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The majority of individuals with NAFLD have no symptoms and a normal examination. Children may exhibit symptoms such as abdominal glycerol and fatty acids pain, which glycerol and fatty acids may be in the center or the right upper part of the abdomen, and sometimes fatigue. However, other causes of abdominal pain and fatigue glycerol and fatty acids should be considered. On physical examination the liver might be slightly enlarged and some children may have patchy, dark discoloration of the skin present (acanthosis nigricans) most commonly over the neck and the under arm area. How is NAFLD / NASH diagnosed? The diagnosis of NAFLD is usually first suspected in an overweight or obese person who is found to have mild elevations in their liver tests during a routine blood testing. Some experts are now recommending that every obese child or adolescent should have these liver enzymes checked.
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