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Nonalcoholic Steatohepatitis (Nash)

At GastroDoxs in Cypress, our specialized care for nonalcoholic steatohepatitis (NASH) offers patients personalized, state-of-the-art liver health management using comprehensive, holistic diagnostics and tailored treatment plans, ensuring local community members receive expert, compassionate support on their journey to improved wellness.

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Bharat Pothuri
Symptoms

What Is Nonalcoholic Steatohepatitis (NASH)?

Nonalcoholic steatohepatitis (NASH) is a progressive form of fatty liver disease in which excess fat accumulation in the liver leads to inflammation and liver cell damage. Unlike alcoholic liver disease, NASH occurs in people who drink little to no alcohol. Over time, persistent inflammation can cause fibrosis (scarring) and, if untreated, may progress to cirrhosis or liver failure. The ICD-10 code for NASH is K75.81.

Common Symptoms

In its early stages, NASH often causes no noticeable symptoms. As inflammation and scarring increase, you may experience:

  • Persistent fatigue or low energy
  • Dull or aching discomfort in the upper right abdomen
  • Unexplained weight loss
  • Decreased appetite
  • Enlarged liver detected on exam or imaging

Causes

Several factors contribute to the development of NASH, including:

  • Obesity and visceral fat accumulation
  • Insulin resistance or type 2 diabetes
  • High blood cholesterol or triglyceride levels
  • Metabolic syndrome (cluster of risk factors)
  • Rapid weight gain or certain medications
  • Genetic predisposition or family history of liver disease
Treatment

Treatment Options for NASH in Cypress

Treatment includes lifestyle changes, medical care, and ongoing monitoring:

  • Weight loss: Losing 5-10% of body weight through diet and exercise can significantly reduce liver fat and inflammation.
  • Diet plan: Adopting a Mediterranean-style eating plan-rich in vegetables, fruits, whole grains, lean protein, and healthy fats-helps improve liver health.
  • Exercise routine: At least 150 minutes per week of moderate-intensity activity (walking, cycling, swimming) supports weight loss and metabolic health.
  • Supplements: Vitamin E or omega-3 fatty acids may be recommended for certain patients to help reduce liver inflammation and fat accumulation.
  • Medications: Drugs for blood sugar control (e.g., metformin), cholesterol management (statins), or investigational NASH therapies may be prescribed based on your clinical profile.
  • Blood tests & imaging: Regular monitoring of liver enzymes (ALT, AST), ultrasound, MRI or FibroScan helps track disease progression and guide therapy adjustments.
  • Liver biopsy (if needed): A biopsy can give detailed information on the degree of inflammation and fibrosis to tailor your treatment plan.
  • Access to clinical trials: Eligible patients may be offered participation in research studies testing new agents that target inflammation and scarring.

Ready to Take Control of Your Liver Health?

Don't wait to protect your liver. Contact GastroDoxs in Cypress today to schedule your NASH consultation. Our expert team offers patient-centered care, flexible scheduling, same-week appointments, and both in-person and virtual visits. Book your appointment now and start your personalized plan for lasting 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 the ICD-10 code for NASH?

The correct code for Nonalcoholic Steatohepatitis (NASH) is K75.81.

What was the ICD-9 code for NASH?

Under the older coding system, NASH was classified as 571.8.

What causes Nonalcoholic Steatohepatitis (NASH)?

The primary risk factors include obesity, type 2 diabetes, insulin resistance, high blood pressure, high cholesterol, and metabolic syndrome.

How is NASH diagnosed?

Diagnosis typically involves blood tests, liver imaging (ultrasound, MRI, FibroScan), and in some cases a liver biopsy to assess inflammation and fibrosis.

Can NASH progress to cirrhosis?

Yes. Without intervention, ongoing inflammation and fat accumulation can lead to liver scarring (cirrhosis) and permanent damage.

What is the long-term outlook for someone with NASH?

With early detection and appropriate lifestyle or medical interventions, many patients can slow, stop, or even reverse liver damage.

Are there new treatments available for NASH?

Yes. Several clinical trials are underway testing drugs that specifically target liver inflammation, fat accumulation, and fibrosis.

What diet is recommended for managing NASH?

A Mediterranean-style diet rich in vegetables, fruits, whole grains, lean proteins, and healthy fats is often advised to reduce liver fat and inflammation.

How often should liver function be monitored in NASH?

Most patients benefit from liver tests every 6 to 12 months, although your physician may recommend a different schedule based on your individual risk factors.

Can I receive NASH care in Cypress?

Yes. GastroDoxs in Cypress provides specialized evaluation, personalized treatment plans, and ongoing support for patients with NASH.

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