In this state, inflammation occurs inside the liver walls. Consider it as the tiny spark that is igniting inside the liver. As opposed to steatosis NASH indicates that the liver is beginning to defend itself against harm caused by the accumulation of fat. The risk of this stage is higher since it can cause the liver to develop a scar if it is not treated. The symptoms may be mild, like slight discomfort or pain within your abdomen, or unanswered tiredness. What’s the problem? People still ignore it.