Once fatty liver occurs, its clinical manifestations vary widely. The milder cases can be easily missed without any symptoms and are only detected during ultrasound screening, accounting for 25% of all fatty liver cases, which heal naturally when the cause is removed. Clinical symptoms of fatty liver include: loss of appetite, nausea, vomiting, aversion to grease, bloating after meals, significant fatigue, vague pain in the upper and middle abdomen or right upper abdomen, which can be more pronounced after meals or during exercise, and irregular stools, which can be accompanied by constipation or loose stools. In addition, there can be symptoms of multiple vitamin deficiencies, such as peripheral neuritis, tongue inflammation, stomatitis, and skin petechiae. Physical examination reveals that most of the patients are obese, but some of them are emaciated. Most of the livers are slightly enlarged, usually without pressure pain, a few may have mild pressure pain and percussion pain, and very rarely have splenomegaly. Most of the liver function tests are normal. The ALT may also be mildly or moderately elevated. Because triglyceride (TG) and cholesterol (T-CHO) levels are elevated to varying degrees in fatty liver, and are often accompanied by hyperlipidemia, TG and T-CHO are elevated in most patients, and ultrasound is also helpful for diagnosis. Can viral hepatitis be combined with fatty liver? Viral hepatitis can be combined with fatty liver, someone analyzed 87 cases of viral hepatitis combined with fatty liver, found that all types of hepatitis can be combined with fatty liver, including chronic hepatitis accounted for the most 87.2% (75/87), acute hepatitis accounted for 5.8% (5/87), subacute severe hepatitis accounted for 4.6% (3/87), post-hepatitis cirrhosis accounted for 3.4% (4/87), combined with fatty liver The causes are mainly the following combined factors: 1, the acute phase of hepatitis patients decreased appetite, causing protein and caloric card deficiency, resulting in malnutrition of liver cells, resulting in malnutrition fatty liver. 2, the degeneration of hepatocytes: hepatitis due to damage to hepatocytes, so that the hepatocytes within the, fat decomposition and oxidation function is reduced, so that neutral fat accumulation in the hepatocytes and cause fatty liver. 3, is in the hepatitis treatment process, long-term large amounts of static glucose injection, the result of excessive heat card. 4.During the recovery period of hepatitis, due to eating more and relatively less activity, so that the remaining calories accumulate in the form of fat and obese fatty liver occurs.