Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Get emergency help for:
Vomiting blood or passing black, tar-like stools
Sudden confusion, extreme drowsiness or difficulty waking
Severe breathing difficulty with marked abdominal swelling
Collapse or severe weakness with signs of bleeding
These symptoms can occur with complications of advanced liver disease, but they can also have other serious causes.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Seek prompt medical advice if you develop new yellowing of the skin or eyes, increasing abdominal swelling, dark urine, pale stools, persistent vomiting or unusual bruising.
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if you have been told that you have liver fat or repeatedly abnormal liver tests.
Follow-up is also appropriate if you have risk factors such as type 2 diabetes or obesity and are concerned about liver health.
Every sign above is quoted from the sofidex article on Fatty liver disease. If you are not sure, err upward — it is always reasonable to be checked.