NAFLD: Sober but still at risk
What exactly do you mean by NAFLD? 'It is a condition where fat builds up in your liver, for reasons other than alcohol,' says Dr Narendra Teja Gogireddy, consultant surgical gastroenterologist at Apollo Hospitals, Hyderguda, further adding, 'This term is used for patients with chronic lifestyle diseases. In initial stages it is mild and reversible, however it can cause liver damage over time and lead to serious conditions like cirrhosis or liver failure.'
The condition often stems from everyday habits that seem harmless at first; a sedentary routine, meals loaded with sugar and processed carbs, and that familiar struggle with weight gain. 'People who drink little or no alcohol may develop NAFLD. People who are overweight or obese frequently exhibit it. The most prevalent type of liver disease in the world today is NAFLD. Although NAFLD in its early stages is typically benign and asymptomatic, it can develop into more severe forms such as Non-Alcoholic Steatohepatitis (NASH), which involves damage and inflammation of the liver. NASH can result in cirrhosis, scarring (fibrosis), and potentially liver failure or malignancy if treatment is not received,' explains Dr Naveen Polavarapu, senior consultant, medical gastroenterologist, liver specialist, lead, advanced endoscopic interventions & training, clinical director, Yashoda Hospitals, Hyderabad.
What's alarming is that NAFLD doesn't discriminate, 'Fat can build up in your liver even if you don't drink alcohol. This happens due to several factors like insulin resistance (often linked with type 2 diabetes or prediabetes), high cholesterol or triglyceride levels, poor diet (especially diets high in sugar and refined carbs), sedentary lifestyle (lack of physical activity), rapid weight loss or malnutrition, certain medications (like corticosteroids or some cancer drugs), hormonal imbalances or metabolic syndrome. These risk factors can lead to fat accumulation in liver cells, potentially causing inflammation, scarring, and liver damage over time if not managed,' says Dr Narendra.
Hashtags

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


Indian Express
23 minutes ago
- Indian Express
When breastfeeding was no challenge: How a trap shooter and IT professional fed their babies in the middle of a work day
Thirty-two-year-old Katha Kapur Bhandari, a trapshooter with the national squad, has been travelling with her daughter to all her competitions ever since she was born four years ago, having breast-fed her through the first year. Software developer Parul Malhotra had her first child, a daughter, at 37, and fed her whenever she needed, even during a month-long vacation to Bali, with her breast cover slung over her shirt. Now she has all the information on feeding rooms at whatever office she flies to for work. Yet both women were once told that given their busy schedules, they wouldn't have enough milk for breastfeeding and that they should top up with formula feeds. 'Breastfeeding is a science and if you have the right lactation counselling, shed the guilt and stress of whether you are doing the right thing as a mother, you can feed your new-born as normally as your grandmother did,' says Bhandari. Malhotra, who had a C-section delivery, says she continued to directly feed her baby even when she cried. 'The nurses told me she was hungry. Nobody had told me then that there were a thousand reasons why a baby cries. Thanks to my lactation expert, I stopped judging my milk supply and kept at it. For seven months, my girl's hydration, too, was with breast milk. She would sip water only when she started having solid foods,' she says. Both of them are challenging the myth that young working women cannot produce enough milk or feed their babies. That is determined by how well the baby is latched on to the mother's breast, how quickly the baby is fed (within the first hour of birth is the best) the frequency of feeds and the amount the baby is having. Fact is milk production is directly related to the mother's psychological profile and well-being. 'Oxytocin is a happy hormone, which plays a crucial role in lactation by triggering milk production, calming the mother's anxiety which can block milk supply and helping her bond with the child. There should be no gaps in feeding within the first three days of delivery. Any gap is like a signal blocker to the mother's brain that she doesn't need to produce milk. Most women can then get into the rhythm easily. Except rarities like an infection, a severe hormonal disruption, breast surgery or severe malnutrition, most young women are capable of producing and sustaining milk supplies,' says Dr Anita Sharma, lactation expert at Fortis Le Femme, New Delhi. WHY LACTATION EDUCATION IS A MUST Dr Sahana KP, senior consultant, gynaecology, Apollo Hospitals, Bengaluru, believes that the motivation to breastfeed must begin with pregnancy itself. She insists that not only the father but family members sit in on counselling sessions to help the mother, who may lose perspective given her vulnerability to post-partum depression. 