What are the main signs and symptoms of NASH?

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    Last Updated: May 16, 2025

    Most people with nonalcoholic steatohepatitis (NASH) show no signs or symptoms, but as the condition worsens, they may experience vague symptoms like fatigue, weakness, or abdominal pain. Elevated liver enzymes may be detected in blood tests, although this is not universal among people with NASH.

    The majority of people with NASH exhibit no signs or symptoms. As NASH progresses and becomes more severe, people may experience vague symptoms, such as fatigue, weakness, or right upper quadrant abdominal pain. Blood tests may reveal elevated liver enzymes, but this isn’t found in all people with NASH.[1]

    What are the main signs and symptoms of NASH? - Examine