In short
Usually not. Many people feel completely well, even when there is scarring.
Some people notice tiredness or a dull ache on the right side under the ribs.
Clear symptoms usually appear only in advanced cirrhosis. That is why people at risk should be checked, not wait for symptoms.
- Get urgent care for: vomiting blood, black stools, yellow eyes, confusion, or a fast-swelling belly.
Related questions
Sources
- EASL–EASD–EASO Clinical Practice Guidelines on the management of MASLD. J Hepatol 2024;81:492–542. Link
Last updated 2026-10-03. Based on international and Saudi guidelines. Education only: it does not replace your doctor. Read the disclaimer.