The liver is one of the most vital organs in our body, responsible for filtering toxins, producing bile, and regulating metabolism. However, an unhealthy lifestyle, poor diet, and excessive alcohol intake can lead to fatty liver disease, a condition where fat builds up inside the liver cells.
Fatty liver disease can be broadly categorized into Alcoholic Fatty Liver Disease (AFLD) and Non-Alcoholic Fatty Liver Disease (NAFLD). Both forms can progress silently, showing symptoms only when the liver becomes inflamed or damaged. Recognizing the early symptoms & signs of fatty liver is crucial for timely treatment and lifestyle adjustments.
Here are the 10 common symptoms and signs of fatty liver disease you should watch for.
1. Persistent Fatigue
Constant tiredness or lack of energy is one of the first signs of fatty liver disease. The liver’s reduced ability to detoxify the body can lead to sluggishness and chronic fatigue.
2. Unexplained Weight Loss
Although many people with fatty liver are overweight, some may experience unexplained weight loss due to poor nutrient absorption and liver dysfunction.
3. Pain or Discomfort in the Upper Right Abdomen
A dull or aching pain under the right ribcage may indicate liver inflammation. As fat accumulates, the liver enlarges, causing pressure and discomfort.
4. Abdominal Swelling (Ascites)
In advanced cases, fluid may accumulate in the abdomen, leading to visible swelling and bloating. This usually signals liver inflammation or scarring (cirrhosis).
5. Yellowing of Skin and Eyes (Jaundice)
When the liver can’t process bilirubin properly, it causes yellow discoloration of the skin and eyes, a clear sign of liver distress.
6. Unexplained Weakness
Patients often feel weak and low in stamina, as the liver’s reduced efficiency affects overall metabolism and energy balance.
7. Nausea or Loss of Appetite
Many people with fatty liver report nausea, indigestion, or loss of appetite, which can lead to poor nutrition and weight fluctuations.
8. Dark Urine and Pale Stool
Changes in urine or stool color may signal liver malfunction. Dark urine and pale or clay-colored stools often indicate bile production issues linked with fatty liver.
9. Swelling in Legs and Ankles (Edema)
Liver dysfunction can cause fluid retention in the body, leading to swelling in the feet, ankles, and legs due to poor circulation and protein imbalance.
10. Confusion or Difficulty Concentrating
Known as hepatic encephalopathy, this condition occurs when toxins build up in the bloodstream, affecting brain function — a sign of severe liver impairment.
How to Prevent and Manage Fatty Liver Disease
- Maintain a balanced diet low in sugar and saturated fats
- Exercise regularly (at least 30 minutes a day)
- Avoid alcohol consumption
- Monitor body weight and cholesterol levels
- Get regular liver function tests
Conclusion
Fatty liver disease often develops silently but can lead to serious complications if left untreated. Recognizing these early symptoms and making lifestyle changes can help prevent progression to cirrhosis or liver failure.
At EdhaCare, we help patients connect with top hepatologists and liver specialists in India, offering accurate diagnosis, advanced treatments, and comprehensive care for liver diseases.

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