Is Fatty Liver Symptom?

Fatty liver is generally divided into alcoholic fatty liver and non-alcoholic fatty liver. According to the scope that adipose degeneration is involved in liver, can divide again for light, medium, heavy 3 type, normally when adipose content exceeds liver weight 5% ~ 10% is regarded as mild fatty liver, exceed 10% ~ 25% is moderate fatty liver, exceed 25% is severe fatty liver.

The clinical manifestations of fatty liver are varied. Mild fatty liver has no clinical symptoms and more patients are found accidentally during physical examination. Fatigue was the most common symptom in patients with fatty liver, but it was not correlated with the severity of histological damage. Medium, severe fatty liver has similar performance of chronic hepatitis, can have anorexia, fatigue, nausea, vomiting, liver area or right upper abdomen pain.

When adipose deposition inside liver is overmuch, can make liver membrane expands, liver ligament is pulled, and cause right upper abdomen acuteness ache or tenderness, calorific, leucocyte counts increase, misdiagnose is acute abdomen disease and make laparotomy. In addition, fatty liver patients also often glossitis, stomatitis, skin ectosis, limb numbness, limb paresthesia and other changes in peripheral neuritis. A few patients also can have digestive tract bleeding, gingival bleeding, epistaxis. Patients with severe fatty liver can have abdominal effusion, lower limb edema, electrolyte disorders such as hyponatremia and hypokalemia, etc. The manifestations of fatty liver are diverse, and liver biopsy can be performed to confirm the diagnosis in case of diagnosis difficulties.

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