Overview
Fatty liver means fat makes up more of the liver's weight than it should. In its early stage it usually causes no symptoms at all, which is why it is most often discovered during an ultrasound done for some other reason.
It is broadly grouped into alcohol-related fatty liver and non-alcoholic fatty liver, the second being closely linked with weight, blood sugar and cholesterol patterns. In many people the early stage responds well to sustained changes in diet, activity and weight.
Symptoms people notice
- Dull ache or heaviness in the upper right abdomen
- Tiredness that does not improve with rest
- Loss of appetite or early fullness after meals
Causes and risk factors
- Excess body weight, particularly around the abdomen
- Insulin resistance, prediabetes or type 2 diabetes
- High triglycerides or cholesterol
- Regular alcohol intake
- A diet high in refined carbohydrates, fried food and sugary drinks
- Long periods of physical inactivity
When to seek help
Do not wait on these
- Your ultrasound or liver function test is abnormal
- Abdominal pain that keeps returning
- Yellowing of the eyes or skin
- Swelling in the legs or abdomen
- Unexplained weight loss along with persistent fatigue
Lifestyle and daily guidance
- 1Aim for gradual, steady weight reduction rather than crash dieting
- 2Reduce refined sugar, packaged snacks and deep-fried food
- 3Build meals around whole grains, vegetables, pulses and lean protein
- 4Walk briskly for 30–45 minutes on most days of the week
- 5Avoid alcohol entirely while the liver is recovering
- 6Repeat liver tests as advised so progress can be tracked
Frequently asked questions
The early stage is usually reversible with consistent lifestyle change. It becomes more serious if inflammation and scarring develop over years, which is why it is worth acting on early rather than ignoring it.
For many people, weight reduction, dietary change and regular activity make a measurable difference to liver enzymes and scan findings. Your practitioner will tell you whether anything further is needed in your case.
Disclaimer: The information on this website is for general education only and is not a diagnosis, prescription or a substitute for professional medical advice. Always consult a qualified practitioner about your individual health concern.