Living with Fatty Liver and NASH

Ignored Diagnosis Bad Doctor

I am a little annoyed with my EX-physician. A few years back my Liver enzymes were off at my Annual Physical. Earlier that year I had an ultrasound for unrelated issues...they sent the entire report to the doctor. So, after him telling me about my labs he was looking through my chart and said, " have fatty liver disease" I was like..."what?!?" He didn't explain it. He didn't tell me it was dangerous. He told me maybe try weight watchers and lose some weight and that was it! Never any other testing...not even Liver Function tests. So, I continued to live life per usual. After a Vacation where we did a bit more drinking than usually my stool turned clay colored. I googled it and low and behold that shows liver issues. I have a new physician who I am hoping can shed more light on what I am supposed to be doing. I thank you for this website. I made a list of the Liver helping foods and went out and bought them all. Alcohol has been shelved forever...why didn't he at least tell me not to drink? Sugar is a bit harder but making headway. I am waiting for my lab test results from the new doctor. I don't know if I should ask for a Liver Function test or if that is just a no brainer that the doc should be doing. I would love to get a Fibroscan to see where I am at. Should I ask the doctor about that also? I am worried about this all now that I see that it can lead to things like....ummm...death! WTH is the matter with the medical professionals these days?

2 Replies

Hi Gaepg, a few thoughts. It won't make you feel better but yours is a common story. Fatty liver has been considered to be mostly benign for decades. In a context where people had a better diet and didn't live as long it was mostly true that people died from something else and medicine had no useful advice anyway. Things have changed but many docs still view fatty liver as minor. OK, important point. Try to be a bit less anxious. You do need to find out what is really going on but the disease strikes slowly most people have an opportunity to be proactive. Try to get a diagnosis from a hepatologist, or at least as gastro doc with a liver subspecialty. Your PCP is likely to be of no help at all. Diet is a treatment. You have to stop eating things that are hard on the liver to give it a chance. Here is a link to information on diet that we recommend, but getting a physician relationship that works for you is key.

Good luck Wayne


Thanks so much!


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