The liver is shielded by a capsule that carries pain receptors, so it is possible for liver problems to cause discomfort when a tumor or inflammation stretches that capsule. This nuance is explained by Maria Dyuzheva, a gastroenterologist associated with SberHealth, in conversations with socialbites.ca.
Dyuzheva notes that the liver tissue itself lacks pain receptors. Pain arises when swelling or a mass presses on the surrounding capsule, causing stretching and resulting in pain. This distinction helps explain why some liver conditions may trigger symptoms while the organ itself shows little direct sensation.
Many liver diseases do not produce early warning signs. Non-alcoholic fatty liver disease, chronic viral hepatitis, autoimmune hepatitis, and several other conditions can progress quietly, with substantial portions of liver tissue already affected before noticeable symptoms appear. In such cases, fibrosis and even cirrhosis may develop as the disease advances.
Nevertheless, certain liver disorders present with clear, unmistakable signs. Jaundice, characterized by yellowing of the skin and the whites of the eyes, dark urine, and pale or discolored stools, can indicate liver trouble. Itching of the skin, swelling in the abdomen or legs, spontaneous bleeding, and the appearance of bruises are other potential red flags that should prompt medical advice and evaluation.
Regular testing for viral hepatitis B and C is an important preventive measure to avoid missing serious liver disease. Routine screening helps identify infections early, enabling timely intervention and reducing the risk of complications.
Regarding other blood tests, there is no universal schedule that fits everyone. If there are health concerns or several risk factors for liver damage—such as a family history of liver disease, overweight status, alcohol use, or current medications—a medical professional may recommend an annual exam or more frequent checkups. The guidance from healthcare providers emphasizes listening to one’s body and pursuing evaluation when warning signs or risk factors are present, rather than adhering to a rigid timetable.