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Liver Assessment

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Alcohol consumption significantly increases the risk of hardening of the liver.

Do you consume five drinks or more for males/four drinks or more for females, within two hours (binge drinking)?

Do you drink more than two pints of beer or 3/4 bottle of wine per day?

Prolonged medication/drug intake may cause liver damage

Are you taking more than 2 types of long term medications?

Good diet and lifestyle habits are the most fundamental ways of controlling or preventing liver disease

Do you sleep less than 8 hours a day, or often stay up late?

Do you feel stressed or overworked?

Do you exercise less than 5 times a week?

Do you often indulge in rich/oily food (eg. fast food, chicken rice) eg. at least 3 times a week?

Fatty liver disease is most commonly associated with metabolic disorders. Do you have metabolic disorders:

Overweight-with waist circumference > 90cm in male, > 80cm in female (Asians)

High blood pressure

High cholesterol

Diabetes

Liver disorder and family history of liver disorder increases your risk of liver damage

Do you have personal or family history of liver diseases?

Are you suffering from Hepatitis C or other hepatitis(A & B)?

Do you have a recent blood test or imaging test (ultrasound) that says you have fatty liver?



DISCLAIMER: Please note this questionnaire is not a replacement for medical check-up and is not intended to diagnose any type of liver disease. For any concern, consult your doctor.

You are relatively at low risk of developing a liver condition. Please continue living a healthy lifestyle consisting of a well-balanced diet, with physical activity at least three times a week, sticking to your ideal body weight, effective stress management and avoiding smoking or alcohol intake. Have a regular check up with your doctor to maintain good health, prevent disease and encourage early detection and disease management.


You are drinking excessive amounts of alcohol.

Excessive and frequent alcohol consumption can harm your body and increases your risk of stroke, liver diseases, stomach ulcers, high blood pressure and accidents or even death caused by risky behaviors due to hallucinations.

Alcoholic liver disease is a possible consequence of alcohol over consumption. Fatty liver or alcoholic hepatitis can occur and this can eventually lead to hardening of the liver (i.e. cirrhosis) and liver failure.


Polypharmacy (taking multiple medications) can increase your liver’s workload in processing and breaking down of these chemicals and their byproducts. Also, some medications may be directly harmful to organs like the kidneys or the liver, not forgetting that liver function can decline with age too.

Take charge. Know your medications and act towards maintaining a healthy liver and you!


You are leading an unhealthy lifestyle.

Insufficient rest and a stressful mind can affect proper functions of your organs including your liver.

It is also important to exercise regularly. When you get active, your overall health and wellbeing improves. Regular exercise also reduces the risk of chronic diseases such as heart disease, cancer, high blood pressure and diabetes. According to the Singapore health promotion board, a healthy adult is recommended to engage in 150 minutes of moderate-intensity aerobic activity in a week.

Food that are oily or deep fried should also be an occasional treat as over indulgence in such rich food increases your bad cholesterol and can lead to obesity and fatty liver.


You may have metabolic syndrome.

Metabolic syndrome, also called syndrome X, is a group of risk factors that can cause serious chronic conditions such as heart disease, stroke and diabetes. In general, a person is deemed to have the metabolic syndrome when three or more of the following criteria are present:

  1. waist circumference > 90 cm in men and 80 cm in women
  2. triglyceride level of 1.7 mmol/l or more
  3. HDL cholesterol of 1.0 mmol/l or less in men, and 1.3 mmol/l or less in women
  4. blood pressure of 130/85 mmHg or more, or on treatment for high blood pressure
  5. fasting glucose level of 6.1 mmol/l or more, or on treatment for diabetes

Many people with metabolic syndrome also have non-alcoholic fatty liver. In non-alcoholic fatty liver, the liver cells are filled with fats and these can lead to subsequent liver inflammation, fibrosis and even liver failure


Liver disease can be inherited. So pay more attention to your liver if your family members have/ had liver disorders.

Existing liver conditions such as viral hepatitis can also increase your chances of further damage to your liver. Viral hepatitis is a condition where your livers are inflamed due to infection by viruses. The viruses

If you have not had your liver assessed and suspect that you may have a liver disorder, then it’s time to visit your doctor to get your liver function assessed today!


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(*) As shown in experimentally induced-liver cell damage

(**) http://www.liver.ca/liver-health/liver-facts.aspx

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