HOW much DO HOW much DO YOU LOVE YOUR YOU LOVE YOUR

LIVER?LIVER?

Do you love your liver? Do you love your liver?

How Can You Love it If You How Can You Love it If You Don't Know it? Don't Know it?

Hi... I'm Your Liver!Hi... I'm Your Liver!

Let me tell you how much I love Let me tell you how much I love you…in you…in 99 ways ways

1. I 1. I store the ironstore the iron reserves you need, reserves you need, as well as a lot of as well as a lot of vitamins and other vitamins and other minerals.minerals.

Without me, you Without me, you wouldn't have the wouldn't have the strength to carry strength to carry on!on!

2. I make 2. I make bilebile to to help digest your help digest your food.food.

Without me, Without me, you'd waste away you'd waste away to nothing.to nothing.

3. I 3. I detoxify poisonous detoxify poisonous chemicalschemicals you give you give me, and that includes me, and that includes alcohol, beer, wine alcohol, beer, wine and drugs and drugs (prescribed and over-(prescribed and over-the-counter) as well the-counter) as well as illegal substances.as illegal substances.

Without me, your Without me, your "bad" habits would "bad" habits would kill you.kill you.

4. I store 4. I store energyenergy, like a , like a battery, by battery, by stockpiling sugar stockpiling sugar (carbohydrates, (carbohydrates, glucose and fat) until glucose and fat) until you need it.you need it.

Without me, the Without me, the sugar level in your sugar level in your blood could fall blood could fall dramatically and dramatically and you'd go into a you'd go into a coma.coma.

You couldn't have gotten out You couldn't have gotten out of bed this morning if I of bed this morning if I

weren't on the job!.weren't on the job!.

5. I 5. I make the bloodmake the blood that got your that got your system going even system going even before you were before you were born.born.

Without me, you Without me, you wouldn't be here!wouldn't be here!

6. I 6. I manufacture new manufacture new proteinsproteins that your that your body needs to stay body needs to stay healthy and grow. healthy and grow.

Without me, you Without me, you wouldn't grow wouldn't grow properly!properly!

7. I 7. I remove poisonsremove poisons from the air, exhaust from the air, exhaust smoke and chemicals smoke and chemicals you breathe. you breathe.

Without me, you'd Without me, you'd be poisoned by be poisoned by pollutants!pollutants!

8. I 8. I make clotting make clotting factorsfactors that stop the that stop the bleeding when you bleeding when you accidentally prick accidentally prick yourself.yourself.

Without me, you'd Without me, you'd bleed to death!bleed to death!

9. I help 9. I help defend youdefend you against the germs against the germs going into your body all going into your body all the time. I take those the time. I take those cold germs, flu bugs cold germs, flu bugs and other germs you and other germs you encounter, and knock encounter, and knock them dead - or at least them dead - or at least weaken them. weaken them.

Without me, you'd be a Without me, you'd be a sitting duck for every sitting duck for every infection known to man.infection known to man.

That's how much I love That's how much I love you... but do you love you... but do you love

me?me?

Now, Now,

let us share about a most let us share about a most common liver disease – common liver disease –

fatty liver …..fatty liver …..

Fatty Liver Fatty Liver

What is it?What is it?

• Fatty liverFatty liver is the collection of is the collection of excessive amounts of fat inside liver excessive amounts of fat inside liver cellscells, also called steatosis., also called steatosis.

• Mostly triglycerides. Mostly triglycerides.

Common type of Fatty Liver Common type of Fatty Liver

1. Nonalcoholic 1. Nonalcoholic fatty liver fatty liver disease disease (NAFLD) - (NAFLD) - affect people affect people who drink who drink little or no little or no alcohol.alcohol.

•simple fatty simple fatty liver liver (steatosis), (steatosis), usually usually causescauses no liver no liver damage.damage.

2. Nonalcoholic 2. Nonalcoholic steatohepatitis steatohepatitis (NASH), a more (NASH), a more serious type.serious type.Cause by Cause by hepatitis hepatitis infection, infection, malnutrition, malnutrition, obesity, obesity, diabetes diabetes mellitus, and mellitus, and Reye's Reye's syndromesyndrome . .

In some cases, this In some cases, this can progress can progress either to cirrhosis, either to cirrhosis, which can produce which can produce progressive, progressive, irreversible liver irreversible liver scarring, or to liver scarring, or to liver cancer.cancer.

