12 Early Signs of Liver Cirrhosis That Require Special Attention from Doctors

⚠️IMPORTANT: The information provided in this article is for informational purposes only and should not be used as a substitute for medical advice, diagnosis, or treatment. Avoid self-medication and unproven methods. When in doubt, consult a doctor and follow the principles of evidence-based medicine.

1. Spider veins. One of the first signs is the appearance of spider veins on the skin of the upper body. These are fine red lines resembling cobwebs. They appear due to excess estrogen in the body, when the liver does not have time to process them. The veins then dilate and become visible on the surface of the skin.

2. Yellowing of the skin and eyes: A yellowish tint to the skin and whites of the eyes is another worrying symptom. It indicates difficulty processing bilirubin, which may be related to liver failure.

3. Red palms. Red palms are a manifestation of palmar erythema. This condition affects approximately 25% of people with severe liver disease and is associated with a hormonal imbalance, where excess estrogen causes dilation of the blood vessels in the hands.

Note: Palmar erythema can occur not only in cirrhosis, but also in pregnant women, rheumatoid diseases, pulmonary pathologies and subacute bacterial endocarditis.

4. Abdominal swelling. Ascites (accumulation of fluid in the abdominal cavity) causes visible swelling of the abdomen. This can be a consequence of severe liver damage, when the body’s water-salt balance is disrupted and fluid accumulates between the organs.

Ascites often accompanies diseases of the gastrointestinal tract, liver, heart, reproductive and lymphatic systems and requires medical attention.

5. Male breast enlargement. Hormonal imbalances due to liver problems can lead to male breast enlargement. This is due to an increase in estrogen levels, which the liver is no longer able to use properly.

We remind you that the article is based on scientific data and medical observations, but is not intended for self-diagnosis or treatment.

6. Changes in the shape and structure of nails. When the liver is no longer able to perform its functions, the absorption of vitamins and minerals is disrupted, which affects the condition of the nails: they become brittle, thin, and may bend. However, such changes can also be associated with other diseases, such as thyroid, heart, or lung disease.

7. Xanthomas. Whitish spots on the eyelids, called xanthomas, may indicate that the liver is having trouble processing fats. These growths are another reason to be cautious.

8. Swelling. If liver function is impaired, swelling of the extremities may occur, most commonly in the right leg or foot. Pressure on the skin leaving a mark may indicate liver failure and require urgent medical attention.

9. Purple spots. Small purple spots on the skin can be a sign of hepatitis C, which affects the liver and causes elevated enzymes. These rashes require further testing.

10. Dandruff and dry scalp The liver accumulates B vitamins and if it is diseased, their deficiency can occur, manifesting as dandruff or dry scales on the head.

11. Cracked heels. Insufficient nutrient absorption due to liver failure also affects the feet. The skin becomes dry and cracks appear, especially on the heels.

12. Small spots and bruises. Reddish or purple spots on the skin, especially on the hands and feet, can result from a decrease in the production of proteins needed for blood clotting. This leads to the appearance of microbruises, even without a visible injury.