Fatty Liver Disease

A build-up of fat in the liver, usually linked to obesity and diabetes. It often has no symptoms but can lead to liver damage.

LiverMetabolicLast updated: 21 October 2026

Quick Summary

Primary Symptoms

Usually none. Sometimes tiredness or discomfort in the upper right tummy.

Common Treatments

Weight loss, healthy diet, regular exercise, controlling diabetes and cholesterol, and avoiding alcohol.

Risk Factors

Obesity, type 2 diabetes, high cholesterol, inactivity and alcohol.

Overview

Fatty liver disease linked to metabolism (MASLD, previously called NAFLD) is now very common in India. It's often found on an ultrasound done for another reason.

In some people, fat leads to inflammation and scarring (fibrosis), which can progress to cirrhosis. Losing weight can reverse it.

Symptoms

Usually no symptoms

Often found by chance.

Tiredness

Some people feel tired.

Upper right tummy discomfort

A dull ache.

Late signs

Jaundice and swelling only with advanced damage.

Causes & Risk Factors

Biological Causes

Excess fat stored in liver cells because of insulin resistance, excess calories or alcohol.

Key Risk Factors

  • Weight and diabetes The strongest links.
  • Diet and inactivity Sugary drinks, refined carbohydrates and little exercise.
  • Alcohol Causes alcohol-related fatty liver.

Management & Treatment

01. Weight loss

Losing 7–10% of body weight can reduce fat and inflammation.

02. Healthy habits

Less sugar and refined carbohydrates, more activity.

03. Manage risks

Control diabetes, blood pressure and cholesterol; avoid alcohol.

Frequently Asked Questions

Can fatty liver be reversed?
Yes, often, with weight loss and lifestyle changes.
How is liver scarring checked?
With blood-based scores and a FibroScan.

Sources and further reading

Last updated 21 October 2026. For more detail, see these trusted health organisations.