How Dr. Scott Diagnoses This Condition?
Dr. Scott uses a step-by-step approach:
Medical History and Exam
He asks about onset, duration, location, quality, and triggers of your epigastric pain, as well as associated symptoms like nausea, vomiting, heartburn or weight loss.
Blood Tests
We order labs including a complete blood count (CBC), liver function tests, pancreatic enzymes (amylase/lipase), H. pylori antibody or stool antigen, and celiac serologies when appropriate.
Imaging Studies
- Abdominal ultrasound to evaluate the liver, gallbladder, bile ducts, and pancreas.
- Upper endoscopy (EGD) for direct visualization of the esophagus, stomach, and duodenum and to obtain biopsies.
- CT scan of the abdomen if red-flag signs appear or to assess complications such as pancreatitis or perforation.
Advanced Testing (if needed)
Endoscopic ultrasound (EUS) to closely examine the pancreas or submucosal lesions, and manometry or pH-impedance testing for refractory reflux or motility disorders.
Frequently Asked Questions
What is NAFLD?
NAFLD, or Non-Alcoholic Fatty Liver Disease, is a condition where excess fat builds up in the liver without significant alcohol intake. It can lead to inflammation and liver damage over time.
What causes NAFLD?
NAFLD is commonly linked to obesity, insulin resistance, high cholesterol, type 2 diabetes, and metabolic syndrome. Poor diet and sedentary lifestyle contribute significantly.
Is NAFLD reversible?
Yes, in many cases. Early-stage NAFLD can be reversed with weight loss, healthy eating, regular exercise, and controlling blood sugar and cholesterol levels.
How is NAFLD diagnosed?
Dr. Scott uses blood tests, liver function panels, imaging studies like ultrasound or FibroScan, and sometimes MRI or liver biopsy to confirm NAFLD and assess its severity.
What are the symptoms of NAFLD?
NAFLD is often silent. Some people may experience fatigue, right upper abdominal discomfort, or mild liver enzyme elevation on blood tests.
Can NAFLD lead to liver failure?
In advanced cases, NAFLD can progress to NASH (non-alcoholic steatohepatitis), fibrosis, cirrhosis, and eventually liver failure if left untreated.
Is there medication for NAFLD?
There are no FDA-approved medications specifically for NAFLD yet. However, Dr. Scott may prescribe drugs to manage related conditions and reduce liver inflammation.
Do I need a liver biopsy?
Most patients do not need a biopsy. Dr. Scott relies on blood tests, imaging, and non-invasive liver stiffness assessments unless advanced disease is suspected.
What foods should I avoid with NAFLD?
Limit sugar, processed foods, saturated fats, and alcohol. Dr. Scott recommends a Mediterranean-style diet rich in fruits, vegetables, whole grains, and lean proteins.
How often should I follow up?
Regular monitoring every 6�12 months is essential to track liver health, especially if you have NASH, diabetes, or obesity. Dr. Scott customizes your care plan.
