Fatty liver often causes no symptoms
You may feel tired or weak
You may have discomfort or pain in the upper right abdomen
You may notice unexplained weight loss or loss of appetite
You may have nausea
You may have abdominal swelling
You may have enlarged liver found on exam
You may have abnormal liver blood tests
You may have elevated ALT or AST on lab work
You may have high triglycerides or cholesterol
You may have insulin resistance, prediabetes, or type 2 diabetes
You may have obesity or excess belly fat
You may have metabolic syndrome
You may have imaging findings on ultrasound, CT, or MRI showing fat in the liver
You may need a FibroScan or other liver assessment to check for scarring
You may need a doctor to confirm the diagnosis with blood tests and imaging