What it looks like : A yellowish tint (mild jaundice) or darkening (hyperpigmentation), most often around the ankles.
Liver connection : Jaundice is a sign of a problem with the breakdown and excretion of bilirubin, and hyperpigmentation is the result of metabolic disturbances and the accumulation of melanin.
Itchy skin
What it looks like : Constant, no rash, more common at night.
Liver connection : One of the first signs of bile stasis (cholestasis). Accumulated bile acids irritate nerve endings in the skin.
Redness of the feet (plantar erythema)
What it looks like : Abnormally red and warm skin on the feet, especially at the base of the big toe and the heel. The redness disappears momentarily with pressure.
Liver connection : Like spider veins, this results from high estrogen levels and dilation of small vessels due to portal hypertension.
⚠️These symptoms do not constitute a definitive diagnosis of liver disease. They can also be observed in cases of heart failure, kidney problems, allergies, varicose veins, or skin diseases. However, if they appear simultaneously and progress, it is imperative to consult a doctor.
What to do?
Don’t ignore the symptoms! If you experience persistent swelling, spider veins, itching, or skin discoloration, especially if accompanied by additional symptoms such as fatigue, loss of appetite, nausea, heaviness under the right rib cage, or changes in urine and stool patterns, consult a therapist or gastroenterologist immediately.
Prepare for your exam : Note when your symptoms started, what makes them worse or better, and if you have any other complaints.
Prepare for tests : Blood tests (liver enzymes – ALT, AST, bilirubin, alkaline phosphatase, GGT, albumin), a complete blood count, and an ultrasound of the abdominal organs are usually ordered.
Your feet aren’t just a support for your body—they can be an accurate indicator of your liver health. Swelling, spider veins, itching, or skin discoloration shouldn’t be underestimated. These are important signs your body is sending you. Early detection and prompt medical attention are essential for effective diagnosis and treatment.
