How to differentiate hepatitis combined with fatty liver from simple fatty liver? There are many causes of fatty liver, and simple fatty liver refers to fatty liver in obese people. Half of obese people can have mild fatty liver, and the incidence of fatty liver in heavy obese people can reach 60% to 90%. Therefore, simple fatty liver should have the following characteristics: 1. Over-nutrition or familial tendency of obesity, weight more than 10kg above the normal standard. Normal human standard weight = height (cm) – 105 = weight (kg) or the square of weight in kilograms divided by height. 2, no history of heavy alcohol consumption, no history of drugs and other chronic metabolic diseases (such as diabetes), etc. 3.No pathogenic indicators of viral hepatitis (HBVDNA, HCVRNA, etc.) are negative. 4, abnormal liver function, no or worry mild ALT elevation, usually not more than 2 to 4 times the normal value. The latter can become steatohepatitis. 5, serum cholesterol, triglycerides and low-density lipoprotein, most of them have abnormalities; on the contrary, the lipid changes in hepatitis combined with fatty liver are milder than those in simple fatty liver, and can even be normal. 6, ultrasound examination, no evidence of chronic hepatitis damage, only the characteristics of fatty liver, such as liver volume increased, the liver foreground echogenic dense, enhanced density, the posterior field sparse, reduced density, forming a “sonic attenuation” phenomenon. The vascular structure of the liver is not clear, and the ductal structure is blurred and unclear. 7. Liver pathology examination shows hepatic steatosis, and fatty vesicles (McRae’s vesicles) can be seen in the liver tissue. How to treat fatty liver? Fatty liver is a metabolic disorder of the liver, so it is reversible and can be completely restored to normal after reasonable treatment. Comprehensive treatment should be taken: 1. Etiological treatment: actively remove the causes of fatty liver for each case, such as removing diseases and other toxic substances and chemicals that cause fatty liver to continue to poison. 2. Diet therapy: Eat more food rich in high protein and vitamins, eat less fatty foods and maintain a low-calorie diet. Obese patients in the active liver treatment at the same time, the focus is to control the diet, reduce weight, weight should be reduced to the standard weight or only exceed the standard weight within 20% more appropriate. You can take a walk, do aerobics, taijiquan, even jogging, swimming, etc. 3.Medication: Most of the transaminases in fatty liver patients are normal, but if there is mild or moderate elevation, you should choose appropriate enzyme-lowering drugs (such as dicyclomine, six flavored five spirit tablets, compound liver spirit, etc.). Fatty liver patients have different degrees of elevated triglycerides and cholesterol due to impaired fat metabolism, and are often accompanied by hyperlipidemia. Therefore, it is inevitable that they need lipid-lowering drugs, such as tadalafil (a few patients can cause drug-induced hepatitis), and they can also take some herbs to dispel fat, such as shell esters, hibiscus soft liver, safflower 13 flavor, etc. In addition, fatty liver patients with vitamin deficiency should also take vitamin C, vitamin B12, folic acid and so on. Vitamin C can promote the decomposition and transformation of cholesterol and can strengthen the liver’s role in removing cholesterol. When patients are accompanied by digestive discomfort symptoms such as nausea, loss of appetite, abdominal distension, constipation or loose stools, symptomatic treatment can be given by taking appropriate symptomatic medications such as selenium yeast tablets and multi-enzyme tablets orally. To add a point, if the patient is obviously wasted rather than obese, he should be supplemented with sufficient calories and should never be treated the same as an obese person. Otherwise, it will only aggravate the development of the disease. In conclusion, the treatment of fatty liver should be flexible, as long as the disease is treated seriously and the treatment measures are strict, most fatty liver can be fully recovered and patients should have full confidence.