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Warning-sign checks

Nonalcoholic fatty liver disease: 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. 1

    Is any of this happening now?

    Call 911

    Get emergency help for:

    • Vomiting blood or material that looks like coffee grounds
    • Black, tar-like stools
    • Severe confusion, unusual drowsiness, or difficulty waking
    • Fainting or signs of major bleeding
    • Sudden severe breathing difficulty with marked abdominal swelling
    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. 2

    Is any of this happening?

    Be seen today

    Seek prompt medical advice if you develop new jaundice, increasing abdominal swelling, marked leg swelling, unusual bruising, or a noticeable decline in alertness.

    These symptoms can have causes other than fatty liver, but they need urgent assessment.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if you have unexplained abnormal liver tests, ongoing right upper abdominal discomfort, or risk factors such as type 2 diabetes and have concerns about liver health.

    Routine follow-up is also important if you have already been told you have fatty liver, even when you feel well.

Every sign above is quoted from the sofidex article on Nonalcoholic fatty liver disease. If you are not sure, err upward — it is always reasonable to be checked.