'Most people know very little about breastfeeding. The first two to three days, the mother secretes only colostrum, a liquid which is nutrient dense, full of antibodies, antioxidants, enzymes and beneficial bacteria. It sets up the baby's immune system. Its secretion is limited, 30 to 50 ml, after which the mother's diet and hydration gradually amps it up as the breast milk we know. And since a baby needs milk every two hours, each feed has to be just 30 to 90 ml, which is enough for the baby's tiny stomach. Yet people judge the mother's milking capacity in the first few days and send her on a guilt trip, which is what obstructs whatever milk she could have produced,' she says. In the first two weeks, the baby requires 300 to 500 ml milk per day, which can go up to 1,000 ml per day at the end of six weeks. 'All you need for stimulating milk hormones is for the mother to latch on to the baby properly, have encouraging people around her and positive vibes. That's it. Once the mother becomes confident, she can sustain milk production for 12 to 14 months, even after the infant has started on solid food. Mothers can freeze their milk as reserve, thaw it to room temperature and bottle-feed the child with it as required. Breast milk should never be heated or refrozen,' says Dr Sahana. She advises milk-boosting supplements only rarely. DEALING WITH ANXIETY Dr Sharma has seen mothers with extreme anxiety, especially those who may have their babies in NICU (neo-natal intensive care unit) because they are pre-term or have birth complications like jaundice and edema. 'Such stress levels automatically impact milk production. As lactation counsellors, we help them understand triggers, calm them down and help them pump milk so that their babies can be fed normally later,' she says. In fact, Dr Sharma puts mothers through a recreational activity, taking them out from the cycle of feeding and fretting over the baby. 'I actually ask them to have a special dinner or a foot spa,' she adds. She even trains the father or caregiver in chest feeding, whereby they can position the baby and feed the mother's expressed milk from a bottle. Dr Sharma takes new mothers through the drill of watching the baby's urine and stool output as well as the weight — an infant loses about ten per cent of body weight in the first two weeks — to see if their newborn is getting enough milk or not. 'If these are within parameters, she is making just about enough milk. Also prolactin, another milk-making hormone, works best in the morning. So a new mother needs to sleep in late, having been mostly awake at night. Sleep deprivation affects milk quality,' she says. WHY FORMULA FEEDS SHOULD BE THE LAST OPTION Formula milk should be brought in only when the mother cannot breastfeed because of duct infection or medical reasons. 'Many women think it is convenient but it is heavier than breast milk, causing bloating, colic pain and weight gain in the child. As for the mother, given the satiety of formula milk, her brain cannot understand how much milk it needs to make or not,' says Dr Sharma. LESSONS FROM AN IT PROFESSIONAL AND SPORTSWOMAN Malhotra recalls how her baby cried incessantly after birth. 'Since I had a C-section, the nurse told me to rest as she topped up the feed with formula. I didn't know that the gap would affect my supply or that I should have fed her in the first hour. Dr Sharma led me through latching and my supply got regulated within 60 days. Besides, my body can now sense when she will need a feed and makes milk accordingly. I pump once in the night or early morning, so that we can have an emergency reserve,' she says. Malhotra hasn't yet given formula feed to her seven-month-old and looks at breastfeeding as a natural body process like menstruation. Bhandari was initially given to anxiety because her child was born in the middle of the pandemic. 'I was so stressed back then that I couldn't pump milk at all. So from the very beginning I fed her directly. I bought a weighing machine to track her progress. So I charted her weight rather than looking at whether I was producing enough milk. Unlike other women, I even had periods soon after the first month, when the supply goes down automatically. But I focussed on my diet and exercise to keep my hormones in balance,' she recalls. Bhandari took great pains to ensure her daughter always fed on her milk. 'I would use a breast pump during training, in my car or in the changing room at the shooting range. I would take short haul flights, keep the expressed milk in the aircraft's refrigeration unit and then thaw it for a feed. The best part is my child got used to my schedule and never demanded feed in the middle of a competition. Now no competition or win is complete without her,' she says. All young mothers need are support and safe feeding spaces, not shame.


