How To Know Your Liver Health: 7 Red Flags & 10 Good Signs, Reveals AIIMS Doctor

Liver disease accounts for two million deaths annually and is responsible for 4% of all deaths (1 out of every 25 deaths worldwide).
When the liver suffers, toxins can not be filtered as effectively as they should have been.

When the liver struggles, the digestion suffers too. If you have been skipping meals way to often or feeling full immediately after eating a little food, it can occur due to inadequate bile production or liver inflammation.

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Summary

Truth is your liver does not show much symptoms until it is badly damaged. If you notice these early signs, do not ignore them. Because early detection of liver problems can reverse the damage what it can happen to it completely, said UK trained gastroenterologist Yogananda Reddy.

Liver is one of the most hard-working silent warriors in the human body. It performs approximately 500 key functions such as detoxifying blood, producing proteins, creating biles for digestion, regulating blood clotting, and storing crucial vitamins & minerals, among others. The liver breaks down carbs, proteins, and fats.

It can store excess glucose in the form of glycogen and then converts it again to glucose whenever energy is required. However, when something goes wrong, the vital organ does not always show it early. Several crucial symptoms remain silent until they become serious.

According to a study published in National Library of Medicine, “Liver disease accounts for two million deaths annually and is responsible for 4% of all deaths (1 out of every 25 deaths worldwide); approximately two-thirds of all liver-related deaths occur in men. Deaths are largely attributable to complications of cirrhosis and hepatocellular carcinoma, with acute hepatitis accounting for a smaller proportion of deaths. The most common causes of cirrhosis worldwide are related to viral hepatitis, alcohol, and non-alcoholic fatty liver disease.” 1

7 Warning Signs Your Liver Is Struggling  

1. Constant Fatigue Accompanied With Low Energy: Are you always feeling tired even after getting adequate full night sleep? When the liver suffers, toxins can not be filtered as effectively as they should have been. It makes the body work harder leading to chronic tiredness. Several individuals may mistake it for stress. But persistent exhaustion is one of the initial liver warning signs that should not be missed. 

2. Loss of Appetite: When the liver struggles, the digestion suffers too. If you have been skipping meals way to often or feeling full immediately after eating a little food, it can occur due to inadequate bile production or liver inflammation, according to a report featured in Curelo. 2

3. Unexplained Weight Gain Or Sudden Loss In Weight: Fatty liver, fluid retention due to liver dysfunction, and hormonal imbalance may cause jump in stubborn weight. On the contrary, advanced liver problems can lead to abrupt weight loss without doing anything major.  

4. Yellowish Skin or Eyes:  It is one of the clearest signs of liver problems. When bilirubin builds in the body, the skin and eyes can begin to turn yellowish. If you note even slightest of yellowness on skin and in eyes, it indicates that you should get liver tests done without fail.

5 Constant Bloating, Abdominal Discomfort, or Gas: The liver sits in the upper right side of the stomach. Whenever, it gets swollen or inflamed, you may notice pain in the ribs, constant bloating, tightness, and heaviness post meals. Many individuals may confuse it with acidity, but constant bloating can be liver-linked.  

6. Dark Urine or Pale Stool: If the urine appear darker than normal (without dehydration) or the stool appears pale or clay-like, it reflects bile flow issues. It is common sign of fatty liver or early liver inflammation.  

7. Itchy Skin Without Any Apparent Reason: Constant itching, particularly during night time, may occur as bile salts start building up under the skin when the liver does not filter effectively.

According to leading UK trained gastroenterologist Yogananda Reddy from Bangalore Gastro Centre Hospital, “your liver can be in a lot of trouble without even giving any symptoms. Below are the 3-signs as told by the gastroenterologist:

1. Constant Fatigue: The first sign is constant fatigue. Feeling tired despite having good night’s sleep. This might indicate that your liver might not be processing and doing its detox job properly.

2. Belly Fat: Second sign is central weight and bloating. “Fatty liver often shows up as that stubborn abdominal fat in the centre and feeling of that heaviness,” said Dr Reddy.  

