Fatty liver with hidden pain may be caused by aggravation of the condition, combined with gallbladder disease and so on. 1. Exacerbation: fatty liver with hidden pain may be exacerbation of the disease, liver cell swelling is more serious, including liver cells of the hepatic envelope did not increase with the enlargement of the liver, and pulling caused by the pain in the liver area hidden pain. In addition, fatty liver caused by hepatitis leads to high transaminases, resulting in hidden pain in the right upper abdomen. 2. Combined with gallbladder disease: fatty liver combined with gallbladder disease, such as cholecystitis, gallbladder polyps, gallstones, etc., if you eat high cholesterol, high fat food caused by gallbladder area pain, mistaken for liver pain. It is recommended to consult a doctor in time to find out the cause of fatty liver and treat it as soon as possible to avoid delaying the condition.