Patient's question:
Hello doctor! I want to ask if you have a good friend who is always tired, sometimes feels like vomiting, and has lost weight. We thought it was normal at first because they didn't eat much, but they always say their stomach feels a bit higher and they experience some hidden pain.Doctor's answer:
Clinical manifestations of fatty liver vary. Mild fatty liver may only cause fatigue, while most patients with fatty liver, who are often overweight and have palmar erythema and spider angiomas, find it harder to notice subtle symptoms. Moderate to severe fatty liver has symptoms similar to chronic hepatitis, such as poor appetite, fatigue, nausea, vomiting, weight loss, and dull pain in the liver region or upper right abdomen. Most patients with fatty liver have no symptoms or only mild fatigue, poor appetite, abdominal pain, belching, or a sense of fullness in the liver region. Due to the frequent fluctuation or sustained decline of transaminase levels and liver enlargement, fatty liver is often misdiagnosed as hepatitis, so it is particularly important to differentiate. B and CT have high diagnostic accuracy, but a liver biopsy is still required for definitive diagnosis. Clinical diagnosis requires a thorough examination.