Liver disease is often a silent assailant, creeping up without obvious signs until it’s well advanced. Yet, the liver is a powerhouse of an organ, responsible for over 500 vital functions that keep the body running smoothly. From producing bile for digestion to regulating blood sugar and amino acids for muscle building, the liver’s health is crucial to our overall wellbeing.
In Australia, liver disease is a significant health concern, with fatty liver disease alone affecting up to one-third of adults. It’s a condition that can lead to serious health complications if left unchecked.
Despite its resilience, the liver can only withstand so much damage before its functions begin to falter, leading to noticeable health changes. Unfortunately, by the time symptoms manifest, the disease may have already progressed significantly. This is why it’s essential to be vigilant and aware of the subtle signs that could indicate liver trouble.
Here are some of the warning signs that should prompt you to seek medical advice:
1. Persistent fatigue
Feeling tired all the time isn’t just a sign of ageing; it could also be a symptom of chronic liver disease. This isn’t just the usual tiredness that comes from a busy day or a poor night’s sleep, but a profound and debilitating exhaustion that impairs your ability to function normally.
‘Liver disease is associated with chronic systemic inflammation, which can lead to low energy and fatigue,’ says Dr Jennifer Lai, a general and transplant hepatologist.
Accompanied by muscle weakness, brain fog, memory issues, and poor sleep quality, this type of fatigue could be a clear indicator that your liver is struggling.
2. Yellowing of skin and eyes
One of the more recognisable signs of liver disease is jaundice, which is the yellowing of the skin and the whites of the eyes. When cirrhosis—the inflammation and scarring of liver cells—sets in, bilirubin, a yellow waste substance, builds up in the blood due to the liver’s inability to process it properly.
If you notice a yellow tinge to your skin or eyes, it’s suggested to consult a doctor.
3. Unexplained itching
Itching that seems to come from nowhere and is relentless, especially starting in the palms and soles, could be a symptom of advanced liver disease. When bile salts accumulate in the bloodstream, they can irritate the nerves under the skin, leading to an intense itching sensation.
If an unexplainable itch is making you uncomfortable and keeping you up at night, consult your doctor. They will help you find the root cause of the itch and prescribe you medication if needed.
4. Loss of appetite
Liver disease can lead to abdominal pain and changes in hormones that suppress appetite. So if you find yourself consistently not feeling hungry or experiencing a significant decrease in your appetite, it could be a sign that your liver is not functioning correctly.
5. Spider angiomas
These are small, purple and red, spider-like capillaries that appear just beneath the skin’s surface, often on the chest, face, neck, and arms. They are painless and can disappear under pressure when pressed on, only to reappear when released.
An increase in estrogen levels, which can occur with cirrhosis, is thought to contribute to the development of spider angiomas.
Per Dr Lai, higher levels of estrogen ‘stimulates the enlargement of blood vessels, especially at the surface of the skin.’
The key to managing liver disease is early detection. Since symptoms are often absent in the early stages, regular blood tests can be lifesaving. A comprehensive metabolic panel (CMP) can reveal liver enzyme levels and other indicators of liver health. If abnormalities are found, further testing, such as liver ultrasounds or checks for gallstones, may be necessary.
Lifestyle factors, including alcohol consumption and the use of certain supplements, can also impact liver health. This is why it’s crucial to be honest with your doctor about your habits so they can accurately diagnose and treat any liver issues.
In conclusion, while liver disease can be a silent threat, being aware of the subtle signs and seeking regular medical check-ups can help catch it early. If you’re experiencing any of the symptoms mentioned, don’t hesitate to talk to your healthcare provider. Early intervention can slow the progression of liver disease and lead to better health outcomes.
We at YourLifeChoices encourage our readers to prioritise their liver health. Have you or someone you know experienced these symptoms? Share your stories and insights in the comments below to help raise awareness about the importance of early detection of liver disease.
Disclaimer: The information in this article is for general informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Everyone’s health is unique, so if you have any concerns or questions about your health, it’s always best to consult with a qualified healthcare professional.
Also read:Beyond chest pain: Subtle signs of heart attack you shouldn’t ignore
