As liver function gets worse, other more commonly recognized symptoms of cirrhosis appear including: Easy bruising and bleeding. Yellow tint to your skin or the whites of your eyes (jaundice). Itchy skin.
How do you know if your liver is getting worse? You know that your liver function is worsening if the signs of liver failure have started or are increasing. Look out for jaundice (yellowing of the eyes and skin), nausea, fatigue, and pain on the right side of the abdomen.
It takes upwards of ten years for alcohol-related liver disease to progress from fatty liver through fibrosis to cirrhosis to acute on chronic liver failure. This process is silent and symptom free and can easily be missed in primary care, usually presenting with advanced cirrhosis.
Acute liver failure causes fatigue, nausea, loss of appetite, discomfort on your right side, just below your ribs, and diarrhea. Acute liver failure is a serious condition. It requires medical care right away. If treatments are not effective, you may be a candidate for a liver transplant.
People in the early stage of the disease may live between nine and 12 years, while people in the late stages may only live two years. You can help extend your life expectancy by treating the underlying cause of your condition.
Someone with liver failure who is nearing death is described as having end-stage liver disease. This can cause symptoms such as jaundice, confusion and uncertainty, severe tiredness, a build-up of fluid in the abdomen, shortness of breath, and bleeding easily.
The structure of the scar tissue has created a risk of rupture within the liver. That can cause internal bleeding and become immediately life-threatening. With respect to stage 4 cirrhosis of the liver life expectancy, roughly 43% of patients survive past 1 year.
However, as your liver loses its ability to function properly, you're likely to experience a loss of appetite, nausea and itchy skin. In the later stages, symptoms can include jaundice, vomiting blood, dark, tarry-looking stools, and a build-up of fluid in the legs (oedema) and abdomen (ascites).
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. a high temperature and shivering attacks.
Most people with liver disease report abdominal pain. Pain in your liver itself can feel like a dull throbbing pain or a stabbing sensation in your right upper abdomen just under your ribs.
Stage 3: Cirrhosis
During this stage of disease, symptoms become more noticeable: pain and discomfort, fatigue, appetite loss, fluid retention, jaundice, and an itchy feeling around the liver.
Blood tests.
Blood tests are done to determine how well your liver works. A prothrombin time test measures how long it takes your blood to clot. With acute liver failure, blood doesn't clot as quickly as it should.
Stage 1 is inflammation of your liver, caused by your immune system reacting to a foreign substance, like toxins. Chronic inflammation can lead to an enlarged liver. Inflammation can result from fatty liver, hepatitis, and other causes. Stage 2 is liver fibrosis or liver scarring, caused by chronic inflammation.
You should notice your general health and well-being improving when your liver starts to heal. For example, you may notice clearer thinking, more energy, improved appetite, and less pain.
Your liver can keep working even if part of it is damaged or removed. But if it starts to shut down completely—a condition known as liver failure—you can survive for only a day or 2 unless you get emergency treatment.
End-stage liver disease can take anywhere from months to decades to develop. Death from liver failure can be sudden and unpredictable, although the dying process can also be slower. There may also be times when the patient seems to recover but then worsens again.
Although the overall leading cause of death in patients with cirrhosis is liver-related, the most common causes of mortality in patients with NAFLD cirrhosis is non-hepatic malignancy, cerebrovascular disease, and diabetes.
Blood tests
But liver function tests can be normal at many stages of liver disease. Blood tests can also detect if you have low levels of certain substances, such as a protein called serum albumin, which is made by the liver. A low level of serum albumin suggests your liver is not functioning properly.
At first, you probably won't notice liver problems. But as it gets worse, your skin can feel itchy and bruise easily. Your eyes and skin may look yellowish, which doctors call jaundice. Your belly might hurt, and you could lose your appetite or feel sick to your stomach.
GI SYMPTOMS IN PATIENTS WITH LIVER CIRRHOSIS
The most common GI symptoms reported include abdominal bloating in 49.5% of patients, abdominal pain in 24%, belching in 18.7%, diarrhea in 13.3%, and constipation in 8%[34].
The increased pressure in the veins can make them swell so they might be seen under the surface of your abdomen. Ascites can also develop when the liver isn't making enough blood protein (albumin). A swollen abdomen might cause discomfort or pain, and a loss of appetite or feeling full quickly.