In its early stages, fatty liver disease generally has no symptoms. It may be referred to as a "silent disease" because people may not know that they have it. Symptoms may not appear until the disease is advanced. NAFLD is called nonalcoholic steatohepatitis (NASH) when liver damage occurs. Symptoms of NASH may include tiredness, weakness, yellowing of the eyes and skin, weight loss, itching, and spider-like blood vessels on the skin. Alcoholic fatty liver disease progresses to alcoholic hepatitis and alcoholic cirrhosis. Symptoms of these conditions may include abdominal pain, nausea and vomiting, loss of appetite, changes in weight, yellowing of the eyes and skin, increased thirst, weakness, sleep changes, confusion, fainting, and mood swings.

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