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Fatty Liver Without Symptoms: When Should You Consider a Liver Assessment?

 By Dr. Shruthi Thennati | Kayakalpa Clinic, Vadodara

Can you have fatty liver without experiencing any symptoms? Yes. Fat accumulation in the liver may occur without noticeable symptoms, particularly in its earlier stages.

This is one reason why understanding your metabolic health and discussing appropriate liver assessment with your doctor matters.

What is fatty liver?

Fatty liver refers to excess fat accumulation in liver cells. Metabolic dysfunction-associated steatotic liver disease (MASLD) is the current medical term used for fatty liver associated with metabolic risk factors.

It is commonly associated with conditions such as type 2 diabetes, obesity, insulin resistance and abnormal blood lipids.

Not everyone with fatty liver develops liver damage, but some people may develop inflammation and fibrosis over time.

What are the risk factors for fatty liver?

You may have an increased risk if you have:

  • Type 2 diabetes
  • Excess body weight, particularly abdominal obesity
  • Insulin resistance
  • High triglycerides
  • Metabolic syndrome
  • High blood pressure
  • A history of abnormal liver enzyme levels

These factors do not confirm fatty liver. They indicate reasons to discuss your individual risk with a healthcare professional.

Can fatty liver be detected through routine tests?

Routine investigations can provide useful information, but no single test answers every question.

Liver blood tests may be normal even in some people with fatty liver or fibrosis. An abdominal ultrasound may identify fatty changes but has limitations in assessing fibrosis.

Your doctor may recommend additional assessment based on your medical history, examination and investigation results.

How can FibroScan help assess fatty liver?

FibroScan uses transient elastography and provides two useful measurements:

CAP measurement: Estimates liver fat.

Liver stiffness measurement: Helps assess possible liver fibrosis.

At Kayakalpa Clinic, Vadodara, we offer this assessment using the Echosens FibroScan Mini+ 430.

The result is interpreted alongside other relevant clinical findings. FibroScan is not a substitute for a complete medical evaluation.

Who should discuss liver assessment with a doctor?

Consider discussing your liver health if you have diabetes, obesity, insulin resistance, persistently abnormal liver blood tests or an existing diagnosis of fatty liver.

Your doctor can determine whether ultrasound, blood investigations, FibroScan or another assessment is appropriate.

FibroScan in Vadodara at Kayakalpa Clinic

Dr. Shruthi Thennati (MBBS, MD, PgDip Endocrinology, UK, DipIBLM) focuses on metabolic health and evidence-based lifestyle medicine.

At Kayakalpa Clinic, Old Padra Road, Vadodara, FibroScan assessment is available at ₹4,500 per scan.

If you have concerns about fatty liver, discuss your medical history and whether FibroScan may be appropriate for you.

Book or enquire: https://www.kayakalpa.in

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