Reye's Syndrome - a deadly disease, Reye's Syndrome - a deadly disease, attack any child or adult without attack any child or adult without

warning.  warning. 

All body organs are affected, with the liver All body organs are affected, with the liver and brain suffering most seriously.  and brain suffering most seriously. 

Cause and cure remain unknown, research Cause and cure remain unknown, research has established a link between Reye's has established a link between Reye's Syndrome and the use of aspirin and other Syndrome and the use of aspirin and other salicylate-containing medications.  salicylate-containing medications. 

3. Alcoholic 3. Alcoholic steatosis.steatosis.

Cause alcohol Cause alcohol by abuse by abuse

All body organs are All body organs are affected, with the liver affected, with the liver and brain suffering and brain suffering most seriously.  most seriously. 

Cause and cure remain Cause and cure remain unknown, research has unknown, research has established a link established a link between Reye's between Reye's Syndrome and the use Syndrome and the use of aspirin and other of aspirin and other salicylate-containing salicylate-containing medications.  medications. 

Causes: Causes:

1.1.Nonalcoholic fatty liver - It's unclear Nonalcoholic fatty liver - It's unclear exactly what causes disease. exactly what causes disease.

But many researchers believe the But many researchers believe the contributing factors are: contributing factors are:

– ObesityObesity– Hypertension Hypertension – Abnormal cholesterol levelsAbnormal cholesterol levels

2. It's also unclear exactly how a liver 2. It's also unclear exactly how a liver becomes fatty. The fat may come becomes fatty. The fat may come from other parts of the body, or the from other parts of the body, or the liver may liver may absorbabsorb an an increasedincreased amount of fat from the intestine. amount of fat from the intestine.

Another possible explanation is that Another possible explanation is that the liver the liver loses its ability to change fatloses its ability to change fat into a form that can be eliminated. into a form that can be eliminated.

What are the symptoms?What are the symptoms?

• Fatty liver usually produces no Fatty liver usually produces no symptoms. symptoms.

• JaundiceJaundice

• right-side abdominal painright-side abdominal pain

• abdominal swellingabdominal swelling

• fever.fever.

At more advanced stage, liver At more advanced stage, liver becomes becomes cirrhosiscirrhosis

• Cirrhosis refers to scarring of the Cirrhosis refers to scarring of the liver. It replaces healthy tissue.liver. It replaces healthy tissue.

• Scar tissue cannot do what healthy Scar tissue cannot do what healthy liver tissue does. liver tissue does.

• Scar tissue also blocks the normal Scar tissue also blocks the normal flow of blood through the liver. flow of blood through the liver.

• Cirrhosis can be life-threatening, but Cirrhosis can be life-threatening, but it can also be controlled if treated it can also be controlled if treated early.early.

A fatty liver is enlarged and has a A fatty liver is enlarged and has a greasy, pale yellow look.greasy, pale yellow look.

How is it diagnosed?How is it diagnosed?

• The liver may be tender when the The liver may be tender when the abdomen is pressed. abdomen is pressed.

• Blood tests - for liver function. Blood tests - for liver function.

• Ultrasound or abdominal CT scan.Ultrasound or abdominal CT scan.

What is the treatment?What is the treatment?• Treatment for fatty liver is aimed at Treatment for fatty liver is aimed at

eliminating or treatingeliminating or treating the causethe cause of the of the condition. condition.

• In some cases, fatty liver is reversible if In some cases, fatty liver is reversible if caught early in its development. caught early in its development.

• Pregnancy-related fatty liver is treated Pregnancy-related fatty liver is treated by delivering the baby, if viable. by delivering the baby, if viable.

• Severe liver damage can occur if fatty Severe liver damage can occur if fatty liver is left untreated. In these cases, the liver is left untreated. In these cases, the patient may eventually require a liver patient may eventually require a liver transplant transplant

Abnormality 2005 % 2006 %

Fatty liver 17.52 24.12

Liver cyst 9.99 11.66

Renal cyst 7.04 7.77

Renal calculi 10.90 11.48

GB calculi 9.63 9.54

Prostatomegaly 4.39 6.18

ovarian cyst 4.58 4.77

uterine myoma 1.87 3.45

Total scan done 1661 1132

AbN Statistic PGH – CT ScanAbN Statistic PGH – CT Scan

Abnormality 2005 % 2006 %

Fatty liver 9.82 18.82

Liver cyst 1.33 2.52

Renal cyst 1.60 3.45

Renal calculi 2.21 3.39

GB calculi 3.54 5.52

Prostatomegaly 1.48 2.83

ovarian cyst 5.10 8.58

uterine myoma 2.25 3.79

Total scan done 2627 3566

AbN Statistic PGH – AbN Statistic PGH – U/soundU/sound

Fatty liver % detection vs no Fatty liver % detection vs no of check-up 2006of check-up 2006

