Alcoholic Liver Disease Symptoms

Alcoholic liver disease often begins with the development of alcoholic hepatitis, which presents a range of symptoms affecting the digestive system and overall health. One of the most common early signs is abdominal bloating, accompanied by indigestion, nausea, and vomiting. As the condition progresses, more severe complications arise, such as alcoholic cirrhosis.

Physical symptoms may include swelling in the lower extremities, an enlarged liver, and a characteristic liver disease appearance marked by jaundice and a reddened, flushed face. Some patients may also develop spider angiomas—small, spider-like blood vessels visible on the skin—and bruising or petechiae due to impaired liver function.

In more advanced stages, individuals may experience fatigue and significant weight loss or muscle wasting. Physical examinations often reveal an enlarged liver and spleen, as well as ascites, which is the accumulation of fluid in the abdominal cavity. Gastrointestinal complications may include esophageal varices and gastric erosion, which can be detected through endoscopic examination.

Laboratory tests typically show abnormal liver function, including elevated levels of liver enzymes such as ALT and AST, as well as increased bilirubin levels. In the later stages of the disease, patients may suffer from portal hypertension, which increases the risk of gastrointestinal bleeding. One of the most serious complications is hepatic encephalopathy, a condition that affects brain function due to liver failure.

It's crucial to recognize these symptoms early and seek medical attention to prevent further liver damage and improve long-term outcomes.