Abdominal swelling is a telltale sign of cirrhosis. This condition, known as ascites, arises when the loss of proteins in the blood, cause fluid to leave the vessels and accumulate in the space between the tissues which line the abdomen and abdominal organs. This fluid buildup exerts pressure in the abdomen, leading to discomfort and pain.
Portal hypertension, which is high blood pressure in the portal vein that delivers blood from the digestive organs to the liver, can also lead to the development of ascites. The increased pressure and blood pooling can also cause the spleen to enlarge, causing upper left-side abdominal pain that radiates to the back.
The next symptom is, Number 8, “Itchy Skin”.
If you’re experiencing pruritus, or itchy skin, it could be a sign of a liver disease. This itching could be caused by the restriction or stoppage of bile flow from the liver. This type of itching can be so intense that it disrupts your sleep and daily activities. It does not generally involve rash or skin lesions, and is not relieved by scratching. The itching can develop in one area or all over your body, but it’s most commonly felt on the palms of your hands and the soles of your feet.
Our Number 7 symptom is, “Changes in Bowel Movements”.
When your liver is not functioning well, it can slow down digestion, leading the body to increasingly excrete toxins in the bowels. This results in constipation or diarrhea. In later stages of liver damage, the liver may struggle to produce and process bile and bilirubin, which give stool its brown color, causing the stool to become pale-colored.
Next, we have Number 6, “Changes in Urine”.
Dark urine is often one of the first signs that bilirubin levels are elevated. This happens because the damaged liver cannot break down this yellowish pigment and remove it properly. Without effective elimination through stool, excess bilirubin circulates back into your bloodstream and then gets filtered out by your kidneys, darkening the urine.
At Number 5, is “Easy Bruising & Excessive Bleeding”.
Your liver plays a key role in making proteins that help your blood to clot. When your liver is damaged, it struggles to help blood clot properly after an injury, thus causing more bruising or bleeding. Frequent nosebleeds and bleeding gums, or prolonged bleeding from simple cuts, are indications of potential liver issues.
Another problem can arise when new blood vessels are formed to bypass the damaged liver, due to portal hypertension. These vessels, often created in the esophagus and stomach, can swell and cause severe bleeding, especially if blood clotting is not functioning well. If you experience symptoms such as vomiting blood or black stool, it could be a sign of gastrointestinal bleeding, and you should seek immediate medical attention.
Next, at Number 4, is “Swelling in Legs or Ankles”.
Liver damage can lead to fluid buildup in your ankles and legs. This happens because the loss of blood protein allows fluid to leak into the tissues. Due to gravity, the legs and ankles are often affected as fluid is pulled down towards the feet. In the late stages of liver damage, noticeable puffiness is commonly seen around the lower limbs.
Coming into Number 3, we have “Nail Changes”.
Various types of liver disease can have noticeable effects on the nails. For instance, Terry’s nails, which are mostly white with a thin, reddish-brown strip near the tip, are often linked to liver failure or cirrhosis.
In a study, 68 percent of liver disease patients (with cirrhosis, hepatitis C, and hepatitis B) had nail changes, while only 35 percent of the control group did. The most frequent change was a fungal nail infection called onychomycosis.
You may also notice other changes like ridges running lengthwise on the nails, nails that are prone to breaking, fingertips becoming rounded and enlarged, and nails that are thick, misshapen, or have unusual color.
Next, at number 2 is “Impotence & Loss of Libido”.
The prevalence of erectile dysfunction is high in men with nonalcoholic fatty liver disease (NAFLD). Liver damage can also lead to a decrease in sexual desire. Although the exact reasons for these symptoms require more research, many experts think they result from imbalances in sex hormones commonly seen in liver conditions. Also, alcohol seems to contribute to the loss of sexual function, particularly in men.
And at Number 1, we have “Bad Breath”
Fetor hepaticus is a chronic odor in your breath, different from normal bad breath, and is a distinctive symptom of liver disease. It is not related to dental hygiene, and cannot be solved by brushing your teeth more often or using special mouthwash. The scent is described as a mixture of rotten eggs and garlic. This symptom does not appear until there is already significant liver damage, and can only be solved by curing liver disease.
So, there you have it! Some of the most important symptoms of liver damage. If you have more than one of these symptoms, and they don’t go away, consult a healthcare professional who can evaluate your liver function.
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