One of the earliest and most noticeable signs of advanced liver disease is swelling in the feet, ankles, and lower legs. This condition, known as peripheral edema, occurs when excess fluid leaks out of blood vessels and becomes trapped in surrounding tissues.
Why it happens: When the liver is damaged, it can't produce enough albumin—a protein that keeps fluid inside blood vessels. Without enough albumin, fluid seeps into surrounding tissues, causing swelling.
What to look for:
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Puffiness in feet, ankles, and lower legs
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Skin that feels tight or stretched
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An indentation that remains when you press on the swollen area (pitting edema)
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Shoes that feel tight or won't fit
When to worry: Mild swelling after standing all day is common. But persistent swelling, especially if accompanied by other symptoms, warrants a doctor's visit.
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