Early stages of cirrhosis often occur without symptoms. The American Academy of Family Physicians reports that often 80 to 90 percent of the liver tissue becomes damaged before symptoms become evident. The liver performs hundreds of bodily functions, including metabolizing nutrients and filtering toxins from the blood. When damaged by cirrhosis, it slowly becomes unable to perform normal functions.
Weight Loss
Weight loss occurs commonly in the early and later stages of cirrhosis of the liver, according to the University of Maryland Medical Center. Loss of appetite often occurs and the liver becomes unable to metabolize many nutrients and vitamins. This leads to malnutrition and contributes to weight loss. Weight loss and loss of appetite continue to worsen as the disease process progresses.
Fatigue
The American Academy of Family Physicians also reports that fatigue and weakness occur in the early stages of cirrhosis. Multiple factors lead to fatigue and weakness, including malnourishment and weight loss. Blood flow becomes impaired and blood flowing between the liver and spleen often slows and stalls. As a result, the spleen removes too many red blood cells, which causes anemia that also contributes to fatigue.
Spider Angiomas
Spider angiomas, or spider veins, often occur in the early stages of cirrhosis, according to UMMC. These spider veins typically have a red or purple center, with veins branching outward, giving the appearance of spider legs. These spider veins typically occur on the arms, abdomen and arms. The American Academy of Family Physicians state that the number of spider veins often relates to the severity of the cirrhosis.
Bone Loss
Vitamin D metabolism occurs in the liver, but in the early stages of cirrhosis, this function may be altered, notes UMMC. Without vitamin D absorption, bones weaken and osteoporosis can occur. Osteoporosis increases the risk for bone fracture and osteoarthritis.
