Fatty liver disease occurs when excessive fat accumulates in the liver, impairing its function. Many people don’t realize they have fatty liver in its early stages and only begin to feel unwell when the condition worsens. Without timely treatment, fatty liver disease may gradually worsen, eventually leading to cirrhosis or even developing into liver cancer.The deterioration is often gradual, but the body does send out warning signs.

1. Palmar Erythema: Redness in the Palms

Palmar erythema, also known as liver palms, is a condition often seen in people with liver disease, particularly when fatty liver progresses to cirrhosis. It presents as bright red or dark red patches on the palms and the base of the fingers, sometimes accompanied by a warm sensation. This symptom is linked to the liver’s inability to properly break down hormones, leading to an abnormal rise in estrogen levels and subsequent capillary dilation—especially in the hands and feet. This is a sign that liver function is under severe stress. If you notice this symptom, it’s essential to seek medical evaluation as soon as possible.

2. Ascites: Abnormal Abdominal Swelling

Ascites, or fluid buildup in the abdomen, is a common complication when fatty liver worsens into cirrhosis. As liver function declines, fluid retention increases, particularly in the abdominal area. This can cause a noticeable and sudden swelling of the belly, often worsening after meals. It may be accompanied by discomfort, a feeling of heaviness, or even pain. Ascites indicates that the liver has sustained significant damage, especially in the later stages of cirrhosis. If left untreated, it can lead to breathing difficulties and liver failure. Abdominal swelling should not be ignored—timely medical intervention is crucial.

3. Bleeding Issues: Trouble with Blood Clotting

When fatty liver or cirrhosis impairs this function, the synthesis of these factors is reduced, leading to bleeding problems. You might notice symptoms like bleeding gums, easy bruising, or frequent nosebleeds. In some cases, even a minor injury can cause extensive bleeding. This signals that the liver is severely failing and should be taken seriously. If you experience unexplained or excessive bleeding, consult a healthcare provider immediately for a clotting test and appropriate treatment.

4. Nausea and Vomiting: Digestive Discomfort

Nausea and vomiting are common gastrointestinal symptoms during the progression of fatty liver disease. As the liver’s detoxification and metabolic functions decline, toxins and waste build up in the body, triggering nausea or vomiting. These symptoms often come with poor appetite or indigestion. Persistent nausea not only affects nutrient absorption but also increases the burden on the liver, creating a vicious cycle. If you frequently feel nauseated—especially after meals—it’s important to get checked to avoid further deterioration.

Prevention and Treatment of Fatty Liver Disease：

A balanced diet—low in fat and sugar—combined with regular exercise and maintaining a healthy weight can significantly improve liver health. Avoiding alcohol and ensuring good sleep hygiene are also key steps in protecting liver function.

Early diagnosis and timely medical attention are critical—especially when any of the four warning signs appear. Regular health checkups and healthy daily habits are essential to reducing the risk of fatty liver and safeguarding your liver.

In conclusion, fatty liver may be silent at first, but the body sends clear signals as it worsens. Signs like palmar erythema, abdominal swelling, bleeding problems, or persistent nausea shouldn't be ignored. With early intervention and proper care, many of the serious complications of fatty liver can be avoided. The key is to listen to your body and take action early.