cause is still unknown yet there are many triggering events thought to precipitate its onset. A few examples would be:
An infection (viral or bacterial)
An automobile accident
The development of another disorder such as rheumatoid arthritis, lupus, Ankylosing spondylitis or hypothyroidism
Repetitive injuries
Researchers have found that people with Fibromyalgia may have abnormal levels of several chemicals, such as substance P and serotonin.
Remarks:
Conventional treatments do not have much to offer to a patient of fibromyalgia and are geared toward reducing pain and improving the quality of sleep. Homeopathy is one branch of medicine that can bring significant relief to the sufferers of Fibromyalgia. Homeopathy has effective medication that works at the physical as well as the mental plane and hence can be instrumental in giving maximum relief to these patients. The underlying stress that can be a trigger for this disorder can also be effectively handled with homeopathic treatment. It improves the general immunity and vitality of the patient and also targets the increased sensitiveness to pain that these patients suffer from.