Fatty Liver, medically called Hepatic Steatosis, is one of the most common lifestyle-linked liver problems today. It happens when too much fat builds up inside your liver cells, affecting its function over time. If left unchecked, it may progress to more serious liver damage. So, spotting the early signs of Fatty Liver can help you take charge of your health in time.
Here are 10 clear signs that you may have Fatty Liver — keep reading and note how many relate to you!
✅ 1️⃣ Constant Fatigue
Feeling tired all the time is often brushed off as “normal,” but it could be your liver signalling trouble. The liver plays a big role in energy production by storing and releasing glucose when needed. When excess fat slows this function, you feel drained, lazy, or sleepy throughout the day, even if you’re getting 7–8 hours of sleep. If you wake up tired and struggle to stay active, don’t ignore it.
✅ 2️⃣ Pain or Discomfort in the Upper Right Abdomen
This is one of the more noticeable Fatty Liver symptoms. You may feel a dull pain, tightness, or mild swelling just below your right ribs — where the liver sits. The discomfort may come and go, but if it’s persistent or worsening, it’s worth getting checked. Many people think it’s acidity or gas — but if it repeats, it could be fat build-up in your liver.
✅ 3️⃣ Unexplained Weight Gain or Trouble Losing Weight
Fatty Liver is often linked with metabolic syndrome. Even if you’re eating moderately, your body might start storing more fat around the belly and waist. This happens because the liver struggles to metabolize fats properly. If your weight creeps up despite diet and exercise, or your belly fat is unusually stubborn, your liver may be overloaded with fat.

✅ 4️⃣ Elevated Liver Enzymes in Blood Tests
Many people have no visible signs but get an unexpected shock in their reports. Raised levels of liver enzymes like ALT (Alanine Transaminase) and AST (Aspartate Transaminase) can be an early indicator of fatty changes. Doctors often recommend an ultrasound scan if enzymes are high to check for fatty liver grade.
✅ 5️⃣ Loss of Appetite or Early Fullness
Fatty Liver can slow down digestion and bile flow, which affects how your body breaks down fats. You may feel full very quickly while eating small meals, feel bloated, or lose interest in food altogether. Over time, this may lead to weight fluctuations and nutritional deficiencies.
✅ 6️⃣ Dark Patches on Neck, Underarms, or Groin (Acanthosis Nigricans)
This sign often surprises people. Fatty Liver is strongly linked to insulin resistance — which causes these thick, dark, velvety skin patches in body folds like the neck, armpits, elbows, or groin. It’s not directly painful but signals deeper metabolic imbalance.
✅ 7️⃣ Frequent Digestive Issues or Nausea
Your liver produces bile that helps digest fats. If it’s stressed with fat deposits, bile production may drop, causing digestion issues like bloating, constipation, mild nausea, or even acid reflux. You may feel uneasy after eating oily or fried foods.
✅ 8️⃣ Swelling in Abdomen (Ascites)
If Fatty Liver progresses to severe stages like cirrhosis, it can cause fluid build-up in the abdomen — medically known as ascites. You may notice your belly looking bigger and feeling tight, and your clothes fitting uncomfortably. This needs immediate medical care.
✅ 9️⃣ Mild Jaundice (Yellowing of Skin or Eyes)
Yellow eyes or pale yellowish skin can occur when the liver’s ability to filter out bilirubin drops. It’s more common when fatty liver disease progresses or when inflammation sets in. Some people also experience darker urine or pale stools.
✅ 🔟 Brain Fog, Confusion & Poor Focus
When the liver is unhealthy, toxins can build up in the bloodstream and reach the brain. This causes mild confusion, forgetfulness, low concentration, and mental tiredness. You might find it harder to remember things or stay sharp during the day.
✅ What to Do If You Notice These Signs?
Fatty Liver is manageable — especially in its early stages. Healthy lifestyle changes, low-fat and high-fibre diet, regular exercise, and liver-friendly herbs can help reverse it. But always consult an expert first.

👉 Need help?
Visit the Vedic Upchar Consultation Page to get personal advice if you have these Signs of Fatty Liver for your liver health from an experienced Ayurvedic doctor.