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Gastroenterology

Non-Alcoholic Fatty Liver Disease (NAFLD): symptoms, causes & treatment

Also known as fatty liver, NAFLD, metabolic-associated fatty liver disease, MASLD.

Queste informazioni hanno carattere puramente orientativo e non costituiscono un parere medico. Consulta sempre un professionista sanitario qualificato per problemi medici personali. In caso di emergenza, chiama il numero di emergenza locale.

Overview

Non-alcoholic fatty liver disease is the buildup of extra fat in the liver in people who drink little or no alcohol. It is closely linked to excess weight, type 2 diabetes, and high cholesterol. Many people have no symptoms, but in some it can progress over years to inflammation and scarring of the liver, so early lifestyle changes matter.

Symptoms

  • Often no symptoms in early stages
  • Tiredness
  • Discomfort or dull ache in the upper right abdomen
  • Unexplained weight changes
  • In advanced stages, yellowing of the skin or eyes, swelling, or easy bruising

Causes & risk factors

  • Excess body weight, especially around the abdomen
  • Type 2 diabetes or insulin resistance
  • High cholesterol or triglycerides
  • High blood pressure
  • Diets high in sugar and refined carbohydrates
  • Genetic predisposition

Treatment & self-care

Care centres on managing the underlying metabolic factors, since there is no quick fix. It generally involves gradual weight loss where appropriate, a balanced diet lower in sugar and refined carbohydrates, regular activity, and control of diabetes, cholesterol, and blood pressure. A licensed clinician monitors liver health and decides whether further tests for scarring are needed.

See a doctor urgently if

  • You have diabetes, obesity, or high cholesterol and want liver screening
  • You have ongoing pain in the upper right abdomen
  • You notice yellowing of the skin or eyes
  • You have swelling in the abdomen or legs
  • Blood tests have shown abnormal liver results

Frequently asked questions

What are the first signs of Non-Alcoholic Fatty Liver Disease (NAFLD)?
Early signs often include often no symptoms in early stages, tiredness, discomfort or dull ache in the upper right abdomen. Symptoms vary from person to person, so a proper assessment by a doctor is the only way to be sure.
Can Non-Alcoholic Fatty Liver Disease (NAFLD) be treated?
Care centres on managing the underlying metabolic factors, since there is no quick fix. It generally involves gradual weight loss where appropriate, a balanced diet lower in sugar and refined carbohydrates, regular activity, and control of diabetes, cholesterol, and blood pressure. A licensed clinician monitors liver health and decides whether further tests for scarring are needed.
When should I see a doctor about Non-Alcoholic Fatty Liver Disease (NAFLD)?
See a doctor promptly if you notice: you have diabetes, obesity, or high cholesterol and want liver screening; you have ongoing pain in the upper right abdomen; you notice yellowing of the skin or eyes; you have swelling in the abdomen or legs; blood tests have shown abnormal liver results.

Talk to the right specialist

Non-Alcoholic Fatty Liver Disease (NAFLD) is usually handled by gastroenterology. See an online gastroenterology doctor in minutes on iHealix.

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