Metabolic dysfunction-associated steatohepatitis: when to get help
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
Seek emergency help for:
Vomiting blood or material that looks like coffee grounds
Black, tar-like stools
Sudden confusion, extreme sleepiness, or difficulty waking
Fainting, severe weakness, or breathing difficulty
These symptoms can indicate internal bleeding or advanced liver complications.
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
Get urgent medical advice for new jaundice, rapidly increasing abdominal swelling, fever with abdominal pain, or a clear change in alertness.
3
Does any of this apply?
Book an appointment
Arrange routine medical follow-up if you have known MASH, abnormal liver tests, or imaging that shows liver fat.
Seek an earlier appointment if tiredness or right-sided abdominal discomfort is persistent, or if you develop new abdominal swelling, leg swelling, easy bruising, dark urine, pale stools, or yellow skin or eyes.