Yes, you can get liver failure at any age, from infants to the elderly, though it's more common in middle age; causes vary by age, including infections and metabolic diseases in kids, alcohol/fatty liver/autoimmune issues in young adults, and a mix of factors in older adults, with alarming increases seen in young adults from alcohol.
As the liver becomes more severely damaged, more obvious and serious symptoms can develop, such as: yellowing of the skin or whites of the eyes (jaundice) swelling in the legs, ankles and feet caused by a build-up of fluid (oedema) swelling in your abdomen caused by a build-up of fluid known as ascites.
Acute liver failure, also known as fulminant hepatic failure, can cause serious complications, including bleeding and increased pressure in the brain. It's a medical emergency that requires hospitalization. Depending on the cause, acute liver failure can sometimes be reversed with treatment.
Pain. You may have pain in your tummy (upper abdomen). A swollen (enlarged) liver can cause pain in your right shoulder or back. This is because the enlarged liver stimulates nerves that connect to nerves in the shoulder.
Acute liver failure happens rapidly, within days or weeks. Chronic liver failure, the more common type, happens gradually, over months or years. As your liver begins to lose its functionality, you'll notice more and more the symptoms of liver failure.
Acute liver failure is a rare condition. It happens when your liver suddenly starts to not work. This often happens right after an overdose of medicine or poisoning. Chronic liver failure happens over a long stretch of time.
People with serious liver damage have usually been drinking for 20 or more years. But complications can develop after 5 to 10 years of heavy drinking.
14 signs of liver damage
Pruritus is one of the most common symptoms experienced by patients with cholestatic liver disease. Pruritus associated with cholestasis is characteristically localized to the palms and soles, although generalized itching can also occur.
The fastest way to repair your liver involves immediate lifestyle changes: stop alcohol/smoking, adopt a healthy diet (whole foods, less sugar/fat/processed items), manage weight/exercise, and avoid liver-harming medications, all while consulting a doctor for personalized guidance, as severe damage needs medical intervention for reversal.
Some liver and kidney disorders and some urinary tract infections can turn urine dark brown. So can bleeding inside the body called a hemorrhage. A group of illnesses that mainly affect the skin or the nervous system, called porphyria, also can cause brown urine.
Vitamin E. Vitamin E is an antioxidant, which means it's a nutrient that may help protect cells against damage. Research suggests that in people who have MASLD, vitamin E may boost the liver's natural antioxidants, help reduce liver inflammation and scarring, and help prevent fat buildup.
Short of a CT scan, you would not be able to tell if your liver has decreased in size.
Liver biopsy
A 2021 review of research notes that several studies determined that two to four weeks of abstinence from alcohol by heavy-alcohol users helped reduce inflammation and bring down elevated serum levels in the liver. In short: A few weeks off will help. But the longer you can abstain from alcohol, the better.
The first signs of a bad liver often include persistent fatigue, nausea, loss of appetite, unexplained weight loss, and a dull ache or tenderness in the upper right abdomen. Other subtle indicators can be general malaise, feeling unwell, or mild digestive issues like bloating or fatty stools, which might be overlooked but signal the liver isn't processing nutrients properly.
Symptoms
To cleanse your liver, focus on a healthy lifestyle by eating antioxidant-rich foods (berries, leafy greens, cruciferous veggies, citrus), staying hydrated with water and green tea, getting regular exercise, maintaining a healthy weight, and drastically reducing or eliminating alcohol, processed foods, and sugar, as your liver naturally detoxifies itself with proper support.
At first, acute liver failure causes fatigue, nausea, loss of appetite, discomfort on your right side just below your ribs, and diarrhea. As it gets worse, your skin may turn yellow, and you may become confused or comatose. Acute liver failure is a serious condition. It requires medical care right away.
One of the most common indicators of liver dysfunction is swelling in the lower extremities, particularly the feet and ankles. This condition, known as peripheral edema, occurs when the liver's reduced function causes excess fluid and toxins to build up in the lower body.
You likely won't notice an enlarged liver on your own. In some severe cases, you might notice a feeling of bloating or fullness in your belly or an ache in your upper right abdomen (where your liver is). It's more likely your healthcare provider will discover it during an exam.
If you are in the early stages of liver damage—stage 1 (fatty liver) or stage 2 (early alcoholic hepatitis) —it can be reversed by quitting alcohol. The liver is the only organ that can self-heal itself.
Your healthcare provider will do a complete health history and physical exam. Other tests used to diagnose alcohol-associated liver disease may include: Blood tests. These include liver enzymes, which show whether the liver is working the way it should and how advanced your liver disease may be.
Some common liver function tests include: