Alcoholic fatty liver disease is a common and frequent disease in our clinic. We have previously discussed the common causes, diagnosis, and treatment principles of alcoholic fatty liver disease. Today, let’s talk about the clinical symptoms of alcoholic fatty liver. We all know that excessive alcohol consumption can damage liver cells, and the severity of liver cell damage can be assessed by detecting elevated liver function transaminases and bilirubin indicators. Fatty liver often means that excessive fatty tissue accumulates in the liver cells causing liver cell damage. Alcoholic liver injury and fatty liver are often combined. When a patient develops alcoholic fatty liver, the less severe liver cell damage is often only manifested by elevated transaminases and bilirubin in liver function tests. At this time, timely treatment of patients can well control the disease and avoid further aggravation. If hepatocellular injury is more serious, clinical manifestations such as liver enlargement, epigastric pain, nausea, vomiting, anorexia, abdominal distension, indigestion, etc. may occur. Patients with severe hepatocellular injury will show yellow staining of the skin and sclera. In this case, it is necessary to actively protect the liver, reduce yellowing, and support treatment. However, treatment will take a long time. In addition, patients with alcoholic fatty liver often show cirrhosis manifestations in the late stage, such as congestion and enlargement of the spleen, gastrointestinal bleeding, peritoneal effusion, hypoproteinemia, etc. This often suggests a poor prognosis, so patients try to treat early and to recover.