HEALTH

Non-alcoholic steatohepatitis (NASH): Symptoms and Treatment

Michael Clark
Aug 27, 2024

Non-alcoholic steatohepatitis (NASH) is a serious liver disease caused by fat buildup, inflammation, and liver cell damage, distinct from alcoholic liver disease. It can lead to cirrhosis or liver failure.

Understanding NASH Liver Disease

NASH progresses over time and might not show symptoms initially. As it advances, individuals can experience fatigue, abdominal pain, and nausea. In severe cases, it can lead to liver failure, cancer, or necessitate a liver transplant.

The precise cause of NASH remains unclear, but obesity, insulin resistance, high cholesterol, and high blood pressure are contributing factors. Genetics may also influence its development.

Signs and Symptoms of NASH

In the early stages, NASH often presents no symptoms. As the condition worsens, possible signs include:

  • Fatigue

  • Upper right abdominal pain

  • Nausea

  • Reduced appetite

  • Weight loss

  • Jaundice (yellowing of the skin and eyes)

  • Swelling in legs and ankles

  • Confusion

  • Easy bruising or bleeding

These symptoms may overlap with other liver diseases, making it essential to seek medical advice for an accurate diagnosis.

Managing NASH Liver Disease

Currently, there is no definitive cure for NASH. Treatment focuses on managing the disease's underlying causes and preventing further liver damage. Options include:

  • Lifestyle Changes: Weight loss, a balanced diet, and regular exercise can enhance liver health and mitigate complications.

  • Medications: Drugs to improve insulin sensitivity and lower cholesterol may be prescribed.

  • Liver Transplant: In cases of severe liver damage, a transplant might be required.

Ongoing research aims to discover more effective treatments and understand the disease better. Clinical trials are exploring new therapies to address the root causes and improve patient outcomes.

Additional Resources

For more detailed information on NASH liver disease, you can consult:

  • National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

  • American Liver Foundation

  • Mayo Clinic

  • National Health Service (NHS, UK)

These resources offer comprehensive insights into NASH, including its causes, symptoms, treatment options, and current research advancements.