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Liver‍‌‍‍‌ cirrhosis is a chronic and progressive disease where the healthy liver tissue are changed to scar tissue, and it loses its ability to detoxify, digest and regulate metabolic functions. As cirrhosis progresses, the fibrosis becomes permanent, affecting almost every organ of the body. However, the first indications are usually minor, and people do not detect the signs until they already have substantial liver damage. 

In this article we will help you identify the initial symptoms of liver cirrhosis, which are the signs that one should never overlook, and also explains why finding out liver cirrhosis in time can prevent the disease from further deterioration. At Sarvesh Health City, the best gastroenterology hospital in Hisar, patients undergo precise diagnosis, and get advanced treatment to keep the liver healthy for the long-term.

What is Liver Cirrhosis and Why Early Detection Matters?

Liver‍‌‍‍‌ cirrhosis is a condition where the liver is permanently scarred due to continuous injury. When the liver cells are gradually replaced by scar tissue, the liver functions, detoxification of poisons, production of proteins, digestion and metabolism, become severely impaired. Since late cirrhosis is quite challenging (and in most cases, reversal is not viable), it is very important to detect the symptoms at the onset stage, thus, the doctors will be able to apply interventions, control the disorder, and check the status more ‍‌‍‍‌frequently.

Early Warning Signs of Cirrhosis

Here are early symptoms that might indicate the onset of liver cirrhosis. Not all need to appear at once, but the presence of one or more over time warrants medical attention.

  • Continuing Fatigue and Weakness: 

This is probably one of the most prominent signals that accompanies the condition, such as persistent fatigue, which is not revitalized by rest. When the liver loses its capacity to handle nutrients and carry out metabolism, energy levels are noticeably lowered. If everyday work becomes too tiring without any apparent reason, then it is possible that you are affected by more than just simple fatigue.

  • Depressed Appetite and Non-Intentional Weight Loss: 

Hepatic damage may cause the digestive system to become less efficient. Therefore, some people will find themselves in a situation where they experience a loss of appetite and yet become intolerant to food and consequently have to face weight loss and even malnutrition.

  • Digestive Troubles (Nausea, Bloating, Indigestion): 

Liver is the main source of bile production, which is necessary for digesting fats. If this function is impaired, a person may feel nauseous, experience bloating more often, suffer from indigestion or acid reflux may become worse. People also might feel trouble digesting heavy or fatty meals.

  • Jaundice: 

Jaundice‍‌‍‍‌ is among the most visible symptoms when the liver is not functioning properly. Because liver function gets impaired, the bilirubin deposition (from the breakdown of red blood cells)  starts building up in the skin and eyes, making them look yellow. Besides that, the urine may become darker due to the increased amount of bilirubin, while the stool may be pale or of a clay-like color, which indicates that the bile flow is obstructed. ‍‌‍‍‌

  • Fluid Retention (Swelling in Legs, Abdomen): 

When the liver is harmed, it affects the production of proteins (such as albumin) that are responsible for keeping the fluid balance. Due to this, fluid may accumulate which leads to swelling of the lower body (edema) or the abdominal cavity (ascites). The swelling should be definitely checked, it can be a very serious problem of the circulatory system and liver.

  • Easy Bruising, Bleeding, or Slow Healing: 

Since the liver is the main organ that produces clotting factors, cirrhosis can result in reduction of these proteins which lead to a situation when the body becomes more susceptible to bruising or bleeding caused by slight injuries. Wounds may bleed for a longer time than usual or it may take your body longer than normal to heal.

  • Persistent Itching (Pruritus): 

Chronic itching is one of the signs of liver cirrhosis. It happens due to the buildup of bile salts and other toxic substances in the skin. So, if any person suffers from unexplained skin that itches very much, without any cause, it might be a liver problem. Visiting the best gastroenterology hospital in Hisar at Sarvesh Health City, can help you get the right treatment at the right time.

  • Cognitive Changes: 

In the case of advanced or deteriorating cirrhosis, the liver may not be able to filter toxins properly. Consequently, the toxins enter the bloodstream and cause the brain to work less efficiently. The symptoms of this condition include forgetfulness, difficulty concentrating, confusion, irritability, or even mood changes (a disease called hepatic ‍‌‍‍‌encephalopathy).

When to See a Doctor

If you experience symptoms such as fatigue without a known cause, itching, or mild jaundice, it is recommended to get a medical checkup instead of simply ignoring them. Basic blood tests (such as liver function tests), ultrasound, and if necessary, advanced imaging can detect liver damage at the very early stage. Booking an appointment at the earliest can help the doctor rule out other causes, monitor progression, and give advice on lifestyle or medication, thereby, making a big difference in the result.

While some reasons for cirrhosis (such as chronic hepatitis) need to be treated by a doctor, there are few things to protect the liver health, such as:

  • Restrict or totally quit heavy drinking.
  • Eat a healthy diet and keep a normal weight to lower the risk of fatty liver.
  • Get a vaccine against liver infections that can be prevented (e.g., hepatitis B, if needed).
  • Do not share needles, have unsafe tattoos, or get unsterile piercings.
  • Take drugs only on the doctor’s advice; do not take too many over-the-counter painkillers or drugs that harm the liver.
  • Keep a regular check if you have any risk factors (obesity, diabetes, hepatitis, ‍‌‍‍‌etc.).

Final Thoughts

Liver cirrhosis‍‌‍‍‌ is an alarming condition; however, the treatment can significantly improve liver health if one can identify the initial signs. The above-mentioned symptoms such as continuous tiredness, yellowing of the skin, digestive discomfort, or swelling without a cause can be the signal of an urgent need for a doctor’s visit.

Patients from Hisar and the surrounding areas should visit Sarvesh Health City, the best gastroenterology hospital in Hisar for the expert’s assessment, modern diagnostic support, and complete liver care. It is a wise decision to take these signs very seriously, and if you get help on time, you can enjoy good health for a lifetime.   ‍

FAQs

Q1.‍‌‍‍‌ Is it possible to reverse liver cirrhosis if it is only mildly progressed?

Ans. Since liver cirrhosis is associated with permanent scarring, the scars cannot be reversed. Nevertheless, discovering the disease at an early stage enables interventions which may slow down the progression and keep liver function at its best.

Q2. Are there any obvious early symptoms of cirrhosis?

Ans. No, most of the time, early signs are so subtle (slight tiredness, rare digestive problems, little itching) and they can be easily misdiagnosed. 

Q3. What are the tests that can help me identify early liver damage?

Ans. Physicians may initially recommend blood tests and liver function tests (LFTs), bilirubin levels, protein levels (albumin), and clotting factors may be included. An ultrasound or FibroScan (imaging technique) can determine the liver anatomy and its stiffness; if necessary, more advanced tests can be done.

Q4. Does a healthy lifestyle make any difference if one has cirrhosis?

Ans. Definitely, if one stops consuming alcohol, starts eating a healthy diet, keeps a healthy weight, gets rid of the causes (like fatty liver or hepatitis) and checks himself/herself regularly, the load on the liver can be dramatically reduced and the progression of liver cirrhosis can be slowed ‍‌‍‍‌down.

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Abhishek-Saini

GASTROENTEROLOGIST

Consult Dr. Abhishek Saini, a leading gastroenterologist in Hisar at Sarvesh Health City, for expert diagnosis and treatment of digestive disorders. Book your appointment today.