While there may be no outward symptoms of non-alcoholic steatohepatitis, you might experience fatigue or pain in the abdomen where your liver is. Generally, the first sign of liver disease, like non-alcoholic steatohepatitis, is when scarring of the liver (cirrhosis) occurs. Cirrhosis can cause several symptoms, including: Itching of the skin Swelling of the abdomen Yellowish appearance to the skin and eyes