3. Darkening of The Skin: The third sign is darkening of the skin in the neck and the underarms. This can indicate insulin resistance, which can also indicate the beginning of the diabetes and is closely linked to liver dysfunction.

Truth is your liver does not show much symptoms until it is badly damaged. If you notice these early signs, do not ignore them. Because early detection of liver problems can reverse the damage what it can happen to it completely, concluded Dr Yogananda Reddy. 3

Also Read
Liver Health: Foods You Should Avoid
When the liver suffers, toxins can not be filtered as effectively as they should have been.

10 Signs Your Liver Is Healthy

Dr. Saurabh Sethi, AIIMS-trained gastroenterologist and liver specialist, also educated at Harvard and Stanford, took to his Instagram account and shared 10 weird signs indicating that your liver is functioning properly. Below they are:

1. Your urine is not persistently dark as dark tea-coloured urine can reflect excess bilirubin.

2. Your stool is consistently medium brown. It indicates bile pigments are reaching the gut as expected.

3. Your eyes are clear white (not yellow). It indicates no visible jaundice or bilirubin buildup.

4. You do not have persistent itching without a cause. It can be seen in bile flow disorders.

5. You tolerate fatty meals reasonably well. It suggests bile flow is likely adequate.

6. You don’t bruise or bleed easily. It shows the liver produces key clotting factors.

7. You don’t have unexplained swelling (legs or abdomen). Fluid build-up is typically a later sign of liver dysfunction.

8. Your appetite is stable without ongoing nausea. Advanced liver disease often disrupts appetite.

9. You are not experiencing unexplained muscle loss. Chronic liver disease can lead to sarcopenia (muscle loss).

10. No unusual breath odor without a clear cause. Fetor hepaticus is seen in advanced disease. 4

FAQs

Q

What are the early warning signs that my liver might be struggling?

A

Early warning signs include persistent fatigue despite adequate sleep, loss of appetite, unexplained weight changes, yellowish tint in skin or eyes, constant bloating or abdominal discomfort, dark urine or pale stools, and itchy skin without a clear cause. These symptoms indicate possible liver inflammation or dysfunction requiring medical evaluation.

Q

How can I differentiate between liver-related fatigue and fatigue from other causes?

A

Liver-related fatigue is often persistent and not relieved by rest or a full night's sleep. It occurs because a diseased liver fails to detoxify the blood effectively, making the body work harder. If fatigue is accompanied by other liver signs such as jaundice or abdominal discomfort, liver dysfunction should be considered.

Q

What are some positive signs that indicate a healthy liver function?

A

Signs of a healthy liver include normal urine color (not dark), medium brown stool, clear white eyes without jaundice, absence of unexplained itching, good tolerance to fatty meals, no easy bruising or bleeding, no unexplained swelling, stable appetite, no unexplained muscle loss, and no unusual breath odor.

Q

Why is it important to detect liver problems early, and can liver damage be reversed?

A

Early detection is crucial because the liver often shows few symptoms until damage is advanced. Detecting issues early allows interventions that can halt or reverse damage, especially in conditions like fatty liver or inflammation, improving prognosis and preventing complications such as cirrhosis or cancer.

Q

What causes liver cirrhosis and how common is it globally?

A

Cirrhosis is commonly caused by viral hepatitis, chronic alcohol use, and non-alcoholic fatty liver disease. Globally, liver disease accounts for about two million deaths annually, representing 4% of all deaths. Cirrhosis and its complications are the leading contributors to liver-related mortality.

References

  1. National Library of Medicine|Global burden of liver disease: 2023 update

  2. Curelo|Liver Health: 7 Silent Signs Something Is Wrong

  3. UK trained gastroenterologist Yogananda Reddy via Instagram|3 silent signs your liver is failing

  4. Dr. Saurabh Sethi, AIIMS-trained gastroenterologist and liver specialist via Instagram|10 weird signs indicating that your liver is functioning properly

Disclaimer: This content is for general informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider with any questions about your health or treatment options.

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