Fatty Liver鈥攁nd Your Kids
George Michael's death at age 53 was a shock to the world. People were shocked again when it was released earlier this week that it appeared he had died of natural causes - heart disease and fatty liver. Even more shocking than that? Your children may be suffering from one of those conditions.
"We are seeing an uptick in the number of pediatric fatty liver cases," says , a pediatric gastroenterologist at 91麻豆天美直播 Care. "It's happening as we see the rates of obesity in children rise due to diet and lifestyle issues."
Understanding Fatty Liver Disease
While the condition is called "fatty liver," an excess of fat in the diet is not the cause. Rather, it is an excess of sugar and simple carbohydrates that is the problem.
"All of that sugar has to be processed by the liver - that's its job," says Jackson. "Your liver tries to process it, but it's coming in so fast it can't get it out in time."
That extra sugar in the liver creates fatty acids that build up in the liver faster than the liver can pump them out, so it stores them. This causes a fatty liver over time. Fatty acids are toxic to the liver cells and can cause inflammation or hepatitis and over time scars in the liver or cirrhosis. This is fatty liver disease.
Diagnosing Fatty Liver Disease
While the damage is being done, the patient may not even be aware. It may take a secondary complication before fatty liver is diagnosed.
"It can be very sneaky," Jackson says. "We may not know what is happening until we see signs of hepatitis or cirrhosis. We are now seeing both of those conditions in the teenage years."
Prevention Efforts
Cutting the amount of sugar in the diet is the best way to avoid fatty liver disease. Food with added sugar and simple carbohydrates should only be eaten in moderation. Instead of giving your child white bread, other foods with white flour, white rice, corn or potatoes, choose complex carbohydrates like whole grains vegetables and moderate fruits. Also, cut out the soda and avoid too much juice.
"You might as well be giving your children cigarettes," Jackson says. "The health impacts can be as severe."
In addition to picking the right carbohydrates you should make sure they are a component of a balanced diet. Carbohydrates should only make up a fourth of your plate at each meal. The rest of your plate should have vegetables and protein like meat or beans.
"By eating carbohydrates along with other foods, the body has more time to process the sugars in the foods," Jackson says.
When you eat can also have an impact. Spacing out meals gives the time to adequately process foods. If you are constantly eating, the body doesn't have time to reset itself.
"After you eat, your levels of insulin go up," Jackson explains. "If those levels stay high, your body isn't burning fat, but instead is just trying to store it. You need to allow time for your insulin level to drop."
Other healthy habits like exercise can help kids avoid fatty liver as well.
"If you are treating your body well, it will treat you well," Jackson says. "That includes your liver."
When Does Your Child Really Need Lab Work?
Parents often ask about blood tests during routine pediatric visits, but pediatrician Cindy Gellner, MD, clarifies that healthy children rarely need them. She shares some of the criteria for screenings in young patients and how insurance factors into decision-making.
What to Do When Your Baby Sounds Congested
Newborns cannot blow their noses, and they are not great at breathing through their mouths either鈥攕o even a little mucus can sound dramatic. Pediatrician Cindy Gellner, MD, shares what is normal when it comes to newborn sneezing and snorting, how to use saline and suction safely, and when to check in with your pediatrician.
Understanding Childhood Mood Disorders Beyond Bipolar
Is your child often irritable or prone to temper outbursts? Pediatrician Cindy Gellner, MD, clarifies the distinctions between bipolar disorder and Disruptive Mood Dysregulation Disorder (DMDD), emphasizing the importance of accurate diagnosis in childhood mood disorders.
