Can You Get Liver Disease Without Drinking Alcohol? Understanding Nonalcoholic Fatty Liver Disease (NAFLD)

Many people associate liver disease with heavy drinking—but alcohol isn’t the only cause. A growing number of Americans are being diagnosed with nonalcoholic fatty liver disease (NAFLD), a condition linked to diet, weight, and metabolism rather than alcohol use. In fact, more than 1 in 4 adults now have some form of fatty liver disease—and most don’t know it.

What Is NAFLD?

NAFLD occurs when excess fat builds up in the liver, even in people who drink little or no alcohol. Over time, this can cause inflammation and scarring, potentially leading to cirrhosis or liver failure if left untreated.

NAFLD is often linked to:

• Obesity or metabolic syndrome
• Type 2 diabetes or insulin resistance
• High cholesterol or triglycerides
• Polycystic ovary syndrome (PCOS)
• Sleep apnea or thyroid disorders

Early Signs and Symptoms

NAFLD is often silent in its early stages. Many people discover it only after a routine blood test. When symptoms appear, they may include:

• Fatigue or weakness
• Discomfort in the upper-right abdomen
• Jaundice (yellowing of skin or eyes)
• Swollen abdomen or legs
• Red palms or spider-like veins on the skin

How NAFLD Is Diagnosed

Doctors typically start with:

• Blood tests to check liver enzyme levels
• Ultrasound or FibroScan to measure fat and stiffness in the liver
• MRI, CT scan, or biopsy if inflammation or scarring is suspected

Treatment and Prevention

There’s no single medication for NAFLD, but lifestyle changes can make a major difference.

Steps that support liver recovery:

1. Lose 3–5% of body weight — even modest weight loss can improve liver health.
2. Eat a Mediterranean-style diet rich in fruits, vegetables, whole grains, and healthy fats.
3. Exercise daily — aim for 30 minutes of moderate activity.
4. Manage blood sugar, cholesterol, and blood pressure.
5. Avoid alcohol and unnecessary supplements.

When to See a Doctor

Schedule an appointment if you have:

• Fatigue that doesn’t improve
• Swelling, jaundice, or unexplained abdominal pain
• Risk factors like diabetes, obesity, or high cholesterol

Early diagnosis can prevent serious complications—and help restore liver health through targeted care.

Comprehensive Liver Care at BASS Medical Group

At BASS Medical Group, our team of Gastroenterology, Endocrinology, and Primary Care specialists provides comprehensive evaluation and treatment for NAFLD. We also offer Radiology services for accurate, noninvasive imaging.

Take control of your liver health.‍

Request an appointment today to learn your risks and get personalized support.