The symptoms of liver disease are not specific. Early on, one may notice low energy levels, easy fatigability and poor appetite. But these symptoms are common in afflictions of several organ systems. The liver has a large reserve capacity. Till about 70% to 75% of this reserve is lost, there may not be any signs or symptoms.
Beyond this there may be fluid accumulation in the abdomen called ascites or swelling over dependant areas of the body like the legs.
• Bleeding into the gastrointestinal tract may manifest as vomiting of blood or passage of black, tarry stools called melena.
• Accumulation of toxic substances in the body normally filtered out by the liver particularly ammonia may lead to disruption of sleep pattern, forgetfulness, slowing or slurring of speech, inappropriate speech or even loss of consciousness in advanced cases.
• Jaundice in Chronic liver disease is generally a late feature and tends to be less severe except in certain variants of liver disease