Fatty Liver and Constipation Interlinked? - A Brief Study

Posted by Soundaria M on Wed, Jun 25, 2025  
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Introduction

Fatty liver is caused when fat accumulates in liver cells, exceeding 5-10% of the liver’s weight.

Alcoholic fatty liver disease: Caused due to excessive alcohol consumption.

Non-Alcoholic fatty liver disease(NAFLD): Can be seen in individuals who consume little to no alcohol, often linked to metabolic risk factors.

Constipation is a common digestive issue where bowel movements become infrequent or difficult to pass.

Causes may be dietary factors, Lifestyle, Medications and some medical conditions.

Relationship between fatty liver and constipation:

The relationship between fatty liver and constipation is not well-established. But, there are some indirect connections. Constipation itself does not directly cause a fatty liver. Certain factors that contribute to constipation may also be linked to fatty liver disease.

For example, a diet high in unhealthy fats, low fiber intake, and a sedentary lifestyle. These can increase the risk of both constipation and fatty liver.

Additionally, some medications used to treat constipation impact liver function.

A diet low in fiber, vegetables and fruits can cause constipation, also fat accumulation in the liver.

Common causes for fatty liver and constipation

Some of the causes listed can cause both fatty liver and constipation.

Like Unhealthy fats and sugar consumption, Processed and fast food diet are low in fiber, Inadequate water intake, A sedentary lifestyle and a lack of physical activity.

Common symptoms for fatty liver and constipation:

Abdominal discomfort can occur due to constipation and fatty liver.

Fatigueness / Feeling tired and energy loss can occur in both conditions.

How can one condition contribute to or exacerbate the other?

The relationship between the two conditions is not well defined. However, obesity, poor diet and a sedentary lifestyle can contribute to both fatty liver and constipation

Obesity and metabolic changes due to fatty liver can lead to slow bowel movements, leading to constipation.

Chronic inflammation from fatty liver can affect the gut. This potentially worsens constipation.

Constipation-related straining can temporarily increase intra-abdominal pressure. As a result, this impacts the liver blood flow resulting in fatty liver.

Chronic constipation may lead to systemic inflammation, exacerbating fatty liver conditions.

Role of gut microbiome in fatty liver and constipation:

Gut microbiome plays a pivotal role in both conditions.

In case of fatty liver, it influences metabolism and nutrient processing. Ultimately this affects the fat accumulation in the liver.

In case of constipation, it influences the digestive function, by breakdown of fibre and stool transit. This leads to gut inflammation and slows the bowel movements.

The gut microbiome is a key player in both conditions. Dietary choices impact this gut-liver relationship and fatty liver development.

Conclusion:

However, there is no direct causative relationship between fatty liver and constipation. A healthy lifestyle can help manage and prevent both conditions.

Understanding this connection may lead to new treatments for fatty liver and constipation.

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