Doctor lists five warning signs of failing liver health

Persistent tiredness, unexplained nausea and yellowing skin could be early warning signs of liver trouble, according to a physician who has broken down five symptoms linked to declining liver function. Dr Kunal Sood, a Maryland-based physician in anaesthesiology and interventional pain medicine, shared the list on Instagram on Saturday.

The post, first reported by Hindustan Times, explains how each symptom connects to the liver's role in digestion and detoxification. The liver produces bile to help the small intestine break down and absorb fats and fat-soluble vitamins, and it also filters toxins, alcohol, drugs and metabolic byproducts from the blood. When its function is impaired, the body shows noticeable signs.

Constant fatigue

Dr Sood said fatigue is one of the most common symptoms of chronic liver disease. He explained that tiredness is not always down to liver enzymes alone.

"It may reflect changes in brain signalling, inflammation, muscle loss, poor sleep, anaemia, or reduced exercise tolerance rather than liver enzymes alone," he stated.

Nausea and appetite loss

The liver's role in producing bile means liver disease can disrupt normal digestion, leading to nausea and reduced food intake. Several factors contribute to this symptom, Dr Sood noted.

"Delayed stomach emptying, inflammation, altered taste, abdominal bloating, and reduced appetite are all recognised contributors to nausea and poor food intake," he shared.

Yellowing of eyes or skin

Jaundice, marked by yellowing of the eyes or skin, is a well-known indicator of liver trouble. It occurs when bilirubin builds up in the body because the liver cannot process or excrete it properly, Dr Sood said.

"It may result from liver disease, excess red blood cell breakdown, or bile duct obstruction. New or worsening jaundice always deserves prompt medical evaluation," he explained.

Easy bruising

The liver manufactures many proteins required for normal blood clotting and helps regulate platelet production. When liver function declines, this process is affected, Dr Sood said.

"As liver function declines, bruising and abnormal bleeding can become more common, especially when accompanied by nosebleeds, gum bleeding, or black stools," the physician said.

Swelling in legs or abdomen

Liver scarring can raise pressure in the portal circulation, resulting in fluid retention. Dr Sood said this is often worsened by low levels of a key blood protein.

"Liver scarring can increase pressure in the portal circulation, causing fluid retention and swelling in the legs or abdomen. Low albumin levels may worsen this because albumin helps keep fluid inside blood vessels," he said.

Note: This article is based on user-generated content from social media, and the claims have not been independently verified. It is for informational purposes only and is not a substitute for professional medical advice. Readers should consult a doctor with any questions about a medical condition.