Expert Treatment for Nonalcoholic Steatohepatitis (Nash) by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He reviews your health history, alcohol use, metabolic risk factors and asks about symptoms such as epigastric pain, fatigue or right-upper-quadrant discomfort.
Blood Tests
We check liver enzymes (ALT, AST), rule out viral hepatitis, and assess glucose and lipid panels to evaluate metabolic health.
Imaging Studies
- Abdominal ultrasound to detect fatty infiltration and measure liver echogenicity.
- FibroScan (transient elastography) to assess liver stiffness and estimate fibrosis.
Advanced Testing (if needed)
Occasionally, a liver biopsy is performed to confirm inflammation, stage fibrosis, and guide treatment planning.
Frequently Asked Questions
What is NASH?
A severe form of fatty liver disease with inflammation and damage, not due to alcohol.
What are its symptoms?
Often silent. May cause fatigue, discomfort in the right upper abdomen, and elevated liver enzymes.
How is NASH diagnosed?
Imaging shows fat in the liver. Biopsy confirms inflammation and fibrosis.
What treatments help NASH?
Weight loss, diet changes, exercise, and emerging medications targeting metabolic pathways.
Can NASH progress?
Yes, it can lead to cirrhosis and liver failure if unmanaged.