Symptoms of alcohol-related liver disease 

In many cases, people with alcohol-related liver disease (ARLD) don't have any noticeable symptoms until their liver is badly damaged.

Early symptoms

If you do experience early symptoms of ARLD, these are often quite vague, such as:

Advanced symptoms

As the liver becomes more severely damaged, more obvious and serious symptoms can develop, such as:

  • yellowing of the skin and whites of the eyes (jaundice)
  • swelling in the legs, ankles and feet, due to a build-up of fluid (oedema)
  • swelling in your abdomen, due to a build-up of fluid known as ascites
  • a high temperature (fever) and shivering attacks
  • very itchy skin
  • hair loss
  • unusually curved fingertips and nails (clubbed fingers)
  • blotchy red palms
  • significant weight loss
  • weakness and muscle wasting
  • confusion and memory problems, trouble sleeping (insomnia) and changes in your personality due to a build-up of toxins in the brain
  • vomiting blood and black, tarry stools due to internal bleeding
  • a tendency to bleed and bruise more easily, such as frequent nosebleeds and bleeding gums
  • increased sensitivity to alcohol and drugs (because the liver can't process them)

When to seek medical advice

ARLD doesn't often cause symptoms until it's reached an advanced stage. If you misuse alcohol, you may have liver damage, even though you have none of the symptoms above.

Read about alcohol misuse (drinking too much)

Contact your GP for advice if you have a history of regular alcohol misuse.

A good way to assess your history and pattern of drinking is to use a short test known as the CAGE test, which consists of four questions:

  • Have you ever thought you should cut down on your drinking?
  • Have people annoyed you by criticising your drinking?
  • Have you ever felt guilty about your drinking?
  • Have you ever drunk an "eye-opener", which means: have you ever drunk alcohol first thing in the morning to get over a hangover and steady your nerves?

If you answer "yes" to one or more of the questions above, you may have an alcohol problem and are advised to see your GP.

See your GP as soon as possible if you have symptoms of advanced ARLD.

Read more about how ARLD is diagnosed.

Page last reviewed: 24/09/2015

Next review due: 24/09/2017