Persistent fatigue or weakness
Loss of appetite
Nausea or vomiting
Unexplained weight loss
Abdominal swelling or bloating
Swelling in the legs or ankles
Yellowing of the skin or eyes
Itchy skin
Easy bruising or bleeding
Red palms
Spider-like blood vessels on the skin
Dark urine
Pale or clay-colored stools
Confusion, forgetfulness, or trouble concentrating
Sleepiness or personality changes
Enlarged abdomen with visible veins
Loss of muscle mass
Low sex drive or menstrual changes
Fever or signs of infection
Vomiting blood
Black, tarry stools
A history of hepatitis, heavy alcohol use, fatty liver disease, or other liver disease
Abnormal liver blood tests
Imaging showing liver scarring or nodularity
A healthcare professional’s evaluation and testing