Time of India
38 minutes ago
- Time of India
Eating 2 apples daily help you fight fatty liver, colon cancer and heart diseases: Gastroenterologist reveals
The apple, often celebrated as nature's perfect snack, is more than just a convenient fruit—it is a nutritional powerhouse capable of influencing overall health in profound ways. Tired of too many ads? go ad free now While the well-known proverb claims that 'an apple a day keeps the doctor away,' experts suggest that doubling this habit could bring even greater benefits. Gastroenterologist Dr. Joseph Salhab recently highlighted how eating two apples daily can help reduce the risk of fatty liver disease, protect against colon cancer, improve heart health, regulate blood sugar levels, and even support weight management. Apples are rich in fibre, antioxidants, and essential nutrients, making them a simple yet effective addition to a healthy lifestyle. While apples are not a miracle cure, eating two apples daily is a simple, sustainable habit with far-reaching health benefits. From improving liver and colon health to supporting cardiovascular wellness, regulating blood sugar, and aiding weight management, apples prove that sometimes the simplest dietary changes can have the biggest impact. How two apples a day can make a significant difference to your well-being Apples are an impressive combination of soluble and insoluble fibre, vitamin C, potassium, and powerful antioxidants such as quercetin and polyphenols. The soluble fibre, known as pectin, plays a critical role in cholesterol reduction, blood sugar control, and digestive health. The antioxidants protect cells from oxidative damage, which is one of the main contributors to chronic diseases. Eating two apples daily increases the intake of these beneficial compounds, creating a steady, natural supply of nutrients that work in harmony to maintain metabolic balance and strengthen immunity. Tired of too many ads? go ad free now Supporting liver function and reducing fatty liver risk Fatty liver disease is an increasingly common health issue, particularly linked to high-fat diets, sedentary lifestyles, and metabolic disorders. Apples can aid in preventing and managing this condition because their soluble fibre binds with cholesterol and fat, limiting their absorption in the digestive tract. The liver is spared from storing excess fat, reducing the risk of non-alcoholic fatty liver disease (NAFLD). Additionally, the polyphenols in apples reduce oxidative stress and inflammation—two key processes that lead to liver cell damage. By consuming two apples daily, these protective benefits are amplified, providing an extra layer of defense for long-term liver health. Colon health and cancer prevention Colon cancer is one of the most common types of cancer globally, often linked to a diet low in fibre and antioxidants. Apples address this risk on two fronts: improved bowel regularity and antioxidant protection. The pectin fibre in apples acts like a natural cleansing agent for the colon, preventing constipation and reducing the time harmful substances spend in the digestive tract. Meanwhile, antioxidants neutralize free radicals that could damage colon cells and trigger cancerous changes. Research suggests that people who regularly consume apples have a lower risk of developing colon cancer, and eating two apples daily may strengthen this natural defense even further. Heart health and cholesterol balance Cholesterol management is another area where apples excel. The pectin in apples binds to cholesterol molecules in the digestive system and removes them from the body, lowering levels of LDL cholesterol—the so-called 'bad cholesterol.' This contributes to cleaner arteries, better blood flow, and a reduced risk of plaque buildup, which is associated with heart disease. The antioxidants in apples also prevent oxidative damage to arterial walls, reducing inflammation and maintaining healthy blood vessels. Eating two apples every day supports healthier cholesterol levels and offers long-term cardiovascular protection. Regulating blood sugar and reducing diabetes risk Even though apples have a naturally sweet taste, their fibre content slows sugar absorption into the bloodstream. This prevents sudden spikes in blood sugar, making apples a smart choice for people trying to manage or prevent type 2 diabetes. Polyphenols in apples further improve insulin sensitivity, helping the body use glucose more efficiently. Eating two apples daily ensures steady energy levels, a reduced risk of insulin resistance, and better overall blood sugar stability. Weight management and digestive health Two apples a day can also assist with natural weight management. Their high water and fibre content create a sense of fullness, reducing the urge to snack on processed or high-calorie foods. Over time, this can lead to improved calorie control and healthy weight loss. Additionally, the fibre in apples acts as a prebiotic, feeding beneficial gut bacteria that improve digestion, immunity, and even mental health. A balanced gut microbiome supported by regular apple consumption enhances nutrient absorption and overall wellness. * Disclaimer : Consult a healthcare provider before making significant changes to your diet or health routine, especially if you have existing medical conditions or allergies. Also Read |

New Indian Express
14 hours ago
- New Indian Express
Kerala's Medisep insurance basic coverage to be Rs 5 lakh in phase-II
THIRUVANANTHAPURAM: The Cabinet meeting on Wednesday approved the second phase of the Medisep insurance scheme for government employees and pensioners. Basic insurance coverage will be enhanced from the present Rs 3 lakh to Rs 5 lakh. Employees of public sector enterprises will also be brought under the scheme's coverage, said an official statement. The basic treatment package will include 2100 procedures for 41 speciality treatments. Cardiac Resynchronisation Therapy (CRT with Defibrillator- Rs 6 lakh, ICD Dual Chamber - Rs 5 lakh) will be included in the additional package. Knee replacement and hip surgery will be included in the basic benefit package. The new scheme will cover ten types of serious illnesses/ organ transplant treatment packages. To meet this, the insurance company will be asked to set apart a corpus fund of Rs 40 crore for two years. Upto 1 pc of the basic insurance coverage, Rs 5000, will be granted as room rent. Upto Rs 2000 will be granted for pay ward room rent in government hospitals. The Cabinet gave in-principle approval to include non-ESI staffers and pensioners in public sector enterprises, boards, corporations, autonomous institutions and cooperatives. The policy period will be enhanced from the present two years to three years. Premium and package rates will be increased in the second year.