Modality

2005 total

check-up

2005 %

2006- total

check-up

2006 %

Ct Scan 1661 17.52 1132 24.12

Ultrasound 2627 9.82 3566 18.82

That shows some people do That shows some people do

not love me enough… not love me enough…

Now, Now,

Let me tell you some easy Let me tell you some easy ways to love me, your ways to love me, your

liverliver

Don't drown me in beer, Don't drown me in beer, alcohol or wine! alcohol or wine! Even one drink is too Even one drink is too much for some people much for some people and could scar me for and could scar me for life.life.

• I scar easily.. and those scars, called I scar easily.. and those scars, called "cirrhosis" are permanent."cirrhosis" are permanent.

Medicine is sometimes necessary. But Medicine is sometimes necessary. But taking pills when they aren't necessary is a taking pills when they aren't necessary is a bad habitbad habit. All those chemicals can really . All those chemicals can really hurt a liver.hurt a liver.

• Watch those drugs!Watch those drugs! All drugs are All drugs are chemicals, and when chemicals, and when you mix them up you mix them up without a doctor's without a doctor's advice you could advice you could create something create something poisonous that could poisonous that could damage me badly. damage me badly.

Be careful with Be careful with aerosol spraysaerosol sprays! ! Remember, I have Remember, I have to detoxify what to detoxify what you breathe in, you breathe in, too. So when you too. So when you are cleaning with are cleaning with aerosol cleaners, aerosol cleaners, make sure the make sure the room is room is ventilated, or ventilated, or wear a mask. wear a mask.

That goes double for bug sprays, That goes double for bug sprays, mildew sprays, paint sprays and all mildew sprays, paint sprays and all those other chemical sprays you use. those other chemical sprays you use. Be careful what you breathe!Be careful what you breathe!

Watch what gets on your skin!Watch what gets on your skin! Those Those insecticides you put on trees and shrubs not insecticides you put on trees and shrubs not only kill bugs they can get to me right only kill bugs they can get to me right through your skin and destroy my cells, too. through your skin and destroy my cells, too. Remember they're all chemicals. Remember they're all chemicals. Cover your skin with gloves, long sleeves, a Cover your skin with gloves, long sleeves, a hat and mask every time insecticides are in hat and mask every time insecticides are in the air or if you're handling them.the air or if you're handling them.

Don't eat too much Don't eat too much fatty foodfatty food! ! I make the cholesterol your body I make the cholesterol your body needs, and I try to make the right needs, and I try to make the right amount. amount.

Give me a break. Eat a good, well Give me a break. Eat a good, well balanced nourishing diet. If you eat balanced nourishing diet. If you eat the right stuff for me, I'll really do the right stuff for me, I'll really do my stuff for you!my stuff for you!

WARNING: WARNING: I can't and won't tell you I'm in I can't and won't tell you I'm in trouble until I'm almost at the end of trouble until I'm almost at the end of my rope... and yours.my rope... and yours.

Remember: I am a non-complainer. Remember: I am a non-complainer. Overloading me with drugs, alcohol and Overloading me with drugs, alcohol and other junk can destroy me! This may be other junk can destroy me! This may be the only warning you will ever get.the only warning you will ever get.

Take My Advice, Please!Take My Advice, Please!• Check me out with your Check me out with your

doctor. doctor. • Blood screening tests can Blood screening tests can

identify some trouble. identify some trouble. • If I'm soft and smooth, that's If I'm soft and smooth, that's

good. If I'm hard and bumpy, good. If I'm hard and bumpy, that could mean trouble.that could mean trouble.

• If your doctor suspects If your doctor suspects trouble, ULTRA SOUND and trouble, ULTRA SOUND and CT scans can look into it. CT scans can look into it.

• My life, and yours, depends My life, and yours, depends on how you treat me. on how you treat me.

Now you know how much I Now you know how much I care for care for you.you.

Please treat Please treat meme with tender with tender loving care.loving care.

Your silent partner and ever-Your silent partner and ever-loving lover….LIVERloving lover….LIVER

THANK YOU THANK YOU