NASH is a liver disease that causes inflammation and scarring. Our specialists provide advanced care and effective treatments.

Non-alcoholic Steatohepatitis Symptoms

Non-alcoholic steatohepatitis (NASH) is a condition where excess fat accumulates in the liver, causing inflammation and potential liver damage. Unlike other liver diseases, NASH may occur in people who drink little or no alcohol. In NASH, the liver's ability to function properly becomes impaired.

Some common signs and symptoms of NASH include:

  • Fatigue and general feeling of being unwell
  • Discomfort or pain in the upper right abdomen
  • Unexplained weight loss
  • Weakness and lack of appetite
  • Nausea and vomiting
  • Swelling in the abdomen area

However, many patients with NASH don’t experience any obvious symptoms, especially in the early stages. This makes it challenging to detect without proper screening and diagnostic tests. The symptoms associated with NASH are often non-specific and can be caused by various other conditions.

As NASH progresses, it can lead to more severe liver damage and an increased risk of liver cancer. Early diagnosis and management are crucial to prevent or slow down the progression of the disease and its potential complications.

If you’re experiencing any persistent symptoms or have risk factors for NASH, such as obesity, type 2 diabetes, or high cholesterol, it's essential to consult with a gastroenterology specialist for proper evaluation and treatment.

Non-alcoholic Steatohepatitis Diagnosis at Cape Fear Valley Health

If your provider thinks you may be at risk for (NASH), the diagnostic process typically involves the following steps:

Medical history and physical examination: Your doctor will ask about your symptoms, risk factors (such as obesity, diabetes, high cholesterol), and medical history. They will also perform a physical exam to check for any signs of liver disease.

Blood tests: Your doctor may order blood tests to check for elevated liver enzymes, which can indicate liver inflammation or damage. Other blood tests may be done to rule out other potential causes of liver disease.

Imaging tests: Imaging techniques like ultrasound, computed tomography (CT) scan, or magnetic resonance imaging (MRI) may be used. These help assess the condition of your liver and look for any signs of fat accumulation, inflammation, or scarring.

Liver biopsy: In some cases, a liver biopsy may be recommended to confirm the diagnosis and determine the extent of liver damage. During this procedure, a small sample of liver tissue is collected and examined under a microscope.

Fibroscan or other non-invasive tests: Your doctor may use specialized non-invasive tests like Fibroscan or magnetic resonance elastography (MRE). These assess the degree of liver stiffness, which can indicate the presence and severity of fibrosis (scarring).

Throughout the diagnostic process, your doctor may also recommend additional tests to rule out other potential causes of your symptoms.

NASH Treatment at Cape Fear Valley Health

If you are diagnosed with Non-alcoholic Steatohepatitis (NASH), there are several treatment options that your healthcare provider may recommend. Most options will focus on managing the condition and preventing further liver damage. The right options for you depend on the severity of your condition and any other underlying health issues.

Here are some of the potential treatment approaches:

Lifestyle modifications

  • Weight loss through a balanced diet and regular exercise
  • Management of associated conditions like obesity, diabetes, and high cholesterol

Medications

  • Currently, there are no specific medications approved for NASH treatment. However, your doctor may prescribe medications to manage related conditions or potential complications

Vitamin E supplementation

  • In some cases, vitamin E supplements may be recommended to help reduce liver inflammation

Bariatric surgery

  • For individuals with severe obesity, weight-loss surgery (such as gastric bypass) may be an option to help manage NASH

Liver transplantation

  • In cases of advanced liver disease or liver failure due to NASH, a liver transplant may be considered as a last resort

 

It's important to note that the treatment approach for NASH is often multifaceted. It may involve a combination of lifestyle changes, managing underlying conditions, and potentially medications or surgery, depending on the individual's specific circumstances.

Regular follow-up with your healthcare provider is important to track the progression of the disease and adjust the treatment plan. Early intervention and management of NASH can help prevent further liver damage and potential complications.

Why Choose Cape Fear Valley Health for GAVE?

  • Experienced Specialists

    Our hospital has a team of highly skilled gastroenterologists and hepatologists with extensive experience in diagnosing and treating NASH. Their expertise ensures that you receive the most effective and personalized care possible.

  • Comprehensive Treatment Options

    We offer a holistic treatment plan that includes lifestyle counseling, dietary guidance, and management of related conditions like diabetes and high cholesterol. Our multidisciplinary team works together to provide integrated care tailored to your needs.

  • Advanced Diagnostic Capabilities

    CFVH is equipped with advanced diagnostic technology, including Fibroscan, MRI, and specialized blood tests. These tools allow for precise liver health assessment and help develop an accurate and effective treatment plan.

  • Multidisciplinary Approach

    NASH often requires collaboration among specialists. Our experts from various fields work together to ensure coordinated, comprehensive care for patients.