International Journal of Homoeopathic Sciences

Abstract: Non-alcoholic fatty liver disease (NAFLD) is the commonest liver disorder in western industrialized countries (prevalence≈20%), NAFLD represents increasefat in hepatocytes (steatosis) visualized, e.g. on ultrasound that cannot beattributed to other causes (most commonly alcohol so consider NAFLD if Drinkmale <18u/wk, female <9u). If inflammation is also present (increase LFT, typically increase ALT) = non-alcoholic steatohepatitis (NASH). Rule out othercauses of liver disease and check for associated metabolic disorders (obesity, dyslipidemia, diabetes and hypertension). Progression to cirrhosis may occur biopsy or elastography may be needed. Risk factors for progression are older age; obesity; DM; NASH. Control risk factors; including obesity (bariatric surgeryhelps). Address cardiovascular risk (commonest cause of death). Avoid alcoholconsumption. Ultrasound± AFP twice-yearly. There is no standardized treatment for fatty liver. Treating the underlying cause can easily reverse the abnormal changes in theliver, provided, it is early in the disease. Homoeopathic remedies like Arsenic Album, Nux Vomica, Chelidonium, Cardus m, Apocynum, Lycopodium, Sepia, Phosphorous, Digitalis, Bryonia, Helleborus Niger, Ferrum Met, kali Carb, Iris V, Natrum Carb and many other medicines are very helpful in the treatment of fattyliver symptoms.