You may have no symptoms in the early stages of nonalcoholic steatohepatitis (NASH). Most people with NASH feel well and don't know that they have the condition. As NASH progresses and liver damage becomes worse, symptoms may develop, including:

• Fatigue (feeling tired all the time).
• Unexplained weight loss.
• General weakness.
• An aching in the upper right part of your belly.

As NASH advances, cirrhosis develops. Cirrhosis is permanent damage to the liver caused by scarring. If this happens, you may have other symptoms such as:

• Fluid buildup in your legs and abdomen.
• Yellowing of your skin (jaundice).
• Nosebleeds.
• Blood in your stool.
• Bruising easily.
• Weight loss and muscle loss.
• Abdominal discomfort.
• Frequent infections.
• Confusion or trouble thinking.