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    Fatty Liver, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Fatty Liver, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Fatty Liver, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook117 pages52 minutes

    Fatty Liver, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Non Alcoholic Fatty Liver disease (NAFLD) is a medical disorder where there are fat deposits inside the liver which may prevent the liver from removing toxins from the blood.
    People who drink too much alcohol may also have fat in their liver but that is not the same as fatty liver disease.
    Bile from the liver digests the fats in food so that they can be absorbed from the bowel.
    5 per cent of the liver is due to fat including phospholipids, triglycerides, fatty acids and cholesterol.
    The liver is active in the synthesis of lipids especially triglycerides.
    Most fatty acids taken up by the liver and esterified to triglycerides are synthesized by the liver from the acetates.
    Fatty acids are converted to triglycerides, esterified with cholesterol, incorporated with phospholipids or oxidized into carbon dioxide or ketones.
    Fatty liver (steatosis) involves the accumulation of triglycerides and other lipids in hepatocytes.
    1. Simple fatty liver (hepatic steatosis).
    Simple fatty liver means that extra fat builds up (accumulates) in liver cells.
    In some people it can progress to more severe forms of NAFLD.
    2. Non-alcoholic steatohepatitis (NASH).
    In this condition the excess fat in the liver cells is linked with or may induce inflammation of the liver.
    This is much less frequent than simple fatty liver.
    3. Fibrosis.
    Any form of persistent hepatitis, including steatohepatitis may ultimately cause fibrosis (scar tissue) to form within the liver.
    When fibrosis first forms often there are many liver cells that persist to function quite well.
    4. Cirrhosis.
    This is a serious condition where normal liver tissue is changed to scar tissue.
    The structure and function of the liver are badly disrupted.
    The diagnosis of NAFLD is normally made on the basis of the abnormal LFTs and ultrasound scan.
    Liver biopsy confirm diagnosis.
    Treatment is by :
    1. Weight reduction
    2.Diet control
    3.Exercise
    4.Drugs like Metformin and Orlistat
    Bariatric surgery can bring about histological and biochemical improvements in NASH.

    TABLE OF CONTENT
    Introduction
    Chapter 1 Non Alcoholic Fatty Liver
    Chapter 2 Causes
    Chapter 3 Symptoms
    Chapter 4 Diagnosis
    Chapter 5 Treatment
    Chapter 6 Prognosis
    Chapter 7 Liver Cirrhosis
    Chapter 8 Obesity
    Epilogue

    LanguageEnglish
    PublisherKenneth Kee
    Release dateOct 23, 2016
    ISBN9781370942640
    Fatty Liver, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Fatty Liver, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Fatty Liver,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2016 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes the Non-Alcoholic Fatty Liver, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What You Need to Treat Non-Alcoholic Fatty Liver)

      This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 700 amazon kindle books and some into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical conditions.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Non Alcoholic Fatty Liver Disease

      What is Non Alcoholic Fatty Liver?

      Non Alcoholic Fatty Liver disease (NAFLD) is a medical disorder where there are fat deposits inside the liver which may prevent the liver from removing toxins from the blood.

      People who drink too much alcohol may also have fat in their liver but that is not the same as fatty liver disease.

      Function of the liver:

      The functions of the Liver are:

      a. Storing fuel for the body.

      Much of the food eaten is broken down by the body into a type of sugar called glucose.

      This is what the bodies use for energy.

      Glucose cannot be stored so it is turned into a storage version called glycogen.

      This is stored in the liver, and when the body needs energy, it is released in the form of glucose.

      b. The liver also stores iron and vitamins.

      c. Making proteins that are essential for blood to clot (clotting factors).

      d. Helping to remove or process alcohol, medicines, and poisons from the body.

      e. Making a type of fat called cholesterol.

      This is needed in the body although too much of it causes harm.

      f. Making a juice which digests fat called bile.

      This passes from the liver to the intestines through the bile duct.

      Bile digests the fats in food so that they can be absorbed from the bowel.

      5 per cent of the liver is due to fat including phospholipids, triglycerides, fatty acids and cholesterol.

      The liver is active in the synthesis of lipids especially triglycerides.

      Most fatty acids taken up by the liver and esterified to triglycerides are synthesized by the liver from the acetates.

      Fatty acids are converted to triglycerides, esterified with cholesterol, incorporated with phospholipids or oxidized into carbon dioxide or ketones.

      Most of the triglycerides must be changed to lipoproteins in order to be secreted from the liver.

      Pathophysiology

      Fatty liver

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