How to reverse fatty liver disease

Written in association with: Dr Michael Mendall
Published: | Updated: 19/09/2023
Edited by: Laura Burgess

Fatty liver disease can be asymptomatic for many people, which means you may not be aware of having the condition at all. If left untreated it can lead to liver damage. The good news, however, is that fatty liver disease is a reversible condition if you commit to making healthy lifestyle changes.

Dr Michael Mendall is one of our leading gastroenterologists and here he explains the possible symptoms of fatty liver disease and what lifestyle changes you can make exactly in order to heal from the condition.

What are the symptoms of fatty liver disease?

Fatty liver disease often does not produce symptoms but may be associated with a dull discomfort in the right upper quadrant beneath the ribs. If the fatty liver disease is advanced there may be symptoms of liver failure, which include fatigue and confusion.
 

Is fatty liver disease reversible?

Fatty liver disease is almost totally reversible by losing weight and reducing carbohydrate intake unless there are advanced stages of liver damage.
 

Can fatty liver disease increase the risk of severe COVID-19?

People with fatty liver disease all generally have an increased risk of developing severe COVID disease but are not at an increased risk of catching it in the first place. Hence they are more likely to be hospitalised if they catch it.
 

How is fatty liver disease treated?

Fatty liver disease is mainly treated by weight loss. Other treatments such as vitamin E or Pioglitazone reduce the severity of the liver changes but do not reduce the increased risk of death associated with it. Other treatments such as set statins recused the risk of complications associated with fatty liver disease and hence overall mortality.

Treatment which is mainly by lifestyle changes (weight loss and reducing the amount of sugar in the diet) is still going ahead during the pandemic. Patients with more severe liver disease need screening for liver cancer and management of the complications of severe liver disease which are all still going ahead.



Do not hesitate to book an appointment with Dr Mendall via his Top Doctor’s profile here.

By Dr Michael Mendall
Gastroenterology

Dr Michael Mendall is a renowned London-based gastroenterologist who specialises in conditions such as liver disease, acid reflux, irritable bowel syndrome, inflammatory bowel disease, as well as indigestion but to mention a few. He was first appointed as a consultant gastroenterologist at Croydon University Hospital in 1995, and, in the same year, as a senior lecturer at St George's Medical School.

He qualified from none other than Cambridge University in 1982 before going on to successfully complete studies in the medical field at the renowned Middlesex Hospital in 1985, completing both with distinction. He has made a number of important contributions to his field of expertise. He is internationally recognised with nearly 100 peer reviewed publications. He was the first to show that Helicobacter pylori infection of the stomach is mainly caught in childhood, and, more recently, was the first to show that obesity can be a cause of Crohn's disease. He possesses an extensive amount of knowledge and experience with regards to performing upper GI endoscopy and colonoscopy, oesophageal manometary, as well as duodenal and biliary stenting. 

To-date, Dr Mendall has written extensively on the role of diet in Crohn's, about IBS, the treatment of dyspepsia and reflux and Helicobacter pylori infection. He is currently the lead for gastroenterology at Croydon University Hospital, as well as a senior lecturer at St George's Medical School. Dr Mendall, who is also a member of various medical organisations, was named one of the top UK consultants in the Tatler Guide 2013. 

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