The liver itself has no nerves except for its outermost envelope, so early liver disease may not even have any symptoms at all. Symptoms are detected in the early stages of the disease. Symptoms in patients with clinical liver disease are not the same for all, and the timing and severity of each symptom often varies from person to person.

The more common clinical symptoms are divided into the following six categories.

1. General symptomsOften feel exhausted, easily fatigued and unrefreshed.
2. Digestive Tract SymptomsLoss of appetite, nausea, anorexia, abdominal discomfort, bloating and other digestive symptoms may occur. Decreased bile secretion may also cause pale stools or even grayish white stools.
3. JaundiceWhen the concentration of bilirubin in the blood increases, it causes yellowing of the eyes and skin.
4. Pain in the liverWhen the liver is inflamed and swollen, the pericardium is strained and the pain sensory nerves are stimulated, resulting in discomfort and vague pain in the right upper quadrant of the abdomen and right quadrant of the ribs in some patients.
5. Liver and spleen enlargementIn the early stage of acute or chronic hepatitis, the spleen is usually not obviously enlarged, and later it may be enlarged due to the proliferation of the splenic reticuloendothelial system and portal hypertension. . Blood stasis in the spleen, causing splenic enlargement. Persistent progressive splenic enlargement indicates cirrhosis of the liver.
6. Liver AppearanceMany people with chronic hepatitis, especially cirrhosis, have a dark complexion, which may be due to persistent or recurring jaundice and deposition of bilirubin in the skin. Caused by spider moles. Spider moles are common on the skin of the face, neck, chest and back of the hands. Men can have erectile dysfunction; women can have menstrual disorders, amenorrhea and decreased sexual desire.

In addition, when hepatitis is present, the immune function will be reduced or disrupted, making it easy for various infections (such as cold, shingles, diarrhea, etc.) or complications to occur. Diseases of the immune system (e.g. dryness syndrome, psoriasis, etc.). Also, the spleen, which is affected by viruses and immunity, may be enlarged. In severe liver disease, the clotting factors are reduced and the patient may experience clotting difficulties and bleeding.