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Nonalcoholic Steatohepatitis (Nash)

At GastroDoxs in Houston, our Nonalcoholic Steatohepatitis (NASH) program offers personalized, evidence-based care to help patients reverse liver inflammation, improve metabolic health, and prevent progression, providing compassionate support, long-term disease management, and cutting-edge treatments tailored to our community's unique needs.

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Bharat Pothuri
Symptoms

What is Nonalcoholic Steatohepatitis (NASH)?

Nonalcoholic steatohepatitis, or NASH, is a form of fatty liver disease in which fat buildup leads to inflammation and liver cell injury. Unlike alcoholic liver disease, NASH occurs in people who consume little or no alcohol. Over time, ongoing inflammation can cause fibrosis (scarring) and progress to cirrhosis if left untreated.

Common Symptoms

In its early stages, NASH often has no obvious signs. As the disease advances, you may notice:

  • Persistent fatigue or low energy
  • Mild pain or discomfort in the upper right abdomen
  • A feeling of fullness or pressure under the ribs
  • Unexplained weight loss
  • An enlarged liver detected on imaging

Causes

NASH typically develops when excess fat in the liver triggers inflammation. Key risk factors include:

  • Obesity or rapid weight gain
  • Type 2 diabetes or insulin resistance
  • High cholesterol or elevated triglycerides
  • Metabolic syndrome
  • Poor diet and low physical activity
Treatment

Treatment Options for Nonalcoholic Steatohepatitis (NASH) in Houston

Treatment includes lifestyle changes and medical care:

  • Weight loss: Losing 7-10% of body weight through a tailored diet and exercise plan can significantly reduce liver fat and inflammation.
  • Diet plan: Adopting a NASH-friendly eating pattern-whole grains, fruits, vegetables, lean proteins and healthy fats-helps halt disease progression.
  • Physical activity: At least 150 minutes per week of moderate exercise (brisk walking, cycling) improves insulin sensitivity and supports liver health.
  • Supplements: In select patients, vitamin E or omega-3 fatty acids may be recommended to enhance liver function under medical supervision.
  • Blood tests and imaging: Regular monitoring of liver enzymes (ALT, AST) plus ultrasound or elastography tracks inflammation and fibrosis over time.
  • Medications & advanced therapies: When appropriate, insulin-sensitizing drugs or referral to clinical trials and specialized treatments can be added to your care plan.

Take the Next Step

If you've been diagnosed with NASH or suspect fatty liver disease, don't wait to protect your liver health. Schedule a consultation with our board-certified gastroenterologist in Houston. We'll perform a thorough evaluation, develop a personalized treatment plan, and support you every step of the way toward reducing inflammation and improving liver function.

Call us today at 832-632-4070 or visit our online portal to book your appointment and start your journey to better liver health.

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Patients Treated

We've successfully treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is NASH?

NASH (Nonalcoholic Steatohepatitis) is liver inflammation and damage caused by fat buildup in the liver, not by alcohol use.

Is NASH different from NAFLD?

Yes. NAFLD (Nonalcoholic Fatty Liver Disease) refers to simple fat accumulation in the liver, while NASH includes inflammation and liver cell damage.

What is the ICD-10 code for NASH?

The ICD-10 code for NASH is K75.81, used by healthcare providers to diagnose and track the condition.

What foods help manage NASH?

A NASH-friendly diet emphasizes lean proteins, fish, whole grains, vegetables, fruits, and nuts. It's best to avoid added sugars, refined carbs, and processed foods.

Can NASH lead to cirrhosis?

Yes. If left untreated, persistent inflammation and scarring from NASH can progress to cirrhosis or even liver failure.

How is NASH treated?

Treatment focuses on lifestyle changes like weight loss, healthy eating, and regular exercise. In some cases, medications such as vitamin E or insulin-sensitizing drugs may be prescribed.

How do doctors test for NASH?

Diagnosis may involve blood tests to assess liver function, imaging studies like ultrasound or MRI, and sometimes a liver biopsy for definitive assessment.

Can I reverse liver damage from NASH?

Early intervention and sustained weight loss (7-10% of body weight) can reduce liver fat and inflammation, potentially reversing some damage.

What lifestyle changes should I make?

Aim for gradual weight loss through a balanced, nutrient-rich diet and at least 150 minutes of moderate exercise per week to support liver health.

How do I see a NASH specialist in Houston?

Contact GastroDoxs to schedule an appointment with our board-certified gastroenterologist who specializes in NASH care and personalized treatment plans.

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